Diagnostic accuracy of middle cerebral artery Doppler findings in intrauterine growth restriction taking biophysical profile as gold standard.

Abstract

Objective: To find the diagnostic accuracy of middle cerebral Artery Doppler findings in Intrauterine Growth Restriction taking Biophysical Profile as Gold Standard. Study Design: Cross Sectional study. Setting: Department of Radiology, Allied Hospital Faisalabad. Period: 11 February 2021 to 30 April 2022. Material & Methods: A cross-sectional study of 161 pregnant women was conducted at the radiology department of allied hospital Faisalabad. The Inclusion Criteria were 114 pregnant women with abnormal biophysical profile and with a history of previous IUGR fetus pregnancy. All women's ultrasounds were performed on color Doppler. Data was analyzed by using IBM-SPSS version 25. Results: In our study age ranged from 18-42 years with mean age of 27.2547 ± 6.46363 years. The RI of MCA ranged from 0.30-0.90 % in the IUGR patients with the mean value 0.5330 ± 0.16134, and the RI of MCA ranged from 0.60-0.70 % in the normal was 0.6632 ± 0.4828. Similarly the PI of MCA ranged from 1.00-2.00 % in the IUGR patients with the mean value 1.9825 ± 0.13187, and the PI of MCA ranged from 2.00-2.00 % in the normal was 2.0000 ± 0.00000. The biophysical profile scoring of MCA_PI with range from 0.5-0.6 was 8 in two patients while with range from 0.6-7.98 was 6 in 32 patients, and was 8 in 127 patients. Conclusion: In conclusion, the diagnostic accuracy of Color Doppler of umbilical and cerebral pulsatility is very excessive in diagnosing IUGR.