Table 1.
Performance of Sonographic Markers in Predicting Fetal Hb Bart’s Disease.
Study | Gestational Age (Week) | Cut-Off Value | Sensitivity (%) | Specificity (%) | References | |
---|---|---|---|---|---|---|
Potential biomarkers | Cardio-thoracic diameter ratio | 12–15 | ≥0.50 | 75–100 | 90–100 | [18,46,47,48,49,50,59] |
18–22 | ≥0.52 | 88–100 | 87–96 | |||
Middle cerebral artery—peak systolic velocity | 12–15 | ≥1.5 MoM | 17–56 | 79–96 | [48,49,53] | |
16–22 | ≥1.5 MoM | 64–85 | 98–100 | |||
Placental thickness | 12–15 | ≥18 mm | 72.9 | 68.8 | [48,49,52] | |
18–22 | ≥30 mm | 74–100 | 96.1 | |||
Other additional biomarkers | Thickened nuchal translucency | 11–14 | >95th percentile | 16.7 | 98.6 | [49] |
Cardio-biparietal diameter ratio | 17–22 | ≥0.45 | 84–91 | 77–93 | [60,61] | |
Cardiac circumference | 15–22 | 1.17 MoM | 86.4 | 78.1 | [57] | |
Global sphericity index | 18–22 | 1.17 | 74.1 | 88.2 | [62] | |
Liver length | 18–22 | ≥27.0 mm | 71.3 | 95.5 | [54] | |
Splenic circumference | 18–22 | ≥1.5 MoM | 70.1 | 83.0 | [63] | |
Splenic artery—peak systolic velocity | 18–22 | ≥1.51 MoM | 84.4 | 98.1 | [55] |
Abbreviation: MoM, multiples of the median.