{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T01:28:32Z","timestamp":1770168512100,"version":"3.49.0"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T00:00:00Z","timestamp":1758672000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T00:00:00Z","timestamp":1758672000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Evaluation of intra\u2010 and inter\u2010observer variability of middle cerebral artery (MCA) pulsatility index (PI) in pregnancies complicated by fetal growth restriction (FGR) compared to normally grown controls and literature review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Prospective observational cross\u2010sectional study. Singleton pregnancies between 26 and 40\u2009weeks were included and divided into two groups based on fetal growth: fetal growth restricted and normally grown fetuses. Fetal growth restricted fetuses were divided into early and late FGR. Intra\u2010and inter\u2010observer variability were assessed by Intraclass Correlation Coefficient (ICC) and interpreted following the TRUST criteria and GRRAS guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One hundred and fifty patients were included in the study. Forty\u2010eight cases were complicated by FGR: 27 early\u2010onset and 21 late\u2010onset. 13\/48 (27%) showed middle cerebral artery redistribution. Intra and interobserver reproducibility were \u201cpoor\u201d in the appropriate for gestational age (AGA) fetuses. In the FGR group, the intraobserver reproducibility was \u201cmoderate\u201d and interobserver reproducibility was \u201cmoderate\/poor\u201d. Intraobserver reproducibility was \u201cgood\u201d in early FGR and \u201cmoderate\u201d in late FGR cases, while interobserver reproducibility was \u201cmoderate\u201d in early FGR and \u201cpoor\u201d in late FGR cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MCA PI Doppler repeatability is superior in FGR fetuses compared to AGA fetuses. MCA pulsatility index can be used with confidence in FGR, especially if early onset.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jcu.70075","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T08:15:12Z","timestamp":1758701712000},"page":"406-414","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Is Middle Cerebral Artery Doppler a Reliable Tool for Fetal Monitoring? 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