{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T06:07:48Z","timestamp":1788761268897,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"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"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Fetal growth restriction (FGR) is associated with increased perinatal morbidity and mortality. The fetal myocardial performance index (MPI) has been proposed as a marker of fetal cardiovascular adaptation for FGR; thus, this study aims to evaluate whether fetal MPI measured at 20\u201324 gestational weeks predicts subsequent development of FGR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This prospective cohort study was conducted at Selcuk University (Perinatology and Obstetrics outpatient clinic) between July 1, 2024 and February 1, 2025. Singleton pregnancies (18\u201345\u2009years) at 20\u201324\u2009weeks without fetal structural anomalies or maternal chronic disease were enrolled. A standard second\u2010trimester ultrasound was performed, and Doppler parameters (umbilical artery, uterine artery, middle cerebral artery, ductus venosus) and MPI were recorded. Participants were followed until delivery; FGR was defined according to Delphi criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 329 pregnancies, 4 intrauterine fetal deaths were excluded; after excluding pregnancies complicated by gestational diabetes, 303 remained for analysis. A total of 47 fetuses developed FGR and 256 served as controls; all preeclampsia cases (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097) were accompanied by FGR. Median MPI was 0.40 (0.31\u20130.54) in the FGR group versus 0.39 (0.21\u20130.58) in controls, with no significant difference (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.110).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MPI assessed at 20\u201324\u2009weeks was not useful for predicting FGR in a low\u2010risk singleton population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jcu.70395","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T05:16:50Z","timestamp":1788758210000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of the Fetal Myocardial Performance Index at Mid\u2010Gestation for Prediction of Fetal Growth Restriction"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1209-3803","authenticated-orcid":false,"given":"\u015eeyma","family":"K\u0131l\u0131\u00e7","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Selcuk University Faculty of Medicine  Konya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9632-5093","authenticated-orcid":false,"given":"Nizamettin","family":"Bozbay","sequence":"additional","affiliation":[{"name":"Department of Perinatology Selcuk University Faculty of Medicine  Konya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8760-3781","authenticated-orcid":false,"given":"Ay\u015fe Ceren","family":"Duymu\u015f","sequence":"additional","affiliation":[{"name":"Department of Perinatology Selcuk University Faculty of Medicine  Konya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0578-4230","authenticated-orcid":false,"given":"G\u00f6k\u00e7en","family":"\u00d6rg\u00fcl","sequence":"additional","affiliation":[{"name":"Department of Perinatology Selcuk University Faculty of Medicine  Konya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,6]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"A Practical Guide to Fetal Echocardiography: Normal and Abnormal Hearts","author":"Abuhamad A.","year":"2010"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2018.1489534"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200606000-00009"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2012.01319.x"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12508"},{"issue":"3","key":"e_1_2_12_7_1","doi-asserted-by":"crossref","first-page":"220","DOI":"10.21613\/GORM.2019.960","article-title":"The Impact of Delivery Type on Ventricular Performances of Healthy Neonates","volume":"26","author":"Cilsal E.","year":"2020","journal-title":"Gynecology Obstetrics & Reproductive Medicine"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.8903"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.15884"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000330792"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2017.1391777"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000363181"},{"issue":"2","key":"e_1_2_12_13_1","doi-asserted-by":"crossref","first-page":"132","DOI":"10.4103\/0974-2069.177516","article-title":"Fetal Left Ventricular Myocardial Performance Index: Defining Normal Values for Indian Population and a Review of Literature","volume":"9","author":"Nair A.","year":"2016","journal-title":"Annals of Pediatric Cardiology"},{"issue":"2","key":"e_1_2_12_14_1","first-page":"259","article-title":"Assessment of Myocardial Performance Index in Late\u2010Onset Fetal Growth Restriction","volume":"83","author":"Nguyen T. 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