{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T05:07:31Z","timestamp":1783832851895,"version":"3.55.0"},"reference-count":35,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T00:00:00Z","timestamp":1772928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T00:00:00Z","timestamp":1772928000000},"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 Ultrasound Medicine"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate automated right\u2010 and left\u2010ventricular myocardial performance index (Mod\u2010MPI) using the Samsung Hera W10 (MPI+\u2122) system in fetuses with late\u2010onset fetal growth restriction (FGR) and to explore its association with Doppler parameters and perinatal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective study included 177 singleton pregnancies between 32 and 39\u2009weeks of gestation\u201487 with late\u2010onset FGR and 90 gestational\u2010age\u2010matched controls. Fetal echocardiography and Doppler examinations were performed using the Samsung Hera W10 system with integrated MPI+\u2122 software. Automated right and left Mod\u2010MPI, atrioventricular valve E\/A ratios, and Doppler indices were recorded. Neonatal outcomes were analyzed in relation to MPI measurements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Right\u2010ventricular MPI and isovolumic contraction time (ICT) were significantly increased in FGR fetuses compared with controls (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.001), whereas left\u2010ventricular MPI showed no significant difference. Umbilical artery PI and RI were higher, and CPR and umbilical peak systolic velocity were lower in FGR. Right\u2010sided MPI correlated negatively with gestational age, birth weight, and Apgar scores.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Automated right\u2010ventricular Mod\u2010MPI provides a reproducible, objective indicator of early cardiac dysfunction in late\u2010onset FGR. Elevation of right\u2010sided MPI and prolongation of contraction time may reflect early myocardial adaptation preceding classical Doppler deterioration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jum.70216","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:07:38Z","timestamp":1772989658000},"page":"1677-1684","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prospective Evaluation of Automated Right and Left Ventricular Myocardial Performance Index in Late\u2010Onset Fetal Growth Restriction"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6814-8373","authenticated-orcid":false,"given":"Gulnihal","family":"Reyhan Toptas","sequence":"first","affiliation":[{"name":"Perinatology Department Ankara Bilkent City Hospital  Ankara 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