{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:00:22Z","timestamp":1786118422592,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T00:00:00Z","timestamp":1783814400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the difference in lung size measurement in fetuses with left\u2010sided congenital diaphragmatic hernia (L\u2010CDH) by means of the observed\/expected lung\u2010to\u2010head ratio (O\/E\u2010LHR) in two different fetal positions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Prospective cohort of L\u2010CDH fetuses, with O\/E\u2010LHR measurements by one experienced investigator but with the fetus in two positions: with the contralateral lung close and one with the lung away from the ultrasound probe. A Bland\u2010Altman analysis was performed to assess the agreement between lung measurements in both fetal positions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      49 L\u2010CDH fetuses underwent paired assessments of lung size at a mean gestational age of 28.8 (17.7\u201337.7) weeks. Lung size estimation with the lung distant to the probe consistently underestimates the O\/E\u2010LHR values compared to measurements obtained using the lung close to the probe. On average, O\/E\u2010LHR values were 11.3% (95% confidence intervals (CI), 7.5%\u201315.0%) higher when the lung was close to the probe. When the lung was distant to the probe, a higher proportion of CDH fetuses were classified in a more severe group than when it was evaluated close to the probe (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01). A consistently lower survival rate was expected when the lung was evaluated distant to the ultrasound probe.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Lung size estimation in L\u2010CDH fetuses may be affected by fetal position, which may affect postnatal prognosis, prediction of survival and eligibility for fetal therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pd.70222","type":"journal-article","created":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T13:40:08Z","timestamp":1783863608000},"page":"1480-1485","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lung Size Measurement in Left\u2010Sided Congenital Diaphragmatic Hernia: Does Position of the Fetus Affect Results?"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5999-866X","authenticated-orcid":false,"given":"Rogelio","family":"Cruz\u2010Mart\u00ednez","sequence":"first","affiliation":[{"name":"Instituto Medicina Fetal M\u00e9xico  Guadalajara Jalisco Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Rivera\u2010Carrillo","sequence":"additional","affiliation":[{"name":"Instituto Medicina Fetal M\u00e9xico  Guadalajara Jalisco Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9638-5950","authenticated-orcid":false,"given":"Rosa","family":"Villalobos\u2010G\u00f3mez","sequence":"additional","affiliation":[{"name":"Instituto Medicina Fetal M\u00e9xico  Guadalajara Jalisco Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Pel\u00e1ez\u2010Jim\u00e9nez","sequence":"additional","affiliation":[{"name":"Instituto Medicina Fetal M\u00e9xico  Guadalajara Jalisco Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana","family":"Cisneros\u2010Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Instituto Medicina Fetal M\u00e9xico  Guadalajara Jalisco Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2725-971X","authenticated-orcid":false,"given":"Savino","family":"Gil\u2010Pugliese","sequence":"additional","affiliation":[{"name":"Servicio de Medicina Fetal Hospital Privado Universitario de C\u00f3rdoba  C\u00f3rdoba Argentina"},{"name":"Instituto de Ciencias Biom\u00e9dicas de C\u00f3rdoba  C\u00f3rdoba Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saulo","family":"Molina\u2010Giraldo","sequence":"additional","affiliation":[{"name":"Section of Fetal Therapy and Fetal Surgery Unit Division of Maternal\u2013Fetal Medicine Department of Obstetrics and Gynecology Hospital de San Jos\u00e9 Fundaci\u00f3n Universitaria de Ciencias de la Salud (FUCS)  Bogot\u00e1 Colombia"},{"name":"Maternal\u2013Fetal Medicine Unit Department of Gynecology and Obstetrics Faculty of Medicine Universidad Nacional de Colombia  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.3.532"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa2027030"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.21993"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7586"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000440649"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000320249"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.23701"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2018.1517329"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s10397\u2010018\u20101041\u20109"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.4052"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.15.14.11064"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.4051"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.5167"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0022\u20103468(96)90338\u20103"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.9031"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.5458"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.17463"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7577"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.5988"}],"container-title":["Prenatal 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