{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T07:11:12Z","timestamp":1787987472402,"version":"build-2784847793"},"reference-count":18,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"02","license":[{"start":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T00:00:00Z","timestamp":1645747200000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To assess the degree of correlation\/agreement of maternal\u2013fetal Doppler parameters between normal and growth-restricted fetuses (fetal growth restriction [FGR]).<\/jats:p><jats:p>\n          Methods\u2003The present observational and retrospective study included 274 singleton pregnancies. The following maternal\u2013fetal Doppler parameters were assessed: uterine artery (UAt), umbilical artery (UA), middle cerebral artery (MCA), cerebroplacental ratio (CPR), and umbilical\u2013cerebral ratio (U\/C). The assessment of FGR was based on the Figueiras and Gratac\u00f3s9 criteria. Spearman correlation coefficients were estimated to assess the correlation between resistance (RI) and pulsatility (PI) indices of Doppler parameters. The agreement between two Doppler parameters was assessed by the Kappa coefficient.<\/jats:p><jats:p>\n          Results\u2003In total, 502 Doppler examinations were included, and FGR was observed in 19 out of 274 fetuses. A strong correlation was observed between RI and PI of UAt, UA, and MCA in all of the samples (p\u2009&lt;\u20090.001). Of the 502 Doppler examinations, there was agreement between U\/C and CPR percentiles for 480 (95.6%) and disagreement for 22 (4.4%), with Kappa coefficient of 0.26, thereby corresponding to weak agreement. Of the 68 cases with estimated fetal weight \u2264 9th percentile (small for gestational age [SGA]), there was agreement between U\/C\u2009&gt;\u20091.0 and CPR\u2009&lt;\u20095th percentile in 61 (88.4%) and disagreement in 7 (5.8%) with Kappa coefficient of 0.49, thereby corresponding to moderate agreement.<\/jats:p><jats:p>\n          Conclusion\u2003Strong correlation was observed among RI and PI UAt, UA, and MCA Doppler examinations in the present study; however, weak agreement was observed between U\/C and CPR in the normal and FGR fetuses. In SGA, U\/C and CPR demonstrated moderate agreement.<\/jats:p>","DOI":"10.1055\/s-0041-1741453","type":"journal-article","created":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T23:54:58Z","timestamp":1645833298000},"page":"118-124","source":"Crossref","is-referenced-by-count":6,"title":["Analysis of the Correlation\/Agreement of Maternal\u2013fetal Doppler Parameters in Normal and Growth-Restricted Fetuses"],"prefix":"10.61622","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9253-8005","authenticated-orcid":false,"given":"Ederlei Munhoz","family":"Pinsuti","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Universidade Federal do Paran\u00e1, Curitiba, PR, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2788-9001","authenticated-orcid":false,"given":"Rafael Frederico","family":"Bruns","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Universidade Federal do Paran\u00e1, Curitiba, PR, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8588-8074","authenticated-orcid":false,"given":"Jaime","family":"Kulak J\u00fanior","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Universidade Federal do Paran\u00e1, Curitiba, PR, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7891-5150","authenticated-orcid":false,"given":"Newton S\u00e9rgio","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Universidade Federal do Paran\u00e1, Curitiba, PR, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0293-3042","authenticated-orcid":false,"given":"D\u00eanis Jos\u00e9","family":"Nascimento","sequence":"additional","affiliation":[{"name":"Department of Gynecology and 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Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2022,2,25]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"publisher","first-page":"1061","DOI":"10.1007\/s00404-017-4341-9","article-title":"Fetal growth restriction: current knowledge","volume":"295","author":"L M Nardozza","year":"2017","journal-title":"Arch Gynecol Obstet"},{"issue":"04","key":"ref2","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1016\/j.ajog.2010.08.055","article-title":"Intrauterine growth restriction: new concepts in antenatal surveillance, diagnosis, and management","volume":"204","author":"F Figueras","year":"2011","journal-title":"Am J Obstet Gynecol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1542\/peds.32.5.793","article-title":"Intrauterine growth as estimated from liveborn birth-weight data at 24 to 42 weeks of gestation","volume":"32","author":"L O 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