{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T02:57:31Z","timestamp":1790564251152,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,8,2]],"date-time":"2018-08-02T00:00:00Z","timestamp":1533168000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>When an orofacial cleft lip is discovered, precise characterization of this malformation is necessary, especially the extension of this cleft to the secondary palate. We aimed to develop and evaluate the feasibility\/reproducibility of a score\u2010based quality control for the visualization of the fetal hard palate during the second\u2010trimester scan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>All ultrasound images of fetal hard palate assessed routinely during second\u2010trimester scan were retrospectively retrieved for a 6\u2010month period. One hundred of these images were randomly selected and analyzed by two blinded reviewers, according to a scoring system (0\u20106 points). Criteria retained in the score were complete palate bone horizontal plate, presence of two pterygoid processes, visible alveolar ridge, and horizontal axis of insonation. A score \u22654 defined images of good quality. Inter\u2010 and intra\u2010reviewer reproducibility was assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Inter\u2010reviewer reproducibility was excellent with significant correlation (Pearson coefficient 0.953; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.0001), global adjusted \u03ba coefficient (0.86, 95% CI 0.79\u20100.94) and individual criteria adjusted \u03ba coefficient always &gt;\u00a00.8. Rates of images of good quality (score \u2265\u00a04) were 75%\u201077%, also with excellent agreement (\u03ba coefficient 0.89, 95% CI 0.79\u20100.99). Intra\u2010reviewer reproducibility retrieved the same results (excellent agreement) except for the axis of insonation (satisfactory agreement).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This simple image scoring system for the fetal palate is easy, has excellent inter\u2010 and intra\u2010reviewer reproducibility and could also help sonographers to correctly identify the palate structure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13418","type":"journal-article","created":{"date-parts":[[2018,7,2]],"date-time":"2018-07-02T15:46:11Z","timestamp":1530546371000},"page":"1300-1308","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["A score\u2010based method for quality control of fetal hard palate assessment during routine second\u2010trimester ultrasound examination"],"prefix":"10.1111","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3530-6328","authenticated-orcid":false,"given":"Florent","family":"Fuchs","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology CHU Montpellier  Giraud, Montpellier France"},{"name":"Inserm, CESP Center for Research in Epidemiology and Population Health \u2013 U1018, Reproduction and Child Development  Villejuif France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Burlat","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology CHU Montpellier  Giraud, Montpellier France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9deric","family":"Grosjean","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Nimes University Hospital Center  N\u00eemes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romy","family":"Rayssiguier","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology CHU Montpellier  Giraud, Montpellier France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume","family":"Captier","sequence":"additional","affiliation":[{"name":"Department of Plastic Pediatric and Craniofacial Surgery CHU Montpellier Lapeyronie Hospital  Montpellier France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Michel","family":"Faure","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology CHU Montpellier  Giraud, Montpellier France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Coralie","family":"Dumont","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University Hospital of Reunion \u2013 BP 350  Saint Pierre R\u00e9union, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,8,2]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"CNEOF.Conf\u00e9rence Nationale d'Echographie Obst\u00e9tricale et F\u0153tale \u2010 L\u2019\u00e9chographie de d\u00e9pistage pr\u00e9natal 2016. 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