{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T07:06:55Z","timestamp":1765609615631},"reference-count":14,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,9,2]],"date-time":"2014-09-02T00:00:00Z","timestamp":1409616000000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Abstracts<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to evaluate the usefulness of abdomen\u2010to\u2010thorax ratio (<jats:styled-content style=\"fixed-case\">ATR<\/jats:styled-content>) measured by antenatal ultrasonography for predicting neonatal survival of fetuses with congenital diaphragmatic hernia (<jats:styled-content style=\"fixed-case\">CDH<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>We identified 75 fetuses who were prenatally diagnosed with <jats:styled-content style=\"fixed-case\">CDH<\/jats:styled-content> and delivered in <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>eoul <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ational <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>niversity <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital from 1998 to 2012, retrospectively. Of these, 40 cases who met the following criteria were included: (i) singleton pregnancy; (ii) a case that had available ultrasonographic images; and (iii) a neonate in whom follow\u2010up until discharge from the hospital was available. <jats:styled-content style=\"fixed-case\">ATR<\/jats:styled-content> was measured as follows: each anteroposterior distance (<jats:styled-content style=\"fixed-case\">APD<\/jats:styled-content>) in the abdominal and thoracic cavity was measured in the same midsagittal plane with the fetal neutral position. A thoracic <jats:styled-content style=\"fixed-case\">APD<\/jats:styled-content> was measured from the back to the distal end of the sternum and an abdominal <jats:styled-content style=\"fixed-case\">APD<\/jats:styled-content> from the back to the most protruding abdominal surface. <jats:styled-content style=\"fixed-case\">ATR<\/jats:styled-content> is the ratio of the abdominal <jats:styled-content style=\"fixed-case\">APD<\/jats:styled-content> versus the thoracic <jats:styled-content style=\"fixed-case\">APD<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Survival rates were 57.5%. There were significant differences in <jats:styled-content style=\"fixed-case\">ATR<\/jats:styled-content>, lung\u2013head ratio (<jats:styled-content style=\"fixed-case\">LHR<\/jats:styled-content>), observed\/expected\u2010<jats:styled-content style=\"fixed-case\">LHR<\/jats:styled-content>, quantitative lung index and intrathoracic liver between survivors and non\u2010survivors. Regression analysis demonstrated that only <jats:styled-content style=\"fixed-case\">ATR<\/jats:styled-content> and intrathoracic position of the liver were independent predictors of survival. <jats:styled-content style=\"fixed-case\">ATR<\/jats:styled-content> by multivariate analysis had the most influence on survival rate (<jats:italic>P<\/jats:italic>\u2009=\u20090.002). The area under the receiver\u2013operator curve for prediction of survival from <jats:styled-content style=\"fixed-case\">ATR<\/jats:styled-content> was 0.770 (<jats:italic>P<\/jats:italic>\u2009=\u20090.004). The diagnostic cut\u2010off value for <jats:styled-content style=\"fixed-case\">ATR<\/jats:styled-content> was 0.96.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Because <jats:styled-content style=\"fixed-case\">ATR<\/jats:styled-content> is effective to predict neonatal survival in <jats:styled-content style=\"fixed-case\">CDH<\/jats:styled-content> fetuses and is easy to measure, it can be used as another powerful parameter for managing <jats:styled-content style=\"fixed-case\">CDH<\/jats:styled-content> fetuses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12473","type":"journal-article","created":{"date-parts":[[2014,9,2]],"date-time":"2014-09-02T14:10:06Z","timestamp":1409667006000},"page":"2037-2043","source":"Crossref","is-referenced-by-count":5,"title":["Prenatal prediction of neonatal survival in cases diagnosed with congenital diaphragmatic hernia using abdomen\u2010to\u2010thorax ratio determined by ultrasonography"],"prefix":"10.1111","volume":"40","author":[{"given":"Ji Yeon","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology University of Ulsan College of Medicine Ulsan University Hospital  Ulsan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jong Kwan","family":"Jun","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Seoul National University College of Medicine  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JoonHo","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Seoul National University College of Medicine  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,9,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.3819"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.10095"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7586"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6139"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.5164"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/14767050903551400"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.4052"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.11065"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2013.32.3.413"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2011.11.020"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2009.07.012"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9306"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.152.2.6739822"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(87)90112-8"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.12473","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjog.12473","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.12473","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T23:45:38Z","timestamp":1695512738000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.12473"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,9]]},"references-count":14,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2014,9]]}},"alternative-id":["10.1111\/jog.12473"],"URL":"https:\/\/doi.org\/10.1111\/jog.12473","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9]]}}}