Predictive value of 3D-PDI parameters for pregnancy outcomes after in vitro fertilization-embryo transfer(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2023年第6期
- Page:
- 709-713
- Research Field:
- 医学影像物理
- Publishing date:
Info
- Title:
- Predictive value of 3D-PDI parameters for pregnancy outcomes after in vitro fertilization-embryo transfer
- Author(s):
- LIU Huan1; NUERAILI Mutailifu1; NUERBIYE Tuerdi1; DING Yun2
- 1. Department of Ultrasound Medicine, The First Peoples Hospital of Kashgar, Kashgar 844000, China 2. Department of Tender, The First Peoples Hospital of Kashgar, Kashgar 844000, China
- Keywords:
- Keywords: in vitro fertilization embryo transfer assisted reproduction transvaginal three-dimensional power Doppler imaging pregnancy outcome receiver operating characteristic curve
- PACS:
- R714.8
- DOI:
- DOI:10.3969/j.issn.1005-202X.2023.06.007
- Abstract:
- Abstract: Objective To analyze the value of three-dimensional power Doppler imaging (3D-PDI) parameters to predict the pregnancy outcomes after in vitro fertilization-embryo transfer (IVF-ET). Methods A total of 100 patients treated with IVF-ET from December 2021 to March 2022 were enrolled. All patients underwent IVF-ET followed by 3D-PDI. According to the progesterone level on day 14 after IVF-ET, the patients were divided into progesterone elevation group (n=34) and normal progesterone group (n=66), and the relevant parameters of 3D-PDI were compared between the two groups. According to whether the pregnancy was successful or not, the patients were divided into pregnant group (n=47) and non-pregnant group (n=53), and the relevant parameters of 3D-PDI were compared between the two groups. The area under the receiver operating characteristic curve (AUC) was used to analyze the predictive value of 3D-PDI parameters alone and in combination for pregnancy outcomes after IVF-ET. Results The proportions of endometrial echo types A and B and endometrial blood flow types Ⅱ and Ⅲ in progesterone elevation group were 20.59%, 32.35%, 20.59%, 14.71%, respectively, lower than those in normal progesterone group (33.33%, 42.42%, 37.88%, 30.30%, respectively) (P<0.05). The endometrial echo type C and endometrial blood flow type Ⅰ were observed in 47.06% and 64.71% of patients in progesterone elevation group, and in 24.24% and 31.82% of patients in normal progesterone group (P<0.05). Progesterone elevation group had lower intimal thickness, volume, vascularization index (VI), vascularization flow index (VFI) and blood flow index (FI) than normal progesterone group (P<0.05). The endometrial volume, VI, VFI and FI of pregnant group were higher than those of non-pregnant group (P<0.05). Compared with parameter alone, the combination of endometrial volume, VI, VFI and FI had higher AUC and sensitivity for predicting pregnancy outcome after IVF-ET (P<0.05). Conclusion The increase of intimal volume, VI, VFI and FI in IVF-ET patients is helpful to the successful pregnancy, and their combination has a high predictive value for the pregnancy outcome after IVF-ET.
Last Update: 2023-06-28