Abstract
The aim of the current paper is to inform the readers of an erroneous statement on the standard deviation (SD) when estimating the volume of fetal urinary bladder by 2D ultrasound. In the Archives of Gynecology and Obstetrics 2007; 276 (4), page 345–349, the authors Peixoto-Filho F.M. et al. refer to some studies presented by our group versus other studies regarding volume estimation of the fetal urinary bladder, in particular the ellipsoid method pioneered by Stuart Campbell in 1973 and the sum-of-cylinders method from our group. In our studies the volume estimation method was improved in three steps using methodological modifications. The SD was reduced from 17.3–10.9% to 12.9–5.5%, and 8.8–3.5% (bladder volumes 5–40 mL) The reductions were accompanied by P-values of 0.0270 (1 vs. 2) and 0.0543 (2 vs. 3), respectively. When comparing method 3 vs. 1 the P value was 0.0032. The SD reduction using method 3 vs. 2 did not reach statistical significance, however. Using this lack of significance on the 5% significance level, to prove that there were no improvements at all with our methodological modifications of the 2D ultrasound, as done by the authors, is misleading.
References
Fägerquist M, Fägerquist U, Oden A, Blomberg SG (2001) Fetal urine production and accuracy when estimating fetal urinary bladder volume. Ultrasound Obstet Gynecol 17(2):132–139
Fägerquist M, Fägerquist U, Steyskal H, Oden A, Blomberg SG (2002) Accuracy in estimating fetal urinary bladder volume using a modified ultrasound technique. Ultrasound Obstet Gynecol 19(4):371–379
Fägerquist M, Fägerquist U, Oden A, Blomberg SG (2003) Estimation of fetal urinary bladder volume using the sum-of-cylinders method vs. the ellipsoid formula. Ultrasound Obstet Gynecol 22(1):67–73
Campbell S, Wladimiroff JW, Dewhurst CJ (1973) The antenatal measurement of fetal urine production. J Obstet Gynaecol Br Commonw 80(8):680–686
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Fägerquist, M. Erroneous statement regarding 2D ultrasound fetal urinary bladder volume measurement. Arch Gynecol Obstet 278, 97–98 (2008). https://doi.org/10.1007/s00404-008-0632-5
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DOI: https://doi.org/10.1007/s00404-008-0632-5