The MCA Doppler and its role in the evaluation of fetal anemia and fetal growth restriction

Clin Perinatol. 2011 Mar;38(1):83-102, vi. doi: 10.1016/j.clp.2010.12.003.

Abstract

Doppler velocimetry of the middle cerebral artery (MCA) has played a major role in fetal medicine for the last 23 years, both in intrauterine growth-restricted (IUGR) and anemic fetuses. Its utility in the diagnosis and management of cases of fetal anemia was initially demonstrated in cases of red cell alloimmunization and later extended to other types of anemia. In addition, MCA Doppler studies are crucial in the evaluation of IUGR fetuses. This article is a review of the role of the MCA in these 2 conditions.

Publication types

  • Review

MeSH terms

  • Anemia / diagnostic imaging*
  • Anemia / physiopathology
  • Blood Flow Velocity
  • Female
  • Fetal Growth Retardation / diagnostic imaging*
  • Fetal Growth Retardation / physiopathology
  • Humans
  • Middle Cerebral Artery / diagnostic imaging*
  • Middle Cerebral Artery / embryology
  • Middle Cerebral Artery / physiopathology
  • Pregnancy
  • Pregnancy Complications / diagnostic imaging
  • Pregnancy Outcome
  • Pregnancy, High-Risk
  • Reference Values
  • Rh Isoimmunization / diagnostic imaging
  • Ultrasonography, Doppler
  • Ultrasonography, Prenatal*