Event Abstract Back to Event Neonatal knee ultrasound: a new method for assessing distal femur morphology in perinatal vitamin D insufficiency PA Mahon1*, G Ntani1, C Cooper2, KM Godfrey3, MK Javaid2 and NC Harvey1 1 University of Southampton, MRC Lifecourse Epidemiology Unit, United Kingdom 2 Oxford NIHR Musculoskeletal Biomedical Research Centre, Oxford NIHR Musculoskeletal Biomedical Research Centre, United Kingdom 3 Southampton General Hospital, NIHR Nutrition, Diet and Lifestyle Biomedical Research Unit, United Kingdom We have previously demonstrated that lower maternal circulating 25(OH)-vitamin D concentrations in late pregnancy are associated with reduced offspring bone mass postnatally, and altered distal femoral morphology in utero, reminiscent of metaphyseal changes observed in postnatal rickets. We therefore aimed to develop a technique that would allow investigation of whether distal femoral morphology differed in offspring born to women who were supplemented with vitamin D or placebo in a randomised, double-blind, placebo-controlled trial (MAVIDOS: Maternal Vitamin D Osteoporosis Study).{BR}Pregnant women recruited to the MAVIDOS study at their 11 week nuchal or dating scan are randomised to either 1000 IU cholecalciferol daily or matched placebo until delivery of the baby. Fetal measurements are taken using ultrasound at 11, 19 and 34 weeks gestation, with dual energy X-ray absorptiometry of the neonate at birth. From the 400 pregnant women recruited to date a sub-set of 142 neonates underwent 3D ultrasound assessment of the distal femoral metaphysis within 2 weeks after delivery. Measurements of epiphyseal volume (using VOCAL technique), central epiphyseal-metaphyseal distance (CEMD) and cross-sectional area (CSA) were taken in triplicate from stored images. Values were adjusted for gestational age and then assessed for reproducibility. The coefficients of variation (CVs) were 0.98% for linear CEMD, 0.83% for epiphyseal volume and 2.17% for traced CSA measurements. These results demonstrate good reproducibility. Additionally, the between-subject variability was assessed and showed a sizeable range of dimensions consistent with biological variation: between subject CVs for CEMD, epiphyseal volume and CSA were 28.7%, 49.4% and 17.3%, respectively.{BR}These results suggest that the technique is reproducible and may yield meaningful biological data. Images on further participants will be acquired and at the end of the trial, comparisons will be made of measurements in babies of supplemented and unsupplemented mothers. Potentially, this will add valuable information regarding the role of maternal vitamin D status in offspring bone development. This non-invasive technique may also be utilised in longitudinal assessments during childhood follow-up studies, allowing the longer term evaluation of effects originating in utero. Keywords: Bones, Bone Research Conference: 2011 joint meeting of the Bone Research Society & the British Orthopaedic Research Society, Cambridge, United Kingdom, 27 Jun - 29 Jun, 2011. Presentation Type: Poster Topic: Abstracts Citation: Mahon P, Ntani G, Cooper C, Godfrey K, Javaid M and Harvey N (2011). Neonatal knee ultrasound: a new method for assessing distal femur morphology in perinatal vitamin D insufficiency. Front. Endocrinol. Conference Abstract: 2011 joint meeting of the Bone Research Society & the British Orthopaedic Research Society. doi: 10.3389/conf.fendo.2011.02.00043 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 30 Sep 2011; Published Online: 30 Sep 2011. * Correspondence: Dr. PA Mahon, University of Southampton, MRC Lifecourse Epidemiology Unit, United Kingdom, pam@mrc.soton.ac.uk Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers PA Mahon G Ntani C Cooper KM Godfrey MK Javaid NC Harvey Google PA Mahon G Ntani C Cooper KM Godfrey MK Javaid NC Harvey Google Scholar PA Mahon G Ntani C Cooper KM Godfrey MK Javaid NC Harvey PubMed PA Mahon G Ntani C Cooper KM Godfrey MK Javaid NC Harvey Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.
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