Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 4 , ISSUE 3 ( July-September, 2010 ) > List of Articles

REVIEW ARTICLE

Three-dimensional Sonography in the Assessment of Normal Fetal Anatomy in Late Pregnancy

Badreldeen Ahmed, Ulrich Honemeyer

Keywords : Fetal anatomy,3D ultrasound,Sonoangiography,Power Doppler,Multiplanar imaging

Citation Information : Ahmed B, Honemeyer U. Three-dimensional Sonography in the Assessment of Normal Fetal Anatomy in Late Pregnancy. Donald School J Ultrasound Obstet Gynecol 2010; 4 (3):217-231.

DOI: 10.5005/jp-journals-10009-1145

License: CC BY-NC 4.0

Published Online: 01-06-2011

Copyright Statement:  Copyright © 2010; The Author(s).


Abstract

Three-dimensional, multiplanar sonography, using a volume data set acquired with a 3D probe, has revolutionized ultrasonographic imaging and takes sonographers to a new perception of the fetus in 3 dimensions. Real time scanning, until the late nineties only possible in B-mode, can now be performed in 3D with up to 40 frames/sec. Fetal neurology emerged as a new perinatal research field with the 4D visualization of fetal behavior. Doppler ultrasound, diversified and refined from continuous wave and pulsed Doppler to Color – and Power Doppler, when added to 3D sonography, creates fascinating options of noninvasive fetal vascular mapping (sonoangiography) and vascular assessment of placenta. The diagnostic and demonstrative potential of an acquired 3D volume data set can be maxed with the help of postprocessing and rendering software. After storage, the evaluation of fetal 3D data sets can happen without the patient, with the option of specialist consultation, using telemedicine. In the article, the new 3D “modes” like surface rendering, maximum mode, 3D Color and Power Doppler, STIC, volume rendering, and glass body rendering, are described and illustrated in their display of normal fetal anatomy.


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  1. Three-dimensional ultrasound in obstetrics and gynecology. In Kurjak A, Chervenak F (Eds). The Fetus as a Patient. Carnforth, UK: Parthenon Publishing 1994;135-40.
  2. Evaluation of the fetal heart by four-dimensional echocardiography. Donald School Journal of Ultrasound in Obstetrics and Gynecology 2007;1(3):49-53.
  3. 3D/4D echocardiography-STIC. Donald School Journal of Ultrasound in Obstetrics and Gynecology 2008;2(4):22-28.
  4. Clinical utility of threedimensional US. Radiographics 2000;20:559-71.
  5. Vascular imaging with a threedimensional power Doppler system. Am J Roentgenol 1995; 165:665-58.
  6. Three-dimensional ultrasound experience in obstetrics. Curr Opin Obstet Gynecol 2002 Dec;14(6):569-75.
  7. Three-dimensional ultrasonography of the fetal distal lower extremity: Normal and abnormal. J Ultrasound Med 1998;17:649-60.
  8. Antenatal depiction of fetal digits with three-dimensional ultrasonography. Am J Obstet Gynecol 1996;175:571-74.
  9. Three-dimensional ultrasonographic imaging of fetal tooth buds for characterization of facial clefts. Early Hum Dev 1999;55:67-75.
  10. Application of transvaginal and abdominal three-dimensional ultrasound for the detection or exclusion of malformations of the fetal face. Ultrasound Obstet Gynecol 1997;9:237-43.
  11. Three- and 4- dimensional ultrasound in obstetric practice: Does it help? J Ultrasound Med 2005;24:1599-624.
  12. What does 2- dimensional imaging add to 3- and 4-dimensional obstetric ultrasonography? J Ultrasound Med 2006;25:691-99.
  13. How useful is 3D and 4D ultrasound in perinatal medicine? J Perinat Med 2007;35(1):10-27.
  14. Fetal face visualization using threedimensional ultrasonography. J Ultrasound Med 1995;14: 349-56.
  15. Prenatal visualization of cranial sutures and fontanelles with three-dimensional ultrasonography. J Ultasound Med 1994;13:871-76.
  16. Antenatal depiction of the fetal ear with three-dimensional ultrasonography. Obstet Gynecol 1998;91:500-05.
  17. Clinical applications of three-dimensional ultrasound in obstetrics. In: Baba K, Jurkovic D (Eds). Three Dimensional Ultrasound in Obstetrics and Gynecology. Carnforth, UK:Parthenon Publishing, 1997:29-44.
  18. Three-dimensional sonoembryology. J Perinatal Med Med 2000;30:63-73.
  19. Transvaginal fetal neurosonography: The first trimester of pregnancy. In: Chervenak FA, Kurjak A, Comstock CH (Eds). Ultrasound of the fetal brain. London-New York: Parthenon Publishing, 1995:95-102.
  20. B-mode and Doppler studies of the abnormal fetus in the first trimester. In: Chervenak FA, Kurjak A (Eds). Fetal Medicine: The clinical care of the fetus as a patient. London- New York: Parthenon Publishing 1999:46-51.
  21. Ultrasound diagnosis of congenital anomalies in early pregnancy. In: Jurkovic D, Jauninaux E (Eds). Ultrasound and Early Pregnancy. Canforth, UK: Parthenon Publishing 1996:95-119.
  22. Three-dimensional surface mode for demonstration of normal fetal anatomy in the second and third trimester. In: Merz E (Ed). 3D Ultrasound in Obstetrics and Gynecology. Philadelphia: Lippincot Williams and Wilkins, 1998:95-100.
  23. Effects of ultrasound on maternal-fetal bonding: A comparison of two- and three-dimensional imaging. Ultrasound Obstet Gynecol 2005;25(5):473-77.
  24. Three- and four-dimensional ultrasonography for the structural and functional evaluation of the fetal face. Am J Obstet Gynecol. 2007;196(1):16-28.
  25. Fetal cranial bone formation: Sonographic assessment. In: Margulies M, Voto LS, Eik-Nes S (Eds). Proceedings of 9th World congress of Ultrasound in Obstetrics and Gynecology. Bologna, Italy: Monduzzi Editore 1999;407-10.
  26. Anatomic and sonographic features of fetal skull. J Ultrasound Med 1994;13:251-57.
  27. Prenatal visualization of cranial sutures and fontanelles with three-dimensional ultrasonography. J Ultrasound Med 1994;13:871-76.
  28. Three-dimensional ultrasound in Reproductive Medicine: Preliminary report. Human Reprod update. Vol. 1, 4 item 21 CD Rom 1995.
  29. Fetal lip and primary palate: Threedimensional versus two-dimensional US. Radiology 2000; 217:236-39.
  30. Three-dimensional ultrasound evaluation of fetal face. Ultrasound Rev Obstet Gynecol 2001;1:138-43.
  31. Macadores ecográficos de infección fetal: In. Bonilla-Musoles Fy Machado L. Ed Ecografía y Reproducción. Panamericana. Madrid, 1999;5:205-31.
  32. Fetal lip and primary palate: Threedimensional versus two-dimensional US. Radiology 2000; 217(1):236-39.
  33. The three-dimensional reverse face (3D RF) view for the diagnosis of cleft palate. Ultrasound Obstet Gynecol 2003;22:552-54.
  34. Fetal face visualization using threedimensional ultrasonography. J Ultrasound Med 1995;14: 349-56.
  35. Antenatal depiction of the fetal ear with three-dimensional ultrasonography. Obstet Gynecol 1998;91:500-05.
  36. Fetal ear assessment and prenatal detection of aneuploidy by the quantitative three-dimensional ultrasonography. Ultrasound Med Biol 2000;26:743-49.
  37. Three-dimensional ultrasonography in genetic screening and counselling. Ultrasound Rev Obstet Gynecol 2001;1:120-27.
  38. In utero detection of ventriculomegaly during the second and third trimesters by transvaginal sonography. Ultrasound Obstet Gynecol 1994; 4:193-99.
  39. Sonographic assessment of the fetal brain morphology. Prenatal Neonat Med 1999;4:18-25.
  40. Clinical application of thee-dimensional ultrasound in fetal brain assessment. Croat Med J 2000;41:245-52.
  41. Threedimensional ultrasound evaluation of the fetal brain: The three horn view. Ultrasound Obstet Gynecol 2000;16:32-38.
  42. Transvaginal power Doppler angiography of the fetal brain. Ultrasound Obstet Gynecol 1996;8:417-21.
  43. Transvaginal Doppler assessment of fetal intracranial venous flow. Obstet Gynecol 1999;93:697-701.
  44. Visualization of the fetal thoracic skeleton with three-dimensional sonography: A preliminary report. AJR 1995;164:1485-88.
  45. Three- and four-dimensional ultrasound: New methods for evaluating fetal thoracic anomalies. Ultrasound Obstet Gynecol 2008;32(1): 36-43.
  46. Three-dimensional fetal cardiac imaging. In: Baba K, Jurkovic D (Eds). Threedimensional Ultrasound in Obstetrics and Gynaecology. New York: Parthenon Publishing 1997;45-53.
  47. Fetal heart assessment using three-dimensional ultrasound. In: Merz E (Ed). 3D Ultrasound in Obstetrics and Gynecology. Philadelphia: Lippincot, Williams and Wilkins 1998;125-33.
  48. Doppler waveforms from the pulmonary arterial system in normal fetuses and those with pulmonary hypoplasia. Ultrasound Obstet Gynecol 1998;11: 167-72.
  49. Three-dimensional power Doppler ultrasound of the fetal great vessels. Ultrasound Obstet Gynecol 2001;17:455-56.
  50. Prenatal diagnosis and treatment planning of congenital heart defects-possibilities and limits. World J Pediatr 2009;5(1):18-22.
  51. Two case reports of rare fetal tumors: An indication for surface rendering? Ultrasound Obstet Gynecol 2001;17:522-26.
  52. Antenatal ultrasonographic features of fetal giant hemangiolymphangioma. Ultrasound Obstet Gynecol 2001;17:252-54.
  53. Three-dimensional ultrasonographic assessement of umbilical cord during the 2nd and 3rd trimesters of pregnancy. Gynecol Obstet Invest 1998:159-64.
  54. Three-dimensional color power Doppler in the assessment of fetal vascular anatomy under normal and abnormal conditions. In: Kurjak A (Ed). Threedimensional Power Doppler in Obstetrics and Gynecology. New York-London: Parthenon Publishing Group 2000,113-19.
  55. Assessment of fetal renal perfusion by power Doppler digital analysis. Ultrasound Obstet Gynecol 2001;17:89-91.
  56. Slide Atlas of three-dimensional Sonography in Gynecology and Obstetrics. Carnforth, UK:Parthenon Publishing, 1998.
  57. Three-dimensional morphometry in ultrasoundreview. Proc Inst Mech Eng 1999;213:235-45.
  58. Three-dimensional surface mode for demonstration of normal fetal anatomy in the second and third trimester. In: Merz E (Ed). 3D Ultrasound in Obstetrics and Gynecology. Philadelphia: Lippincott Williams and Wilkins 1998;95-100.
  59. Threedimensional sonography in prenatal diagnosis: A luxury or a necessity? J Pernatal Med 2000;28:194-209.
  60. Distance and volume measurement using three-dimensional ultrasonography. J Ultraound Med 1995;14:881-86.
  61. Three-dimensional ultrasound: Accuracy of distance and volume measurements. Ultrasound Obstet Gynecol 1996;7:429-34.
  62. Fetal lung volumetry by three-dimensional ultrasound. Ultrasound Obstet Gynecol 1998;11:6-12.
  63. Fetal liver volume measurement by threedimensional ultrasonography: A preliminary study. Ultrasound Obstet Gynecol 1998;12:93-96.
  64. Birth weight prediction by three-dimensional ultrasonography: Fractional limb volume. J Ultrasound Med 2001; 20:1283-92.
  65. Application of lung volume measurement by threedimensional ultrasonography for clinical assessment of fetal lung development. J Ultrasound Med 2002;21:841-47.
  66. Three-dimensional US assessment of hepatic volume, head circumference, and abdominal circumference in healthy and growth-restricted fetuses. Radiology 2002;223:661-65.
  67. Modified neonatal growth assessment score: A multivariate approach to the detection of intrauterine growth retardation in the neonate. Ultrasound Obstet Gynecol 1995;6:400-10.
  68. Fetal weight estimation formulas with head, abdominal, femur, and thigh circumference measurements. Am J Obstet Gynecol 1987;157:410-14.
  69. Measurements of live born fetal malnutrition infants compared with similar gestation and with similar birth weight normal controls. Biol Neonate 1970;16: 215-21.
  70. Evaluation of fetal growth by estimation of neonatal body composition. Obstet Gynecol 1992;79:46-50.
  71. Predicting birth weight by fetal upper-arm volume with use of three-dimensional ultrasonography. Am J Obstet Gynecol 1997;177:632-38.
  72. Three-dimensional ultrasound-assessed fetal thigh volumetry in predicting birth weight. Obstet Gynecol 1997;90:331-39.
  73. Assessment of fetal neurobehavior by 3D/4D ultrasound. In: Pooh RK, Kurjak A (Eds). Fetal Neurology. New Delhi: Jaypee Brothers 2009;222-85.
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