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

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: 00-09-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


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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