Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 12 , ISSUE 3 ( July-September, 2018 ) > List of Articles

PICTURE OF THE MONTH

HDlive Flow with HDlive Silhouette Mode for Diagnosis of Fetal Diaphragmatic Eventration

Hirokazu Tanaka, Megumi Ishibashi, Aya Tanaka, Ryuichi Shimono, Masashiro Sugino, Shinji Nakamura

Keywords : Diaphragmatic eventration, Fetus, HDlive flow, HDlive silhouette mode, Twin pregnancy

Citation Information : Tanaka H, Ishibashi M, Tanaka A, Shimono R, Sugino M, Nakamura S. HDlive Flow with HDlive Silhouette Mode for Diagnosis of Fetal Diaphragmatic Eventration. Donald School J Ultrasound Obstet Gynecol 2018; 12 (3):149-152.

DOI: 10.5005/jp-journals-10009-1565

License: CC BY-NC 4.0

Published Online: 01-12-2009

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

We present our initial experience of using HDlive Flow with the HDlive silhouette mode for diagnosing fetal diaphragmatic eventration in one of a pair of monochorionic diamniotic twin fetuses at 21 weeks and 4 days of gestation. Two-dimensional (2D) sonography suggested abnormal elevation of the right hemidiaphragm. Power Doppler ultrasound revealed upward-deviated right pulmonary and hepatic vessels, which were demarcated by the right hemidiaphragm. HDlive Flow with the HDlive silhouette mode clearly depicted the upward-deviated right pulmonary and hepatic vessels, which were separated by the high position of the right hemidiaphragm. The spatial relationships among the fetal liver, diaphragm, lung, and heart could be clearly recognized using HDlive Flow with the HDlive silhouette mode. MRI also strongly suggested right diaphragmatic eventration at 30 weeks and 4 days of gestation. HDlive Flow with the HDlive silhouette mode might be beneficial as an additional diagnostic tool along with conventional 2D sonography, and it facilitates early differentiation between fetal diaphragmatic eventration and diaphragmatic hernia.


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