Citation Information :
Pashaj S, Merz E. How to Use 3D Ultrasound to Assess Midline Brain Vessels Precisely?. Donald School J Ultrasound Obstet Gynecol 2023; 17 (4):353-359.
Objective: The aim of this study is to evaluate the normal and abnormal pericallosal artery (PCA) by three-dimensional (3D) ultrasonography and Doppler technologies. Additionally, it describes a systematic method on how to acquire and manipulate volumes for the precise demonstration of the PCA.
Methods: With the use of the glass body mode (grayscale ultrasound and color or power Doppler), 3D ultrasound permits precise imaging of the fetal PCA, an important anatomic landmark of the corpus callosum. This rendering mode enables us to demonstrate sonographically the origin, course, and branching patterns of the PCA with the callosomarginal artery (CMA) as well as other fetal cerebral blood vessels and venous sinuses.
Results: A step-by-step systematic approach to identifying the cerebral vasculature from ultrasonographic volume data sets was developed. The volumes were rotated into a standard anatomic orientation in the multiplanar display, and then, by systematic navigation, the PCA with its main branches was demonstrated.
Conclusion: The use of 3D power Doppler sonoangiography enables the precise demonstration of the normal variants of the fetal brain vessels and provides knowledge about anatomical variations and the diversity of human brain anatomy. The knowledge of normal variants helps to detect pathological forms of brain vascularity.
Pashaj S, Merz E. Prenatal demonstration of normal variants of the pericallosal artery by 3D ultrasound. Ultraschall Med 2014;35(2):129–136. DOI: 10.1055/s-0033-1355576
Kurjak A, Zudenigo D, Predanic M, et al. Recent advances in the Doppler study of early fetomaternal circulation. J Perinat Med 1993;21(6):419–439. DOI: 10.1515/jpme.1993.21.6.419
Mari G, Adrignolo A, Abuhamad AZ, et al. Diagnosis of fetal anemia with Doppler ultrasound in the pregnancy complicated by maternal blood group immunization. Ultrasound Obstet Gynecol 1995;5(6):400–405. DOI: 10.1046/j.1469-0705.1995.05060400.x
Ono M, Kubik S, Abernathey CD. Atlas of the Cerebral Sulci. Sttutgart: Thieme; 1990.
Volpe P, Campobasso G, De Robertis V, et al. Disorders of prosencephalic development. Prenat Diagn 2009;29(4): 340–354. DOI: 10.1002/pd.2208
Pashaj S, Merz E. Detection of fetal corpus callosum abnormalities by means of 3D ultrasound. Ultraschall Med 2016;37(2):185–194. DOI: 10.1055/s-0041-108565
Pashaj S, Merz E. Pericallosal artery in different corpus callosum pathologies. Ultrasound Obstet Gynecol 2014;44(S1):197. DOI: 10.1002/uog.14039
Kakou M, Destrieux C, Velut S. Microanatomy of the pericallosal arterial complex. J Neurosurg 2000;93(4):667–675. DOI: 10.3171/jns.2000.93.4.0667
Perlmutter D, Rhoton AL Jr. Microsurgical anatomy of the distal anterior cerebral artery. J Neurosurg 1978;49(2):204–228. DOI: 10.3171/jns.1978.49.2.0204
Merz E, Pashaj S. True or false umbilical cord knot? Differentiation via 3D/4D color Doppler ultrasound. Ultraschall Med 2018;39(2):127–128. DOI: 10.1055/a-0571-8608
Pooh RK, Pooh KH. The assessment of fetal brain morphology and circulation by transvaginal 3D sonography and power Doppler. J Perinat Med 2002;30(1):48–56. DOI: 10.1515/JPM.2002.007
Pooh RK. Neurosonoembryology by three-dimensional ultrasound. Semin Fetal Neonatal Med 2012;17(5):261–268. DOI: 10.1016/j.siny.2012.05.008
Chaoui R, Kalache KD, Hartung J. Application of three-dimensional power Doppler ultrasound in prenatal diagnosis. Ultrasound Obstet Gynecol 2001;17(1):22–29. DOI: 10.1046/j.1469-0705.2001.00305.x
Pashaj S, Merz E. 3-Dimensional ultrasound: how can the fetal corpus callosum be demonstrated correctly? Ultraschall Med 2021;42(3):278–284. DOI: 10.1055/a-1365-8611