Should 3D volume assessment of the corpus callosum and cerebellar vermis be a part of a routine second trimester screening?
Background. The majority of fetal structural defects can be detected in the second trimester, thus this is the main time for screening for structural defects. 3D imaging of the fetal brain does not create a common part of this screening. Methods. This prospective observational study was conducted at...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Palacký University Olomouc, Faculty of Medicine and Dentistry
2022-12-01
|
| Series: | Biomedical Papers |
| Subjects: | |
| Online Access: | https://biomed.papers.upol.cz/artkey/bio-202204-0010_should-3d-volume-assessment-of-the-corpus-callosum-and-cerebellar-vermis-be-a-part-of-a-routine-second-trimeste.php |
| _version_ | 1811199203135717376 |
|---|---|
| author | Michaela Maderkova Tozzi Jana Furstova Marek Lubusky |
| author_facet | Michaela Maderkova Tozzi Jana Furstova Marek Lubusky |
| author_sort | Michaela Maderkova Tozzi |
| collection | DOAJ |
| description | Background. The majority of fetal structural defects can be detected in the second trimester, thus this is the main time for screening for structural defects. 3D imaging of the fetal brain does not create a common part of this screening. Methods. This prospective observational study was conducted at the Fetal Medicine Center of The Gynecological-Obstetrical Department of the University Hospital Olomouc in years 2017-2020. The study sample was 451 consecutively scanned morphologically normal fetuses attending for routine second trimester anatomical survey at 20-22 weeks of pregnancy. A transabdominal 3D ultrasound volume acquisition of fetal brain was obtained from an axial and sagittal plane using skull sutures as an acoustic window. Results. Both the corpus callosum (CC) and the vermis (VC) were detected in 51.7% of examinations in the sagittal plane, and in 31.7% in the axial plane. In 61.9% of the examinations, there was at least partial detection in both planes. Maternal BMI was found to be the only significant predictor of the quality of imaging in both planes. Conclusion. 3D acquisition of fetal brain images in the sagittal plane followed by manipulation of acquired volume was valuable in assessment of corpus callosum and cerebellar vermis. This allows reconstruction of the sagittal plane that can be difficult to obtain in 2D imaging. |
| first_indexed | 2024-04-12T01:44:09Z |
| format | Article |
| id | doaj.art-86c58444bed5498abb1ed0266833c337 |
| institution | Directory Open Access Journal |
| issn | 1213-8118 1804-7521 |
| language | English |
| last_indexed | 2024-04-12T01:44:09Z |
| publishDate | 2022-12-01 |
| publisher | Palacký University Olomouc, Faculty of Medicine and Dentistry |
| record_format | Article |
| series | Biomedical Papers |
| spelling | doaj.art-86c58444bed5498abb1ed0266833c3372022-12-22T03:53:07ZengPalacký University Olomouc, Faculty of Medicine and DentistryBiomedical Papers1213-81181804-75212022-12-01166442843310.5507/bp.2021.033bio-202204-0010Should 3D volume assessment of the corpus callosum and cerebellar vermis be a part of a routine second trimester screening?Michaela Maderkova Tozzi0Jana Furstova1Marek Lubusky2Department of Obstetrics and Gynecology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, Czech RepublicOlomouc University Social Health Institute, Palacky University Olomouc, Czech RepublicDepartment of Obstetrics and Gynecology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, Czech RepublicBackground. The majority of fetal structural defects can be detected in the second trimester, thus this is the main time for screening for structural defects. 3D imaging of the fetal brain does not create a common part of this screening. Methods. This prospective observational study was conducted at the Fetal Medicine Center of The Gynecological-Obstetrical Department of the University Hospital Olomouc in years 2017-2020. The study sample was 451 consecutively scanned morphologically normal fetuses attending for routine second trimester anatomical survey at 20-22 weeks of pregnancy. A transabdominal 3D ultrasound volume acquisition of fetal brain was obtained from an axial and sagittal plane using skull sutures as an acoustic window. Results. Both the corpus callosum (CC) and the vermis (VC) were detected in 51.7% of examinations in the sagittal plane, and in 31.7% in the axial plane. In 61.9% of the examinations, there was at least partial detection in both planes. Maternal BMI was found to be the only significant predictor of the quality of imaging in both planes. Conclusion. 3D acquisition of fetal brain images in the sagittal plane followed by manipulation of acquired volume was valuable in assessment of corpus callosum and cerebellar vermis. This allows reconstruction of the sagittal plane that can be difficult to obtain in 2D imaging.https://biomed.papers.upol.cz/artkey/bio-202204-0010_should-3d-volume-assessment-of-the-corpus-callosum-and-cerebellar-vermis-be-a-part-of-a-routine-second-trimeste.php3d ultrasoundcentral nervous system examinationprenatal diagnosticscorpus callosumcerebellar vermis |
| spellingShingle | Michaela Maderkova Tozzi Jana Furstova Marek Lubusky Should 3D volume assessment of the corpus callosum and cerebellar vermis be a part of a routine second trimester screening? Biomedical Papers 3d ultrasound central nervous system examination prenatal diagnostics corpus callosum cerebellar vermis |
| title | Should 3D volume assessment of the corpus callosum and cerebellar vermis be a part of a routine second trimester screening? |
| title_full | Should 3D volume assessment of the corpus callosum and cerebellar vermis be a part of a routine second trimester screening? |
| title_fullStr | Should 3D volume assessment of the corpus callosum and cerebellar vermis be a part of a routine second trimester screening? |
| title_full_unstemmed | Should 3D volume assessment of the corpus callosum and cerebellar vermis be a part of a routine second trimester screening? |
| title_short | Should 3D volume assessment of the corpus callosum and cerebellar vermis be a part of a routine second trimester screening? |
| title_sort | should 3d volume assessment of the corpus callosum and cerebellar vermis be a part of a routine second trimester screening |
| topic | 3d ultrasound central nervous system examination prenatal diagnostics corpus callosum cerebellar vermis |
| url | https://biomed.papers.upol.cz/artkey/bio-202204-0010_should-3d-volume-assessment-of-the-corpus-callosum-and-cerebellar-vermis-be-a-part-of-a-routine-second-trimeste.php |
| work_keys_str_mv | AT michaelamaderkovatozzi should3dvolumeassessmentofthecorpuscallosumandcerebellarvermisbeapartofaroutinesecondtrimesterscreening AT janafurstova should3dvolumeassessmentofthecorpuscallosumandcerebellarvermisbeapartofaroutinesecondtrimesterscreening AT mareklubusky should3dvolumeassessmentofthecorpuscallosumandcerebellarvermisbeapartofaroutinesecondtrimesterscreening |