How to obtain diagnostic planes of the fetal central nervous system using three-dimensional ultrasound and a context-preserving rendering technology
File(s)DallAsta et al 2019 AJOG submitted version FINAL.pdf (802.9 KB)
Accepted version
Author(s)
Type
Journal Article
Abstract
The antenatal evaluation of the fetal central nervous system (CNS) is among the most difficult tasks of prenatal ultrasound (US), requiring technical skills in relation to ultrasound and image acquisition as well as knowledge of CNS anatomy and how this changes with gestation. According to the International Guidelines for fetal neurosonology, the basic assessment of fetal CNS is most frequently performed on the axial planes, whereas the coronal and sagittal planes are required for the multiplanar evaluation of the CNS within the context of fetal neurosonology. It can be even more technically challenging to obtain “nonaxial” views with 2-dimensional (2D) US. The modality of 3-dimensional (3D) US has been suggested as a panacea to overcome the technical difficulties of achieving nonaxial views. The lack of familiarity of most sonologists with the use of 3D US and its related processing techniques may preclude its use even where it could play an important role in complementing antenatal 2D US assessment. Furthermore, once a 3D volume has been acquired, proprietary software allows it to be processed in different ways, leading to multiple ways of displaying and analyzing the same anatomical imaging or plane. These are difficult to learn and time consuming in the absence of specific training. In this article, we describe the key steps for volume acquisition of a 3D US volume, manipulation, and processing with reference to images of the fetal CNS, using a newly developed context-preserving rendering technique.
Date Issued
2019-03-01
Date Acceptance
2018-11-08
Citation
American Journal of Obstetrics and Gynecology, 2019, 220 (3), pp.215-229
ISSN
0002-9378
Publisher
Elsevier
Start Page
215
End Page
229
Journal / Book Title
American Journal of Obstetrics and Gynecology
Volume
220
Issue
3
Copyright Statement
© 2019 Elsevier Ltd. All rights reserved. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence http://creativecommons.org/licenses/by-nc-nd/4.0/
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000460115700002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Obstetrics & Gynecology
Crystal Vue
magnetic resonance imaging
multiplanar imaging
neurosonology
postprocessing
NAVIGATION ECHOCARDIOGRAPHY FINE
SAGITTAL CRANIAL PLANE
ACQUIRE CARDIAC VOLUMES
PRENATAL-DIAGNOSIS
SONOGRAPHIC EXAMINATION
POSTERIOR-FOSSA
4-DIMENSIONAL ULTRASOUND
ANTENATAL DIAGNOSIS
APERT-SYNDROME
3D
Publication Status
Published
Date Publish Online
2018-11-14