How useful is 3D and 4D ultrasound in perinatal medicine?

Kurjak, Asim; Mišković, Berivoj; Andonotopo, Wiku; Stanojević, Milan; Azumendi, Guillermo; Vrčić, Hrvoje

doi:10.1515/jpm.2007.002

Cited by 90 publications

(67 citation statements)

References 113 publications

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“…3D images can be rotated for viewing from different angles and may benefit lay audiences as organs and structures are easily identifiable. The literature suggests there is interest in the specific potential of 3D images to have greater utility in communicating with patients, as such images are assumed to be easier to understand [8,9].…”

Section: Introductionmentioning

confidence: 99%

Do medical images aid understanding and recall of medical information? An experimental study comparing the experience of viewing no image, a 2D medical image and a 3D medical image alongside a diagnosis

Phelps

Wellings

Griffiths

et al. 2017

Patient Education and Counseling

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Copies of full items can be used for personal research or study, educational, or not-for-profit purposes without prior permission or charge. Provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way. A note on versions:The version presented here may differ from the published version or, version of record, if you wish to cite this item you are advised to consult the publisher's version. Please see the 'permanent WRAP url' above for details on accessing the published version and note that access may require a subscription. (0) 2476 574 880 Abstract Objective: This study compared the experience of viewing 3D medical images, 2D medical images and no image presented alongside a diagnosis. Methods: We conducted two laboratory experiments, each with 126 healthy participants. Participants heard three diagnoses; one accompanied by 3D medical images, one accompanied by 2D medical images and one with no image. Participants completed a questionnaire after each diagnosis rating their experience. In Experiment 2, half of the participants were informed that image interpretation can be susceptible to errors. Results: Participants preferred to view 3D images alongside a diagnosis (p<.001) and reported greater understanding (p<.001), perceived accuracy (p<.001) and increased trust (p<.001) when the diagnosis was accompanied by an image compared to no image. There was no significant difference in trust between participants who were informed of errors within image interpretation and those who were not. Conclusion: When presented alongside a diagnosis, medical images may aid patient understanding, recall and trust in medical information. Practical Considerations: Medical images may be a powerful resource for patients that could be utilised by clinicians during consultations. KeywordsDoctor-patient communication; patient understanding; recall of medical information; patient trust in medical information.

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Section: Introductionmentioning

confidence: 99%

Do medical images aid understanding and recall of medical information? An experimental study comparing the experience of viewing no image, a 2D medical image and a 3D medical image alongside a diagnosis

Phelps

Wellings

Griffiths

et al. 2017

Patient Education and Counseling

View full text Add to dashboard Cite

show abstract

“…[19][20][21][22] The availability of new diagnostic data has in an extraordinary way raised our knowledge about intrauterine life, substantially modifying some earlier interpretations. 23 First spontaneous fetal movements can be observed with conventional two-dimensional ultrasound (2D US) around 8th gestational week, while the newly developed 4D US allows the visualization of fetal motility one week earlier (Table 2). 24 General movements are the first complex fetal movement patterns observable by 2D US.…”

Section: The Origin Of Fetal Behavior and Fetal Motor Development Assmentioning

confidence: 99%

“…[19][20][21][22][23][24][25]27,[28][29][30][31] In order to better understand fetal neurobehavioral patterns, we have learned a lot form basic studies of brain development and from clinical postnatal studies of neonates. Now, when we have reached the edge of fetal behavioral investigation by 4D ultrasonography in normal fetuses, we intend to find some new ideas and ways of investigation presenting neonatal aspect of fetal neurology.…”

Section: Neonatal Aspect Of Fetal Neurologymentioning

confidence: 99%

“…Interests in diagnosis of neurological impairment among ultrasonographers using 4D ultrasound have been recently shifted toward prenatal period. 23,37 Is there any possibility to improve timing of postnatal diagnosis of neurologically disabled infant? Postnatal assessment is probably easier to perform than prenatal, by using a simple and suitable for everyday work screening clinical test with good reliability, specificity and sensitivity.…”

Section: Neonatal Aspect Of Fetal Neurologymentioning

confidence: 99%

See 1 more Smart Citation

Fetal Neurology—Lesson Learned and Future Challenges

Mišković¹,

Azumendi²,

Kurjak³

et al. 2007

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Neurological failure is the most apprehension complication of pregnancy, labor and the neonatal period. The origin and outcome correlation is frequently doubtful. The arrival of four-dimensional ultrasonography (4D US) and its function to study fetal behavior patterns have initiated to offer insight into the structural and functional fetal brain development. Although many fetal behavioral studies have been conducted, it is still questionable whether the assessment of continuity from fetal to neonatal behavior could improve our ability of early detection of brain pathology. Neurological assessment of fetus in utero is extremely difficult even having such sophisticated equipment like 4D ultrasound. As it is well known that quantity of GMs is not so informative and predictive for neurological impairment, their quality should be assessed. Gestalt perception of premature GMs we are dealing with in utero and several weeks postnatally are not as predictive for the detection of neurologically abnormal fetuses or newborns as fidgety GMs. Therefore some additional parameters should be added to the prenatal neurological examination in order to improve our ability to make the distinction between normal and abnormal fetuses.

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“…Their analysis revealed that 3D and 4D US is advantageous in evaluation of the facial anomalies, neural tube defects, skeletal malformations, congenital heart disease, central nervous system (CNS) anomalies and fetal neurodevelopmental impairment perceptible by abnormal behavior in high-risk fetuses. 13 Visualization of the fetal face became one of the major interests in the domain of three-dimensional ultrasonography. Due to their affection in malformation syndromes and chromosomal abnormalitie, regions of special interest are fetal maxilla, mandible arch, ear and nose.…”

mentioning

confidence: 99%

Three-dimensional Sonography in the Assessment of Normal Fetal Anatomy in Late Pregnancy

Ahmed¹,

Honemeyer²

2010

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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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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How useful is 3D and 4D ultrasound in perinatal medicine?

Cited by 90 publications

References 113 publications

Do medical images aid understanding and recall of medical information? An experimental study comparing the experience of viewing no image, a 2D medical image and a 3D medical image alongside a diagnosis

Do medical images aid understanding and recall of medical information? An experimental study comparing the experience of viewing no image, a 2D medical image and a 3D medical image alongside a diagnosis

Fetal Neurology—Lesson Learned and Future Challenges

Three-dimensional Sonography in the Assessment of Normal Fetal Anatomy in Late Pregnancy

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