Role of 3-D Ultrasound in Clinical Obstetric Practice: Evolution Over 20 Years

Tonni, Gabriele; Martins, Wellington P.; Filho, H. Guimaraes; Júnior, Edward Araujo

doi:10.1016/j.ultrasmedbio.2014.12.009

Cited by 34 publications

(34 citation statements)

References 263 publications

(288 reference statements)

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“…Previous observation has documented a role for 3DUS to provide additional information compared to 2DUS for the prenatal diagnosis of facial, skeletal and neural tube defect[15]. An extended review from Tonni et al[16] has described the technical advancements obtained over the past 20 years by 3D/4DUS compared to conventional 2DUS in different fields of application, particularly in prenatal diagnosis. The study of the fetal face, palate and detection rate of cleft lip and cleft palates has resulted enhanced when 3D/4DUS has complemented 2DUS, either in the first as in the second trimester of pregnancy[17-23].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, anatomical details can be displayed in all the three orthogonal planes. Furthermore, 3D/4DUS can be used in training program as the volume can be freely section on demand and send to expert at remote site using DICOM (digital communication in medicine) technology[16]. Moreover, observations have shown that 4DUS has been a valuable diagnostic investigation to assess fetal neurobehavioral state as it allows visualization of yawning, sucking, smiling, and blinking activity[13,14].…”

Section: Discussionmentioning

confidence: 99%

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Assessment of fetus during second trimester ultrasonography using HDlive software: What is its real application in the obstetrics clinical practice?

Tonni

Grisolia

Santana

et al. 2016

WJR

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AIMTo show imaging results from application of four-dimensional (4D) ultrasound lightening technique (HDlive™) in clinical obstetrics practice.METHODSNormal and abnormal fetuses at second and third trimester of pregnancy undergoing routine scan with 4D HDlive™ (5DUS) in the rendering mode are described. Realistic features of fetal structures were provided by 5DUS in the rendering mode. Normal anatomy as well as pathology like cleft lip, hypoplastic face, micrognathia, low-set ears, corpus callosum, arthrogryposis, aortic arch, left congenital diaphragmatic hernia are highlighted in this study. Anatomical details of the fetuses were provided by 5DUS with higher quality imaging modality compared to those obtained using conventional 2D/3D ultrasound.RESULTSRealistic views of fetal anatomy details were displayed by means of 5DUS in the rendering mode, with high image quality obtained either in low-risk or in high-risk obstetrics population. Corpus callosum, esophagus, and aortic arch were obtained in normal fetuses. Cleft lip, cleft lip and palate, micrognathia, hypoplastic face, low-set ears, arthrogryposis, left congenital diaphragmatic hernia, exomphalos, and clitoris hypertrophy were clearly rendered by 5DUS application.CONCLUSIONThe use of 5DUS in the rendering mode, when clinical available, was diagnostic in a variety of congenital anomalies, aided understanding of the parents-to-be and improved prenatal counseling and perinatal management.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Assessment of fetus during second trimester ultrasonography using HDlive software: What is its real application in the obstetrics clinical practice?

Tonni

Grisolia

Santana

et al. 2016

WJR

Self Cite

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“…Findings suggest that it has the potential to identify women at risk for subsequent development of PE in the 2nd (Neto & Ramos 2016) and in 3rd trimester (Guiot et al 2008, Duan et al 2016. Current research, however, focuses on its early prognostic value in the hope that 3DPDA may constitute a new tool for 1st trimester intraplacental flow analysis (Tonni et al 2015, Cabezas López et al 2016. Indeed, at this stage, the complete vascular tree can be assessed, theoretically providing a very accurate analysis of placental vascularisation.…”

Section: Three-dimensional Power Doppler Angiography (3dpda)mentioning

confidence: 99%

Non-invasive evaluation of placental blood flow: lessons from animal models

Mourier¹,

Tarrade²,

Duan³

et al. 2017

Reproduction

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In human obstetrics, placental vascularisation impairment is frequent as well as linked to severe pathological events (preeclampsia and intrauterine growth restriction), and there is a need for reliable methods allowing non-invasive evaluation of placental blood flow. Uteroplacental vascularisation is complex, and animal models are essential for the technical development and safety assessment of these imaging tools for human clinical use; however, these techniques can also be applied in the veterinary context. This paper reviews how ultrasound-based imaging methods such as 2D and 3D Doppler can provide valuable insight for the exploration of placental blood flow both in humans and animals and how new approaches such as the use of ultrasound contrast agents or ultrafast Doppler may allow to discriminate between maternal (non-pulsatile) and foetal (pulsatile) blood flow in the placenta. Finally, functional magnetic resonance imaging could also be used to evaluate placental blood flow, as indicated by studies in animal models, but its safety in human pregnancy still requires to be confirmed. Reproduction (2017) 153 R85-R96

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“…Over the last 15 years, threeand four-dimensional (3D/4D) ultrasound has undergone dramatic technical improvements resulting in an enhanced diagnostic accuracy of ultrasonography in daily obstetrics practice (1). The technical advancement of 3D/4D ultrasound includes the improved evaluation of complex anatomical structures using the multiplanar approach (2) or volumetric measurements of fetal organ by means of virtual organ computer-aided analysis (3).…”

Section: Introductionmentioning

confidence: 99%