Title: Role of 3D /4D Ultrasound and Fetal Magnetic Resonance Imaging in the evaluation of various fetal anamolies in First and second trimester
Authors: Dr Deepthi. K, Dr Shanthi Sree .V, Dr Hanumath Prasad .V, Dr Shivani Gogi, Dr Veena, Dr Anil Kumar
DOI: http://dx.doi.org/10.18535/jmscr/v4i9.34
Aims & Objectives: 1) To evaluate Fetal anomolies by 3D/4D Sonography 2) To compare the imaging findings as seen on 2D ultrasonography with 3D /4D Sonography.3) To Compare the 3D /4 D Sonographic findings with Magnetic Resonance Imaging findings. Summary: In the present study, the sensitivity and specificity of 3D/4D Ultrasound is 94.4% & 88.8% respectively and that of MRI is 98.1% and 90% respectively. Conclusions: 3D ultrasound is highly sensitive in detecting foetal anomalies and MRI can be used for confirmation in selected cases. The advent of 3D Ultrasound enables Ultrasound to compete with CT and MR imaging for efficiency and rapidity. Keywords: Fetal anomalies , 3D/4D Sonography, Fetal Magnetic Resonance Imaging 1. Donald School Textbook of ultrasound in obstetrics and gynaecology; first edi; 2004. 2. Carol M Rumack, Diagnostic Ultrasound; volume 2; 4th edition, 2011. 3. Grainger & Allison’s Diagnostic Radio-logy; A textbook of medical imaging; volume 2; 5th edition; pg 1212. 4. Quinn TM, HubbardAM, Adzick NS prenatal magnetic resonance imaging enhances fetal diagnosis JpediatrSurg 1998: april : 33 (4); 553-8 5. Bega G, Lev-Toaff A, Kuhlman K, Kurtz A, Goldberg B Wapner R. Three-dimensional ultrasonographic imaging in obstetrics: present and future applications. J Ultrasound Med 2001; 20:391–408 6. Nabeel S. Bondagji, Antenatal diagnosis, prevalence and outcome of congenital anomalies of the kidney and urinary tract in Saudi Arabia.Urol Ann. 2014 Jan;6 (1): 36-40. 7. Timor-Tritsch IE, Monteagudo A, Tsymbal T, Strok I. Three-dimensional inversion rendering: a new sonographic technique. J Ultrasound Med 2005; 24:681–688 8. Lee W, Goncalves LF, Espinoza J, Romero R. Inversion mode: a new volume tool for 3-dimensional sonography. J Ultrasound Med 2005; 24:201–207 9. Kang L, Chang CH, Yu CH, Cheng YC, Chang FM Prenatal depiction of cystic hygroma using three dimensional ultrasound. Ultrasound Med Biol. 2002 Jun;28(6):719-23. 10. Cohen-Overbeek TE, Grijseels E W, Niemeijer ND, Hop WC, Wladimiroff JW, Tibboel D. Isolated or non-isolated duodenal obstruction: perinatal outcome following prenatal or postnatal diagnosis. Ultrasound Obstet Gynecol. 2008 Nov;32(6):784-92. 11. Levine D, Barnes PD, Sher S, Semelka RC, Li W, McArdle CR, Worawattanakul S, Edelman RR. Fetal fast MR imaging: reproducibility, technical quality, and conspicuity of anatomy. Radiology 1998; 206: 549–554. 12. Catherine Limperopoulos, Richard L. Robertson, Jr.,Omar S. Khwaja, Caroline D. Robson, Judy A. Estroff, Carole Barnewolt, Deborah Levine, Donna Mora-sh, Luanne Nemes, Linda Zaccagnini, and Adré J. du Plessis How Accurately Does Current Fetal Imaging Identify Posterior Fossa Anomalies? AJR -June 2008, Volume 190, Number 6 13. Manal Hamisaa, Naglaa Dabeesa, Walid M. Ataallab, Dina H. Ziadac (2013),(22) in their study on Magnetic resonance imaging versus Ultrasound examination in detection of prenatal fetal brain anomalies The Egyptian Journal of Radiology and Nuclear Medicine Volume 44, Issue 3, September 2013, Pages 665–672 14. Milan Stanojevic et al, Role of 2D and 3Dultrasound in evaluation of fetal gastrointestinal anomalies Donald School Journal of ultrasound in Obstetrics and Gynecology, Juty-September 2014; g(3): 316-320 317 15. Yuh WT, Nguyen HD, Fisher DJ, Tali ET, Gao F, Simonson TM, Kao SC, Weiner CP. MR of fetal central nervous system abnormalities. AJNR Am J Neuroradiol 1994; 15: 459–464.Abstract
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