Diagnostic Evaluation of the Fetal Face Using 3-Dimensional Ultrasound

Ramos, Gladys A.; Ylagan, Marissa Valencia; Romine, Lorene E.; D'Agostini, Deborah; Pretorius, Dolores H.

doi:10.1097/ruq.0b013e31819073c2

Cited by 27 publications

(30 citation statements)

References 48 publications

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“…Additional 3D and 4D US reconstruction techniques, fenomeno dell'ombra acustica. Ulteriori tecniche di ricostruzione ecografi che 3D e 4D, quali il surface rendering ed il trasparency mode, permettono una migliore visualizzazione del viso fetale e di eventuali schisi, soprattutto in presenza di coinvolgimento del piano osseo [9].…”

Section: Discussionunclassified

“…Per lo studio such as surface rendering and transparency mode, provide improved visualisation of the fetal face and the presence of clefts, particularly in the presence of hard-palate involvement [9].…”

Section: Discussionmentioning

confidence: 99%

“…Inoltre, ad oggi sono disponibili ulteriori tecniche di ricostruzione ecografi che 3D e 4D, quali il surface rendering, che consente di ottenere immagini dei tessuti molli e del piano cutaneo del viso, e il trasparency mode, che permette di ottenere immagini specifi che delle strutture ossee facciali [9].…”

Section: Parole Chiave Rm Fetale · Labioschisi · Labio-palatoschisi ·unclassified

“…In addition, new 3D and 4D US reconstruction techniques are available. These include surface rendering, which is able to produce images of the facial skin and soft tissues; and transparency mode, which offers specifi c images of the facial bones [9].…”

Section: Introductionmentioning

confidence: 99%

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Fetal MRI as a complement to US in the evaluation of cleft lip and palate

et al. 2011

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Section: Discussionunclassified

Section: Discussionmentioning

confidence: 99%

Section: Parole Chiave Rm Fetale · Labioschisi · Labio-palatoschisi ·unclassified

Section: Introductionmentioning

confidence: 99%

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Fetal MRI as a complement to US in the evaluation of cleft lip and palate

et al. 2011

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“…We acknowledge that when a 2D image is not obtained, a 3D image might also be difficult to obtain. However, several authors reported that trained or specialized sonographers have an increased ability to diagnose cleft lips and their severity using 3DUS and need significantly shorter time periods to interpret findings [10,11,12,13,14,15,16,17,18]. Despite these benefits, the question of whether or not inexperienced sonographers can obtain similar results compared with experienced operators has never been studied.…”

Section: Discussionmentioning

confidence: 99%

Inexperienced Sonographers Can Successfully Visualize and Assess a Three-Dimensional Image of the Fetal Face Using a Standardized Ultrasound Protocol

Guenot

Baud²,

Lepigeon³

et al. 2013

Fetal Diagn Ther

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Introduction: A standardized three-dimensional ultrasonographic (3DUS) protocol isdescribed that allows fetal face reconstruction. Ability to identify cleft lip with 3DUS using this protocol was assessed by operators with minimal 3DUS experience. Material and Methods: 260 stored volumes of fetal face were analyzed using a standardized protocol by operators with different levels of competence in 3DUS. The outcomes studied were: (1) the performance of post-processing 3D face volumes for the detection of facial clefts; (2) the ability of a resident with minimal 3DUS experience to reconstruct the acquired facial volumes, and (3) the time needed to reconstruct each plane to allow proper diagnosis of a cleft. Results: The three orthogonal planes of the fetal face (axial, sagittal and coronal) were adequately reconstructed with similar performance when acquired by a maternal-fetal medicine specialist or by residents with minimal experience (72 vs. 76%, p = 0.629). The learning curve for manipulation of 3DUS volumes of the fetal face corresponds to 30 cases and is independent of the operator's level of experience. Discussion: The learning curve for the standardized protocol we describe is short, even for inexperienced sonographers. This technique might decrease the length of anatomy ultrasounds and improve the ability to visualize fetal face anomalies.

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Retrospective identification of prenatal fetal anomalies associated with diagnostic neonatal genomic sequencing results

et al. 2022

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Objective: To determine which types of fetal anomalies are associated with postnatal diagnoses of genetic diseases by genomic sequencing and to assess how prenatal genomic sequencing could affect clinical management. Method:This was a secondary analysis of the second Newborn Sequencing in Genomic Medicine and Public Health study that compared fetal imaging results in critically ill infants who had actionable versus negative postnatal genomic sequencing results.Results: Of 213 infants who received genomic sequencing, 80 had available prenatal ultrasounds. Twenty-one (26%) of these were found to have genetic diseases by genomic sequencing. Fourteen (67%) of the 21 with genetic diseases had suspected anomalies prenatally, compared with 33 (56%) of 59 with negative results. Among fetuses with suspected anomalies, genetic diseases were 4.5 times more common in those with multiple anomalies and 6.7 times more common in those with anomalies of the extremities compared to those with negative results. Had the genetic diseases been diagnosed prenatally, clinical management would have been altered in 13 of 14. Conclusion:Critically ill infants with diagnostic genomic sequencing were more likely to have multiple anomalies and anomalies of the extremities on fetal imaging.Among almost all infants with suspected fetal anomalies and diagnostic genomic sequencing results, prenatal diagnosis would have likely altered clinical management. Key pointsWhat's already known about this topic? � Diagnostic yield for prenatal genetic testing varies by type of anomaly suspected.� Genomic sequencing can inform management of critically ill neonates.

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Diagnostic Evaluation of the Fetal Face Using 3-Dimensional Ultrasound

Cited by 27 publications

References 48 publications

Fetal MRI as a complement to US in the evaluation of cleft lip and palate

Fetal MRI as a complement to US in the evaluation of cleft lip and palate

Inexperienced Sonographers Can Successfully Visualize and Assess a Three-Dimensional Image of the Fetal Face Using a Standardized Ultrasound Protocol

Retrospective identification of prenatal fetal anomalies associated with diagnostic neonatal genomic sequencing results

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