Three‐dimensional ultrasound diagnosis of cleft palate: ‘reverse face’, ‘flipped face’ or ‘oblique face’–which method is best?

Ten, Pilar Martínez; Pedregosa, Javier Pérez; Santacruz, B.; Adiego, Begoña; Barron, Esther; Sepúlveda, Waldo

doi:10.1002/uog.6257

Cited by 66 publications

(58 citation statements)

References 15 publications

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“…Tonni et al 5 have demonstrated that 3DUS have enhanced the diagnostic accuracy in detecting cleft lip (CL) and cleft palate (CP) in a routine second trimester scan on low-risk pregnant women. To enhance prenatal detection of CL/CP, different 3DUS techniques as the "reverse face" 10 , the "flipped" face 11 , the "oblique" 12 and the "angle insonation" 13 view have been developed and proposed for inclusion into clinical obstetrics practice.…”

mentioning

confidence: 99%

Three-dimensional ultrasound in obstetrics practice: myth or reality?

Tonni¹,

Júnior²

2014

Rev. Bras. Ginecol. Obstet.

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Since the introduction of sonography into clinical practice, two-dimensional ultrasound (2DUS) has represented the standard application in obstetrics care. Nonetheless, technological advancement has brought to healthcare givers a new opportunity that is three-dimensional ultrasound (3DUS). Are there nowadays convincing evidence that 3DUS offer advantages over 2DUS and have gained recognized as well as well established role to justify its inclusion into routine obstetrics practice? The technological advancement reached by 3DUS warrant appropriate operator training program in order to acquire expertise to manage ultrasound applications and software. When this "goal" is reached, there is no doubt concerning the fact that one of the main advantages of 3DUS over 2DUS is represented by anatomic acquisition of a volume. Once a volume data set has been acquired, it can be sectioned on-line or transferred to an external personal computer for post-processing analysis. At this stage, "navigation" within the volume is possible, and operators can then freely sectioned or rendered the volume on-demand. This is of dramatic importance in teaching and training clinical setting. Furthermore, volume can be acquired on standardized plane at remote site even by inexperienced operator in 3DUS and send for expert consultation using telemedicine. Although stored volume data sets are large, up to 10 megabyte, they can be compressed to about 15 to 20% of the original file size and submitted via Digital Imaging and Communications in Medicine (DICOM) technology for off-line consultation without noticeable loss of details or image quality 1 . Moreover, volume data sets can be shared by expert on dedicated website and be used in multicenter studies while demonstrating a high sensitivity and reliability 2,3 . 3DUS with its applications allow operators a simultaneous and less time consuming (when compared with 2DUS) rendering of the anatomical landmarks in three orthogonal planes when using the multiplanar mode. In such case, the region of interest is displayed on the upper left quadrant on the ultrasound video equipment while the sagittal plane, the coronal and the axial are rendered in plane A, plane B and plane C, respectively. The planes obtained from the 3D volume are parallel and not oblique or at an angle, as is the case with conventional 2DUS. In addition, when comparing 2DUS vs. 3DUS studies of pathological cases, one of the most important advantages offered by "navigating" inside the volumes generated by 3DUS is the ability to follow the green "reference" dot that indicates the

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mentioning

confidence: 99%

Three-dimensional ultrasound in obstetrics practice: myth or reality?

Tonni¹,

Júnior²

2014

Rev. Bras. Ginecol. Obstet.

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“…A number of techniques for fetal palate imaging have been developed. These include the ''flipped-face'' view (Platt et al 2006), the ''reverse-face'' view (Campbell and Lees 2003), the Faure technique (Faure et al 2007), ''angle insonation'' (Pilu and Segata 2007), ''obliqueface'' view (Martinez Ten et al 2009) and retronasal triangle (Sepulveda et al 2010). The last technique has been applied for imaging the fetal palate at the first-trimester scan.…”

Section: -Dus In the Diagnosis Of Cleft Lip And Cleft Lip/palatementioning

confidence: 99%

“…Faure et al (2007), however, did not produce images involving facial clefting. Martinez-Ten et al (2009) studied 60 fetuses between 20 and 33 wk of gestation, of which 10 had a cleft lip and palate initially detected by conventional 2-DUS at second-trimester scan. These authors reported that ''oblique view'' was the best method when the palate was involved (100%), whereas the ''reverse-face'' and ''flipped-face'' views were able to diagnose this area correctly in 71% and 86% of cases, respectively.…”

Section: -Dus In the Diagnosis Of Cleft Lip And Cleft Lip/palatementioning

confidence: 99%

“…Three-dimensional ultrasound has been found to yield a more precise visualization of the fetal primary and secondary palate, thus allowing differentiation of the position and extent of the cleft, especially in cases in which 2-DUS is limited by acoustic shadowing (Martinez Ten et al 2009;Tonni et al 2005). Wang et al (2007) reported that 2-DUS plus 3-DUS markedly improved prenatal detection of cleft palate (from 22.2% to 88.9%) compared with 2-DUS alone.…”

mentioning

confidence: 99%

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

Tonni

Martins

Filho³

et al. 2015

Ultrasound in Medicine & Biology

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“…68 Since then, several publications have reported improvements using different techniques in the imaging of cleft of the alveolar ridge of the maxilla, cleft lip and palate, and cleft of the palatine bone. [69][70][71][72][73][74] Three-dimensional ultrasound seems to perform better than bi-dimensional ultrasound in the diagnosis of cleft anomalies. 8,62,[75][76][77] Ultrasound visualization of the maxilla and palatine bone suffers with several technical difficulties.…”

Section: Imaging Of the Hard Palatementioning

confidence: 99%

Radiological evaluation of the fetal face using three-dimensional ultrasound imaging

Bäumler¹,

Bigorre²,

Faure³

2012

RMI

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This paper reviews screening and three-dimensional diagnostic ultrasound imaging of the fetal face. The different techniques available for analyzing biometric and morphological items of the profile, eyes, ears, lips, and hard and soft palate are commented on and briefly compared with the respective bi-dimensional techniques. The available literature supports the use of three-dimensional ultrasound in difficult prenatal diagnostic conditions because of its diagnostic accuracy, enabling improved safety of perinatal care. Globally, a marked increase has been observed in the accuracy of three-dimensional ultrasound in comparison with the bidimensional approach. Because there is no consensus about the performance of the different three-dimensional techniques, future studies are needed in order to compare them and to find the best technique for analysis of each of the respective facial elements. Universal prenatal standards may integrate these potential new findings in the future. At this time, the existing guidelines for prenatal facial screening should not be changed.

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Three‐dimensional ultrasound diagnosis of cleft palate: ‘reverse face’, ‘flipped face’ or ‘oblique face’–which method is best?

Abstract: Objectives To compare the performance of three sonographic techniques, the 'reverse-face ', 'flipped-face' and 'oblique-face' methods, for

Cited by 66 publications

References 15 publications

Three-dimensional ultrasound in obstetrics practice: myth or reality?

Three-dimensional ultrasound in obstetrics practice: myth or reality?

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

Radiological evaluation of the fetal face using three-dimensional ultrasound imaging

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