MEASURING FETAL VOLUME DURING LATE FIRST TRIMESTER BY THREE-DIMENSIONAL ULTRASONOGRAPHY USING VIRTUAL ORGAN COMPUTER-AIDED ANALYSIS
被引:11
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作者:
Barra, Daniela A.
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Univ Sao Paulo DGO FMRP USP, Med Sch Ribeirao Preto, Dept Obstet & Gynecol, Ribeirao Preto, Brazil
Ultrasonog & Retraining Med Sch Ribeirao Preto EU, Ribeirao Preto, BrazilUniv Sao Paulo DGO FMRP USP, Med Sch Ribeirao Preto, Dept Obstet & Gynecol, Ribeirao Preto, Brazil
Barra, Daniela A.
[1
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Lima, Jailson C.
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Univ Sao Paulo DGO FMRP USP, Med Sch Ribeirao Preto, Dept Obstet & Gynecol, Ribeirao Preto, Brazil
Ultrasonog & Retraining Med Sch Ribeirao Preto EU, Ribeirao Preto, BrazilUniv Sao Paulo DGO FMRP USP, Med Sch Ribeirao Preto, Dept Obstet & Gynecol, Ribeirao Preto, Brazil
Lima, Jailson C.
[1
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Mauad Filho, Francisco
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Univ Sao Paulo DGO FMRP USP, Med Sch Ribeirao Preto, Dept Obstet & Gynecol, Ribeirao Preto, Brazil
Ultrasonog & Retraining Med Sch Ribeirao Preto EU, Ribeirao Preto, BrazilUniv Sao Paulo DGO FMRP USP, Med Sch Ribeirao Preto, Dept Obstet & Gynecol, Ribeirao Preto, Brazil
Mauad Filho, Francisco
[1
,2
]
Araujo Junior, Edward
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Sao Paulo Fed Univ UNIFESP, Dept Obstet, Sao Paulo, BrazilUniv Sao Paulo DGO FMRP USP, Med Sch Ribeirao Preto, Dept Obstet & Gynecol, Ribeirao Preto, Brazil
Araujo Junior, Edward
[3
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Martins, Wellington P.
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Univ Sao Paulo DGO FMRP USP, Med Sch Ribeirao Preto, Dept Obstet & Gynecol, Ribeirao Preto, Brazil
Ultrasonog & Retraining Med Sch Ribeirao Preto EU, Ribeirao Preto, BrazilUniv Sao Paulo DGO FMRP USP, Med Sch Ribeirao Preto, Dept Obstet & Gynecol, Ribeirao Preto, Brazil
Martins, Wellington P.
[1
,2
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机构:
[1] Univ Sao Paulo DGO FMRP USP, Med Sch Ribeirao Preto, Dept Obstet & Gynecol, Ribeirao Preto, Brazil
[2] Ultrasonog & Retraining Med Sch Ribeirao Preto EU, Ribeirao Preto, Brazil
[3] Sao Paulo Fed Univ UNIFESP, Dept Obstet, Sao Paulo, Brazil
Our aim was to determine whether rotating the fetus over its largest axis and reducing the rotational step angle can improve reliability/agreement of fetal volume measurements obtained with three-dimensional ultrasonography (3-DUS). Two observers acquired three 3-DUS data sets for a fetus with a crown-rump length between 45 and 84 mm. These observers determined the fetal volume using virtual organ computer-aided analysis (VOCAL), by three different methods, with a rotational step angle of 30 degrees: (1) minimal manipulation of the 3-DUS data set, fetus rotated over any axis; (2) manipulation of the 3-DUS data set until the fetus could be seen in a standardized manner, fetus rotated over its anteroposterior axis; (3) same 3-DUS data set manipulation, fetus rotated over its longitudinal axis. Intra- and inter-observer reliability/agreement was determined with intra-class correlation coefficients and limits of agreement. In addition, we tested the method that provided the best reliability/agreement results using 15 degrees and 9 degrees of rotational step angles. The time taken to manipulate 3-DUS and determine fetal volume was recorded. The best intra- and inter-observer reliability/agreement results were observed when the fetus was rotated over its longitudinal axis. Reducing rotational step angle to 15 degrees or 9 degrees did not further improve reliability/agreement. The observer took approximately 1 min to determine fetal volume using this method. Our findings indicate that fetal volume should be determined by rotating the fetus over its longitudinal axis, at a rotational step angle of 30 degrees, which is relatively fast and allows analysis of fetal volume with good reliability and agreement. (E-mail: wpmartins@gmail.com) (c) 2013 World Federation for Ultrasound in Medicine & Biology.
机构:
Fed Univ Sao Paulo UNIFESP, Dept Obstet, Sao Paulo, BrazilFed Univ Sao Paulo UNIFESP, Dept Obstet, Sao Paulo, Brazil
Mendonca, Debora Sartori
Fernandes Moron, Rafael Fontoura
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Fed Univ Sao Paulo UNIFESP, Dept Obstet, Sao Paulo, BrazilFed Univ Sao Paulo UNIFESP, Dept Obstet, Sao Paulo, Brazil
Fernandes Moron, Rafael Fontoura
Louzada Maldonado, Andre Luiz
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Fed Univ Sao Paulo UNIFESP, Dept Obstet, Sao Paulo, Brazil
Fed Univ Sao Paulo UNIFESP, Dept Diagnost Imaging, Sao Paulo, BrazilFed Univ Sao Paulo UNIFESP, Dept Obstet, Sao Paulo, Brazil
Louzada Maldonado, Andre Luiz
Araujo Junior, Edward
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Fed Univ Sao Paulo UNIFESP, Dept Obstet, Sao Paulo, BrazilFed Univ Sao Paulo UNIFESP, Dept Obstet, Sao Paulo, Brazil
Araujo Junior, Edward
Machado Nardozza, Luciano Marcondes
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Fed Univ Sao Paulo UNIFESP, Dept Obstet, Sao Paulo, BrazilFed Univ Sao Paulo UNIFESP, Dept Obstet, Sao Paulo, Brazil
Machado Nardozza, Luciano Marcondes
Moron, Antonio Fernandes
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Fed Univ Sao Paulo UNIFESP, Dept Obstet, Sao Paulo, BrazilFed Univ Sao Paulo UNIFESP, Dept Obstet, Sao Paulo, Brazil
机构:
Chiang Mai Univ, Fac Med, Dept Obstet & Gynecol, Chiang Mai 50200, ThailandChiang Mai Univ, Fac Med, Dept Obstet & Gynecol, Chiang Mai 50200, Thailand
Bootchaingam, Phenphan
Charoenratana, Cholaros
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Chiang Mai Univ, Fac Med, Dept Obstet & Gynecol, Chiang Mai 50200, ThailandChiang Mai Univ, Fac Med, Dept Obstet & Gynecol, Chiang Mai 50200, Thailand
机构:
Guangzhou Med Univ, Qingyuan Peoples Hosp, Affiliated Hosp 6, Ultrasound Dept Obstet & Gynecol, Qingyuan, Peoples R ChinaGuangzhou Med Univ, Qingyuan Peoples Hosp, Affiliated Hosp 6, Ultrasound Dept Obstet & Gynecol, Qingyuan, Peoples R China
He, HuiQin
Shu, Shuang
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Guangdong Maternal & Child Hlth Hosp, Dept Ultrasound, Guangzhou, Peoples R ChinaGuangzhou Med Univ, Qingyuan Peoples Hosp, Affiliated Hosp 6, Ultrasound Dept Obstet & Gynecol, Qingyuan, Peoples R China
Shu, Shuang
Lan, WenLi
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Second Peoples Hosp Yingde City, Dept Ultrasound, Yingde, Peoples R ChinaGuangzhou Med Univ, Qingyuan Peoples Hosp, Affiliated Hosp 6, Ultrasound Dept Obstet & Gynecol, Qingyuan, Peoples R China
Lan, WenLi
Peng, Cui
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Guangzhou Med Univ, Qingyuan Peoples Hosp, Affiliated Hosp 6, Dept Obstet & Gynecol, Qingyuan, Peoples R ChinaGuangzhou Med Univ, Qingyuan Peoples Hosp, Affiliated Hosp 6, Ultrasound Dept Obstet & Gynecol, Qingyuan, Peoples R China
Peng, Cui
Ma, MingXia
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Guangzhou Med Univ, Qingyuan Peoples Hosp, Affiliated Hosp 6, Ultrasound Dept Obstet & Gynecol, Qingyuan, Peoples R ChinaGuangzhou Med Univ, Qingyuan Peoples Hosp, Affiliated Hosp 6, Ultrasound Dept Obstet & Gynecol, Qingyuan, Peoples R China
Ma, MingXia
Li, KaiShu
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Guangzhou Med Univ, Qingyuan Peoples Hosp, Affiliated Hosp 6, Dept Core Med Lab, Qingyuan 511518, Peoples R ChinaGuangzhou Med Univ, Qingyuan Peoples Hosp, Affiliated Hosp 6, Ultrasound Dept Obstet & Gynecol, Qingyuan, Peoples R China