Tonni G, Grisolia G, Santana EF, Júnior EA. Assessment of fetus during second trimester ultrasonography using HDlive software: What is its real application in the obstetrics clinical practice? World J Radiol 2016; 8(12): 922-927 [PMID: 28070244 DOI: 10.4329/wjr.v8.i12.922]
Corresponding Author of This Article
Edward Araujo Júnior, PhD, Professor, Department of Obstetrics, Paulista School of Medicine - Federal University of São Paulo (EPM-UNIFESP), Rua Belchior de Azevedo, 156, apto. 111 Torre Vitória, São Paulo 05089-030, Brazil. araujojred@terra.com.br
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Radiol. Dec 28, 2016; 8(12): 922-927 Published online Dec 28, 2016. doi: 10.4329/wjr.v8.i12.922
Assessment of fetus during second trimester ultrasonography using HDlive software: What is its real application in the obstetrics clinical practice?
Gabriele Tonni, Gianpaolo Grisolia, Eduardo Félix Santana, Edward Araujo Júnior
Gabriele Tonni, Department of Obstetrics and Gynecology, Guastalla Civil Hospital, AUSL Reggio Emilia, 42016 Reggio Emilia, Italy
Gianpaolo Grisolia, Department of Obstetrics and Gynecology, “Carlo Poma” Hospital, 46100 Mantua, Italy
Eduardo Félix Santana, Edward Araujo Júnior, Department of Obstetrics, Paulista School of Medicine - Federal University of São Paulo (EPM-UNIFESP), São Paulo 05089-030, Brazil
Eduardo Félix Santana, Department of Perinatology, Albert Einstein Hospital, São Paulo 05652-900, Brazil
Author contributions: Tonni G contributed to writing and collecting images; Grisolia G contributed to collecting images; Santana EF contributed to writing; Araujo Júnior E contributed to review.
Conflict-of-interest statement: The authors declare no conflict of interest related to this publication.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Edward Araujo Júnior, PhD, Professor, Department of Obstetrics, Paulista School of Medicine - Federal University of São Paulo (EPM-UNIFESP), Rua Belchior de Azevedo, 156, apto. 111 Torre Vitória, São Paulo 05089-030, Brazil. araujojred@terra.com.br
Telephone: +55-11-37965944 Fax: +55-11-37965944
Received: April 10, 2016 Peer-review started: April 12, 2016 First decision: May 19, 2016 Revised: August 3, 2016 Accepted: October 17, 2016 Article in press: October 18, 2016 Published online: December 28, 2016
Abstract
AIM
To show imaging results from application of four-dimensional (4D) ultrasound lightening technique (HDlive™) in clinical obstetrics practice.
METHODS
Normal 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.
RESULTS
Realistic 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.
CONCLUSION
The 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.
Core tip: Four-dimensional ultrasound using HDlive™ allows realistic images of fetal anatomic structures in the second trimester of pregnancy. These images allow identifying fine details of fetal surface, with better understanding both multidisciplinary team and parents.
