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279840

What Does 3/4D Ultrasound Add to 2D Examination in The Assessment of Fetal Neural Anomalies: Tertiary Center Experience

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Last updated: 03 Jan 2025

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Abstract

Background: Central nervous system (CNS) malformations are the most common congenital abnormalities. The detection of fetal anomalies was one of the earliest uses and remains a pivotal application of prenatal ultrasound. Objective: This prospective study aims to clear out the value of 3/4D examination with advanced techniques (TUI, MIP & surface mode) over 2D in the evolution of fetal neural anomalies. Patients and methods:120 pregnant women with suspected CNS fetal anomalies by 2D US were examined over a period starting from January 2015 until October 2017. Fetal gestation ranged from 8-39 weeks with a 24-week mean age. In all patients, 2D and 3/4D ultrasound as well as fetal Doppler were performed. Results:3/4D ultrasound shows higher sensitivity in the detection of neural anomalies such as anencephaly, Chiari malformation, Hydranencephaly, holoprosencephaly, encephalocele, meningocele (spina bifida with no brain changes), Iniencephaly and Dandy-Walker variants, 3/4D ultrasound of 100% deletion rate over 85% for the 2D ultrasound. 3/4d & 2D ultrasound had the same detection rate of anomalies like hydrocephalus (communicating & non-communicating), microcephaly, and Dandy-Walker malformation. Conclusion:3/4D ultrasound had a higher sensitivity in the detection of fetal neural anomalies over 2D which allows early interference or decision-making to save fetal or material life.  

DOI

10.21608/ejhm.2023.279840

Keywords

prenatal ultrasound, 3D/4D ultrasound, Congenital brain anomalies, Fetal CNS

Authors

First Name

Nashwa Mohamed

Last Name

Adel

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Email

nashwaadelrad80@yahoo.com

City

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Orcid

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First Name

Ahmed Kodb Ebd

Last Name

El Hakeem

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Mohamed Ali

Last Name

AbdelKader

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Mohamed Ahmed

Last Name

Amin

MiddleName

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Email

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City

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Volume

90

Article Issue

1

Related Issue

38787

Issue Date

2023-01-01

Receive Date

2023-01-11

Publish Date

2023-01-01

Page Start

706

Page End

715

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 90_Issue 1_Pages 706-715.pdf

PDF . 557.4kB

Link

https://ejhm.journals.ekb.eg/article_279840.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=279840

Order

99

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

What Does 3/4D Ultrasound Add to 2D Examination in The Assessment of Fetal Neural Anomalies: Tertiary Center Experience

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Article

Created At

22 Jan 2023