What Does 3/4D Ultrasound Add to 2D Examination in The Assessment of Fetal Neural Anomalies: Tertiary Center Experience
Adel, N., El Hakeem, A., AbdelKader, M., Amin, M. (2023). What Does 3/4D Ultrasound Add to 2D Examination in The Assessment of Fetal Neural Anomalies: Tertiary Center Experience. EKB Journal Management System, 90(1), 706-715. doi: 10.21608/ejhm.2023.279840
Nashwa Mohamed Adel; Ahmed Kodb Ebd El Hakeem; Mohamed Ali AbdelKader; Mohamed Ahmed Amin. "What Does 3/4D Ultrasound Add to 2D Examination in The Assessment of Fetal Neural Anomalies: Tertiary Center Experience". EKB Journal Management System, 90, 1, 2023, 706-715. doi: 10.21608/ejhm.2023.279840
Adel, N., El Hakeem, A., AbdelKader, M., Amin, M. (2023). 'What Does 3/4D Ultrasound Add to 2D Examination in The Assessment of Fetal Neural Anomalies: Tertiary Center Experience', EKB Journal Management System, 90(1), pp. 706-715. doi: 10.21608/ejhm.2023.279840
Adel, N., El Hakeem, A., AbdelKader, M., Amin, M. What Does 3/4D Ultrasound Add to 2D Examination in The Assessment of Fetal Neural Anomalies: Tertiary Center Experience. EKB Journal Management System, 2023; 90(1): 706-715. doi: 10.21608/ejhm.2023.279840

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

The Egyptian Journal of Hospital Medicine
Article 99, Volume 90, Issue 1, January 2023, Page 706-715  XML PDF (544.37 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2023.279840
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Authors
Nashwa Mohamed Adel email ; Ahmed Kodb Ebd El Hakeem; Mohamed Ali AbdelKader; Mohamed Ahmed Amin
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.
 
Keywords
Prenatal ultrasound; 3D/4D ultrasound; Congenital brain anomalies; Fetal CNS
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