Accuracy of trans cerebellar diameter in comparison with biparietal diameter, femur length, fetal kidney length in the sonographic assessment of gestational age in the 2nd and 3rd trimester pregnancy
Taha, A., Kotb, A., Ibrahim, S., Khalil, E. (2024). Accuracy of trans cerebellar diameter in comparison with biparietal diameter, femur length, fetal kidney length in the sonographic assessment of gestational age in the 2nd and 3rd trimester pregnancy. EKB Journal Management System, 5(4), 280-294. doi: 10.21608/ejmr.2023.242647.1479
Ahmed A. Taha; Amal Kotb; Sara Ahmed Ibrahim; Eman M. Khalil. "Accuracy of trans cerebellar diameter in comparison with biparietal diameter, femur length, fetal kidney length in the sonographic assessment of gestational age in the 2nd and 3rd trimester pregnancy". EKB Journal Management System, 5, 4, 2024, 280-294. doi: 10.21608/ejmr.2023.242647.1479
Taha, A., Kotb, A., Ibrahim, S., Khalil, E. (2024). 'Accuracy of trans cerebellar diameter in comparison with biparietal diameter, femur length, fetal kidney length in the sonographic assessment of gestational age in the 2nd and 3rd trimester pregnancy', EKB Journal Management System, 5(4), pp. 280-294. doi: 10.21608/ejmr.2023.242647.1479
Taha, A., Kotb, A., Ibrahim, S., Khalil, E. Accuracy of trans cerebellar diameter in comparison with biparietal diameter, femur length, fetal kidney length in the sonographic assessment of gestational age in the 2nd and 3rd trimester pregnancy. EKB Journal Management System, 2024; 5(4): 280-294. doi: 10.21608/ejmr.2023.242647.1479

Accuracy of trans cerebellar diameter in comparison with biparietal diameter, femur length, fetal kidney length in the sonographic assessment of gestational age in the 2nd and 3rd trimester pregnancy

Egyptian Journal of Medical Research
Volume 5, Issue 4, October 2024, Page 280-294  XML PDF (606.13 K)
Document Type: Original Article
DOI: 10.21608/ejmr.2023.242647.1479
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Authors
Ahmed A. Tahaorcid 1; Amal Kotb2; Sara Ahmed Ibrahim email orcid 2; Eman M. Khalilorcid 2
1Obstetrics and Gynecology department, Faculty of Medicine, Beni-suef University, Egypt
2Obstetrics and Gynecology department, Faculty of Medicine, Beni-Suef University, Egypt
Abstract
Background: When a fetus's age cannot be determined from the mother's last menstrual period or an early ultrasound, the cerebellar diameter serves as a reliable predictor of GA and a standard against which other fetal measures may be evaluated. This study aims to detect an accurate method for assessment of gestational age in second and third trimester of pregnancy comparing the trans cerebellar diameter, biparietal diameter, femur length and fetal kidney length. Methods: This was an analytical study performed on 100 pregnant females in second or third trimester pregnancy attending at the Obstetrics and Gynecology Outpatient Clinic at Beni-Suef University Hospital. Fetal biometric measurements were taken using ultrasound, including TCD, BPD, FL, and fetal kidney length. Result: The TCD and KL both rise with an increase in GA and have excellent correlation coefficients, indicating good measurement agreement and reproducibility that is unaffected by the late-trimester variability Conclusion: According to the findings of this research, KL and TCD exhibit a strong correlation with fetal GA in the third trimester, while in the second trimester BPD, FL, AC and TCD are good predictors of gestational age and no role for KL at that time of pregnancy
Keywords
BPD; FL; gestational age; TCD
References
 

  1. Papageorghiou AT, Kemp B, Stones W, Ohuma EO, Kennedy SH, Purwar M, Salomon LJ, Altman DG, Noble JA, Bertino E, Gravett MG. Ultrasound‐based gestational‐age estimation in late pregnancy. Ultrasound in Obstetrics & Gynecology. 2016 Dec;48(6):719-26.
  2. Iram S, Gilani SA, Zain-ul-Hassan MF, Bacha R, Malik SS. Ultrasonographic Evaluation of the Fetal Transverse Cerebellar Diameter (TCD) Measurement for Prediction of Gestational Age in 2nd and 3rd Trimesters of Pregnancy. International Journal of Applied Sciences and Biotechnology. 2018 Dec 28;6(4):379-85.
  3. Kumar K, Beg M, Babu C, Shrivastava RK. Estimation of fetal gestational age in second and third trimesters from ultrasonographic measurements of different fetal biometric parameters. Indian J Clin Anat Physiol. 2015;2:111-6.
  4. Abd El Fattah AT, Shaban HS, Younis EA. Comparison between trans-cerebellar diameter, Bi-parietal diameter and femur length for gestational age measurement accuracy in third trimester of pregnancy. The Egyptian Journal of Hospital Medicine. 2018 Oct 1;73(4):6463-9.
  5. Zakaria AM, Mohamed AH, Eldarder AK. Comparison between transcerebellar diameter, biparietal diameter and femur length for gestational age measurement accuracy in third trimester of pregnancy. The Egyptian Journal of Hospital Medicine. 2019 Jan 1;74(1):17-22.
  6. Hussain KA, Kadiyala S, Lakshmi AY, Hindumathi M. Fetal transcerebellar diameter to abdominal circumference ratio (TCD/AC) and to femur length ratio (TCD/FL) in the assessment of normal fetal growth. Journal of Dr. NTR University of Health Sciences. 2019 Jan 1;8(1):5-10.
  7. Cinnusamy M, Shastri D, Martina JA. Estimation of gestational age by ultrasound measurement of fetal transcerebellar diameter. Journal of The Anatomical Society of India. 2021 Jan 1;70(1):19-24.
  8.  Ramachandran K, Gnaneshwar A, Kumar RD, Parvathavarthine CR. Estimation of gestational age using foetal kidney length during second and third trimester in south Indian population. Biomedicine. 2020;40(4):436-41.
  9. Zaghloul AS. I Evaluation of ultrasonographic fetal kidney length for gestational age detection in late second and third trimesters. J Women Health Care Issues, 2020; 3(4).
  10. Kaul I, Menia V, Anand AK, Gupta R. Role of Fetal Kidney Length in Estimation of Gestational Age. JK science. 2012 Apr 1;14(2).
  11. Yusuf N, Moslem F, Haque JA. Fetal kidney length: can be a new parameter for determination of gestational age in 3rd trimester. TAJ: Journal of Teachers Association. 2007;20(2):147-50.
  12. George R, Amirthalingam U, Hussain MR, Aditiya V, Anand AM, Padmanaban E, Kulasekeran N. Can trans-cerebellar diameter supersede other fetal biometry in measuring gestational age? A prospective study. Egyptian Journal of Radiology and Nuclear Medicine. 2021 Dec;52:1-6.
  13. Bavini S, Mittal R, Mendiratta SL. Ultrasonographic measurement of the transcerebellar diameter for gestational age estimation in the third trimester. Journal of Ultrasound. 2021 Mar 9:1-7.
  14. Reddy RH, Prashanth K, Ajit M. Significance of foetal transcerebellar diameter in foetal biometry: a pilot study. Journal of clinical and diagnostic research: JCDR. 2017 Jun;11(6):TC01.
  15. Hegab M, Midan MF, Taha T, Bibars M, El Wakeel KH, Amer H, Azmy O. Fetal biometric charts and reference equations for pregnant women living in port said and Ismailia governorates in Egypt. Open Access Macedonian Journal of Medical Sciences. 2018 May 5;6(5):751.
  16. Osho ES, Ibitoye BO, Adetiloye VA, Adeyemi AB, Aderibigbe AS, Omisore AD. Ultrasonic determination of gestational age by assessment of fetal kidney size in the third trimester in southwest Nigeria. International Journal of Gynecology & Obstetrics. 2019 Mar;144(3):271-6.
  17.  Singh J, Thukral CL, Singh P, Pahwa S, Choudhary G. Utility of sonographic transcerebellar diameter in the assessment of gestational age in normal and intrauterine growth-retarded fetuses. Nigerian Journal of Clinical Practice. 2022 Feb 1;25(2):167-72.
  18. Žaliūnas B, Bartkevičienė D, Drąsutienė G, Utkus A, Kurmanavičius J. Fetal biometry: Relevance in obstetrical practice. Medicina. 2017 Dec;53(6):357-64.
  19. Tariq MA, Anjum MN, Shahid U, Gilani S, Omer MA, Riasat H. Correlation between fetal kidney length and gestational age on ultrasound during second and third trimester. Pakistan Journal of Medical and Health Sciences. 2021;15(2):370-4.
  20. Miković Z, Marković A, Dukić M, Pazin V. Growth of the fetal cerebellum in normal pregnancy. Jugoslavenska Ginekologija i Perinatologija. 1989 Sep 1;29(5-6):157-60.
  21. Mahale DN, Devi A, Mahale DA, Ullal DS, Fernandes DM, Prabhu DS. Ultrasonic assessment of gestational age by measurement of fetal kidney length in third trimester. Giornale Italiano di Ostetricia e Ginecologia. 2019;41(1):10-3.
  22. Konje JC, Abrams KR, Bell SC, Taylor DJ. Determination of gestational age after the 24th week of gestation from fetal kidney length measurements. Ultrasound in obstetrics and gynecology: the official journal of the international society of ultrasound in obstetrics and gynecology. 2002 Jun;19(6):592-7.
  23. Singh A, Singh G, Gupta K. Estimation of gestational age by using fetal kidney length and transcerebellar diameter in comparison with other biometric indices. Donald School J Ultrasound Obstet Gynecol. 2021 Mar 1;15(1):4-9.
  24. El-Saeed AM, Emam AA. Comparison Study between Fetal Kidney Length and Transcerebellar Diameter to Determine Gestational age in the Third Trimester. International Journal of Medical Arts. 2023 Sep 12.
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