Conturso Roberto, Contro Elena, Bellussi Federica, Youssef Aly, Pacella Giuseppina, Martelli Federica, Rizzo Nicola, Pilu Gianluigi, Ghi Tullio
Department of Obstetrics and Gynecology, Valduce Hospital, Como, Italy.
Fetal Diagn Ther. 2015;37(4):305-9. doi: 10.1159/000366156. Epub 2014 Nov 1.
To assess the sonographic visualization of the pericallosal arteries in normal fetuses at 11-13 weeks of gestation using 3D ultrasound.
We prospectively enrolled women with a singleton pregnancy undergoing ultrasound at 11-13 weeks of gestation. A 3D volume with high-definition power Doppler was acquired starting from the sagittal view of the fetal head and stored in the spatiotemporal image correlation mode. The images of the pericallosal arteries were assigned a score of 0 (no visualization), 1 (visualization of the origin) or 2 (visualization of the whole course). A follow-up scan was performed in all cases at 20 weeks of gestation to assess the presence of the corpus callosum.
70 patients were included and the pericallosal arteries were sonographically detectable in all cases. Image scores of 1 and 2 were obtained in 8 and 62 cases, respectively. The whole length of the vessel was between 3.5 and 4.5 mm. The vast majority of those with a score of 2 were beyond 12 completed weeks of gestation. All fetuses showed a normal corpus callosum at midtrimester and no abnormal brain findings after birth.
The pericallosal arteries are sonographically visible since the first trimester in 3D ultrasound scans of fetuses found to have a normal corpus callosum at follow-up.
使用三维超声评估孕11 - 13周正常胎儿胼周动脉的超声可视化情况。
我们前瞻性纳入了孕11 - 13周接受超声检查的单胎妊娠女性。从胎儿头部矢状面开始获取具有高分辨率能量多普勒的三维容积数据,并以时空图像相关模式存储。将胼周动脉图像评为0分(未显示)、1分(显示起始部)或2分(显示全程)。所有病例在孕20周时进行随访扫描以评估胼胝体的存在情况。
纳入70例患者,所有病例中胼周动脉均可通过超声检测到。分别有8例和62例获得1分和2分的图像评分。血管全长在3.5至4.5毫米之间。评分2分的绝大多数患者孕周超过12足周。所有胎儿在孕中期均显示胼胝体正常,出生后无脑部异常发现。
在随访中发现胼胝体正常的胎儿三维超声扫描中,胼周动脉自孕早期即可通过超声显示。