Moreira Neto Raul, Porovic Selma
Ecomoinhos, School and Clinic of Ultrasound, Fetal Medicine, rua tobias da silva 120, RS porto alegre, porto alegre, Rio Grande do Sul 90570020, Brazil, Tel.: +55-51-99919-5500.
Department of Pediatric Dentistry, Public Health Center of the Sarajevo Canton, Sarajevo, Bosnia and Herzegovina.
J Perinat Med. 2018 Aug 28;46(6):631-639. doi: 10.1515/jpm-2016-0414.
Fetal neurology is evolving as an area of great interest in prenatal diagnosis and fetal medicine. The identification and diagnosis of brain damage prenatally has been a great challenge in obstetrics for many years. Investigations of fetal behavior in comparison with morphological studies led to the conclusion that fetal behavioral patterns directly reflect developmental and maturational processes of the fetal central nervous system (CNS). Four-dimensional (4D) ultrasound has greatly improved the assessment of the quality of the fetal spontaneous movements, and enabled a better evaluation of fetal behavior. The assessment of normal neurobehavioral development by 4D ultrasound provided the opportunity to investigate functional characteristics of the fetus that could predict neurological developmental dysfunction. Some studies have already been carried out to evaluate this new methodology in the observation of fetal behavior during different stages of gestation, in an attempt to better understand the relationships between the maturation of the CNS of the fetus and its implications on its behavior pattern. We present a review of literature on fetal behavior by 4D ultrasound.
胎儿神经学作为产前诊断和胎儿医学中一个备受关注的领域正在不断发展。多年来，产前识别和诊断脑损伤一直是产科领域的巨大挑战。将胎儿行为研究与形态学研究相比较后得出的结论是，胎儿行为模式直接反映胎儿中枢神经系统（CNS）的发育和成熟过程。四维（4D）超声极大地改善了对胎儿自发运动质量的评估，并能更好地评估胎儿行为。通过4D超声评估正常神经行为发育为研究胎儿的功能特征提供了机会，这些功能特征可以预测神经发育功能障碍。已经开展了一些研究来评估这种新方法在孕期不同阶段观察胎儿行为中的应用，以更好地理解胎儿中枢神经系统成熟与其行为模式之间的关系。我们对有关4D超声观察胎儿行为的文献进行了综述。
