Journal
PEDIATRIC RADIOLOGY
Volume 51, Issue 7, Pages 1259-1266Publisher
SPRINGER
DOI: 10.1007/s00247-020-04934-4
Keywords
Autopsy; Foetus; Pathology; Perinatal; Postmortem; Three-dimensional ultrasound; Ultrasound
Funding
- European Society of Paediatric Radiology
- RCUK/UKRI Innovation Fellowship
- Medical Research Council (MRC) Clinical Research Training Fellowship [MR/R002118/1]
- Royal College of Radiologists (RCR)
- National Institute for Health Research (NIHR) Career Development Fellowship [NIHR-CDF-2017-10-037]
- MRC
- RCR
- NIHR
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A study conducted 2-D and 3-D postmortem ultrasound on 11 fetuses, showing that 3-D did not provide additional information compared to 2-D, therefore routine 3-D postmortem ultrasound is not recommended based on the findings.
Three- and four-dimensional US techniques in antenatal screening are commonplace, but they are not routinely used for perinatal postmortem US. In this technical innovation, we performed both two-dimensional (2-D) and three-dimensional (3-D) postmortem US on 11 foetuses (mean gestation: 23 weeks; range: 15-32 weeks) to determine whether there was any benefit in 3-D over conventional 2-D methods. In one case of osteogenesis imperfecta, both 2-D and 3-D US images were non-diagnostic because of small foetal size. Of the remaining 10 foetuses, 7 were normal at imaging and autopsy, and 3 had abnormalities detected on both 2-D and 3-D US. There were no false-positive diagnoses by 2-D or 3-D US. Whilst 3-D postmortem US was a feasible technique, it did not provide additional information over 2-D US. Routine 3-D postmortem US cannot therefore be routinely recommended based on our findings.
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