2012Ultrasound in Obstetrics and GynecologyRequires access

P13.19: Coronal measurement of fetal lateral ventricles: an ultrasonographic study

Eldad Katorza, N. Duvdevani, Yoav Yinon, Y. Gilboa, C. Hoffmann, R. Achiron

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Abstract

The aim of this study was to compare the diameter of the lateral ventricles measured by traditional axial view with novel measurement at the coronal plane. Prospective study of 144 fetuses in which sonographic measurements of the lateral ventricles using axial and coronal planes were performed at 19 to 38 weeks of gestational. 77 were evaluated as part of a routine fetal scan and 67 were referred for targeted scan. For each fetus, only the distal lateral ventricle's diameter was measured by the “classical” transventricular axial plane, whereas both ventricles were measured at the posterior coronal plane at the level of the atria using transfontanellar approach. The mean gestational age was 27.7 ± 4.6 weeks. A good visualization of both ventricles was achieved in 91% of the cases using the coronal plane. In the entire study group, the mean width of the distal lateral ventricle on the axial plane was 7.9 ± 1.9 mm versus 8.2 ± 1.9 mm on the coronal plane [p-value < 0.001]. The mean axial width was 6.6 ± 1.1 mm in patients who came for a routine scan, versus 9.3 ± 1.6 mm in patients who were referred for a neurosonogram [p-value < 0.001]. Our study showed that Coronal measurement of both proximal and distal ventricles are feasible, which is advantage over the axial view in which only the distal ventricle is clearly visible and measurable. Supporting information can be found in the online version of this abstract. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.

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What this paper is about

The aim of this study was to compare the diameter of the lateral ventricles measured by traditional axial view with novel measurement at the coronal plane. Prospective study of 144 fetuses in which sonographic measurements of the lateral ventricles using axial and coronal planes were performed at 19 to 38 weeks of gestational. 77 were evaluated as part of a routine fetal scan and 67 were referred for targeted scan. For each fetus, only the distal lateral ventricle's diameter was measured by the “classical” transventricular axial plane, whereas both ventricles were measured at the posterior coronal plane at the level of the atria using transfontanellar approach. The mean gestational age was 27.7 ± 4.6 weeks. A good visualization of both ventricles was achieved in 91% of the cases using the coronal plane. In the entire study group, the mean width of the distal lateral ventricle on the axial plane was 7.9 ± 1.9 mm versus 8.2 ± 1.9 mm on the coronal plane [p-value < 0.001]. The mean axial width was 6.6 ± 1.1 mm in patients who came for a routine scan, versus 9.3 ± 1.6 mm in patients who were referred for a neurosonogram [p-value < 0.001]. Our study showed that Coronal measurement of both proximal and distal ventricles are feasible, which is advantage over the axial view in which only the distal ventricle is clearly visible and measurable. Supporting information can be found in the online version of this abstract. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.

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Available abstract

The aim of this study was to compare the diameter of the lateral ventricles measured by traditional axial view with novel measurement at the coronal plane. Prospective study of 144 fetuses in which sonographic measurements of the lateral ventricles using axial and coronal planes were performed at 19 to 38 weeks of gestational. 77 were evaluated as part of a routine fetal scan and 67 were referred for targeted scan. For each fetus, only the distal lateral ventricle's diameter was measured by the “classical” transventricular axial plane, whereas both ventricles were measured at the posterior coronal plane at the level of the atria using transfontanellar approach. The mean gestational age was 27.7 ± 4.6 weeks. A good visualization of both ventricles was achieved in 91% of the cases using the coronal plane. In the entire study group, the mean width of the distal lateral ventricle on the axial plane was 7.9 ± 1.9 mm versus 8.2 ± 1.9 mm on the coronal plane [p-value < 0.001]. The mean axial width was 6.6 ± 1.1 mm in patients who came for a routine scan, versus 9.3 ± 1.6 mm in patients who were referred for a neurosonogram [p-value < 0.001]. Our study showed that Coronal measurement of both proximal and distal ventricles are feasible, which is advantage over the axial view in which only the distal ventricle is clearly visible and measurable. Supporting information can be found in the online version of this abstract. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.

Key concepts: Coronal plane, Medicine, Ventricle, Lateral ventricles, Anatomy, Fetus, Nuclear medicine, Gestational age

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