Диагностические возможности пренатальной эхографии в диагностике аномалий разви- тия срединных структур головного мозга во втором триместре беременности
https://doi.org/10.22328/2079-5343-2021-12-4-50-57
Abstract
Introduction. Тhe application of the volume ultrasound expands opportunities of prenatal diagnosis and increases the detection of brain abnormalities.
Objective: to assess diagnostic capabilities of ultrasound in prenatal diagnosis of the cerebral midline structures abnormalities in the second trimester of pregnancy.
Materials and methods. 39 women, who had fetuses with cerebral midline structures abnormalities, were included into the study.
Results. Abnormal image or absence of the septum pellucidum are informative signs of the cerebral midline structures abnormalities. Agenesis of the corpus callosum always has indirect ultrasound signs.
Conclusion. The volume ultrasound improves the multiplane fetal brain assessment, prenatal diagnosis of brain abnormalities.
About the Authors
O. I. KozlovaRussian Federation
Moscow
M. V. Medvedev
Russian Federation
Moscow
References
1. Malinger G., Paladini D., Haratz K.K., Monteagudo A., Pilu G., TimorTritsch I.E. ISUOG Practice Guidelines (updated): sonographic examination of the fetal central nervous system. Part 1: performance of screening examination and indications for targeted neurosonography // Ultrasound Obstet. Gynecol. 2020. Vol. 56. P. 476–484. doi: 10.1002/uog.22145.
2. Medvedev M.V. «Check our watches». II. Protocol of ultrasound screening examination at 18–21 weeks of gestation // Prenatal Diagnosis. 2014. Vol. 13, No. 1, рр. 15–23 (In Russ.).
3. Herrera M., Rebolledo M., Arenas J. Increasing size of the cavum septi pellucidi: sign of midline anomalies of the fetal brain // Ultrasound Obstet. Gynecol. 2015. Vol. 46, Suppl. 1. P. 1–53.
4. Callen P.W., Callen A.L., Glenn O.A., Toi A. Columns of the fornix, not to be mistaken for the cavum septi pellucidi on prenatal sonography // J. Ultrasound Med. 2008. Vol. 27. P. 25–31. doi: 10.7863/jum.2008.27.1.25.
5. Malinger G., Lev D., Kidron D., Heredia F., Hershkovitz R., Lerman-Sagie T. Differential diagnosis in fetuses with absent septum pellucidum // Ultrasound Obstet. Gynecol. 2005. Vol. 25, No. 1. P. 42–49. doi: 10.1002/uog.1787.
6. Paul L.K., Brown W.S., Adolphs R., Tyszka J.M., Richards L.J., Mukherjee P., Sherr E.H. Agenesis of the corpus callosum: genetic, developmental and functional aspects of connectivity // Nat. Rev. Neurosci. 2007. Vol. 8, No 4. P. 287–299. doi: 10.1038/nrn2107.
7. Pilu G., Ghi T., Carletti A., Segata M., Perolo A., Rizzo N. Three-dimensional ultrasound examination of the fetal central nervous system // Ultrasound Obstet. Gynecol. 2007. Vol. 30, No. 2. P. 233–245. doi: 10.1002/uog.4072.
8. Volpe P., Paladini D., Resta M., Stanziano A., Salvatore M., Quarantelli M., De Robertis V., Buonadonna A.L., Caruso G., Gentile M. Characteristics, associations and outcome of partial agenesis of the corpus callosum in the fetus // Ultrasound Obstet. Gynecol. 2006. Vol. 27, No. 5. P. 509–516. doi: 10.1002/uog.2774.
9. D’Addario V. Fetal mild ventriculomegaly: still a challenging problem // J. Perinat. Med. 2015. Vol. 43, Noventriculomegaly: still a challenging problem // J. Perinat. Med. 2015. Vol. 43, No. 1. P. 5–9. doi: 10.1515/jpm-2014-0280.
10. Paladini D., Pastore G., Cavallaro A., Massaro M., Nappi C. Agenesis of the fetal corpus callosum: sonographic signs change with advancing gestational age // Ultrasound Obstet. Gynecol. 2013. Vol. 42. P. 687–690. doi: 10.1002/uog.12506.
11. Kozlova O.I., Medvedev M.V. Standardized approach to biometric assessment of major fetal brain structures in screening ultrasound in the II trimester of pregnancy // Prenatal Diagnosis. 2015. Vol. 14, No. 3. P. 196–198 (In Russ).
12. Rizzo G., Capponi A., Pietrolucci M.E., Capece A., Aiello E., Mammarella S., Arduini D. An algorithm based on Omni View technology to reconstruct sagittal and coronal planes of the fetal brain from volume datasets acquired by threedimensional ultrasound // Ultrasound Obstet. Gynecol. 2011. Vol. 38, No. 2. P. 158–164. doi: 10.1002/uog.8959.
13. Salman M.M.,Twining P., Mousa H., James D., Momtaz M., Aboulghar M., El-Sheikhah A., Bugg G.J. Evaluation of offline analysis of archived threedimensional volume datasets in the diagnosis of fetal brain abnormalities // Ultrasound Obstet. Gynecol. 2011. Vol. 38. P. 165–169. doi: 10.1002/uog.8921.
14. Muresan D., Roxana P., Stamatian F., Rotar I.C. The use of modern ultrasound tridimensional techniques for the evaluation of fetal cerebral midline structures — a practical approach // Med. Ultrason. 2015. Vol. 17, No. 2. P. 235–240. doi: 10.11152/mu.2013.2066.172.dm1.
15. Bault J.P., Salomon L.J., Guibaud L., Achiron R. Role of three-dimensional ultrasound measurement of theoptic tract in fetuses with agenesis of the septum pellucidum // Ultrasound Obstet. Gynecol. 2011.Vol. 37. P. 570–575. doi: 10.1002/uog.8847.
16. Kozlova O.I. Normal range of the length of the fetal corpus callosum in the second trimester of pregnancy // Medical visualization. 2015. No. 6. P. 121–124 (In Russ.)
17. Medvedev M.V., Kozlova O.I. Normal range of fetal cavum septum pellucidum in the second trimester of pregnancy // Prenatal Diagnosis. 2016. Vol. 15, No. 2. P. 151–154 (In Russ.). doi: 10.21516/2413-1458-2016-15-2-151-154.
Review
For citations:
Kozlova O.I., Medvedev M.V. . Diagnostic radiology and radiotherapy. 2021;12(4):50-57. (In Russ.) https://doi.org/10.22328/2079-5343-2021-12-4-50-57