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5D CNS+ : An Useful Tool for Fetal Neurosonography

  • #Ultrasound System>Womens Health
  • writerGiuseppe Rizzo, MD
  • date2016.01.02
Central nervous system (CNS) malformations affect approximately 0.3-1% of live births, and it is considered to be the most common detects in the fetus. Prenatal detection and accurate definition of CNS malformations are of paramount clinical interest since these anomalies frequently have a poor prognosis and are associated with a genetic syndrome. Despite the high incidence of CNS anomalies and the clinical importance of their prenatal diagnosis, the efficacy of the screening program is still far from producing satisfactory results, especially when the study of the fetal head is limited to the axial brain planes3. Indeed, transabdominal two dimensional (2D) ultrasonography is the standard technique to investigate fetal CNS in the general obstetrical population. During the second trimester, the examination includes only the recognition of 3 axial planes, namely the trans-thalamic, the trans-ventricular and the trans-cerebellar planes, and the acquisition of several biometric measurements of both the fetal skull and the brain structures.