4D ultrasound study of fetal facial expressions at 20-24 weeks of gestation

2014 ◽  
Vol 126 (3) ◽  
pp. 275-279 ◽  
Author(s):  
Miki Sato ◽  
Kenji Kanenishi ◽  
Uiko Hanaoka ◽  
Junko Noguchi ◽  
Genzo Marumo ◽  
...  
2017 ◽  
Vol 31 (14) ◽  
pp. 1856-1864 ◽  
Author(s):  
Mohamed Ahmed Mostafa AboEllail ◽  
Kenji Kanenishi ◽  
Nobuhiro Mori ◽  
Osman Abdel Kareem Mohamed ◽  
Toshiyuki Hata

2019 ◽  
Vol 47 (4) ◽  
pp. 429-433 ◽  
Author(s):  
Nobuhiro Mori ◽  
Kenji Kanenishi ◽  
Mohamed Ahmed Mostafa AboEllail ◽  
Emiko Nitta ◽  
Toshiyuki Hata

Abstract Objective To assess whether neurological maturation and development are accelerated in fetal growth restriction (FGR) in utero using four-dimensional (4D) ultrasound. Methods The facial expressions of 50 appropriate-for-gestational-age (AGA) and 34 FGR fetuses aged between 28 and 35 gestational weeks were assessed using 4D ultrasound. Subsequently, they were differentiated into two gestational age groups (19 aged 28–31 weeks and 31 aged 32–35 weeks in AGA, and 15 aged 28–31 weeks and 19 aged 32–35 weeks in FGR). Fifteen-minute recordings were made, and the frequencies of seven facial expressions during that time were examined. Correlation analysis was conducted to assess the changing number of significant correlations with advancing gestation in each group. Results Out of 21 combinations of facial expressions at 28–31 and 32–35 gestational weeks in AGA fetuses, there was only three significant correlations. Similarly, only one was noted out of 21 combinations at 28–31 gestational weeks, but there were seven significant correlations in FGR fetuses at 32–35 weeks (P=0.018). However, there was no significant difference in the number of correlations of facial expressions between AGA (3/21) and FGR (7/21) fetuses at 32–35 weeks of gestation (P=0.147). Conclusion Our results suggest that the number of significant correlations of fetal facial expressions in FGR fetuses increases more compared with that in AGA fetuses at 32–35 weeks of gestation. Due to the acceleration of neurological maturation and development in FGR fetuses, the control of facial expressions by the brain may be more evident compared with AGA fetuses at 32–35 weeks of gestation. However, the data and their interpretation in the present study should be taken with some degree of caution because of the small number of subjects studied. Further studies involving a larger sample size are needed to obtain strong or additional evidence.


2017 ◽  
Vol 50 ◽  
pp. 59-59 ◽  
Author(s):  
M.A. AboEllail ◽  
C. Tenkumo ◽  
N. Mori ◽  
U. Hanaoka ◽  
K. Kanenishi ◽  
...  

2013 ◽  
Vol 121 (3) ◽  
pp. 257-260 ◽  
Author(s):  
Kenji Kanenishi ◽  
Uiko Hanaoka ◽  
Junko Noguchi ◽  
Genzo Marumo ◽  
Toshiyuki Hata

2019 ◽  
Vol 47 (9) ◽  
pp. 963-968
Author(s):  
Emiko Nitta ◽  
Kenji Kanenishi ◽  
Nobuhiro Mori ◽  
Mohamed Ahmed Mostafa AboEllail ◽  
Toshiyuki Hata

Abstract Objective To assess the characteristics of twin fetal facial expressions at 30–33 + 6 weeks of gestation using four-dimensional (4D) ultrasound to clarify twin fetal brain development and maturation. Methods Frequencies of seven fetal facial expressions were studied using 4D ultrasound for 15 minutes in 30 singleton pregnancies and 18 twin pregnancies [four monochorionic diamniotic (MD) and 14 dichorionic diamniotic (DD) twins] at 30–33 + 6 weeks of gestation. Comparison of the frequency in each facial expression was performed between singleton and twin fetuses. Results Mouthing was the most frequent facial expression at 30–33 + 6 weeks of gestation, followed by blinking in twin and singleton fetuses. Both facial expressions were significantly more frequent than other expressions (P < 0.05). The frequencies of mouthing and scowling in twin fetuses were significantly lower than those in singleton fetuses, but there were no significant differences in the frequencies of the five other facial expressions between the fetal groups. Conclusion Our results suggest that restricted twin fetal behavior before 20 weeks of gestation may still affect the frequencies of twin facial expressions early in the third trimester of pregnancy. Moreover, the frequencies of facial expressions in twins are different from those of singleton fetuses.


ABSTRACT Four-dimensional (4D) sonographic assessment of fetal facial expressions is considered to reflect normal and abnormal fetal neurological developments, and may be an important clue to predict the fetal brain function and well-being before and after birth. HDlive is a new surface-rendering mode, which uses an adjustable light source that facilitates the ability to create lighting and shadowing effects, thereby increasing depth perception. This technique facilitates extraordinarily realistic imaging of the fetal face, making it almost impossible to differentiate between actual photographs and HDlive images. In this article, we discuss recent topics regarding fetal facial expressions assessed by 4D ultrasound and HDlive, focusing on mouthing, sucking, yawning, blinking, tongue expulsion, scowling (pain/distress), and smiling. Moreover, we consider possibility of the existence of fetal emotion or awareness. How to cite this article Hata T, Kanenishi K, Hanaoka U, Marumo G. HDlive and 4D Ultrasound in the Assessment of Fetal Facial Expressions. Donald School J Ultrasound Obstet Gynecol 2015;9(1):44-50.


2015 ◽  
Vol 26 (9) ◽  
pp. 1355-1359 ◽  
Author(s):  
H. P. Dietz ◽  
X. Zhang ◽  
K. L. Shek ◽  
Rojas R. Guzman

2017 ◽  
Vol 45 (6) ◽  
Author(s):  
Suraphan Sajapala ◽  
Mohamed Ahmed Mostafa AboEllail ◽  
Kenji Kanenishi ◽  
Nobuhiro Mori ◽  
Genzo Marumo ◽  
...  

AbstractAim:To assess the frequency of fetal movement and reproducibility of fetal movement counting in normal singleton pregnancies early in the second trimester using four-dimensional (4D) ultrasound.Methods:Twenty-nine singleton pregnancies were studied for 15 min employing 4D ultrasound at 14–16 (19 cases) and 17–19 (10 cases) weeks of gestation. The frequencies of eight fetal movements (head anteflexion, head retroflexion, body rotation, hand to face movement, general movement, isolated arm movement, isolated leg movement and mouthing movement) were evaluated.Results:The most frequent fetal movements were isolated arm movements at 14–16 and 17–19 weeks’ gestation. There was a significant difference only in the frequency of mouthing movement between 14–16 and 17–19 weeks’ gestation (PConclusion:The difference in the frequency of mouthing movement at 14–16 and 17–19 weeks’ gestation may be due to increasing fetal swallowing because of the increasing amniotic fluid early in the second trimester of pregnancy. To the best of our knowledge, this is the first study on the reproducibility assessment of fetal movement counting using 4D ultrasound. However, the data and their interpretation in the present study should be taken with some degree of caution because of the small number of subjects studied. Further studies involving a larger sample size are needed to assess the reproducibility of fetal movement counting using 4D ultrasound.


2018 ◽  
Vol 46 (8) ◽  
pp. 832-838 ◽  
Author(s):  
Mohamed Ahmed Mostafa AboEllail ◽  
Kenji Kanenishi ◽  
Nobuhiro Mori ◽  
Junko Noguchi ◽  
Genzo Marumo ◽  
...  

Abstract Objective To evaluate fetal behavioral differences between singleton and twin fetuses before 20 weeks of gestation using four-dimensional (4D) ultrasound. Methods 4D ultrasound was used to examine fetal movements in 58 singleton and 48 twin normal fetuses at 12–19 weeks. The frequencies of eight fetal movements were assessed through 15-min recordings. The fetuses were divided into two gestational age groups (12–13 and 14–19 weeks) to evaluate the changes with advancing gestation in twin versus singleton fetuses. Results Arm and general movements were the most frequent movements in singleton fetuses, whereas only general movement was significantly more frequent than the other seven fetal movements in twin fetuses at 12–13 weeks. At 14–19 weeks, frequencies of arm and leg movements were significantly higher than those of the other six movements in singleton fetuses, while only arm movement was significantly more frequent than the other fetal movements in twin fetuses. Comparisons of fetal movements between singleton and twin fetuses revealed that only arm movement showed a significant difference at 12–13 weeks, while the frequencies of all movements in singleton fetuses were significantly higher than those in twin fetuses at 14–19 weeks. Conclusion Our results suggest that the limitation of available space and crowding of twin fetuses with advancing gestation may have a marked impact on twin fetal movements compared with singleton fetuses, even in the first half of pregnancy. Further studies are needed to assess whether decreased fetal movements in twin pregnancy can affect fetal and neonatal development and maturation before and after birth.


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