scholarly journals Early Detection of Fetal Abnormality

Author(s):  
Ritsuko K Pooh

ABSTRACT After introduction of high-frequency vaginal transducer, transvaginal two-dimensional ultrasound has established a field of sonoembryology and most of the major fetal abnormalities have been detectable in the first trimester. Three-dimensional ultrasound adds an objective and comprehensive information to two-dimensional sonographic findings. How to cite this article Pooh RK. Early Detection of Fetal Abnormality. Donald School J Ultrasound Obstet Gynecol 2013;7(1):46-50.

2002 ◽  
Vol 2 (1) ◽  
pp. 43-49
Author(s):  
T. Hafner ◽  
A. Kurjak ◽  
M. Kos ◽  
I. Bekavac ◽  
B. Funduk-Kurjak

Author(s):  
Ulrich Honemeyer ◽  
Sanja Kupesic-Plavsic ◽  
Afshin Pour-Mirza

ABSTRACT Implantation of the zygote outside the uterine cavity occurs in 2% of all pregnancies. The rate of ectopic pregnancies has increased from 0.5% in 1970 to 2% today. The prevalence of ectopic pregnancy in all women presenting to an emergency department with first-trimester bleeding, lower abdominal pain or a combination of the two is between 6 and 16%. When diagnosis is made early, the product of conception can be removed safely by laparoscopic surgery and be submitted for histological examination. Tubal rupture is a complication of late diagnosed tubal pregnancy which is more difficult to treat conservatively and often indicates tubectomy or segmental resection. In 5 to 15% of treated ectopic pregnancy cases, remnant conception product parts are diagnosed and may require a final methotrexate (MTX) injection. Rare sites of ectopic pregnancy include interstitial, cervical, abdominal and cesarean scar pregnancies. Our manuscript reviews and illustrates the use of novel sonographic methods such as three-dimensional ultrasound, multiplanar view, in combination with color and power Doppler ultrasound, for early detection of ectopic tubal pregnancy and of other, rare locations of ectopic pregnancy. How to cite this article Honemeyer U, Alkatout I, Plavsic SK, Pour-Mirza A, Kurjak A. The Value of Color and Power Doppler in the Diagnosis of Ectopic Pregnancy. Donald School J Ultrasound Obstet Gynecol 2013;7(4):429-439.


2002 ◽  
Vol 2 (1) ◽  
pp. 43-49
Author(s):  
T. Hafner ◽  
A. Kurjak ◽  
M. Kos ◽  
I. Bekavac ◽  
B. Funduk-Kurjak

2002 ◽  
Vol 456 ◽  
pp. 85-111 ◽  
Author(s):  
WERNER KOCH

To examine possible links between a global instability and laminar–turbulent breakdown in a three-dimensional boundary layer, the spatio-temporal stability of primary and secondary crossflow vortices has been investigated for the DLR swept-plate experiment. In the absence of any available procedure for the direct verification of pinching for three-dimensional wave packets the alternative saddle-point continuation method has been applied. This procedure is known to give reliable results only in a certain vicinity of the most unstable ray. Therefore, finding no absolute instability by this method does not prove that the flow is absolutely stable. Accordingly, our results obtained this way need to be confirmed experimentally or by numerical simulations. A geometric interpretation of the time-asymptotic saddle-point result explains certain convergence and continuation problems encountered in the numerical wave packet analysis. Similar to previous results, all our three-dimensional wave packets for primary crossflow vortices were found to be convectively unstable.Due to prohibitive CPU time requirements the existing procedure for the verification of pinching for two-dimensional wave packets of secondary high-frequency instabilities could not be implemented. Again saddle-point continuation was used. Surprisingly, all two-dimensional wave packets of high-frequency secondary instabilities investigated were also found to be convectively unstable. This finding was corroborated by recent spatial direct numerical simulations of Wassermann & Kloker (2001) for a similar problem. This suggests that laminar–turbulent breakdown occurs after the high-frequency secondary instabilities enter the nonlinear stage, and spatial marching techniques, such as the parabolized stability equation method, should be applicable for the computation of these nonlinear states.


Nanoscale ◽  
2016 ◽  
Vol 8 (12) ◽  
pp. 6369-6378 ◽  
Author(s):  
Daniel Sapori ◽  
Mikaël Kepenekian ◽  
Laurent Pedesseau ◽  
Claudine Katan ◽  
Jacky Even

Quantum confinement as well as high frequencyε∞and staticεsdielectric profiles are described for nanoplatelets of halide inorganic perovskites CsPbX3(X = I, Br, Cl) and hybrid organic–inorganic perovskites (HOP) in two-dimensional (2D) and three-dimensional (3D) structures.


Author(s):  
Azen Salim ◽  
Gulardi Hanifa Wiknjosastro ◽  
I Gede Putu Surya ◽  
Bambang Karsono ◽  
I Made Kornia Karkata ◽  
...  

Abstract Although three-dimensional ultrasound (3DUS) has been available for more than 10 years in Indonesia, there was no publishing article from our region which systematically evaluates our experiences in this most recent ultrasound technologies and its application to obstetric. 3DUS is revolving into a technology with various range of applications in numerous fields because it helps overcome some of the key limitations related to two-dimensional imaging. It is through this review that we attempt to develop a continuous line of understanding the current diagnostic benefits of 3D and 4DUS in diagnosis of fetal abnormalities and consider the utility and role of this type of imaging in the routine clinical practice.


Author(s):  
Toshiyuki Hata

ABSTRACT We present a series of images of different fetal intracranial, intrathoracic and intra-abdominal anomalies reconstructed using HDlive. It is a novel three-dimensional (3D) ultrasound modality that can provide the operator with naturally realistic features of any fetal anomalies. HDlive and its inversion mode are applied in several cases and two-dimensional (2D) sonographic images of different anomalies are also presented clearly to compare the advantages of HDlive in this article. This review focuses on the role of HDlive in the presence of such anomalies. HDlive should be a very useful aid in adjunct to other ultrasound modalities, specifically in cases that warrant detailed information. It can also be useful for the antenatal surveillance of anomalies, such as cystic lesions that may progress to complications. This innovative tool offers many promising advantages in clinical practice and future research on fetal anomalies. How to cite this article Cajusay-Velasco S, Hata T. HDlive in the Assessment of Fetal Intracranial, Intrathoracic and Intraabdominal Anomalies. Donald School J Ultrasound Obstet Gynecol 2014;8(4):362-375.


Author(s):  
Francisco Raga ◽  
Oscar Caballero ◽  
Francisco Bonilla ◽  
Fernando Bonilla-Musoles ◽  
Juan Carlos Castillo

ABSTRACT Herein a case of sirenomelia diagnosed in week 12 by using HDlive and three-dimensional (3D) imaging. These new technologies allowed for an early diagnosis and also depicting realistic images. How to cite this article Bonilla-Musoles F, Caballero O, Castillo JC, Bonilla F Jr, Raga F. HDlive and Three-Dimensional Imaging in Prenatal Diagnosis of Sirenomelia in the First Trimester: A Case Report and Brief Review of the Literature. Donald School J Ultrasound Obstet Gynecol 2015;9(2):193-196.


2010 ◽  
Vol 22 (1) ◽  
pp. 187
Author(s):  
M. Hirako ◽  
H. Takahashi ◽  
K. Kimura ◽  
N. Adachi ◽  
S. Akagi

Cloning of mammals by nuclear transfer frequently results in gestational or neonatal failure with a variety of abnormalities that are likely caused by inappropriate epigenetic reprogramming. Early diagnosis of fetal abnormality is important for efficient production of cloned animals. Sex steroids are produced in the bovine placenta and their levels in the blood might be useful as a measure of fetal well-being, as in humans. The objective of this study was to investigate whether changes in peripheral levels of progesterone and estrogens reflect fetal abnormalities. Donor cells for nuclear transfer were obtained from subculture of cumulus cells retrieved from ovarian follicles of a Japanese Black cow. Recipient oocytes were derived from ovaries obtained at an abattoir and matured in vitro. Metaphase II oocytes were enucleated and each fused with a donor cell by DC pulses. Nuclear transferred oocytes were activated and cultured for 7 days. Embryos developed to the blastocyst stage were transferred into the uterine horn ipsilateral to the ovary bearing the CL of 32 multiparous Japanese Black and Holstein crossbred cows at 7 to 8 days after the day of standing estrus (Day 0). Blood was collected from Day 40 until parturition. Progesterone and estrogens in the blood plasma of 6 recipient cows with full-term delivery were measured by RIA. These profiles were compared with each other and with the changes in a cow made pregnant by MOET. Statistical differences were analyzed with repeated measures ANOVA. Parturition was induced on Day 290. Stillborn, dead, or euthanized calves were subjected to necropsy and histopathological analysis. Pregnant cows were 14, 13, and 9 on Days 30, 60, and 90, respectively. Thereafter, 3 aborted around Days 110, 120, and 190. Six cows delivered calves weighing 45.8 ± 2.1 kg (mean ± SEM) on Days 291 to 293. Their birth weights were greater than those of female calves (31.2 ± 0.4 kg, n = 6) produced by MOET in the same breed. Three calves grew normally until weaning. One was stillborn due to dystocia, but no abnormalities were observed except for large offspring syndrome. One was euthanized 2 days after natural delivery due to ananastasia. Thymic and thyroid hypoplasia, left ventricular dysplasia, and pulmonary fibrosis were found by necropsy. Another calf delivered by Caesarean section died of infirmity 2 days later and had thymic and thyroid hypoplasia. Changes in plasma steroid concentrations were consistent with each other and with those in a MOET cow except the last one, in which progesterone levels tended to be higher during the first trimester and estrogens were lower during the last half of gestation. Progesterone levels tended to be lower in cows bearing a healthy calf than in cows bearing a weak calf before parturition. These results imply that peripheral steroid levels may reflect fetal normality, although large offspring syndrome does not affect their concentrations.


Sign in / Sign up

Export Citation Format

Share Document