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Dergiler / Meandros Medical And Dental Journal / 2022 / Volume: 23 Issue: 4

The Role of Fetal Transcerebellar Diameter in Determining Gestational Age in the Second Trimester

Yunus Emre Oruk
Veli Süha Öztürk
Sayfa
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Yayın Tarihi
2022-12-30
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Therefore, we recommend routine TCD measurements for anomaly screening

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Amaç & Hipotez:Objective: To evaluate the role of transcerebellar diameter (TCD) as an independent parameter for estimation of gestational age (GA) in the second-trimester and its diagnostic performance compared with other fetal biometric parameters (FBP) such as biparietal diameter (BPD), femur length (FL), abdominal circumference (AC), and head circumference (HC).
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Temel Bulgular & Veri:Materials and Methods: This retrospectively-designed cross-sectional study included recorded data of 120 healthy women between 19 and 24 weeks of gestation with normal singleton pregnancies who applied to our department for second-trimester anomaly scan between December 2020 and 2021.
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Sonuç & Katkı:Therefore, we recommend routine TCD measurements for anomaly screening
🔬Tür:Research Article
📍Kapsam:2020 Verileri
⚙️Değişkenler:Gestational age · transcerebellar diameter · pregnancy

Abstract

Objective: To evaluate the role of transcerebellar diameter (TCD) as an independent parameter for estimation of gestational age (GA) in the second-trimester and its diagnostic performance compared with other fetal biometric parameters (FBP) such as biparietal diameter (BPD), femur length (FL), abdominal circumference (AC), and head circumference (HC). Materials and Methods: This retrospectively-designed cross-sectional study included recorded data of 120 healthy women between 19 and 24 weeks of gestation with normal singleton pregnancies who applied to our department for second-trimester anomaly scan between December 2020 and 2021. GA was calculated using nomograms on TCD and other FBP and compared with GA determined by last menstrual period (LMP). The relationship between GA based on LMP and FBP was evaluated. The correlation between parameters was evaluated with the Pearson correlation test. Results: The mean BPD, HC, AC, FL, TCD weeks and TCD values (mm) were 21.39±0.99, 21.36±0.98, 21.28±0.95, 21.24±1, 20.11±0.73, 21.21±1.09, respectively. The highest correlation for GA estimation was shown with FL (r=0.858), followed by AC (r=0.843), TCD values (mm) (r=0.834), and the TCD (week) (r=0.822), respectively. All “r” values indicated a strong correlation and ranged from 0.794 to 0.858. All parameters used in the detection of GA in the second-trimester were statistically significant (p<0.001). Conclusion: TCD provides successful results in the accurate estimation of GA in the second-trimester. Therefore, we recommend routine TCD measurements for anomaly screening

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Bu Makaleye Atıf Yap

Oruk, Y. E., Öztürk, V. S. (2022). The Role of Fetal Transcerebellar Diameter in Determining Gestational Age in the Second Trimester. Meandros Medical And Dental Journal, Volume: 23 Issue: 4. https://doi.org/10.4274/meandros.galenos.2022.92499

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Kaynakça (25)

  1. Kalish RB, Chervenak FA. Sonographic determination of gestational age. The Ultrasound Review of Obstetrics and Gynecology 2005; 5: 254-8.
  2. Dewhurst C, Beazley J, Campbell S. Assessment of fetal maturity and dysmaturity. Am J Obstet Gynecol 1972; 113: 141-9.
  3. Cunningham F, Leveno K, Bloom S, Haunt J, Gilstrap L, Wenstrom K. Williams Obstetrics. 22nd ed. McGraw-Hill Professional. New York: 2005.
  4. Reddy RH, Prashanth K, Ajit M. Significance of foetal transcerebellar diameter in foetal biometry: A pilot study. J Clin Diagn Res 2017; 11: TC01-04.
  5. Bavini S, Mittal R, Mendiratta SL. Ultrasonographic measurement of the transcerebellar diameter for gestational age estimation in the third trimester. J Ultrasound 2021; 25: 281-7.
  6. Eze CU, Onu IU, Adeyomoye AA, Upeh ER. Estimation of gestational age using trans-cerebellar diameter: a sonographic study of a cohort of healthy pregnant women of Igbo ethnic origin in a suburb of Lagos, southwest Nigeria. J Ultrasound 2021; 24: 41-7.
  7. Hohler CW. Ultrasound estimation of gestational age. Clin Obstet Gynecol 1984; 27: 314-26.
  8. Hadlock FP, Deter RL, Harrist RB, Park S. Estimating fetal age: computer-assisted analysis of multiple fetal growth parameters. Radiology 1984; 152: 497-501.
  9. Campbell S, Thoms A. Ultrasound measurement of the fetal head to abdomen circumference ratio in the assessment of growth retardation. Br J Obstet Gynaecol 1977; 84: 165-74.
  10. Goldstein RB, Filly RA, Simpson G. Pitfalls in femur length measurements. J Ultrasound Med 1987; 6: 203-7.
  11. Butt K, Lim K, Bly S, Cargill Y, Davies G, Denis N, et al. Determination of gestational age by ultrasound. J Obstet Gynaecol Can 2014; 36: 171-81.
  12. Salomon LJ, Alfirevic Z, Berghella V, Bilardo C, Hernandez‐Andrade E, Johnsen S, et al. Practice guidelines for performance of the routine mid‐trimester fetal ultrasound scan. Ultrasound Obstet Gynecol 2011; 37: 116-26.
  13. Mcleary RD, Kuhns LR, Barr Jr M. Ultrasonography of the fetal cerebellum. Radiology 1984; 151: 439-42.
  14. Tan S, Ipek A. Detailed ultrasound screening in the second trimester: Pictorial essay of normal fetal anatomy. J Clin Ultrasound 2012; 40: 280-300.
  15. Chavez MR, Ananth CV, Smulian JC, Yeo L, Oyelese Y, Vintzileos AM. Fetal transcerebellar diameter measurement with particular emphasis in the third trimester: a reliable predictor of gestational age. Am J Obstet Gynecol 2004; 191: 979-84.
  16. Hadlock FP, Harrist RB, Martinez-Poyer J. In utero analysis of fetal growth: a sonographic weight standard. Radiology 1991; 181: 129-33.
  17. Snijders RJ, Nicolaides KH. Fetal biometry at 14–40 weeks' gestation. Ultrasound Obstet Gynecol 1994; 4: 34-48.
  18. Uikey PA, Kedar KV, Khandale SN. Role of trans-cerebellar diameter in estimating gestational age in second and third trimester of pregnancy. Int J Reprod Contracept Obstet Gynecol 2016; 5: 3411-5.
  19. Mahony BS, Callen PW, Filly RA. The distal femoral epiphyseal ossification center in the assessment of third-trimester menstrual age: sonographic identification and measurement. Radiology 1985; 155: 201-4.
  20. Prasad VN, Dhakal V, Chhetri PK. Accuracy of transverse cerebellar diameter by ultrasonography in the evaluation gestational age of fetus. JCMS Nepal 2017; 13: 225-8.
  21. Hashimoto K, Shimizu T, Shimoya K, Kanzaki T, Clapp JF, Murata Y. Fetal cerebellum: US appearance with advancing gestational age. Radiology 2001; 221: 70-4.
  22. Göynümer FG, Arısoy R, Yayla M, Durukan B. Nomogram of fetal transcerebellar diameter at 16-24th gestational weeks. J Turkish-German Gynecol Assoc 2009; 10: 21-5.
  23. Bromley B, Nadel AS, Pauker S, Estroff JA, Benacerraf BR. Closure of the cerebellar vermis: evaluation with second trimester US. Radiology 1994; 193: 761-3.
  24. Desdicioglu R, Ipek A, Desdicioglu K, Gumus M, Yavuz AF. Determination of Fetal Transcerebellar Diameter Nomogram in the Second Trimester. J Fetal Med 2019; 6: 177-82.
  25. Chavez MR, Ananth CV, Smulian JC, Lashley S, Kontopoulos EV, Vintzileos AM. Fetal transcerebellar diameter nomogram in singleton gestations with special emphasis in the third trimester: a comparison with previously published nomograms. Am J Obstet Gynecol 2003; 189: 1021-5.