|
¡¡
The
Introduction Of 3D
ultrasound ¡¡
1
How 3D Ultrasound Works
for Girls and Boys
The greater availability
of 3D ultrasound has
changed how ultrasounds
for your baby's sex is
looked at during an
exam. These are often
more accurate because
you can actually see
parts as opposed to
guessing from shadows.
The images are often
very clear and very
distinct.
If you have chosen to
find out the sex of your
baby, you are most
likely going to do so
via ultrasound.
Typically an ultrasound
is done for this purpose
around the midpoint in
pregnancy. It is
technically called the
fetal anatomy survey and
it is done to look for
fetal anomalies and not
simply the sex of the
baby. Most women will
have one between 18-22
weeks of pregnancy.
Many families rely on
ultrasound to tell the
gender or sex of their
new baby. How accurate
that report is will
depend on many factors
including the age of the
baby, the equipment
used, the technician,
and the cooperation of
the baby.
One of my pet peeves is
that people take
ultrasound for granted
when it comes to gender
or sex determination.
Not only can ultrasound
be inaccurate, but there
is also what I call the
"Absence of Penis =
Girl" theory. This
theory states that if
the ultrasound
technician fails to find
a penis the baby is
automatically a girl.
You will see that
clearly a girl is more
than the absence of a
penis.
When doing an ultrasound
to determine the sex of
your baby, an ultrasound
technician will actually
look for girl genitalia
- labia and clitoris.
When these are seen it
is often referred to as
the "Hamburger Sign"
because the clitoris
between the labial lips
looks hamburger-like.
Where the labia would be
the buns of the
hamburger and the
clitoris would be the
meat.
When the ultrasound
technician is looking
for a boy, they are
looking for something
called the turtle sign.
This is where you can
see the tip of the penis
peeking out from behind
the testicles.
Even in the stages of
fetal development baby
boy's can and will have
erections. If you happen
to be looking with an
ultrasound during that
time frame you will see
a very clearly defined
penis.
When doing ultrasound,
we're working really
hard to be able to tell
a parent the sex of
their baby earlier and
earlier. The problem is
that the earlier you are
told the more likely the
ultrasound technician is
to be wrong. Ultrasound
before 18 weeks runs
this risk because the
genitals of boys and
girls are easily
mistaken, namely because
the clitoris is roughly
the size of the penis at
this stage.
It's hard to tell at 15
weeks but the
technician's best guess
is boy.
This
article comes from:
http://pregnancy.about.com/od/boyorgirl/ss/genderus_7.htm
2
Understanding 3D/4D
Ultrasound
It's a huge mystery for
expectant moms - waiting
through nine months of
pregnancy without
getting to see what's
going on inside your
body. Recent advances in
ultrasound technology
can now allow expectant
families to bond with
their babies before
birth. This technology,
known as 3D or 4D
ultrasound, provides a
new, clearer window into
their unborn baby's
world in the womb.
How Does Prenatal
Ultrasound Work?
An ultrasound is the
interpretation of
reflected sound waves to
form a picture of the
fetus. 2D ultrasound
(sometimes referred to
as "traditional"
ultrasound) has been
safely used in
obstetrics for over 35
years.
2D ultrasound works by
"listening" to sound
waves in a single plain.
The ultrasound is
directed straight down
and reflected back up
again. Think of it as
being able to virtually
slice a loaf of bread.
The resulting black and
white image is similar
to looking at the face
of a slice of bread.
3D ultrasounds work by a
different process known
as "surface rendering".
In this case, the same
sound waves used in 2D
are sent down ¨C this
time at different
angles. These
reflections are
interpreted through
sophisticated software,
and a 3D image of the
fetus is instantly
created. Using the same
"bread" analogy as
before, the surface of
the loaf is now being
examined from the
outside. Surface details
can now be visualized
with remarkable clarity.
4D ultrasound is
captured in the same
manner as 3D ultrasound.
Instead of looking at a
single still image (3D),
you are now able to view
live "video" of the
fetus in the womb (4D).
The Concerns about
Ultrasound during
Pregnancy
Many 3D/4D ultrasound
centers have recently
opened, providing
affordable elective
ultrasounds to expectant
families. This has drawn
criticism from several
organizations. But if
the equipment is
regulated, and the
practice of ultrasound
for prenatal care has a
good safety record ¡
where's the problem?
Some doctors are
concerned that their
patients will opt to get
too many unnecessary
ultrasounds. But if the
argument of ultrasound
safety was simply based
on overall exposure,
then a good follow-up
question would be: "If
increased ultrasound
exposure is a cause for
concern, then why do
higher-risk pregnancies
typically receive so
many?"
Other doctors are
understandably concerned
that mothers will use
these elective
ultrasounds in lieu of
an ultrasound prescribed
by their physicians.
They are also concerned
that a technician may
try to present
diagnostic information
that should only be
interpreted by a
board-certified
physician.
An elective ultrasound
should only be used to
complement the
ultrasound sessions
prescribed by a
physician. A
full-anatomical study
should always be
completed first to
identify any potential
prenatal issues. The
parents-to-be can then
utilize the elective
session as an
insightful, bonding
experience.
The Positive Impacts of
Bonding
Expectant mothers
nationwide are seeking
elective ultrasounds
because they feel it
will have a positive
impact during their
pregnancy. Recent
studies have shown that
viewing an ultrasound
can cause marked
improvement in maternal
health habits. Studies
presented at an American
Institute of Ultrasound
in Medicine (AIUM)
meeting have even
supported that 3D
ultrasounds will
positively influence
parents bond with their
babies.
Mothers tend to improve
their diets, exercise
more, and eliminate
harmful behaviors such
as smoking or drinking.
Other ultrasound
benefits may also
include increased
paternal involvement,
family support, empathy,
and appreciation.
Finding a Responsible
3D/4D Prenatal
Ultrasound Provider
Although there are
plenty of entertaining
aspects to a 3D/4D
ultrasound, safety and
professionalism should
always remain paramount
when choosing a
provider. A responsible
ultrasound provider will
require proof that the
client is seeing a
healthcare provider for
prenatal care. Proof
should also be required
that the mother-to-be
has already completed a
full-anatomical,
second-trimester
ultrasound study.
The provider should use
the system's obstetric
mode to keep within
FDA-established levels
for frequency and power
for prenatal use. They
should also limit the
actual scan time to less
than 25 minutes per
session. A session must
be immediately suspended
if anything adverse is
discovered, and all
findings should be
directly reported to the
mother's healthcare
provider.
Remember that
word-of-mouth is usually
the best method of
referral amongst
expectant mothers. Many
sonographers and
technicians tend to
forget that this is a
special moment during a
mother's pregnancy. So
do your homework, and
ask around. The best
ultrasound experience
will be the culmination
of the nicest facility,
the best equipment, and
a professional, caring
staff
This
article comes from:
http://www.expectantmothersguide.com/library/philadelphia/ultrasound.htm
3
the 3D ultrasound
pioneer
Within a couple of
decades, 3D ultrasound
will have totally
supplanted the familiar
2D technology. That's
the take of Stephen
Smith, professor of
biomedical engineering
at Duke University
(Durham, NC), who, with
his colleague, Olaf von
Ramm, pioneered the
development of clinical
3D ultrasound scanners
back in the 1980s. Since
then, Smith and his
research group have
refined and adapted 3D
ultrasound for a whole
host of applications,
and have market
domination firmly in
their sights.
Among some clinical
communities, ultrasound
is perceived as the poor
relation when it comes
to medical imaging (see
Diagnostic ultrasound:
who pulled the plug?).
Its chief advantages -
safety,
cost-effectiveness and
versatility - have led
to it being used widely
by non-specialists,
while being shunned by
many radiologists in
favour of "more
glamorous" modalities
like CT and MRI.
But things are now
looking up again for
ultrasound imaging.
Thanks largely to the
efforts of Smith's group
at Duke, ultrasound has
been reincarnated with a
third dimension. Being
able to produce 3D
images in real-time
allows clinicians to
observe and measure the
shape and volume of
patients' internal
anatomy in unprecedented
detail.
Since 1987, when Smith
and von Ramm patented
the first high-speed 3D
ultrasound system, the
technology has almost
completely taken over
the obstetrics market in
the US, with cardiology
applications not far
behind. Michelle
Jeandron spoke to Smith
to get his perspective
on where this evolving
technology is heading.
MJ: What are the
advantages of being able
to do ultrasound imaging
in three dimensions?
SS: For foetal imaging,
the big advantage has
been in looking at
facial and cranial
abnormalities, and being
able to measure the
volumes of structures in
the foetus. Also, 3D
imaging allows you to
measure things in
directions that are not
available in a normal 2D
image. Cardiac 3D
ultrasound is still
growing, but it seems
that the main advantages
so far are being able to
measure the volume of
the left ventricle -
otherwise known as the
stroke volume or
ejection fraction - and
for guiding
interventional devices,
such as catheters, into
the heart.
I think that 3D
ultrasound will also be
very valuable in places
where you need real-time
information - i.e. in
the operating room or
cardiac catheterization
lab, where you don't
have access to CT or MRI
and you certainly don't
have real-time imaging.
Probably within a few
years, 3D ultrasound
[technology] will be
small enough to fit into
a purse. It's not very
likely that CT will ever
get that portable, and
neither will MRI. So
when you look at the
advantages of cost,
real-time and
portability, ultrasound
will probably always
have the lead.
How does the technology
actually work?
All you really need to
do is move the
ultrasound beam back and
forth in a raster
pattern, say in the x
and y directions, then
the depth into the
tissue comprises the
third dimension. If you
plot the echo strength
as a function of x, y
and z, you have a 3D
image.
What's the story behind
the development of 3D
ultrasound technology?
Actually, 3D ultrasound
has been around since
the 1950s, as a
curiosity or as a
research tool. For a
long time, however, it
was too slow to be
useful for clinical
applications. The speed
of sound in tissue is
around 1500 m/s - much
less than the speed of
light - so it takes a
long time for the
ultrasound to travel
into the tissue and back
up to the transducer.
Then you have to move
the transducer to the
next spot and do it
again.
Our innovation was a
technology called
parallel processing.
This means that every
time you send a pulse
into the body you listen
for the echoes in many
different directions at
once, effectively
speeding up the data
acquisition rate. In our
case, we speeded it up
by a factor of 16,
meaning that we were
able to make images 16
times faster than usual.
As a result, we're able
to create real-time 3D
images. That was the
birth of the current
technology of high-speed
3D ultrasound.
How does the image
quality compare with 2D
ultrasound?
People generally accept
that there is a slight
degradation in the image
quality due to the
focusing of the
transducer for parallel
processing, but that's
made up for by the fact
that we're able to focus
in all three dimensions
rather than just two.
For the actual task of
detecting a tumour or
lesion, because you're
able to focus in all
three directions, the
loss of a little spatial
resolution in two
directions is
compensated for by the
3D resolution. It's not
clear whether there is
any overall loss of
quality - perhaps there
is a little bit of a
trade-off with
high-speed 3D.
There's always room for
improvement, however,
and many, many people
are working to improve
ultrasound image
quality. We've not yet
reached an upper limit.
How is this technology
being used commercially?
Most foetal imaging is
done in 3D now - the
technology of high-speed
3D ultrasound has almost
totally overtaken
everything in
obstetrics. In
cardiology also,
probably a very high
percentage of ultrasound
scanners are 3D.
The ground swell of
enthusiasm is not quite
as great in cardiology
as it is in obstetrics,
but it's still growing.
For example, a few years
ago we developed the
first 3D
transoesophageal probe
for cardiology and I
think the first
commercial version of
that was released a few
months ago. We have also
made 3D catheters for
cardiac applications -
those have yet to be
introduced commercially,
although I think a
number of companies are
working on that. As time
goes on, I think you'll
see every 2D application
supplanted by a 3D
probe.
What is your team
working on at the
moment?
One of our current
projects is looking at
3D ultrasound imaging of
the brain - the cerebral
vessels - which
hopefully can be used as
a diagnostic tool for
stroke. Another project
is to build a 3D
transducer into the tip
of several implantable
devices. An example
would be the so-called
vena cava filter that
filters out blood clots
from the body, which is
currently implanted via
an endovascular approach
using fluoroscopy. We
think that we can
actually integrate a 3D
ultrasound probe into
the implantation tip and
hopefully get good
images without exposing
the patient to X-rays.
Basically, we're trying
to look at every little
device that's implanted
into the body and see
whether we can
incorporate a 3D
transducer into that
device to make the
implantation easier.
Looking ahead 20 or 50
years, how do you
envisage 3D ultrasound
being used?
I think it will have
totally supplanted 2D
ultrasound. Everywhere
2D is being used now
there will be 3D, and it
will be in portable
devices that are as
small as a laptop or a
PDA.
The other area that
we're working on is
incorporating ultrasound
into robotic surgery.
The big breakthrough
there would be if there
was an autonomous robot
that could do an
ultrasound scan and then
perform the surgery with
the information that it
had found using the 3D
ultrasound. Looking
ahead in a blue-sky way,
that's what I see in the
distant future.
This article comes from:
http://medicalphysicsweb.org/cws/article/opinion/31437
4
How Does 3D & 4D
Prenatal Ultrasound or
Sonogram Work?
An ultrasound is the
interpretation of
reflected sound waves to
form a picture of the
fetus. 2D ultrasound
(sometimes referred to
as "traditional"
ultrasound) has been
safely used in
obstetrics for over 35
years.
2D ultrasound works by
¡°listening¡± to sound
waves in a single plain.
The ultrasound is
directed straight down
and reflected back up
again. Think of it as
being able to virtually
slice a loaf of bread.
The resulting black and
white image is similar
to looking at the face
of a slice of bread.
3D ultrasounds work by a
different process known
as "surface rendering".
In this case, the same
sound waves used in 2D
are sent down ¨C this
time at different
angles. These
reflections are
interpreted through
sophisticated software,
and a 3D image of the
fetus is instantly
created. Using the same
"bread" analogy as
before, the surface of
the loaf is now being
examined from the
outside. Surface details
can now be visualized
with remarkable clarity.
4D ultrasound is
captured in the same
manner as 3D ultrasound.
Instead of looking at a
single still image (3D),
you are now able to view
live ¡°video¡± of the
fetus in the womb (4D).
The Concerns about 3D
Ultrasound and 4D
Ultrasound during
Pregnancy
Many 3D/4D ultrasound
centers have recently
opened, providing
affordable elective
ultrasounds to expectant
families. This has drawn
criticism from several
organizations. But if
the equipment is
regulated, and the
practice of ultrasound
for prenatal care has a
good safety record ¡
where¡¯s the problem?
Some doctors are
concerned that their
patients will opt to get
too many unnecessary
ultrasounds. But if the
argument of ultrasound
safety was simply based
on overall exposure,
then a good follow-up
question would be: ¡°If
increased ultrasound
exposure is a cause for
concern, then why do
higher-risk pregnancies
typically receive so
many?¡±
Other doctors are
understandably concerned
that mothers will use
these elective
ultrasounds in lieu of
an ultrasound prescribed
by their physicians.
They are also concerned
that a technician may
try to present
diagnostic information
that should only be
interpreted by a
board-certified
physician.
An elective ultrasound
should only be used to
complement the
ultrasound sessions
prescribed by a
physician. A
full-anatomical study
should always be
completed first to
identify any potential
prenatal issues. The
parents-to-be can then
utilize the elective
session as an
insightful, bonding
experience.
The Positive Impacts of
Bonding using 3D
Ultrasound and 4D
Ultrasound
Expectant mothers
nationwide are seeking
elective ultrasounds
because they feel it
will have a positive
impact during their
pregnancy. Recent
studies have shown that
viewing an ultrasound
can cause marked
improvement in maternal
health habits. Studies
presented at an American
Institute of Ultrasound
in Medicine (AIUM)
meeting have even
supported that 3D
ultrasounds will
positively influence
parents bond with their
babies.
Mothers tend to improve
their diets, exercise
more, and eliminate
harmful behaviors such
as smoking or drinking.
Other ultrasound
benefits may also
include increased
paternal involvement,
family support, empathy,
and appreciation.
Finding a Responsible 3D
Ultrasound and 4D
Ultrasound Provider
Although there are
plenty of entertaining
aspects to a 3D/4D
ultrasound, safety and
professionalism should
always remain paramount
when choosing a
provider. A responsible
ultrasound provider will
require proof that the
client is seeing a
healthcare provider for
prenatal care. Proof
should also be required
that the mother-to-be
has already completed a
full-anatomical,
second-trimester
ultrasound study.
The provider should use
the system¡¯s obstetric
mode to keep within
FDA-established levels
for frequency and power
for prenatal use. They
should also limit the
actual scan time to less
than 25 minutes per
session. A session must
be immediately suspended
if anything adverse is
discovered, and all
findings should be
directly reported to the
mother¡¯s healthcare
provider.
Remember that
word-of-mouth is usually
the best method of
referral amongst
expectant mothers. Many
sonographers and
technicians tend to
forget that this is a
special moment during a
mother¡¯s pregnancy. So
do your homework, and
ask around. The best
ultrasound experience
will be the culmination
of the nicest facility,
the best equipment, and
a professional, caring
staff.
This
article comes from:
http://www.4dultrasounds.com/learn.htm
5
3D & 4D Ultrasounds
Explained
An ultrasound is the
interpretation of
reflected sound waves to
form a picture of the
baby. 2D ultrasound
(sometimes referred to
as "traditional"
ultrasound) has been
safely used in
obstetrics for over 35
years.
2D ultrasound works by
¡°listening¡± to sound
waves in a single plain.
The ultrasound is
directed straight down
and reflected back up
again. Think of it as
being able to virtually
slice a loaf of bread.
The resulting black and
white image is similar
to looking at the face
of a slice of bread.
3D ultrasounds work by a
different process known
as "surface rendering".
In this case, the same
sound waves used in 2D
are sent down ¨C this
time at different
angles. These
reflections are
interpreted through
sophisticated software,
and a 3D image of the
baby is instantly
created. Using the same
"bread" analogy as
before, the surface of
the loaf is now being
examined from the
outside. Surface details
can now be visualized
with remarkable clarity.
4D ultrasound is
captured in the same
manner as 3D ultrasound.
Instead of looking at a
single still image (3D),
you are now able to view
live ¡°video¡± of the baby
in the womb (4D).
The Positive Impacts of
Bonding using 3D
Ultrasound and 4D
Ultrasound
Expectant mothers
nationwide are seeking
elective ultrasounds
because they feel it
will have a positive
impact during their
pregnancy. Recent
studies have shown that
viewing an ultrasound
can cause marked
improvement in maternal
health habits. Studies
presented at an American
Institute of Ultrasound
in Medicine (AIUM)
meeting have even
supported that 3D
ultrasounds will
positively influence
parents bond with their
babies.
Mothers tend to improve
their diets, exercise
more, and eliminate
harmful behaviors such
as smoking or drinking.
Other ultrasound
benefits may also
include increased
paternal involvement,
family support, empathy,
and appreciation.
This article comes from:
http://www.3dultrasounds.com/3D/4D
Ultrasound Background
6
As the technology of
ultrasounds grows, we've
seen a new wave of
ultrasound from the
traditional two
dimensional (2D)
ultrasounds to the three
dimensional or
3D ultrasounds.
While many women seem to
prefer the look of the
new ultrasound as more
realistic, they are
still not available in
every location.
Generally, you can
certainly find a 3D
ultrasound available for
most high risk pregnancy
centers. More and more
physicians and midwives
are getting this
machines available in
their offices. You are
most likely to see this
offered at the
mid-pregnancy ultrasound
around the 18-20th weeks
of pregnancy. Come look
at a collection of
ultrasound pictures from
all stages of pregnancy.
This article comes from:
http://pregnancy.about.com/od/fetus/ig/3D-Ultrasound-Gallery/ ¡¡
The
Introduction Of 4D
ultrasound ¡¡
1 ¡¡
4D(define)
3D ultrasound is a
medical ultrasound
technique, often used
during pregnancy,
providing three
dimensional images of
the fetus. Often these
images are captured
rapidly and animated to
produce a "4D ultrasound
A medical ultrasound
technique that produces
a sequence of 3D images
over time.
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traditional 2D
Ultrasound, which were
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understand. Today you
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Ultrasound and 4D
Ultrasound imaging
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What is 3D/4D
ultrasound?
Like a traditional
ultrasound, 3D/4D
ultrasound uses high
frequency sound waves to
create high definition
images that can be
viewed on a monitor
screen. In a 3D
ultrasound a lifelike
still image is created
of your baby. 4D
technology allows you to
actually watch your baby
move around in real
time.
When is the best time to
schedule a 3D/4D
ultrasound?
It is best to perform a
3D/4D ultrasounds after
28 weeks gestation,
since this is the time
of pregnancy when there
is usually an adequate
amount of amniotic fluid
around the baby.
Adequate amniotic fluid
is required to obtain
clear pictures
Are there any risks to
performing a 3D/4D
ultrasound?
Current understanding
suggests that ultrasound
poses no detectable risk
to either baby or
mother. However, this is
not to say that future
studies will not
discover new risks. At
the Women¡¯s Health
Center, we follow the
ALARA principle
¡¡ 2
Behavioral pattern
continuity from prenatal
to postnatal life a
study by
four-dimensional (4D)
ultrasonography
Citation Information.
Journal of Perinatal
Medicine. Volume 32,
Issue 4, Pages 346¨C353,
ISSN (Print) 0300-5577,
DOI:
10.1515/JPM.2004.065,
July 2004
Published Online:
01/06/2005
Abstract
Aim: To investigate
whether the same
behavioral patterns were
present pre- and
postnatally, and whether
there were any
differences in the
frequency of movements
observed in fetal and in
early neonatal life.
Subjects and methods:
Ten out of 37 pregnant
women in the third
trimester of pregnancy
(median gestational age
34 weeks, range 33 to 35
weeks) in the two-month
period (from November
1st to December 31st,
2003) were enrolled in
the investigation. Ten
term, appropriate for
gestational age newborns
(seven born vaginally,
three by elective SC,
six girls, six
first-born) and were
enrolled in the study.
All 4D examinations were
performed on Voluson 730
(Kretztechnik, Zipt,
Austria) and Acuvix (Medison,
Korea) with
transabdominal 5 MHz
transducer. After
standard assessment in
2D B-mode ultrasound, a
4D mode was switched on
and live 3D image was
reconstructed by
selecting the ideal
representative 2D image
placed in the region of
interest (ROI). The
recordings of neonatal
behavior were made on
the Sony P-612 OHMPL
videotape by video
camera (Sony Camcoder CC
DTRV 318 Hv8) and
reviewed on the
videocassette recorder
(Sony VHS SLV-N 900).
The median of newborns'
age at the moment of
recording was 49 hours
(range 4 to 112). During
the examination,
newborns were lying in
the bed, separated from
other infants in the
nursery, dressed, and
lying on their backs in
a supine position with
unrestrained hands. The
temperature in the room
was 22 to 24¡ãC. The
video recording was
performed mainly while
the children were
actively awake or during
alert inactivity.
Results: There were no
movements observed in
fetal life that were not
present in neonatal
life, while the Moro
reflex was present only
in neonates. The most
frequent fetal and
neonatal movements were
scowling, eye and mouth
opening, and hand to
face, hand to eye and
hand to head movements.
Isolated blinking, mouth
to eyelid movement,
yawning, tongue
expulsion and scowling
were more frequent in
neonates than in
fetuses, although the
difference was not
statistically
significant. Hand to
mouth movements were
more frequent in
neonatal than in fetal
life while all other
hand movements were less
frequent in neonates
than in fetuses,
although the differences
did not reach
statistical
significance. Spearman
rank order correlation
reached statistical
significance in smiling
(R=0.71; t=2.91; P=0.02)
and in hand to ear
movement (R=0.80;
t=3.86; P=0.005), and
was almost statistically
significant in isolated
eye blinking (R=0.61;
t=2.17; P=0.06), while
the correlations between
the rest of the
movements were not
statistically
significant.
Conclusions: 4D
ultrasonography is a
powerful tool in the
assessment of fetal
behavior, and our study
showed that there is a
continuity from fetal to
neonatal behavior,
especially in terms of
isolated eye blinking
movements, mouth and
eyelid opening, yawning,
tongue expulsion,
smiling, scowling and
hand movements directed
to other parts of the
face.
This
article comes from:
http://www.reference-global.com/doi/abs/10.1515/JPM.2004.065
3
The potential of
four-dimensional (4D)
ultrasonography in the
assessment of fetal
awareness
Asim Kurjak, 1. Medical
School University
Zagreb, Zagreb, Croatia
1
Milan Stanojevic, 2.
Medical School
University Zagreb,
Zagreb, Croatia
2
Guillermo Azumendi, 3.
Department of Obstetrics
and Gynecology, Centro
Gutenberg, Malaga, Spain
3
Jos¨¦ M. Carrera4.
Department of Obstetrics
and Gynecology, Institut
Dexeus, Barcelona, Spain
4
Corresponding author:
Asim Kurjak MD, Medical
School University
Zagreb, Sveti Duh
Hospital, Sveti Duh 64,
Zagreb/Croatia.
Citation Information.
Journal of Perinatal
Medicine. Volume 33,
Issue 1, Pages 46¨C53,
ISSN (Online) 1619-3997,
ISSN (Print) 0300-5577,
DOI:
10.1515/JPM.2005.008,
January 2005
Publication History:
Received: //; revised:
//; accepted: //;
published online:
01/06/2005
Abstract
Aim: The aim of the
study was to observe
different expressions
and movements of a fetal
face during
investigation of fetal
behavior in the second
and the third trimester
of normal pregnancies,
as a probable
manifestation of fetal
awareness.
Subjects and methods:
Over a 6-month period a
study was conducted in
three centers in Zagreb,
Croatia and in Barcelona
and Malaga, Spain. Women
with singleton
pregnancies (16¨C33
weeks) who were referred
for ultrasound check-up
for determination of
gestational age,
suspicious fetal
malformations,
polyhydramnios, and/or
the assessment of
biophysical profile or
other possible
pathology, were assigned
to the study. After
regular two-dimensional
(2D) ultrasound
assessment at an
antenatal clinic,
pregnant women were
offered the possibility
of undergoing 4D
ultrasound examination
if the fetus and the
mother were considered
¡°normal¡±, i.e., if
ultrasound and clinical
assessment were
uneventful. If the
newborn delivered at
term had 1- and 5-min
Apgar scores of 7 and
10, respectively, and if
the newborn was
considered ¡°term and
normal¡± (normal
spontaneous activity,
normal posture and tone,
and presence of some
primitive reflexes) at
the first and subsequent
regular check-ups, the
inclusion criteria were
deemed to have been met.
Out of 119 patients, 99
fulfilled the inclusion
criteria, 40 of whom
were in the second, and
59 in the third
trimester of pregnancy.
A Voluson 730 Expert
system with a
transabdominal 5-MHz
transducer was used for
4D ultra- sonography.
After regular 2D
scanning, the 4D mode
was switched on, and a
live 3D image was
reconstructed by
selecting ideal 2D mid-sagittal
images of the face (the
region of interest). The
volume was automatically
scanned every 2 s while
the surface-rendered
mode was switched on,
and 4D images were
displayed on the screen
and recorded on
videotape during a
30-min observation
period. Movements of the
following fetal face
structures were
analyzed: forehead,
brows, nasal soft tissue
and nasolabial folds,
upper lip, oral cavity
and tongue, lower lip
and chin, eyelids and
eyes, mouth and mouth
angles, and facial
expression. 4D
ultrasonography allowed
in utero observations of
fetal facial expressions
such as smiling,
yawning, and swallowing.
Results: The quality of
4D depiction of fetal
facial expressions
increased with
gestational age. The
frequency of fetal
facial expressions such
as yawning ranged from 1
and 6 with a median of
1.5 per 30-min
observation period;
smiling ranged from 2
and 8 with the median of
2; tongue expulsion
ranged from 2 to 6,
median 3; mouth and eye
squeezing ranged from 5
to 10, median 6;
scowling ranged from 1
to 3, median 0.5; and
isolated eye blinking
ranged from 4 to 12 with
a median of 5.
Conclusions: Our study
shows the ability of 4D
sonography to depict
different facial
expressions and
movements, which might
represent fetal
awareness. Never-theless,
long, precise and
thorough observation of
fetal faces by 4D
sonography was hampered
as the images were only
near real-time. Thus, we
were only able to study
the quality and not the
quantity of facial
movement patterns
This
article comes from:
http://www.reference-global.com/doi/abs/10.1515/JPM.2005.008
4
What is 4D Ultrasound?
Ultrasounds, sometimes
referred to as
sonograms, are a medical
test which uses high
frequency sound waves to
produce a picture of the
organs in the body. In
the case of pregnancy,
ultrasounds are
routinely prescribed to
produce an image of the
fetus. A 4D ultrasound
uses a special sonogram
machine and takes images
from a few different
angles, which reveal
more detailed images of
the fetus, such as
facial features. It can
also capture movements
made by the baby during
the procedure.
A standard ultrasound
only provides a
two-dimensional image of
the fetus. They are
usually ordered in
pregnancy for a variety
of reasons, such as
evaluating development
of the baby, determining
gestational age and
identifying any
abnormalities. Although
the standard ultrasound
produces a picture of
the fetus, it may take a
trained sonographer or a
doctor to identify
features and body parts.
Keepsake photos are
given to the patient,
however they are often
grainy.
Occasionally, a
two-dimensional
ultrasound may indicate
a problem and a more
sophisticated 4D
ultrasound is needed to
confirm an abnormality.
For many pregnant women,
there is no medical need
for a 4D ultrasound,
however the mom-to-be
wants to get a better
look at her baby. Most
centers that perform a
4D ultrasound, recommend
the test is performed
after twenty-five weeks
gestation. The baby is
usually big enough to
see features clearly.
Standard ultrasounds are
ordered by a physician
and performed at a
clinic, doctors office
or at an ultrasound
imaging center. 4D
ultrasounds do not
require a doctor's order
and are often done at a
private ultrasound
business, which
specializes in keepsake
4D ultrasounds. The
procedure is
non-invasive and takes
about twenty minutes to
complete.
After a conductive gel
is applied to the
abdomen, the procedure
is done by gliding a
transducer over the
pregnant women¡¯s
abdomen. A monitor is
within view, allowing
the woman to view the
fetus and watch as the
ultrasound is completed.
The mom is given a
keepsake photo and video
of the baby.
The Federal Drug
Administration regulates
the level of energy used
in ultrasound machines.
Although they are
considered safe, many
physicians believe
medically unnecessary
ultrasounds should be
avoided. This has caused
some debate regarding
elective 4D ultrasounds.
Because 4D machines
create a higher quality
image, there is some
concern by physicians
that the energy level
used in 4D ultrasounds
may be higher, although
this has not been
proven. For women who do
want a keepsake photo
and opt for a 4D
ultrasound, it¡¯s
important to be sure the
technician performing
the test is a licensed
sonographer. Women
considering a 4D
ultrasound should talk
to their doctor
regarding any safety
concerns prior to the
procedure.
This
article comes from:
http://www.wisegeek.com/what-is-4d-ultrasound.htm
5
4D Ultrasounds Offer
Parents More
Traditional ultrasounds
are for many people very
hard to read and
interpret as they only
offer flat images that
are often blurred and
distorted in many ways.
This can lead to
frustration among
parents that want to buy
the baby stuff before
he/she gets here but
they can¡¯t tell the sex
of the baby because of
the poor imaging
quality. However, 3D
imaging, using multiple
angles taken from the
baby with a single
ultrasound machine can
be turned into a four
dimensional,
semi-animated model of
your precious new family
member.
These 4D models offer
parents a chance to see
what their baby will
look like before he or
she is born. This means
that parents can begin
the bonding process
before birth, offer up
pictures of their baby
before they¡¯re born and
even have something to
add to the baby book
that will be
intelligible for the
child later in life.
Despite all of these
amazing things, many
people still elect to
forego the 4D ultrasound
for the more traditional
2D for fear that the
baby might be hurt by
the machine. This simply
won¡¯t happen as the
waves that are used in
the 4D machine are
identical to those in
the 2D machine, they are
just run through a
computer program to
clean them up and offer
up clearer pictures.
Another advantage that
parents should consider
the 4D ultrasound for is
the screening and early
detection of treatable
childhood ailments. In
some cases, a two
dimensional ultrasound
will pick up
abnormalities that can
look like cancer, extra
fingers, and in some
cases, extra or missing
limbs. However, before
the four dimensional
ultrasound machines
there really was no way
to tell and a wait and
see approach was taken
with treatment discussed
after birth.
(1 votes)
Why a 4D Ultrasound is
So Special
Filed under:
Uncategorized - 29 Jan
2010
If you have ever been
pregnant before or have
seen an ultrasound
photograph, you can see
that the features are
hard to distinguish as
well as the graininess
of the womb from several
interferences. You can
now have the ability to
actually take a look
inside the womb with a
new tool called the 4D
Ultrasound. This
ultrasound option may
seem very normal with
the similar procedure,
but with state of the
art computers, a virtual
fly-around of the baby(s)
can be seen. This is a
very amazing experience
and can be shared with
nearly anyone. With the
ability to render the
image and 3-Dimensional
views of the baby in the
womb and place them on
DVD and other media, you
can show all of your
friends, family and
coworkers.
This is a very special
piece of equipment and
the results that they
can provide are simply
stunning. Make sure to
look into the available
options for 4D
Ultrasound in your area.
If you are a doctor,
gynecologist or any
medical professional
that can make use of
this technology in your
practice, there are
several ways to look
into getting the proper
equipment and computer
technology that you
need. The best hope for
parents to know that
their child is doing
well is by giving them a
visual assurance using
the 4D Ultrasound which
can provide advanced
views of the baby while
in the womb as well as
all of the important
vital statistics that
you need to know.
(2 votes)
What is a 4D Ultra
Sound?
Filed under:
Uncategorized - 09 Jan
2010
An ultrasound is a
technique performed in
which extremely high
frequency sound waves
are transmitted into the
body, reflecting echoes
that are brought back
and analyzed to create a
picture. This picture
depicts the internal
organs and fetus that is
resting inside the
uterus. A 4D ultrasound
uses this same
technology but with even
more advancement. In
this sort of scan, the
sound waves are sent
back at different
angles, resulting in a
life-like three
dimensional volume.
The benefits of this
type of ultrasound are
significant. It is easy
for a doctor to see the
development of the baby
and diagnose and curtail
any problems early on in
the pregnancy. In
addition, studies show
the bond between parent
and child grows stronger
earlier when exposed to
this kind of screening.
These scans are
completely safe and easy
to obtain. Most 4D scans
are covered by insurance
and are becoming a
common practice in
pre-natal care.
(1 votes)
Peek inside the Womb
with 4D Ultrasounds
Filed under:
Uncategorized - 23 Nov
2009
Happy soon to be parents
may want to see their
baby before it is born
through an ultrasound.
The astonishing
advancements in
technology for this
procedure has allowed
for us to actually take
a peek into the womb
through an ultrasound.
This process uses the
same technology but maps
the complex information
on a computer to produce
a fully rendered image
of the baby that can be
viewed from any angle.
This option always
surprises both mothers
and fathers because it
allows them to see their
beautiful baby before it
is born. This process is
also more accurate in
identifying what gender
the baby will be than
standard ultrasounds.
4D ultrasounds are
becoming more available
to more offices and you
could request to be
referred to a location
where 4D Ultrasounds are
available. Hospitals and
offices that want to
offer this option to
their patients could
find special pricing
online for their 4D
Ultrasound machines.
Several expecting
mothers will want to see
their baby before it is
born so they can choose
an adequate baby name
and plan. The 4D
Ultrasound is also a
very special tool to
help determine if the
baby will have any
deformities or
complications when born.
This can help parents
prepare for the worse as
well as have the ability
to look into options to
help treat their child
once it is born. Not
taking the chance to get
a 4D Ultrasound can
leave the parents very
unprepared for the
arrival of their child.
(1 votes)
4D Ultrasounds For
Expecting Parents
Filed under:
Uncategorized - 14 Oct
2009
As expectant first time
parents, we were
naturally very excited
to go in and get our
first ultrasound done,
because it meant we
would know how the baby
was doing, but we would
also get a picture to
take home and show our
friends and families.
When my specialist
suggested that we get a
4D ultrasound we didn¡¯t
know exactly what that
meant, but luckily she
was able to explain it
us. Basically, a 4D
ultrasound lets the
doctor not only see
whether or not the baby
is healthy and free of
any deformities, but it
also means that you can
get a picture of it from
the ultrasound that
looks a lot more like a
proper photograph than a
standard ultrasound
picture does.
We went in for our 4D
ultrasound the following
Monday, and were both
very excited. Once the
picture was in our hands
we were absolutely
amazed ¨C it was like
looking at a photograph
of a beautiful new born
infant; it was
incredible ¨C we could
actually see our child
before it had even been
born.
Another plus of having a
4D ultrasound was that
the doctor could see
that our child was
healthy, as well as know
the sex right away.
Once we had a picture of
our healthy baby, and
knew that he was going
to be a boy, we were
able to decide on his
name; and because the 4D
ultrasound let us see
his face, we could give
him a name that really
seemed to suit him.
Our 4D ultrasound
picture is now one of
our most treasured
possessions, and we are
looking forward to
showing it to Jake when
he is old enough to
appreciate it.
(1 votes)
4D Ultrasound
Applications
Filed under:
Uncategorized - 30 Jul
2009
4D Ultrasound is a
special kind of
ultrasound that allows
you to see objects in 3
Dimensional renderings
and is very popular with
expecting mothers as it
allows them to see their
child before it is born.
It allows doctors to see
any and all defects in a
baby and can give them
the ability to plan for
anything that may
present a problem in the
future. The added
ability to see the baby
in the womb before it is
born in 3 dimensional
views is very nice for
many parents as they can
show off their beautiful
baby to people before it
is born and makes a
great email and
invitation for a baby
shower!
You can really take
advantage of 4D
ultrasound in many other
applications as well.
The use of these
machines allows you to
detect kidney stones and
various other
obstructions in the
body. These machines are
very useful to determine
the problem within
someone that has
swelling in an area or
more. Make sure to ask
for an ultrasound before
exploratory surgery is
performed to make sure
that a tumor or other
growth is really a
tumor!
The abilities of the 4D
ultrasound are not just
limited to these
applications and can be
used for many different
things in the medical
world. Hospitals and
clinics around the world
are making use of 4D
ultrasound machines in
their maternity
applications and more.
The added 3D imaging of
the machine gives
doctors much more to
work with without having
to do an exploratory
surgery and can help to
give even more accuracy
when deciding the course
of the surgery in real
terms. Doctors are urged
to use 4D ultrasound
machines to not only
make their patients
happy, but to improve
their accuracy and
abilities in advance!
This article comes from:
http://www.4dultrasound.net/
6
What is 4D ultrasound?
¡°4D¡± is shorthand for
four-dimensional ¨C the
fourth dimension being
time. As far as prenatal
ultrasound is concerned,
4D ultrasound is the
latest prenatal
ultrasound technology.
4D takes
three-dimensional 3D
ultrasound images and
adds the element of time
to the process. This
allows you to see your
unborn baby in amazing
real time detail
This article comes from:
http://www.prenatalpeek.com/
7
From a yawn to a stretch
to the beating of your
baby¡¯s heart, expectant
parents can now see and
bond with their unborn
child in live-motion
4D sonogram. The
thrilling experience of
seeing your baby¡¯s face
for the first time will
truly touch your heart!
To enhance this truly
unique parent-fetal
bonding experience, our
centers are exclusively
designed with a spacious
family theater with
seating for 10 guests.
You can see incredible
fetal images (3D
ultrasound) and
real-time movements (4D
ultrasound) in two
strategically placed
high-resolution monitors
and on a 100-inch
overhead screen. We
capture this
personalized session on
DVD and VHS video ¨C both
set to lullaby music.
Sonogram includes B/W
and color photos, CD
(with 40-80 images),
scan report and a baby
website. Our courteous
staff will provide you
with the ultimate 4D
experience that will
forever make the first
encounter with your
unborn baby uniquely
memorable to last a
lifetime!
Imagine being able to
see your unborn baby
sucking her thumb...
Imagine seeing him wave
the little hand at
you...
Imagine seeing all this
on a 100-inch theater
screen with family and
friends...
4D Fetal Imaging is a
specialized prenatal
imaging center offering
elective 3D 4D
ultrasound. We use one
of the latest ultrasound
systems in the world
today. As the undisputed
leader in 4D ultrasound
technology this system
is far advanced than
other machines in
delivering a higher
frame rate. This means
you get clearer and
beautiful photos of your
baby and a realistic
high resolution quality
of the video/DVD.
4D ultrasound is just as
safe* and uses the EXACT
same intensity of
ultrasonic waves as the
conventional 2D
ultrasound done in your
doctor's office. The
software component of
this advanced system
creates the amazing 3D
4D images, not a higher
intensity output. In
addition, our safety
guidelines dictate the
system to be used in the
Safe Obstetric
Application Mode while
rendering the real time
4 D images.
3D ultrasounds are
performed from 18-38
weeks, though the
optimum time is between
24-34 weeks. Come in
earlier to take
advantage of our 2-visit
package or the
girlfriend upgrade!
Scans are performed by
registered and certified
technicians trained
exclusively in the
specialized 3D/4D
ultrasound. We only scan
mothers who are
currently under prenatal
care and have undergone
the diagnostic
ultrasound exam by a
health care provider.
Visit our two convenient
locations:
San Jose : 4040 Moorpark
Avenue, ( Saratoga Ave
South exit, Route 280)
San Francisco : 150
Executive Park Blvd, (
Monster Park exit, Route
101)
Weekends (Saturday &
Sunday) and Evening
appointments available!
* Women seeking an
elective prenatal
ultrasound at 4D Fetal
Imaging must already be
receiving treatment with
a healthcare provider
for prenatal care and
have already undergone a
medical, diagnostic
ultrasound to confirm
due date, screen for
fetal anomalies and for
any other pregnancy
related issues. During
the elective session, a
limited diagnostic exam
will be conducted for
heart rate, number of
babies, baby
presentation, placental
location and gender ID
(if requested). Only if
an abnormality is
suspected, your
physician will be
notified and a report
will be provided. Please
note, at no time should
this elective procedure
be considered a
substitute for a
complete diagnostic
ultrasound.
This article comes from:
http://www.4dfetalimaging.com/ ¡¡ ¡¡
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(°¢À²®ÎÄ)
3D الموجات فوق الصوتية
(°¢¶û°ÍÄáÑÇÎÄ)
3D ultratinguj
3D Ultrasound
in
various languages£º
(Vietnamese)
Si¨ºu âm 3D
(Yiddish)
3ד ולטראַסאָונד
(Indonesian) 3D
USG
(Italian)
3D ad ultrasuoni
(Hungarian)
3D ultrahang
(Greece)
¦´¦Ðέ¦Ñ¦Ç¦Ö¦Ïς
(Hebrew)
אולטראסאונד
(Spanish)
Ecograf¨ªa 3D
(Ukrainian)
3D §µ§Ý§î§ä§â§Ñ§Ù§Ó§å§Ü§à§Ó§Ñ
(Kymric)
3D Uwchsain
(Turkish)
3D Ultrason
(Thai)
3d
ล
ต
ร้า
ซาวด์
(Slovenia)
3D ultrazvok
(Slovak)
3D ultrazvuk
(Serbian)
3§¥ §µ§Ý§ä§â§Ñ§Ù§Ó§å§Ü
(Swedish)
3D Ultraljud
(Macedonian)
3D §å§Ý§ä§â§Ñ§Ù§Ó§å§Ü
(Portuguese)
Ecografia 3D
(Norwegian)
3D Ultralyd
(Romanian)
3D cu ultrasunete
(Galician)
Ecograf¨ªa 3D
(Croatian)
3D ultrazvuk
(Czech)
3D ultrazvuk
(Catalan)
Ecografia 3D
(Finnish)
3D Ultraääni
(Filipino)
3D ultratunog
(French)
3D Ultrasound
(Russian)
3D §µ§Ý§î§ä§â§Ñ§Ù§Ó§å§Ü§à§Ó§Ñ§ñ
(German)
3D Ultraschall
(Danish)
3D Ultrasound
(Korean)
3D
좌석
초음파
(Farsi)
سونوگرافی 3D
(Iceland)
3D Úthlj¨®ð
(Bulgarian)
3D §å§Ý§ä§â§Ñ§Ù§Ó§å§Ü
(Estonian)
3D ultraheli
(Arabic)
3D الموجات فوق الصوتية
(Albanian)
3D ultratinguj
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