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Related Experiment Video

Updated: Jul 14, 2026

Automated Midline Shift and Intracranial Pressure Estimation based on Brain CT Images
14:08

Automated Midline Shift and Intracranial Pressure Estimation based on Brain CT Images

Published on: April 13, 2013

Transfrontal three-dimensional visualization of midline cerebral structures.

F Viñals1, M Muñoz, R Naveas

  • 1Centro AGB Ultrasonografía, Clínica Sanatorio Alemán, Concepción, Chile. fvinals@gmail.com

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
|July 3, 2007
PubMed
Summary

Three-dimensional (3D) ultrasound offers direct visualization of fetal midline cerebral structures, outperforming 2D imaging in clarity and sharpness. Transfrontal 3D acquisition provides superior spatial resolution for detailed neurosonography.

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Area of Science:

  • Medical Imaging
  • Neurosonography
  • Fetal Ultrasound

Background:

  • Two-dimensional (2D) ultrasound is standard for fetal neurosonography.
  • Three-dimensional (3D) ultrasound offers advanced visualization capabilities.
  • Comparing 3D techniques with 2D is crucial for optimizing fetal brain assessment.

Purpose of the Study:

  • To compare sonographic visualization of fetal midline cerebral structures.
  • Evaluate 2D imaging against 3D multiplanar, VCI-C, and transfrontal 3D acquisition.
  • Assess image quality and diagnostic accuracy for key midline structures.

Main Methods:

  • Sixty healthy fetuses underwent 2D and 3D ultrasound (mean gestational age 24 weeks).
  • Sagittal planes were reconstructed using 3D multiplanar and VCI-C from axial data.

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  • Compared reconstructed planes with direct transfrontal 3D acquisition and 2D transfontanelle views.
  • Main Results:

    • Midline plane acquisition rates: 88% (multiplanar), 82% (VCI-C), 87% (transfrontal).
    • Transfrontal 3D acquisition yielded the clearest and sharpest images of midline structures.
    • 2D visualization was superior or equal to 3D transfrontal for all parameters; cerebellar fissure detection was highest with transfrontal 3D.

    Conclusions:

    • Transfrontal 3D acquisition offers superior spatial resolution for fetal midline structures despite potential artifacts in axial 3D methods.
    • 3D axial acquisitions are simpler but prone to shadowing.
    • Direct transfrontal 3D visualization is a valuable addition to routine fetal neurosonography.