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Umbilical cord cysts: evaluation with different 3-dimensional sonographic modes.
Francisco Bonilla1, Francisco Raga, Esperanza Villalaiz
1Department of Obstetrics and Gynecology, Valencia School of Medicine, Blasco Ibañez 17, 46011 Valencia, Spain. profesorbonillamusoles@hotmail.com
Summary
Three-dimensional (3D) ultrasound enhances the detection of umbilical cord cysts and pseudocysts. Advanced 3D sonographic modes offer superior visualization for accurate prenatal diagnosis.
Area of Science:
- Medical Imaging
- Prenatal Diagnosis
- Obstetrics
Background:
- Umbilical cord cysts and pseudocysts can pose diagnostic challenges in prenatal imaging.
- Traditional 2-dimensional (2D) sonography may have limitations in fully characterizing these findings.
Observation:
- This study evaluated various 3-dimensional (3D) sonographic techniques, including tomographic ultrasound imaging (TUI), virtual organ computer-aided analysis (VOCAL), and automatic volume calculation (AVC).
- Comparison was made with 2D imaging and angiopower Doppler.
Findings:
- 3D sonography, TUI, and VOCAL improved visualization of umbilical cord cysts' size, location, and number.
- AVC and angiopower Doppler differentiated pseudocysts from the yolk sac.
- 3D surface mode enhanced the detection of associated fetal malformations.
Implications:
- 3D sonography provides more accurate diagnoses and clearer visualization of fetal malformations compared to 2D imaging.
- Utilizing diverse 3D sonographic modes improves the definition and characterization of umbilical cord cysts and pseudocysts.
- Enhanced prenatal detection aids in better management and counseling for affected pregnancies.
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