Preview

Medical Visualization

Advanced search

Normal Range of the Fetal Cerebellar Vermis in the Second Trimester of Pregnancy

Abstract

Purpose. To develop the reference range of the craniocaudal diameter and anteroposterior diameter of the cerebellar vermis. Materials and methods. Fetal brain was evaluated in 292 normal fetuses at 18-27 weeks of gestation. The multiplanar mode to obtain the mid-sagittal plane and measured craniocaudal diameter and anteroposterior diameter of the cerebellar vermis. Cranio-caudal diameter was defined as maximum distance between cranial and caudal surfaces of the vermis, anteroposterior diameter was defined as the maximum distance between anterior and posterior surfaces of the vermis. Results. In 98% satisfactory visualization and measurements of the cerebellar vermis were obtained. Size of the cerebellar vermis is increasing during the second trimester of pregnancy. Developed the reference range (mean, 5th and 95th percentiles) of the cranio-caudal diameter and anteroposterior diameter of the cerebellar vermis. Conclusion. Sizing of the cerebellar vermis may be useful for assessment development of the cerebellar vermis in cases of suspicion on cerebral anomalies like cerebellar vermian hypoplasia, partial agenesia of the cerebellar vermis, Blake’s pouch cyst. The use of normative values of the cranio-caudal diameter and anteroposterior diameter of the cerebellar vermis will assess its development and increase the percentage of detection of anomalies of the fetal brain during the second trimester

About the Author

Olesya Ivanovna Kozlova
“Institute of improvement of qualification of FMBA of Russia”
Russian Federation


References

1. International Society of Ultrasound in Obstetrics and Gynecology. Sonographic examination of the fetal central nervous system: guidelines for performing the ‘basic examination’ and the ‘fetal neurosonogram’. Ultrasound Obstet. Gynecol. 2007; 29: 109-116.

2. Медведев М.В. Основы ультразвукового скрининга в 18-21-ю неделю беременности. 2-е изд., доп. и перераб. М.: Реал Тайм, 2013. 228 с.

3. Guibaud L., des Portes V. Plea for an anatomical approach to abnormalities of the posterior fossa in prenatal diagnosis. Ultrasound Obstet.Gynecol. 2006; 27: 477-481.

4. Bornstein E., Monteagudo A., Santos R. et al. Basic as well as detailed neurosonogram scan be performed by offline analysis of three-dimensional fetal brain volumes. Ultrasound Obstet. Gynecol. 2010; 36: 20-25.

5. Медведев М.В. Трехмерная эхография в акушерстве. 1-е изд. М.: Реал Тайм, 2007. 168 с.

6. Pilu G., Segata M., Ghi T. et al. Diagnosis of midline anomalies of the fetal brain with the three-dimensional median view. Ultrasound Obstet. Gynecol. 2006; 27: 522-529.

7. Rizzo G., Pietrolucci M.E., Mammarella S. et al. Assessment of cerebellar vermis biometry at 18-32 weeks of gestation by three-dimensional ultrasound examination. J. Maternal-Fetal & Neonatal Med. 2012; 25: 519-522.

8. Vinals F., Munoz M., Naveas R. et al. The fetal cerebellar vermis: anatomy and biometric assessment using contrast imaging in the C-plane (VCI-C). Ultrasound Obstet. Gynecol. 2005; 26: 622-627.

9. Rizzo G., Capponi A., Pietrolucci M.E. et al. An algorithm based on OmniView technology to reconstruct sagittal and coronal planes of the fetal brain from volume datasets acquired by three-dimensional ultrasound. Ultrasound Obstet. Gynecol. 2011; 38: 158-164.

10. Malinger G., Ginath S., Lerman-Sagie T. et al. The fetal cerebellar vermis: normal development as shown by transvaginal ultrasound. Prenat. Diagn. 2001; 21: 687-692.

11. Malinger G., Lev D., Lerman-Sagie T. The fetal cerebellum. Pitfalls in diagnosis and management. Prenat. Diagn. 2009; 29: 372-380.

12. Zhao D., Liu W., Cai A. et al. Quantitative evaluation of the fetal cerebellar vermis using the median view on threedimensional ultrasound. Prenat. Diagn. 2013; 33: 153-157.

13. Paladini D., Volpe P. Posterior fossa and vermian morphometry in the characterization of fetal cerebellar abnormalities: a prospective three-dimensional ultrasound study. Ultrasound Obstet. Gynecol. 2006; 27: 482-489.

14. Bertucci E., Gindes L., Mazza V. et al. Vermian biometric parameters in the normal and abnormal fetal posterior fossa: three-dimensional sonographic study. J. Ultrasound Med. 2011; 30: 1403-1410.


Review

For citations:


Kozlova O.I. Normal Range of the Fetal Cerebellar Vermis in the Second Trimester of Pregnancy. Medical Visualization. 2015;(2):106-109. (In Russ.)

Views: 7525


ISSN 1607-0763 (Print)
ISSN 2408-9516 (Online)