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- Title
Early pregnancy volume measurements: validation of ultrasound techniques and new perspectives.
- Authors
Rousian, M.; Verwoerd-Dikkeboom, C. M.; Koning, A. H. J.; Hop, W. C.; van der Spek, P. J.; Exalto, N.; Steegers, E. A. P.
- Abstract
Objective To investigate accuracy and reliability of four different ultrasound-related volume-measuring methods. Design Observational study. Setting Both in vitro and in vivo. Population or Sample Ten phantoms for in vitro measurements and 28 pregnancies with gestational ages ranging from 6 to 11 weeks for in vivo measurements were included. Methods Three-dimensional (3D) ultrasound images of phantoms (with known variable contents) and yolk sacs were used to calculate volumes using four different methods: Virtual Organ Computed-Aided AnaLysis (VOCAL), inversion mode, Sono Automatic Volume Calculation (SonoAVC) and V-Scope. V-Scope is a newly developed 3D volume visualisation application using a Barco I-Space virtual reality system. Intra- and interobserver agreement was established by calculating intraclass correlation coefficients (ICC). Main outcome measure Evaluation of accuracy and reliability by comparing the different techniques with true volumes ( in vitro) and with each other ( in vitro and in vivo). Results In the in vitro study, volume measurements by VOCAL, inversion mode and V-Scope proved to be accurate. SonoAVC measurements resulted in a substantial systematic underestimation. Correlation coefficients of measured versus true volumes were excellent in all four techniques. For all techniques, an intra- and interobserver agreement of at least 0.91 was found. Yolk sac measurements by the different techniques proved to be highly correlated (ICCs > 0.91). Conclusions We demonstrated that VOCAL, inversion mode and V-Scope can all be used to measure volumes of hypoechoic structures. The newly introduced V-Scope application proved to be accurate and reliable.
- Subjects
FIRST trimester of pregnancy; YOLK sac; FETAL ultrasonic imaging; GESTATIONAL age
- Publication
BJOG: An International Journal of Obstetrics & Gynaecology, 2009, Vol 116, Issue 2, p278
- ISSN
1470-0328
- Publication type
Article
- DOI
10.1111/j.1471-0528.2008.02006.x