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The aim of this study is to evaluate the "normal" development of cerebral cortex with quantitative measurement in low risk pregnant women
Study design:
This is a prospective study that evaluates normal fetal brain cortex development from 14 to 34 WG using 2D and 3D ultrasound in singleton low risk pregnancies with unknown obstetrical complications. The clinical and obstetrical data will be obtained prior to the US evaluation; and will include maternal medical and obstetrical data and confirmation of fetal gestational age based on first day of the last menstrual cycle (LMP) supported by well documented CRL from first trimester US. Brain biometric and sulcation analysis includes:
Two measurements will be taken by two examiners in order to evaluate intraobserver and interobserver reproducibility.
In all the cases a maximum effort will be undertake to obtain adequate volumes of the brain in order to enable offline evaluation of the different structures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| low risk pregnancy | Inclusion criteria - Women aged 18-45 years old ,Pregnant women between 14+0 and 34+0 weeks.speaking Hebrew language and eligible for obtaining informed consent. Gestation who had a singleton fetus in cephalic presentation, with well documented gestational age by first trimester US scan CRL. Biometric measurement within 10th to 90th percentile.and low risk for fetal brain developmental disorders. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ultrasonographic scan of fetal brain | Diagnostic Test |
6. Calcarine fissures will be measured in the coronal transcerebellar plane as tracing a perpendicular line from the median longitudinal fissure to the apex of the calcarine fissures. |
| Measure | Description | Time Frame |
|---|---|---|
| Cerebral cortex thickness and volume stratified by gestational age | ultrasonographic measurements of fetal cerebral cortex thickness and volume at different gestational age (W/G) (14 W/G - 34 W/G). in order to create normogram and reference values. | the time required for detailed prenatal ultrasound scan (approximately 60 minute) |
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Inclusion Criteria:
Gestation who had a singleton fetus in cephalic presentation, with well documented gestational age by first trimester US scan CRL.
Biometric measurement within 10th to 90th percentile.
Exclusion Criteria:
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Women aged 18-45 years old ,Pregnant women between 14+0 and 34+0 weeks.speaking Hebrew language and eligible for obtaining informed consent.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Eyal Zohav, M.D | Contact | +972544789782 | eyalzohav@hotmail.com | |
| Shaton Ben Rubi, S.C | Contact | +972522750328 | sharonbenr@tlv.gov.il |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17200992 | Background | Sonographic examination of the fetal central nervous system: guidelines for performing the 'basic examination' and the 'fetal neurosonogram'. Ultrasound Obstet Gynecol. 2007 Jan;29(1):109-116. doi: 10.1002/uog.3909. No abstract available. | |
| 2664864 | Background | Filly RA, Cardoza JD, Goldstein RB, Barkovich AJ. Detection of fetal central nervous system anomalies: a practical level of effort for a routine sonogram. Radiology. 1989 Aug;172(2):403-8. doi: 10.1148/radiology.172.2.2664864. |
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This is a prospective study that evaluates normal fetal brain cortex development from 14 to 34 WG using 2D and 3D ultrasound in singleton low risk pregnancies with unknown obstetrical complications. Recruitment at time of visit to our hospital emergency room, outpatient clinic, and hospitalized patient. Each participating women can take part in a single Ultrasonographical scan related to our study objective. The clinical and obstetrical data will be obtained prior to the US evaluation; and will include maternal medical and obstetrical data and confirmation of fetal gestational age based on first day of the last menstrual cycle (LMP) supported by CRL
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| 12100418 | Background | Malinger G, Lerman-Sagie T, Watemberg N, Rotmensch S, Lev D, Glezerman M. A normal second-trimester ultrasound does not exclude intracranial structural pathology. Ultrasound Obstet Gynecol. 2002 Jul;20(1):51-6. doi: 10.1046/j.1469-0705.2002.00743.x. |
| 23583839 | Background | Egana-Ugrinovic G, Sanz-Cortes M, Figueras F, Bargallo N, Gratacos E. Differences in cortical development assessed by fetal MRI in late-onset intrauterine growth restriction. Am J Obstet Gynecol. 2013 Aug;209(2):126.e1-8. doi: 10.1016/j.ajog.2013.04.008. Epub 2013 Apr 9. |