Accuracy of Transcerebellar Diameter in Detection of Gastational Agein Third Trimester in Cases of Intra Utrine Growth Restriction
DOI:
https://doi.org/10.61841/3cw15964Keywords:
Transcerebellar Diameter, Intrauterine Growth Restriction, Gestational AgeAbstract
The transverse cerebellar diameter (TCD) serves as a valid indicator of GA in the fetus and is a standard against which aberrations in other fetal parameters may be compared. The main goal of this research was to evaluate accuracy of transcerebellar diameter (TCD) in detection of gestational age in pregnancies with intrauterine growth restriction IUGR. A case-Control study was carried out in department of Obstetrics and Gynecology at Zagazig University Hospital from June 2019 to Mars 2020. Included 52 women with normally progressing pregnancies during the third trimesters, 26 patients of them were normal pregnancies and 26 patients complains from IUGR in 3rd trimester at gestational age (27week to 37 week). Transabdominal ultrasound was performed on all patients, Fetal TCD was measured using the widest diameter of the cerebellum, measurement of fetal Bi-Parietal Diameter (BPD), Abdominal Circumference (AC), and Femur Length (FL). There were positive correlation between GA by Last Menstrual Period (LMP) and sonar parameters at normal group in all parameters but highest was TCD with P value 0.000, but at IUGR group only TCD, AC and FL were significantly positive correlated with GA; and TCD were highly significant, both HC and BPD were irrelevant
Downloads
References
1. Gottlieb AG, Galan HL. Nontraditional sonographic pearls in estimating gestational age. Semin. Perinatol.
154-160 (2008).
2. Whitworth M, Bricker L, Neilson JP et al. Ultrasound for fetal assessment in early pregnancy. Cochrane.
Database. Syst. Rev. 4 (2010).
3. Mohammed EE, Alashkar OS, Abdeldayem TM, Mohammed SA. The use of low dose sildenafil citrate in
cases of intrauterine growth restriction. Clin Obstet Gynecol Reprod Med, 2017; 3(4), 1-5.
4. Goel P, Singla M, Ghai R, Jain S, Budhiraga V, Babu R. Transverse cerebellar diameter-a marker for
estimation of gestational age. J Anat Soc. India. 2010; 59(2): 158-161.
5. Kalish RB, Chervenak F. Sonographic determination of gestational age. TMJ 2009; 59: 202–208.
6. Araujo Júnior E, Pires CR, Nardozza LM, Filho HA, Moron AF. Correlation of the fetal cerebellar volume
with other fetal growth indices by three-dimensional ultrasound. J Matern Fetal Neonatal Med. 2007; 20:
581–587.
7. Naseem F, Ali S, Basit U, Fatima N. Assessment of gestational age; comparison between transcerebellar
diameter versus femur length on ultrasound in third trimester of pregnancy. Professional Med J. 2014; 21(2):
412-417.
8. Naseem F, Fatima N, Yasmeen S. Saleem S. Comparison Between Transcerebellar Diameter with Biparietal
Diameter of Ultrasound for Gestational Age Measurement in Third Trimester of Pregnancy. J Coll Physicians
Surg Pak. 2013; 23 (5): 322-5.
9. Satish-Prssad BS, Likhitha S. Cerebellar measurements with ultrasonography in evaluation of fetal age.
IOSR. J Dental and Med Sci. (IOSR- JDMS). 2014; 13(9): 49-56.
10. Vinkesteijn AS, Mulder PG, Wladimiroff JW. Fetal transverse cerebellar diameter measurements in normal
and reduced fetalgrowth. Ultrasound Obstet Gynecol; 2000; 15: 47-51.
11. Chavez MR, Ananth CV, Smulian JC, Vintzileos AM. Fetal transcerebellar diameter measured for prediction
of gestational age at the extremes of fetal growth. J Ultrasound Med. 2007; 26: 1167-71.
12. Afshan A, Nadeem S, Shamim AS. Fetal transverse cerebellar diameter measurement, a useful predictor of
gestational age in growth restricted fetuses. Professional Medical Journal, 2014; 21: 888-91.
13. Akl S, Mohammed M, Bahaa EA, Mohammed A. Accuracy of Transcerebellar Diameter at the Third
Trimester in Estimating the Gestational Age in Singleton Pregnancy. Med. J. Cairo Univ. 2014; 82(1): 879-
84.
14. Ananthareddy SM, Bahaddur A. Biometric parameter in estimation of the gestational age among IUGR: A
ultrasound based study. Am J Oral Med Radiol. 2016; 3(2): 73-76.
15. Reddy RH, Prashanth K, Ajit M. Significance of foetal transcerebellar diameter in foetal biometry: A pilot
study. J Clin Diagn Res. 2017; 11(6): 01-04.
16. Ali OE, Elsawy IR, Elbedewy AM. Comparative Study between Fetal Biometry and Transverse Cerebellar
Diameter in Estimating Gestational Age in Third Trimester. Egypt J Hospital Medicine, 2019; 75(4), 2673-
2678.
17. Lyndon MH, David Guzick, Joanne Fries, Hixson J, Rivello D. The transvezrse cerebellar diameter in
estimating gestational age in the large for gestational age fetus. Obstet Gynecol.1990; 75: 981.
Downloads
Published
Issue
Section
License
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
