IJAR.2020.104

Type of Article:  Original Research

Volume 8; Issue 1.3 (March 2020)

Page No.: 7360-7366

DOI: https://dx.doi.org/10.16965/ijar.2020.104

ULTRASONOGRAPHIC STUDY OF TRANSVERSE DIAMETER OF FETAL CEREBELLUM AND LENGTH OF FEMUR AS MARKERS FOR ACCURATE ESTIMATION OF GESTATIONAL AGE

Shashank Vedpathak *1, Dhanaji Jadhav 2, Swati Belsare 3.

*1 Associate Professor, Department of Anatomy, MIMER Medical College, Talegaon Dabhade, Pune, Maharashtra, India.

2 Professor, Department of Anatomy, MIMER Medical College, Talegaon Dabhade, Pune, Maharashtra, India.

3 Professor and Head, Department of Anatomy, MIMER Medical College, Talegaon Dabhade, Pune, Maharashtra, India.

Corresponding Author:  Dr Shashank Vedpathak, Department of Anatomy, MIMER Medical College, Talegaon Dabhade, Pune, Maharashtra, India. Mobile no – 9604200292 E-Mail: sbvedpathak@gmail.com

ABSTRACT

Introduction: Prediction of gestational age (GA) based on sonographic fetal parameters is essential in modern obstetrics and continues to remain an important component in the management of pregnancies. A variety of sonographic fetal parameters have been shown to correlate well with gestational age. Transcerebellar diameter (TCD) is one such fetal parameter that has remained consistently superior in predicting gestational age.

Aims and objective: Compare the efficacy of transverse diameter of fetal cerebellum and length of fetal femur in predicting gestational age.

Materials and Methods: About 100 pregnant women seeking antenatal care and undergoing routine ultrasound examination were selected for the study. Fetal transverse cerebellar diameter and femoral length measurements were recorded along with gestational age. Ultrasonographic fetal maturity was determined using all biometric parameters and efficacy of transcerebellar diameter and femoral length was compared.

Results: Patients were divided into five groups as per their gestational age.  In each group mean and standard deviation for values of TCD and FL was calculated and their statistical significance is found out.

Discussion: Our study found that both TCD and FL go on increasing as gestational age increases. Results of this study are compared with other workers.

Conclusion: Our study shows that TCD is equivalent to FL as a biometric parameter for evaluating gestational age in first & second trimester but it less effective than FL in the third trimester.

Key words: Transcerebellar diameter, gestational age, Femoral length, Ultrasonography.

REFERENCES

  1. Ammisetty Venkata Kalyan Kumar; Determination Of Gestational Age By Fetal Kidney Length; Rajiv Gandhi University Of Health Science Bangalore, Karnataka, India, PhD diss., 2011.
  2. Priestly Shan and M.Madheswaran; Revised Estimates of Ultrasonographic Markers for Gestational Age – Assessment of Singleton Pregnancies among Indian Population; International Journal of Advanced Science and Technology. 2010;17.
  3. Marwa Mohammed El-Saghir Abd El-Aziz; Fetal Transcerebellar Diameter Versus Biparietal Diameter Measurment For Prediction Of Gestational Age In Singleton & Twin Pregnacies; Ain Shams University 2009
  4. Martin R. Chavez, MD, Cande V. Ananth, PhD, MPH, John C. Smulian, MD, MPH, Anthony M. Vintzileos, MD; Fetal Transcerebellar Diameter Measurement for Prediction of Gestational Age at the Extremes of Fetal Growth; American Institute of Ultrasound in Medicine; J Ultrasound Med 2007; 26:1167–1171.
  5. Mausam Jindal; Accuracy Of Transcerebellar Diameter    Measurement By Ultrasonography  In The Evaluation Of Fetal Age; Rajiv Gandhi  University  Of  Health   Sciences, Karnataka, Bangalore, India- PhD diss., 2013.
  6. Marek Lubuskya, B, Martin Prochazkaa, Martina Langovaa, Katherine Vomackovaa, Ludek Cizekc; Discrepancy In Ultrasound Biometric Parameters Of The Head (Hc – Head Circumference, Bpd – Biparietal Diameter) In Breech Presented Fetuses; Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2007; 151(2):323–326.
  7. Frank P. Hadlok, R. L. Deter, et al; Estimating Fetal Age-Effect of Head Shape on Biprietal Diameter American Roentgen Ray Society (AJR). 1981;137:83-85.ISSN 0361-803x/81 1371-0083.
  8. Wesley Lee, MD, Russell L. Deter, MD, John D. Ebersole, MD, Raywin Huang, PhD, Karolien Blanckaert, MD, Roberto Romero, MD; Birth Weight Prediction by Three-dimensional Ultrasonography – Fractional Limb Volume; J Ultrasound Med. 2001;20:1283–1292.
  9. Jose Araujo Holanda et al. Ariani Impieri Souza, Alex Sandro Rolland Souza; Fetal transverse cerebellar diameter measured by ultrasound does not differ between genders; Archives of Gynecology and Obstetrics; year 2010 volume 284; 299-302.
  10. Roza SJ, Verburg BO, Jaddoe VWV, Hofman A, et al. Eff ects of maternal smoking in pregnancy on prenatal brain development. The Generation R Study. Eur J Neurosci 2007 Feb;25(3):611-617.
  11. Malik R, Pandya V K, Shrivastava P. Gestational age estimation using transcerebellar diameter with grading of fetal cerebellum and evaluation of TCD/AC (Transcerebellar diameter/abdominal circumference) ratio as a gestational age independent parameter. Indian J Radiol Imaging 2003;13:95-7.
  12. Malik G, Waqar F, Ghaffar A, Zaidi H. et al, Determination of gestational age transverse cerebellar diameter in third trimester of pregnancy. J Coll Physicians Surg Pak.2006 Apr; 16(4):249-52.
  13. S.M. Vinkesteijn, P.G.H. Mulder and J.W. Wladimiroff; Fetal transverse cerebellar diameter measurements in normal and reduced fetal growth; Ultrasound Obstet Gynecol 2000; 15: 47–51.
  14. Meyer WG, Gauthier DW. The fetal TCD/AC ratio: a gestational age independent method of assessing fetal size. J Ultrasound Med. 1993;12(7):379-82.
  15. Prabhat Goel, Mukesh Singla, Rashmi Ghal, Shilpi Jain, Virendra Budhiraja C.S., Ramesh Babu; Transverse Cerebellar Diameter – A Marker for Estimation of Gestational Age; Journal of Anatomical Society of India 2010;59(2):158-161.            

Cite this article: Shashank Vedpathak, Dhanaji Jadhav, Swati Belsare. ULTRASONOGRAPHIC STUDY OF TRANSVERSE DIAMETER OF FETAL CEREBELLUM AND LENGTH OF FEMUR AS MARKERS FOR ACCURATE ESTIMATION OF GESTATIONAL AGE. Int J Anat Res 2020;8(1.3):7360-7366. DOI: 10.16965/ijar.2020.104