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- W2093413037 abstract "In this case report we demonstrate the additional value of a virtual reality system in the evaluation of a rare case of conjoined twins at 13 weeks of gestational age. At 13 weeks of gestational age a 28-year old G2P1 was diagnosed with conjoined twins on routine 2D ultrasound examination. Additional 3D ultrasound revealed fusion of the head, thorax and part of the abdomen. Two heartbeats, one large stomach, 4 arms and 4 legs were seen. The placenta and umbilical cord were shared. These 3D images were also visualized as three-dimensional “holograms” in the I-Space, a virtual reality system that provides depth perception and interaction with the volume in an intuitive manner. In the I-Space the diagnosis of cephalothoracopagus was confirmed. Only one face could be recognized. The pregnancy was terminated using misoprostol and intact twins were born. The parents did not allow any further examinations. Conjoined twins occur once in every 100 sets of monozygotic twins. This means once in every 50,000 gestations or once in every 250,000 live births. In 1 out of 58 sets of conjoined twins the diagnosis is a cephalothoracopagus. In this very rare condition the head and thorax are fused, but spine, limbs and pelves are separate. They are also named Janiceps twins, after the two-faced Roman god Janus. Janiceps twins can be either dissymmetrical (two faces are identical on opposite sides of the head) or monosymmetrical (one ‘normal’ face and a second reduced face). In our case, on 2D and 3D ultrasound examination one face could be recognized. The back part of the head could not be visualized and thus definite diagnosis was not possible. The I-Space allowed detailed evaluation of the anatomical structures and intuitive orientation of the dataset. Using this innovative technique it became clear that only one face was present. The diagnosis was therefore a cephalothoracopagus janiceps monosymmetros, which was confirmed post-partum. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article." @default.
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- W2093413037 date "2008-08-01" @default.
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- W2093413037 title "P37.12: Twins with one face, four arms and four legs in Virtual Reality" @default.
- W2093413037 doi "https://doi.org/10.1002/uog.6066" @default.
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