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- W2754284574 abstract "To evaluate whether secondary ossification centres (SOC) in fetal long bones can help in the assessment of the gestational age during the third trimester. 200 low risk singleton pregnancies were included in this prospective study. The study was conducted on fetuses that were assessed between the 30 to the 40 gestational week (GW). All fetuses assessed had normal anatomical scan and confirmed gestational age at 1st or early 2nd trimester. The epiphyseal SOC in the distal femur (DiF), proximal tibia (PrT) and proximal humerus (PrH) were evaluated by 3D sonographic imaging using multiplanar display. Such an approach enables easy and systematic scan of the epiphyseal regions for presence of SOC, which were defined as echogenic epiphyseal foci larger than 1 mm in all three orthogonal dimensions. Parameters of SOC included: size, shape, brightness, and number in each of the studied epiphyses. The parameters were analysed according to the GW and estimated fetal weight (EFW). In each analysed epiphyseal region, only one SOC was found. The SOC in DiF were detected from 30 GW; in PrT from 33 GW; and in PrH from 35 GW. SOC in DiF cannot improve determination of gestational age between 30 and 40 GW. On the contrary, detection of SOC in PrT and PrH indicate a minimal gestational age of 33 GW and 35 GW, respectively. We believe that in cases without confirmed gestational age, our findings can help in differentiation between IUGR and wrong dating (a younger than expected fetus), thus preventing unnecessary interventions and prematurity." @default.
- W2754284574 created "2017-09-25" @default.
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- W2754284574 date "2017-09-01" @default.
- W2754284574 modified "2023-09-24" @default.
- W2754284574 title "P08.05: Secondary ossification centres of fetal femur, humerus and tibia assessed by 3D ultrasound in third trimester: correlation with gestational age" @default.
- W2754284574 doi "https://doi.org/10.1002/uog.18074" @default.
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