Comparison between Two-Dimensional and Three-Dimensional Assessments of the Fetal Corpus Callosum: Reproducibility of Measurements and Acquisition Time

Details

Serval ID
serval:BIB_6E5D6D86167E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Comparison between Two-Dimensional and Three-Dimensional Assessments of the Fetal Corpus Callosum: Reproducibility of Measurements and Acquisition Time
Journal
Journal of Pediatric Neurology
Author(s)
Baert Jonathan, Pomar Léo, Mchirgui Ali, Lambert Véronique, Carles Gabriel, Hcini Najeh, Baud David, Vial Yvan
ISSN
1304-2580
1875-9041
Publication state
In Press
Language
english
Abstract
The objective is to study the reproducibility and reliability of the fetal corpus callosum measurements between two-dimensional (2D) and three-dimensional (3D) acquisitions. This prospective study enrolled 475 fetuses, monitored between 18 and 38 weeks of gestation by two operators. Starting from a transcerebellar axial plane, 3D and 2D mid-sagittal views of the corpus callosum were obtained. Measurements of length and thickness were performed and underwent quality control by independent reviewers. The acquisition time of the two methods was measured. Means, differences, and linear correlations were analyzed using t-test, regression and Pearson's correlation coefficients, and Bland-Altman's plots. This analysis was performed for each operator to test the interobserver reproducibility. Among the 432 cases measured using both methods, 380 (88%) were validated by quality control. The mean corpus callosum length and thickness were essentially the same using 2D and 3D measurements (2D: 33.8 +/- 8.7 vs. 3D: 33.7 +/- 8.7mm, 2D: 2.2 +/- 0.4 vs. 3D: 2.2 +/- 0.4mm, respectively; mean +/- standard deviation [SD]). Linear regression coefficients and Pearson's coefficients were similar for length (2D: 0.8283 and 0.9191 vs. 3D: 0.8271 and 0.9095), but slightly different regarding thickness (2D: 0.6775 and 0.8231 vs. 3D: 0.5831 and 0.7636). Differences between 2D and 3D measurements, considering Bland-Altman's plots and correlated with gestational age, were acceptable (2D: 0.097 +/- 0.559mm, 3D: 0.004 +/- 0.111mm). The acquisition time required was significantly lower for 3D acquisitions (3D: 25.2 +/- 14.5seconds vs. 2D: 35.1 +/- 19.4seconds, p<0.01). Linear regression and Pearson's coefficients for the measurements of corpus callosum length and thickness using 2D or 3D acquisitions did not differ between the operators. This study confirms good reproducibility of corpus callosum assessment by transabdominal 3D acquisitions. The good feasibility in routine scans may lead to better screening for callosal dysgenesis.
Keywords
Pediatrics, Perinatology, and Child Health, Clinical Neurology
Web of science
Create date
12/03/2021 18:54
Last modification date
25/02/2022 7:37
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