title: Angle of progression measurements of fetal head at term: a systematic comparison between open magnetic resonance imaging and transperineal ultrasound.
abstract: OBJECTIVE
  During labor, transperineal sonography is increasingly used to evaluate fetal head descent. The aim of this study was to compare the angle of progression assessed by open magnetic resonance imaging (MRI) vs transperineal ultrasound.
  
  
  METHODS
  A total of 31 pregnant women at term (>37 weeks), who were not in labor, underwent MRI in an open 1.0-T system. A midsagittal plane of the maternal pelvis was stored. Immediately after, without changing the supine position, a transperineal ultrasound was performed. The angle of progression was measured offline by transperineal ultrasound and MRI.
  
  
  RESULTS
  The angles of progression measured by transperineal ultrasound (mean, 79.05 degrees; SD 11.44) and MRI (mean, 80.48 degrees; SD 11.06) correlated significantly (P < .001). The intraclass correlation coefficient between the 2 methods was 0.89 (95% confidence interval, 0.78-0.94).
  
  
  CONCLUSIONS
  The angle of progression measurements obtained by transperineal ultrasound and open MRI showed very good agreement.
authors.affiliation: Department of Obstetrics, Charité University Hospital, Berlin, Germany. christian.bamberg@charite.de
authors.forename: Christian
authors.initials: C
authors.lastname: Bamberg
authors.forename: Saskia
authors.initials: S
authors.lastname: Scheuermann
authors.forename: Christina
authors.initials: C
authors.lastname: Fotopoulou
authors.forename: Torsten
authors.initials: T
authors.lastname: Slowinski
authors.forename: Anna M
authors.initials: AM
authors.lastname: Dückelmann
authors.forename: Ulf
authors.initials: U
authors.lastname: Teichgräber
authors.forename: Florian
authors.initials: F
authors.lastname: Streitparth
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Henrich
authors.forename: Joachim W
authors.initials: JW
authors.lastname: Dudenhausen
authors.forename: Karim D
authors.initials: KD
authors.lastname: Kalache
mesh_terms: D000328:Adult; D002508:Cephalometry / Q000379:methods*; D005260:Female; D006257:Head / Q000000981:diagnostic imaging*; D006801:Humans; D007746:Labor Presentation; D008279:Magnetic Resonance Imaging; D010502:Perineum / Q000000981:diagnostic imaging*; D011247:Pregnancy; D016216:Ultrasonography, Prenatal / Q000379:methods*