title: Three-dimensional ultrasound first trimester fetal volume measurement and its relation to pregnancy outcome.
abstract: OBJECTIVE
  To determine whether fetal volume (FV) measured by three-dimensional (3D) ultrasound was able to detect fetuses at risk of low birth weight (primary outcome) and/or preterm labor (secondary outcome).
  
  
  METHODS
  One hundred pregnant women carrying a singleton living pregnancy who were sure of dates, and had a dating scan, with gestational age between 11 weeks and 13 weeks+6 days coming for routine first trimester nuchal translucency (NT) were examined by both two-dimensional (2D) and 3D ultrasound (Vocal System) for crown-rump length (CRL) and FV then followed up regularly every 4 weeks until 28 weeks then biweekly until 36 weeks then weekly until delivery both clinically and by ultrasound biometry.
  
  
  RESULTS
  Eighty-seven cases had a normal outcome, while the remaining 13 cases had either preterm labor (four cases) or low-birth weight (nine cases). FV positively correlated with CRL (P=0.026), gestational age in weeks (P=0.002), neonatal body weight in grams (P=0.018) and neonatal body length at birth (P=0.04). A mean FV of 8.3 mm3 was association with neonatal complications (P=0.045). A cut-off point of 9 mm3 for FV was associated with 100% sensitivity for detection of the date of birth, while a cut-off point of 9.15 mm3 for FV was associated 100% sensitivity for detection of neonatal birth weight.
  
  
  CONCLUSIONS
  3D assessment of FV in the first trimester provides an accurate method for predicting pregnancy outcome namely low birth weight and neonatal complications, however, it is a better positive predictor than a negative one.
authors.affiliation: .
authors.forename: Haitham A
authors.initials: HA
authors.lastname: Torky
authors.affiliation: .
authors.forename: Asem A
authors.initials: AA
authors.lastname: Moussa
authors.affiliation: .
authors.forename: Ali M
authors.initials: AM
authors.lastname: Ahmad
authors.affiliation: .
authors.forename: Osama
authors.initials: O
authors.lastname: Dief
authors.affiliation: .
authors.forename: Manar A
authors.initials: MA
authors.lastname: Eldesoouky
authors.affiliation: .
authors.forename: Ahmed S
authors.initials: AS
authors.lastname: El-Gayed
mesh_terms: D000328:Adult; D001724:Birth Weight; D005260:Female; D005317:Fetal Growth Retardation / Q000000981:diagnostic imaging*; D006801:Humans; D021621:Imaging, Three-Dimensional; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D016216:Ultrasonography, Prenatal; D055815:Young Adult
keywords: 3D ultrasound; fetal volume; pregnancy outcome