Factors influencing the successful acquisition and quality of three-dimensional souvenir obstetric ultrasound facial images: A narrative review and quantitative evaluation.

内容摘要

Three-dimensional prenatal ultrasound scans of a baby's facial features have become increasingly popular among parents in both private and clinical settings. Ultrasound practitioners often draw on their experience to identify factors that influence image quality when discussing scan outcomes with parents. This study aims to identify the maternal, fetal and technical factors that may affect the quality of three-dimensional souvenir face images during ultrasound scan. A retrospective quality review study was performed with data from a single-centre research study, including ultrasound videos of the fetal growth scans, three-dimensional facial ultrasound acquisitions and post-processing steps. A total of 342 three-dimensional surface-rendered images were attempted from 41 singleton pregnancy subjects, average gestational age 26.69&#x2009;weeks, range: 21-30. The retrospective image quality for all images was assessed by two observers. Univariable ordinal regression test was used to investigate the associations between demographic/technical factors and the best image quality acheiveable. Of the 41 pregnancies, three-dimensional acquisition time was an average of 03:07 (mm:ss), (range: 01:22-5:31). In total, 49% of women had at least one good or moderate quality image, and 51% women had a poor quality or failed three-dimensional scan as the best quality possible. Image quality was associated with placenta site, explaining 18% of the variation (p&#x2009;<&#x2009;0.05). We found a maternal-fetal factor which has a high impact on three-dimensional image quality of the prenatal face but nonetheless, sonographer skill, training and other technical factors may be employed to minimise the impact of detrimental factors.