Antenatal Diagnosis of Parapagus Conjoined Twins: 3D Virtual and 3D Physical Models.
Pedro CastroHeron Werner JuniorAna Paula MatosGerson RibeiroJorge LopesAntonio Fernandes MoronPublished in: Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia (2021)
Conjoined twins (CTs) are a rare complication from monochorionic and monoamniotic twin pregnancies. We describe the use of 3D technologies, including 3D virtual and 3D physical models on prenatal evaluation of one parapagus CT. A 16-year-old G1P0 woman was referred for fetal magnetic resonance imaging (MRI) anatomical evaluation of a CT at 28 weeks of gestation. 3D images of the fetal surface were generated by the software during the examination for spatial comprehension of the relationship between the fetal parts. The pair of CTs died at the 32 nd week of gestation, a few hours after cesarean section. 3D technologies are an important tool for parental counseling and preparation of the multidisciplinary care team for delivery and neonatal assistance and possible surgical planning for postnatal separation in CTs cases.
Keyphrases
- gestational age
- contrast enhanced
- magnetic resonance imaging
- preterm birth
- computed tomography
- preterm infants
- pregnant women
- quality improvement
- palliative care
- physical activity
- dual energy
- image quality
- healthcare
- mental health
- magnetic resonance
- deep learning
- positron emission tomography
- clinical trial
- convolutional neural network
- machine learning
- molecularly imprinted
- optical coherence tomography
- hepatitis c virus
- affordable care act
- liquid chromatography
- randomized controlled trial
- pain management
- health insurance
- mass spectrometry
- placebo controlled