Avaliação do comportamento fetal por meio da ultrassonografia de quarta dimensão: conhecimento atual e perspectivas futuras

In the last decades, the development of real-time ultrasonography has allowed the direct view of the fetus in the uterus, as well as assessing its activity. The advent of threedimensional ultrasonography (3D) at the end of the 80s initiated a new era in diagnostic imaging for Obstetrics, dramaticall...

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Bibliographic Details
Authors: Guimarães Filho, Hélio Antonio [UNIFESP], Araujo Júnior, Edward [UNIFESP], Mello Júnior, Carlos Fernando de, Nardozza, Luciano Marcondes Machado [UNIFESP], Moron, Antonio Fernandes [UNIFESP]
Format: article
Status:Published version
Publication Date:2013
Country:Brasil
Institution:Universidade Federal de São Paulo (UNIFESP)
Repository:Repositório Institucional da UNIFESP
Language:Portuguese
OAI Identifier:oai:repositorio.unifesp.br:11600/7981
Online Access:http://dx.doi.org/10.1016/j.ramb.2013.05.001
http://repositorio.unifesp.br/handle/11600/7981
Access Level:Open access
Keyword:Fetal behavior
Fetal awareness
Four-dimensional ultrasonography
Comportamento fetal
Consciência fetal
Ultrassonografia de quarta dimensão
Description
Summary:In the last decades, the development of real-time ultrasonography has allowed the direct view of the fetus in the uterus, as well as assessing its activity. The advent of threedimensional ultrasonography (3D) at the end of the 80s initiated a new era in diagnostic imaging for Obstetrics, dramatically increasing the possibility of studying the fetus. Recently, a new technique allowing the 3D image to be transformed into real-time was introduced: the four-dimensional (4D) ultrasonography. It allows the continuous monitoring of fetal face and other surface areas, such as the extremities. Some studies have already assessed this new methodology for fetal behavior observation during different stages of pregnancy, trying to understand better the relationship between fetal central nervous system maturation and the implications for its behavior. In this article, the authors review the current use of 4D ultrasonography in the assessment of fetal behavior, and discuss the possibilities of the technique to show the neurological development of the fetus, by means of watching movement and facial expressions. They also highlight the potential applicability of this new method in this new research area of fetal medicine.