ArticleUltrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology2013
Prospective validation of fetal weight estimation using fractional limb volume.
Article in Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Neonatal birthweight prediction using two- and three-dimensional estimated fetal weight among borderline small fetuses.Journal of clinical ultrasound : JCU · 2025Article
- Gestational diabetes mellitus - more than the eye can see - a warning sign for future maternal health with transgenerational impact.Frontiers in clinical diabetes and healthcare · 2025Review
- Ensemble learning for fetal ultrasound and maternal-fetal data to predict mode of delivery after labor induction.Scientific reports · 2024Article
- The NICHD Fetal 3D Study: A Pregnancy Cohort Study of Fetal Body Composition and Volumes.American journal of epidemiology · 2024Article
- A Clinical Approach to Semiautomated Three-Dimensional Fetal Brain Biometry-Comparing the Strengths and Weaknesses of Two Diagnostic Tools: 5DCNS+Journal of clinical medicine · 2023Article
- Role of fetal head-circumference-to-maternal-height ratio in predicting Cesarean section for labor dystocia: prospective multicenter study.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2023Article
- Fetal weight estimation by automated three-dimensional limb volume model in late third trimester compared to two-dimensional model: a cross-sectional prospective observational study.BMC pregnancy and childbirth · 2021Observational
- Individualized growth assessment: conceptual framework and practical implementation for the evaluation of fetal growth and neonatal growth outcome.American journal of obstetrics and gynecology · 2018Review
- Fractional fetal thigh volume in the prediction of normal and abnormal fetal growth during the third trimester of pregnancy.American journal of obstetrics and gynecology · 2017Article
- Three-dimensional ultrasound of the fetus: how does it help?Pediatric radiology · 2016Review
- A new formula for estimating fetal weight: The impression of biparietal diameter, abdominal circumference, mid-thigh soft tissue thickness and femoral length on birth weight.Iranian journal of reproductive medicine · 2013Article
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5 authors.
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Abstract
objectivesTo prospectively validate the use of fractional limb volume measurements for estimated fetal weight (EFW) during the second and third trimesters of pregnancy and to summarize the medical literature regarding application of fractional limb volume for fetal weight estimation.
methodsOne hundred and sixty-four women prospectively underwent three-dimensional ultrasonography within 4 days of delivery. Birth weights (BWs) ranged from 390 to 5426 g. Fetal measurements were extracted using volume datasets for biparietal diameter, abdominal circumference, femur diaphysis length, fractional arm volume and fractional thigh volume. Fractional limb volumes were manually traced from a central portion of the humerus or femur diaphysis. Mean percentage differences and SDs of the percentage differences were calculated for EFW. The proportion of newborns with EFW within 5 or 10% of BW were compared with an estimate obtained using a Hadlock formula that was modified using model coefficients from the same local population sample.
resultsUltrasound scans were performed between 21.7 and 42 weeks' menstrual age. Optimal model performance (1.9 ± 6.6%) resulted from using a combination of biparietal diameter, abdominal circumference and fractional thigh volume. The precision of this model was superior to results obtained using a modified Hadlock model (1.1 ± 8.4%), although accuracy of these predictions was slightly decreased for female infants. For all fetuses, the prediction model that incorporated fractional thigh volume correctly classified a greater proportion of EFW within 5% (55.1 vs 43.7%; P = 0.03) or 10% (86.5 vs 75.9%; P < 0.05) of BW when compared with the modified Hadlock model.
conclusionsFractional thigh volume can be added to two-dimensional sonographic measurements of the head and trunk to improve the precision of fetal weight estimation. This approach permits the inclusion of soft tissue development as part of a weight estimation procedure for the assessment of generalized fetal nutritional status.
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