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© 2008 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 27:373-378 • 0278-4297

Three-Dimensional Sonographic Volumetry of the Gestational Sac and the Amniotic Sac in the First Trimester

Marwan Odeh, MD, Yael Hirsh, MD, Shimon Degani, MD, Vitaly Grinin, MD, Ella Ofir, MD and Jacob Bornstein, MD

Department of Obstetrics and Gynecology, Western Galilee Hospital, Nahariya, Israel (M.O., Y.H., V.G., E.O., J.B.); and Bnei Zion Medical Center, Rappaport Faculty of Medicine, Technion, Haifa, Israel (S.D.).

Address correspondence to Marwan Odeh, MD, Department of Obstetrics and Gynecology, Nahariya Hospital, PO Box 21, 22100 Nahariya, Israel. E-mail: marwan20{at}bezeqint.net

Objective. The purpose of this study was to measure the volumes of the gestational sac and amniotic sac in normal pregnancies during the first trimester with 3-dimensional sonography to prepare nomograms. Methods. One hundred fifty-one patients between 6 and 12 weeks’ gestation were studied. Nine aborted and were excluded, leaving 142 patients for evaluation. Inclusion criteria were a singleton viable pregnancy shown by transvaginal sonography and continuation of the pregnancy beyond 24 weeks. Women with known thrombophilia or fetal malformations were excluded. In all patients, gestational sac and amniotic sac volumes were measured by 3-dimensional transvaginal sonography with virtual organ computer-aided analysis software. Results. The mean gestational sac volume was 20.35 mL (range, 0.7–113 mL) and correlated closely with the gestational age (GA) (r2 = 0.769; P << .001) and crown-rump length (CRL) (r2 = 0.823; P << .001). The mean amniotic sac volume was 3.69 mL (range, 0.01–92.1 mL) and also had a strong correlation with the GA (r2 = 0.869; P << .001) and CRL (r2 = 0.919; P << .001). Conclusions. Gestational sac and amniotic sac volumes show excellent correlation with the GA and CRL and hence may be used for determining the GA. Larger studies are needed to determine the importance of these volumes in predicting normal pregnancy outcomes and whether these volumes can be used in the management of pregnancies at risk for abortion.

Key Words: amniotic sac volume • first trimester • gestational sac volume • 3-dimensional sonography

Abbreviations: ASV, amniotic sac volume • CRL, crown-rump length • GA, gestational age • GSV, gestational sac volume

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Copyright © 2008 by the American Institute of Ultrasound in Medicine.