Fetal biparietal diameter: a critical re-evaluation of the relation to menstrual age by means of real-time ultrasound

J Ultrasound Med. 1982 Apr;1(3):97-104. doi: 10.7863/jum.1982.1.3.97.

Abstract

The relationship between fetal biparietal diameter (BPD) and menstrual age was determined by cross-sectional analysis of 533 fetuses (12 to 40 weeks) examined with a linear array real-time (dynamic image) scanner using specifically defined methodology. Mathematical modeling of the data demonstrated that the optimal fit was the linear cubic function (r2 = 99 per cent); predicted BPD values calculated from the function were most comparable with composite data from cross-sectional studies performed with static scanners after 1974 (average difference, 0.22 mm) and least comparable with composite data from cross-sectional studies performed with static scanners before 1974 (average difference, 2.0 mm). The variability associated with predicting menstrual age from the BPD increased progressively throughout gestation; the maximal variability was noted between 36 and 42 weeks (+/- 3.6 weeks). Comparison with our longitudinal study of BPD growth indicates that the cross-sectional data represent a valid estimate of the true longitudinal BPD growth curve of the population.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cephalometry / methods
  • Embryonic and Fetal Development
  • Female
  • Forecasting
  • Gestational Age*
  • Humans
  • Linear Models
  • Pregnancy
  • Skull / diagnostic imaging*
  • Skull / embryology*
  • Ultrasonography, Prenatal*