Three-dimensional ultrasound demonstration of the fetal palate in high-risk patients: the accuracy of prenatal visualization

Prenat Diagn. 2013 May;33(5):436-41. doi: 10.1002/pd.4083. Epub 2013 Mar 12.

Abstract

Objective: The aim of this research was to evaluate the ability of three-dimensional (3D) ultrasound for demonstrating the palate of fetuses at high risk for cleft palate.

Method: Fifty-seven fetuses at high risk for cleft palate were referred for specialist ultrasound at 12-40 weeks' gestation. A detailed assessment of palate was made using both two-dimensional and 3D ultrasounds on the axial plane. Antenatal diagnoses were compared with postnatal findings.

Results: Cleft palate was suspected in 13 (22.8%); a normal palate was demonstrated in 38 (67%), and in six (10.2%), the palate view could not be obtained. Mean gestational age at the first visit was 27 weeks 6 days (range of 12-40 weeks 3 days). Examination after delivery revealed that one of the 38 fetuses with presumed normal palate had a cleft hard palate, and one had a cleft soft palate (false negative 5%). Among the 13 fetuses with suspected cleft palate, three had an intact palate (false-positive 23%). Sensitivity, specificity, positive predictive value, and negative predictive value of detection of palatal clefts were 71.4%, 91.9%, 62.5%, and 94.4%, respectively.

Conclusion: Using 3D technology, we diagnosed a cleft palate in 83% of high-risk cases, with 5% false negative. 3D technology might produce some technical artifacts resulting in a 23% false-positive rate.

Publication types

  • Evaluation Study

MeSH terms

  • Cleft Palate / diagnostic imaging*
  • Cleft Palate / epidemiology
  • Female
  • Fetus / abnormalities
  • Gestational Age
  • Humans
  • Imaging, Three-Dimensional* / methods
  • Imaging, Three-Dimensional* / statistics & numerical data
  • Infant, Newborn
  • Palate / diagnostic imaging*
  • Pregnancy
  • Pregnancy Outcome / epidemiology
  • Retrospective Studies
  • Risk Factors
  • Sensitivity and Specificity
  • Ultrasonography, Prenatal / methods*
  • Ultrasonography, Prenatal / statistics & numerical data