14 Weeks Gestation

Visualisation of extra-embryonic structures

Case 1

Below is an annotated image of a 14 weeks and 3 days (14 + 3 weeks) old fetus with Trisomy 21, born with the amniotic sac membrane intact. The specimen was imaged ex-vivo with 3D ultrasound with CrystalVue™ and RealisticVue™ rendering.

Amnion
Placental Cord Insertion
Abdominal Cord Insertion
Chorion*
Amnion
Abdominal Cord Insertion
Umbilical Cord
Placenta*
  1. 3D ultrasound volume with CrystalVue™ and RealisticVue™ applied of a fetus with Trisomy 21 at 14+3 weeks gestation, born with intact amniotic sac. The light source is placed behind the fetus enabling visualisation of the amniotic sac and insertions of the umbilical cord both into the placenta and anterior abdominal wall. 
  2. Schematic illustration of the fetus and the fetal membranes. Structures with an asterisk [*] are not visible in the 3D ultrasound volume, but have been added to illustrate the relation between the developing fetus, fetal membranes, and placenta. 

Comparative fetal anatomy

Case 2

Below are annotated images of a healthy fetus of 14+5 weeks gestation. This specimen was imaged ex-vivo using 3D ultrasound imaging with 3D ultrasound with CrystalVue™ and RealisticVue™ rendering. Thereafter, the specimen was imaged using contrast-enhanced microCT which was used as an anatomical reference standard. The ultrasound and microCT images are directly compared, allowing for validation and annotation of the the structures visualised in 3D ultrasound imaging.

The arrows and coloured fields in each image indicate anatomical structures. When you move your mouse over the arrow or coloured field, the name of the structure will appear.

Parietal bone
Frontal bone
Frontal bone
Eye and lens
Zygomatic bone
Sphenoidal fontanel
Temporal bone
Mandible
Maxilla
Frontal bone
Frontal bone
Parietal bone
Scapula
Humerus
Radius and ulna
Ribs
Ribs
Ilium
Femur
Tibia
  1. 3D ultrasound volume with CrystalVue™ and RealisticVue™ applied. Settings are optimised for visualisation of skeletal structures.
  2. Overlay of a schematic illustration of the skeletal the structures visualised in the 3D ultrasound volume and the original image.
Thalamus
Midbrain with aqueduct of Sylvius
Cerebellum
Hard and soft palate
Mandible
Hyoid bone
Thalamus
Midbrain
Cerebellum
Hard and soft palate
Mandible
Hyoid bone
  1. 3D ultrasound volume with CrystalVue™ and RealisticVue™ applied. A mid sagittal view of the midline intracranial structures and palate is selected.
  2. MicroCT image slice corresponding to the 3D ultrasound section in image A to validate the the structures visualised.
Cerebral hemisphere
Midbrain with aqueduct of Sylvius
Cerebellar hemisphere
Cerebellar vermis
Brainstem
Cerebral hemisphere
Midbrain with aqueduct of Sylvius
Cerebellar hemisphere
Cerebellar vermis
Brainstem
  1. 3D ultrasound volume with CrystalVue™ and RealisticVue™ applied. A coronal view of the posterior cranial fossa is selected.
  2. MicroCT image slice corresponding to the 3D ultrasound section in image A to validate the the structures visualised.
Rib
Rib
Rib
Lung with acoustic shadowing from ribs
Left kidney
Left renal pelvis
Left ilium
Rib
Rib
Rib
Left lung
Left kidney
Left renal pelvis
Left ilium
  1. 3D ultrasound volume with CrystalVue™ and RealisticVue™ applied. The volume has been sectioned through the coronal plane of the left kidney (note that the kidney is positioned slightly obliquely in the body with its pelvis facing towards the vertebral column).
  2. MicroCT image of the same specimen. A corresponding imaging plane was selected to validate the the structures visualised.
Left lung
Oesophagus
Stomach
Liver
Small intestine
Left lung
Oesofagus
Stomach
Liver
Small intestine
  1. 3D ultrasound volume with CrystalVue™ and RealisticVue™ applied. The volume has been sectioned through a coronal plane, visualising the distal oesophagus entering the stomach.
  2. MicroCT image of the same specimen. A corresponding imaging plane was selected to validate the the structures visualised.