Imaging fetal anatomy.

Journal: Seminars in cell & developmental biology
PMID:

Abstract

Due to advancements in ultrasound techniques, the focus of antenatal ultrasound screening is moving towards the first trimester of pregnancy. The early first trimester however remains in part, a 'black box', due to the size of the developing embryo and the limitations of contemporary scanning techniques. Therefore there is a need for images of early anatomical developmental to improve our understanding of this area. By using new imaging techniques, we can not only obtain better images to further our knowledge of early embryonic development, but clear images of embryonic and fetal development can also be used in training for e.g. sonographers and fetal surgeons, or to educate parents expecting a child with a fetal anomaly. The aim of this review is to provide an overview of the past, present and future techniques used to capture images of the developing human embryo and fetus and provide the reader newest insights in upcoming and promising imaging techniques. The reader is taken from the earliest drawings of da Vinci, along the advancements in the fields of in utero ultrasound and MR imaging techniques towards high-resolution ex utero imaging using Micro-CT and ultra-high field MRI. Finally, a future perspective is given about the use of artificial intelligence in ultrasound and new potential imaging techniques such as synchrotron radiation-based CT to increase our knowledge regarding human development.

Authors

  • Yousif Dawood
    Amsterdam UMC, University of Amsterdam, Department of Obstetrics and Gynecology, Amsterdam Reproduction & Development research institute, Meibergdreef 9, Amsterdam, The Netherlands; Amsterdam UMC, University of Amsterdam, Department of Medical Biology, Section Clinical Anatomy & Embryology, Amsterdam Reproduction & Development research institute, Meibergdreef 15, Amsterdam, The Netherlands.
  • Marieke F J Buijtendijk
    Amsterdam UMC, University of Amsterdam, Department of Medical Biology, Section Clinical Anatomy & Embryology, Amsterdam Reproduction & Development research institute, Meibergdreef 15, Amsterdam, The Netherlands.
  • Harsha Shah
    Imperial College London, Department of Metabolism, Digestion and Reproduction, Division of Reproductive and Developmental Biology, London, United Kingdom.
  • Johannes A Smit
    Amsterdam UMC, University of Amsterdam, Department of Plastic, Reconstructive and Hand Surgery, Meibergdreef 9, Amsterdam, The Netherlands.
  • Karl Jacobs
    Amsterdam UMC, University of Amsterdam, Department of Medical Biology, Section Clinical Anatomy & Embryology, Amsterdam Reproduction & Development research institute, Meibergdreef 15, Amsterdam, The Netherlands.
  • Jaco Hagoort
    Amsterdam UMC, University of Amsterdam, Department of Medical Biology, Section Clinical Anatomy & Embryology, Amsterdam Reproduction & Development research institute, Meibergdreef 15, Amsterdam, The Netherlands.
  • Roelof-Jan Oostra
    Amsterdam UMC, University of Amsterdam, Department of Medical Biology, Section Clinical Anatomy & Embryology, Amsterdam Reproduction & Development research institute, Meibergdreef 15, Amsterdam, The Netherlands.
  • Tom Bourne
    Department of Cancer and Surgery, Queen Charlotte's and Chelsea Hospital, Imperial College, London, United Kingdom.
  • Maurice J B van den Hoff
    Amsterdam UMC, University of Amsterdam, Department of Medical Biology, Section Clinical Anatomy & Embryology, Amsterdam Reproduction & Development research institute, Meibergdreef 15, Amsterdam, The Netherlands.
  • Bernadette S de Bakker
    Amsterdam UMC, University of Amsterdam, Department of Obstetrics and Gynecology, Amsterdam Reproduction & Development research institute, Meibergdreef 9, Amsterdam, The Netherlands; Amsterdam UMC, University of Amsterdam, Department of Medical Biology, Section Clinical Anatomy & Embryology, Amsterdam Reproduction & Development research institute, Meibergdreef 15, Amsterdam, The Netherlands. Electronic address: b.s.debakker@amsterdamumc.nl.