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Estimation of placental volume by three-dimensional ultrasonography with the XI VOCAL method in the first gestational trimester

OBJECTIVE: To determine reference values for placental volume at 7 to 10 + 6 weeks of gestation by means of three-dimensional ultrasonography with the XI VOCAL (eXtended Imaging Virtual Organ Computer-aided Analysis) method. MATERIALS AND METHODS: A cross-sectional study was developed with 70 pregnant women at 7 to 10 + 6 weeks of gestation. The XI VOCAL method with ten sequential adjacent planes was utilized in the volume calculations. Means, medians, standard deviation, minimum and maximum values for placental volume were calculated. A scatter plot adjusted by the determination coefficient (R²) was constructed to correlate placental volume and gestational age. RESULTS: Mean placental volume ranged from 4.6 cm³ (2.6-8.6 cm³) to 28.9 cm³ (11.4-66.9 cm³). The placental volume (PV) has shown to be highly correlated with the gestational age (GA) and the best fit equation was [PV = exp(0.582 × GA + 0.063); R² = 0.82]. CONCLUSION: Reference values for placental volume in the first gestational trimester were determined with the XI VOCAL method.

Early placental phase; First trimester of pregnancy; Gestational age; Organ volume; Three-dimensional imaging


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