PMID- 27729965 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2032-0418 (Print) IS - 2032-0418 (Linking) VI - 7 IP - 4 DP - 2015 Dec 28 TI - Reproducibility of 3-Dimensional Ultrasound Measurements of Placental Volume at Gestational Ages 11 - 14 Weeks. PG - 203-209 AB - OBJECTIVE: To evaluate the reproducibility of placental volume using three-dimensional ultrasound. METHODS: The VOCAL (Virtual Organ Computer-aided AnaLysis) technique involves rotating an image of an object along an established axis using predefined angles. This provides a number of sections to measure manually, resulting in the object being displayed with an estimated placental volume. Four predefined angles 30 degrees , 15 degrees , 9 degrees , and 6 degrees , creating 6, 12, 20 and 30 sections, respectively. Measurements of placenta volumes in 21 women with singleton pregnancies were performed at gestational age 11-14 weeks by a single consultant in Foetal Medicine and later processed by two observers. The intraobserver reproducibility between all four angles was calculated as the mean Coefficient of Variation. Interobserver reproducibility was assessed by Interclass Correlation Coefficient (ICC), Limits of Agreement (LOA) and illustrated in Bland-Altman plots. RESULTS: There was no significant difference in intraobserver variability between the four angles, p = 0.19, but a trend towards a lower coefficient of variation with the smallest angle was observed. A high intraobserver reproducibility was found using the 6 degrees angle (ICC = 0.918 (0.812 - 0.966) and 0.983 (0.960- 0.993), LOA = [-22.9- 22.5] and [-14.3 - 12.1]), but interobserver reproducibility showed a wide range of agreement (LOA = [-50.5- 34.8]), particularly in cases with u-shaped placentas. CONCLUSION: The low interobserver reproducibility of VOCAL measurements of placentae requires significant differences between normal and abnormal cases if the technique should be implemented for clinical use. FAU - Larsen, M L AU - Larsen ML AD - Department of Obstetrics and Gynaecology, University Hospital Hvidovre, University of Copenhagen, Denmark. FAU - Naver, K V AU - Naver KV AD - Department of Obstetrics and Gynaecology, University Hospital Hvidovre, University of Copenhagen, Denmark. FAU - Kjaer, M M AU - Kjaer MM AD - Department of Obstetrics and Gynaecology, University Hospital Hvidovre, University of Copenhagen, Denmark. FAU - Jorgensen, F S AU - Jorgensen FS AD - Department of Obstetrics and Gynaecology, University Hospital Hvidovre, University of Copenhagen, Denmark. FAU - Nilas, L AU - Nilas L AD - Department of Obstetrics and Gynaecology, University Hospital Hvidovre, University of Copenhagen, Denmark. LA - eng PT - Journal Article PL - Belgium TA - Facts Views Vis Obgyn JT - Facts, views & vision in ObGyn JID - 101578773 PMC - PMC5058409 OTO - NOTNLM OT - Placental volume OT - VOCAL OT - reproducibility OT - three-dimensional ultrasound OT - variability OT - virtual Organ Computeraided AnaLysis EDAT- 2016/10/13 06:00 MHDA- 2016/10/13 06:01 PMCR- 2015/12/28 CRDT- 2016/10/13 06:00 PHST- 2016/10/13 06:00 [entrez] PHST- 2016/10/13 06:00 [pubmed] PHST- 2016/10/13 06:01 [medline] PHST- 2015/12/28 00:00 [pmc-release] PST - ppublish SO - Facts Views Vis Obgyn. 2015 Dec 28;7(4):203-209.