Legends

1) Fetal spine at 25 weeks gestation shown in a multiplanar display (A sagittal plane, B

axial or transverse plane and C coronal plane) as well as a rendered view D. Note that this
display allows the evaluation of the fetal spine in conventional cross-sectional 2D
ultrasound views in sagittal, transverse and coronal planes but in a controlled
environment where each level of the spine is correlated in all 3 planes simultaneously. In
addition, the rendered plane can also be correlated to the multiplanar views in real time
with the green line representing the level of cross-section.

2) Rendered view of the fetal spine at 25 weeks gestation. Note the amount of skeletal
anatomy detail depicted from this view. In addition to the anatomy of the ribs and spine
with details for each vertebral level, the clavicles, scapulas, and pelvic bones can be
thoroughly evaluated bilaterally.

3) Multiplanar display of the placenta and the retroplacental area demonstrating gray
scale motion artifacts (white arrows) related to maternal breathing during volume
acquisition.

4) Multiplanar display of a fetus with a giant omphalocele at 33 weeks gestation. This

image demonstrates motion artifacts of the fetal heart (arrows in windows B and C)
related to the relatively long volume acquisition time which is non-gated to the frequency
of heart beats.

5) Surface (A) and maximum intensity projection (otherwise known as MaxIP or ‘the
skeletal mode”) (B) of the fetal right extremity at 23 weeks gestation. Note the details of
the anatomy obtained from both the surface (the fetal ear) and the skeletal mode (the
humerus, radius, ulna, and metatarsal and phalangial views of the hand). The white
round and square markers draw attention to two parts of the forearm that show signal
dropout characteristic during excessive application of the lower threshold filter. This type
of artifact can be otherwise considered suspicious for the uninformed operator.

6) Fetal heart volume acquired with STIC (spatial temporal image correlation) and Color
Doppler at 25 weeks gestation. White arrows show the artifacts related to the relatively
long time for a STIC acquisition, seen typically in the B and C planes but not in the
acquisition plane (A).

7) Fetal heart volume acquired with STIC (spatial temporal image correlation) and
Power Doppler at 27 weeks gestation. This image depicts the Power Doppler artifacts
(white arrows) related to the relatively long STIC acquisition. The image correlation
algorithm reduces significantly the acquisition related motion artifacts but still minor
imperfections in image registration can still be observed.

8) Pregnant cervix with a cervical cerclage in place at 25 weeks gestation shown in a

multiplanar display (A sagittal plane, B axial or transverse plane and C coronal plane) as
well as in a rendered view D. In a 3D volume the evaluation of the cervix is not limited
to the sagittal plane only but extends with the axial and coronal planes. In window A
(which represents the acquisition plane) the cervical cerclage is seen as two bright spots
seen in the anterior and posterior lips of the cervix. In window B the axial plane of the
cerclage is seen depicting the suture in its entirety. Window D shows the rendered axial
view of the cerclage depicting in even more depth the entire suture.