{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T17:43:46Z","timestamp":1785347026434,"version":"3.55.0"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,6,3]],"date-time":"2016-06-03T00:00:00Z","timestamp":1464912000000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Ultrasound in Obstet &amp; Gyne"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe the sonographic appearance of fetal posterior fossa anatomy at 11\u201314 weeks of pregnancy and to assess the outcome of fetuses with increased intracranial translucency (<jats:styled-content style=\"fixed-case\">IT<\/jats:styled-content>) and\/or brainstem\u2010to\u2010occipital bone (<jats:styled-content style=\"fixed-case\">BSOB<\/jats:styled-content>) diameter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Reference ranges for brainstem (<jats:styled-content style=\"fixed-case\">BS<\/jats:styled-content>), <jats:styled-content style=\"fixed-case\">IT<\/jats:styled-content> and cisterna magna (<jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content>) measurements, <jats:styled-content style=\"fixed-case\">BSOB<\/jats:styled-content> diameter and the <jats:styled-content style=\"fixed-case\">BS<\/jats:styled-content> : <jats:styled-content style=\"fixed-case\">BSOB<\/jats:styled-content> ratio were obtained from the first\u2010trimester ultrasound examination of 233 fetuses with normal postnatal outcome (control group). The intraobserver and interobserver variability of measurements were investigated using 73 stored ultrasound images. In addition, a study group of 17 fetuses with increased <jats:styled-content style=\"fixed-case\">IT<\/jats:styled-content> and\/or <jats:styled-content style=\"fixed-case\">BSOB<\/jats:styled-content> diameter was selected to assess outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No significant intraobserver or interobserver variability was found for any measurement in the control group. In the study group, <jats:styled-content style=\"fixed-case\">IT<\/jats:styled-content> was increased in all cases and <jats:styled-content style=\"fixed-case\">BSOB<\/jats:styled-content> diameter was above the 95<jats:sup>th<\/jats:sup> centile of the calculated normal range in all but two (88%) cases. In 13\/17 study cases, only two of the three posterior brain spaces were recognized on ultrasound. These 13 fetuses had a larger <jats:styled-content style=\"fixed-case\">BSOB<\/jats:styled-content> diameter than did the four cases that showed all three posterior brain spaces, and had severe associated anomalies including Dandy\u2013Walker malformation (<jats:styled-content style=\"fixed-case\">DWM<\/jats:styled-content>) and\/or chromosomal anomalies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Visualization of the fetal posterior fossa anatomy at 11\u201314 weeks' gestation is feasible. Increased fluid in the posterior brain at 11\u201314 weeks, particularly in the case of non\u2010visibility of the septation that divides the future fourth ventricle from the <jats:styled-content style=\"fixed-case\">CM<\/jats:styled-content>, is an important risk factor for cystic posterior fossa malformations, in particular <jats:styled-content style=\"fixed-case\">DWM<\/jats:styled-content>, and\/or chromosomal aberrations. Copyright \u00a9 2015 ISUOG. Published by John Wiley &amp; Sons Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/uog.14883","type":"journal-article","created":{"date-parts":[[2015,4,23]],"date-time":"2015-04-23T10:17:26Z","timestamp":1429784246000},"page":"720-725","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":56,"title":["Appearance of fetal posterior fossa at 11\u201314 weeks in fetuses with Dandy\u2013Walker malformation or chromosomal anomalies"],"prefix":"10.1002","volume":"47","author":[{"given":"P.","family":"Volpe","sequence":"first","affiliation":[{"name":"Fetal Medicine Unit, Di Venere and Sarcone Hospitals, ASL BA  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Contro","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Fanelli","sequence":"additional","affiliation":[{"name":"Fetal Medicine Unit, Di Venere and Sarcone Hospitals, ASL BA  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Muto","sequence":"additional","affiliation":[{"name":"Fetal Medicine Unit, Di Venere and Sarcone Hospitals, ASL BA  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Pilu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Bologna  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Gentile","sequence":"additional","affiliation":[{"name":"Medical Genetics Unit Di Venere Hospital, ASL BA  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,6,3]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.10070"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.2637"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.2642"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.2831"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.3920"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7552"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.7329"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.10111"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.2632"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.9067"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.8957"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-003-0792-3"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.3899"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.3868"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.11099"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.12302"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.11071"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.11101"}],"container-title":["Ultrasound in Obstetrics &amp; Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fuog.14883","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/uog.14883","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T02:18:25Z","timestamp":1696472305000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/uog.14883"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6]]},"references-count":18,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["10.1002\/uog.14883"],"URL":"https:\/\/doi.org\/10.1002\/uog.14883","archive":["Portico"],"relation":{},"ISSN":["0960-7692","1469-0705"],"issn-type":[{"value":"0960-7692","type":"print"},{"value":"1469-0705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6]]},"assertion":[{"value":"2015-02-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-04-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-06-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}