In-vivo three-dimensional ultrasound reconstructions of embryos and early fetuses

Background Three-dimensional (3D) imaging of the living human embryo has become possible in the monitoring of embryological development, as described by classic human embryology. We aimed to create 3D images of organs in embryos on early pregnancy. Methods We used a specially developed 7·5 MHz annular array 3D transvaginal probe to examine embryos. We included 34 women at 7–10 weeksʹ gestation. We measured the crown-rump length (CRL) of the embryos and fetuses and transferred the 3D ultrasound data to an external computer for further processing to calculate volume. Findings The CRLs ranged from 9·3 mm to 39·0 mm. The quality of the images of the embryos and fetuses made it possible to outline in detail the outer contours and the contours of the brain cavities, and the calculated volumes corresponded well to the descriptions from classic human embryology. Interpretation Our 3D imaging system allowed visualisation of structures of less than 10 mm. Therefore, development and abnormal development of fetuses can be monitored.