3D and 4D Ultrasound

Most ultrasounds are routinely performed using conventional 2 dimensional (2D) scanning. The image usually appears black and white on the ultrasound screen, although the doctor may sometimes change the colour of the picture. This type of ultrasound provides most of the clinically relevant information to the doctor.

In recent years, 3 dimensional (3D) and 4 dimensional (4D) ultrasounds have become increasingly popular and readily available. A regular 2-D ultrasound creates a cross-sectional view of your baby.

In a 3-D ultrasound, many 2-D images are taken from various angles and pieced together to form a three-dimensional image. This looks more like what you’re used to seeing in a typical photograph.

4-D is similar to 3-D, but it shows movement, so you can see your baby kicking or opening and closing their eyes.

The 3D/4D image usually appears a golden colour on the ultrasound screen, as this colour is easy for patients to look at and highlights features on the baby.

3D/4D ultrasound uses the same ultrasound beams as the conventional 2D ultrasound, with extra processing performed by the ultrasound machine computer.

Is this safe for the baby?

 3D/4D ultrasound is just as safe as conventional 2D scanning, with no evidence that it harms you or your baby.

What is the role of 3D/4D scans?

There is some diagnostic role for 3D/4D ultrasound in obstetrics, although this is currently limited to a few particular conditions. For example, parents may better understand an abnormality like cleft lip when they see their baby in a 3D image, for the image appears more life-like.
Usually such conditions are first assessed in detail with the conventional 2D ultrasound.

This is one reason why it is important to have your 3D/4D images as part of an overall examination of your baby, performed by trained sonographers and doctors, who will recognise any problems with your baby.

Most 3D/4D images in pregnancy are taken for the enjoyment of parents, rather than for their clinical usefulness. It is a good idea for parents to remember the limitations of 3D/4D when they are having their ultrasound.

When would I have 3D/ 4D images of my baby?

Many parents enjoy the bonding experienced when they see their baby on 3D/4D imaging.

We aim to obtain good 3D/4D pictures of your baby at all gestations beyond the early pregnancy, but we also think it is important to make sure that your baby is otherwise healthy and growing well. For this reason, the 3D/4D images of your baby are often done at the end of the examination, after the baby has been fully assessed in 2D ultrasound when all routine measurements and other images are completed. 3D/4D images of your baby should be seen as an added bonus of the examination, rather than the primary purpose of the scan. The best time to obtain good 3D/4D images of your baby is between 24 and 34 weeks.

Images in earlier pregnancy (for example, on your routine 18-20 week morphology ultrasound) will appear different to the cute baby face with chubby cheeks you may have seen on TV or in a newspaper article. Babies earlier in the pregnancy do not have the same degree of subcutaneous fat. This means your baby will look less “filled out”, and more skeletal or bony, on the 3D/4D images. Many parents still enjoy seeing these early 3D/4D images, especially when their baby moves around. These images are also good to obtain on earlier ultrasounds, since many women will not need to return for a third trimester ultrasound.
Beautiful and clear 3D/4D images of your baby, especially baby’s face, are often seen on a third trimester ultrasound.

Good 3D/4D imaging requires a co-operative baby and adequate amniotic fluid in front of the structure being imaged. Some babies press against the wall of the uterus or placenta, or they may have their arms or hands lying in front of the face. This will make obtaining 3D/4D images difficult or impossible.

It is good for parents to anticipate seeing their growing baby, but not to be too disappointed if the 3D/4D images prove difficult or the images of baby’s face are impossible to get.