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CompletedNCT03002246Updated Jul 23, 2019

Automated Fetal Weight Estimation: A Multicenter Validation Using Fractional Limb Volume

An observational study in Birth Weight, Fetal Growth Retardation and Fetal Weight, sponsored by Baylor College of Medicine. Completed. Open to female participants aged 18 Years to 64 Years. Per ClinicalTrials.gov, last updated 2019-07-23.

Sponsored by Baylor College of Medicine · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
330
Ages
18 Years to 64 Years
Sex
Female
01

Study summary

This trial is a collaborative study between 4 sites worldwide. A total of 600 research subjects will be enrolled. We will investigate the validity of using 5D Limb Volume software to improve on estimated fetal weight predictions over a broad range of gestational ages. The purpose is to compare the accuracy and precision of birth weight predictions based on this new technology as compared to the current 2D birth weight prediction models.

Read the detailed description

Ultrasound has been used for over 20 years to estimate fetal weight prior to birth. Sometimes this estimation is not always similar to what the baby actually weighs. In addition to the regular measurements taken at routine ultrasound exams, 3D ultrasound of the baby's arm and leg soft tissue may give us more precise information on how much the baby weighs. This measurement is called fractional limb volume. Fractional limb volume (FLV) is a soft tissue measurement of the arm or thigh that can be used to evaluate body composition. This measurement mostly reflects the fat and muscle development with a small amount of bone.

The recent introduction of 5D Limb Volume software (Samsung, Seoul, Korea) now makes it possible to efficiently and reproducibly measure semi-automated FLV using a computer guided technique.

Subjects will receive one ultrasound scan 4-7 days before their delivery. Both 2D and 3D measurements will be taken. These measurements will then be used to estimate fetal weight. We will compare estimated weight to actual birth weight in order to determine the accuracy and precision of the 5D Limb Volume technology. This data may also be used to develop new weight estimation models that could provide better accuracy and/or precision than what is currently provided using published methods.

02

Conditions studied

  • Birth Weight
  • Fetal Growth Retardation
  • Fetal Weight
  • Fetal Macrosomia
03

Who can participate

Ages eligible
18 Years to 64 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Pregnant women between 28-42 weeks gestation. Fetuses will be either small for gestational age (estimated fetal weight \< 10%), average for gestational age, or large for gestational age (estimated fetal weight > 90%).

Inclusion criteria

  1. Pregnant women (28-42 weeks) within 4-7 days of delivery
  2. Planned delivery at the collaborating hospital where the fetal US scan was performed
  3. Body mass index at first official prenatal appointment below 35.0 kg/M2
  4. Firm US dating criteria (early crown-rump length \< 14 weeks gestational age)

Exclusion criteria

Exclusion Criteria:

  1. Presence of technical factors (e.g. obesity) that make it difficult to visualize fetal structures
  2. Oligohydramnios determined by amniotic fluid index less than 5cm
  3. Fetal distress or unstable maternal condition
  4. Structural or chromosomal fetal anomalies
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
330 participants (actual)
Patient registry
No

Groups and cohorts

  • Average for Gestational Age

    This cohort will include a sample size of 90 subjects. Fetuses will have an estimated fetal weight greater than 10th percentile and less than 90th percentile based on clinical ultrasound assessment. This cohort will receive an ultrasound examination 4-7 days before their delivery.

    Other: Ultrasound Examination

  • Large for Gestational Age

    This cohort will include a sample size of 30 subjects. Fetuses will have an estimated fetal weight greater than 90th percentile based on clinical ultrasound assessment.This cohort will receive an ultrasound examination 4-7 days before their delivery.

    Other: Ultrasound Examination

  • Small for Gestational Age

    This cohort will include a sample size of 30 subjects. Fetuses will have an estimated fetal weight less than 10th percentile based on clinical ultrasound assessment.This cohort will receive an ultrasound examination 4-7 days before their delivery.

    Other: Ultrasound Examination

Interventions

  • OtherUltrasound Examination

    Research volunteers will be invited to have a 2D/3D ultrasound research scan 4-7 days from delivery.This ultrasound scan will take approximately 30 minutes to complete.

05

What researchers measure

Primary outcomes

  1. Comparison Between 5D Limb Vol and 2D Birth weight Prediction

    Compare the accuracy and precision of BW predictions based on 5D Limb Vol technology in pregnant women as compared to 2D BW prediction models

    Time frame: Feb 2017 -Feb 2018

Secondary outcomes

  1. Birth weight Predictions in Suspected Growth Abnormalities

    Characterize the performance of BW predictions based on 5D Limb Vol technology in pregnant women with suspected growth abnormalities.

    Time frame: Feb 2017 - Feb 2018

06

Study locations

No study locations are listed for this record.

07

References and documents

Publications

  • Kang L, Wu QQ, Sun LJ, Gao FY, Wang JJ. Predicting fetal weight by three-dimensional limb volume ultrasound (AVol/TVol) and abdominal circumference. Chin Med J (Engl). 2021 Apr 20;134(9):1070-1078. doi: 10.1097/CM9.0000000000001413. PubMed 33883411 ↗

Individual participant data

Plan to share: Yes

08

Registry details

Key details

Study ID
NCT03002246
Lead sponsor
Baylor College of Medicine
Collaborators
Samsung Medison Co., Ltd., Beijing Obstetrics and Gynecology Hospital, Frauenklinik der Diakonischen Dienste Hannover, University of Pittsburgh
Responsible party
Wesley Lee (Dr. Wesley Lee, Baylor College of Medicine) — Principal investigator
First posted
Dec 23, 2016
Start date
Jan 6, 2017
Primary completion
Jan 31, 2019
Completion
Jan 31, 2019
Last update
Jul 23, 2019

Study contacts

Wesley Lee, MD
principal investigator · Baylor College of Medicine

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2019. You cannot join it, but the record below documents what was studied.

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