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Background
Three-dimensional ultrasonography (3D US) is a technique which allows acquisition of volumes of data which can be later manipulated and rendered in many different ways. This technique, also known as volume rendering, allows for multislice reconstruction in any plane, with cross-sectional imaging similar to CT scan or MRI. It also allows for surface rendering of a structure.

By collecting volumes of data in a large sweep, patient exam time is reduced and there is a less dependance on operator skill, where post-scan data interpretation is more important.

4D Ultrasound (4D US) is merely 3D US observed in real-time or on video, where time is the fourth dimension.

A 3D US Volume contains a collection or stack of 2D US planes or B-mode images. This volume of data is in the form of a pyramid where the tip emanates from the ultrasound transducer. This volume of data is then analyzed either in real-time (4D US) or later, on a computer using a software package.

A voxel is the basic unit of a three-dimensional image, just as a pixel is the basic unit of a two-dimensional image. Volume-rendering is the process of rendering voxel-based images into viewable and usable 2D images. A variety of sophisticated, software-based algorithms exist for volume-rendering, which will be discussed in the tutorial. 
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