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Mean Sac Diameter Calculator

Calculate gestational age from ultrasound measurements of the gestational sac

Calculate Mean Sac Diameter

Maximum diameter measurement on ultrasound

Perpendicular to length measurement

Anteroposterior dimension measurement

Example Calculation

Early Pregnancy at 6 Weeks

Gestational sac measurements:

• Length: 12.5 mm

• Width: 11.8 mm

• Height: 13.2 mm

Mean sac diameter: (12.5 + 11.8 + 13.2) ÷ 3 = 12.5 mm

Result

Gestational age: 12.5 + 30 = 42.5 days ≈ 6w 1d

Assessment: Early pregnancy progressing normally

Accuracy range: 5w 3d - 6w 6d (±5 days)

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Gestational Sac Milestones

5w

Gestational Sac

First visible structure

Usually appears around 5 weeks

6w

Yolk Sac

Secondary structure

Appears around 5.5-6 weeks

7w

Embryo

Fetal pole visible

Usually visible by 6-7 weeks

8w

Cardiac Activity

Heartbeat detectable

Usually by 6-8 weeks

MSD Reference Guide

Accuracy:±5 days
Best period:5-10 weeks
Formula:(L+W+H)/3

Measurement Tips:

  • • Use transvaginal ultrasound for better accuracy
  • • Measure the largest diameter in each plane
  • • Ensure clear gestational sac borders
  • • Take multiple measurements and average

Understanding Mean Sac Diameter

What is the Gestational Sac?

The gestational sac is the first structure visible during early pregnancy ultrasound. It appears as a white rim around a clear center and contains the developing embryo, yolk sac, and amniotic fluid. The gestational sac is typically visible around 5 weeks of pregnancy.

Clinical Applications

  • Early pregnancy dating before crown-rump length is measurable
  • Confirming intrauterine pregnancy location
  • Assessing early pregnancy viability
  • Monitoring pregnancy progression in first trimester

Measurement Technique

MSD = (Length + Width + Height) ÷ 3

Gestational Age = MSD + 30 days

  • Length: Largest diameter measurement
  • Width: Perpendicular to length
  • Height: Anteroposterior dimension

Ultrasound Considerations

Preferred method:Transvaginal ultrasound
Accuracy window:5-10 weeks gestation
Standard error:±5 days

Important: After 10 weeks gestation, crown-rump length (CRL) becomes more accurate for pregnancy dating than mean sac diameter.

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