Abstract :
Background and Purpose: Three/four Dimensional/High definition live (3D/4D/HDlive) ultrasound images are recent advancements which have aided and increased diagnoses of gynaecology abnormalities, detailed evaluation of normal and abnormal findings across pregnancy trimesters. Although, 2D ultrasound has played significant role in the field of medicine with its use spanning across almost all the systems of the body since inception, these recent advancements have gained practical usefulness by increasing the diagnosis rate of fetal anomalies and gynaecological disorders in the western world.
In most teaching Hospitals in Africa using Nigeria as a case study, Radiologists perform most of the ultrasound imaging including fetal anomaly and gynaecological scans. It is therefore imperative for the Radiologists in Africa to master and employ the use of the 3D/4D/HDlive to improve the sensitivity of detecting various abnormalities.
Aim: There are limited studies on 3D/4D/HD images in Africa, the aim of this article to give illustration to the role of these ultrasound imaging in clinical medicine and the importance of engaging them in Obstetrics evaluation, as well as the diagnosis of the gynaecological abnormalities in Africa’s tertiary institutions.

Keyword : 3D ultrasound, 4D/HDlive ultrasound, Gynaecology, Obstetrics, tertiary hospitals in Africa.