patient name: 1st trimester ( 11-17 weeks) ultrasound date of … · 2019-04-02 · 1/04/2019 5...
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11-14 weeksKATE GUSKICH
SENIOR SONOGRAPHER - MONASH HEALTH
Overview
Anatomy
Technique
Scanning planes
Nuchal Translucency
Pathology
Anatomy
Sonographer (1).............. Sonographer (2) Duty Sonologist ...................
Sonographer(T) ............. Discussed with ................ Discussed with ...................
Scanned with ............ (if ltd. region)........................................................ Scanned with ................
Patient Name:
Date of birth: Place Label
UR:
Clinical History ...............................................................................................................................................................
(Clear Initials)
RP_PC_Rev date 1 August 2016
NOTE: This is a sonographer ’s worksheet NOT a consultant ’s report. It documents a sonographer ’s impressions during the examination and complements images
captured during the study. The consultant’s report may vary from the worksheet comments. The REPORT must be reviewed prior to formulation of any management strategy .
Key images are .............................. Key clips are .................................... (Radiologist to consider hyperlinking in the CSH P ACs report)
1st Trimester ( 11-17 weeks)
Ultrasound
EDD .................................Based on LMP / Prev.US performed at ................wks Gestational age .......................
Transabdo/ Endovaginal Consent ( Y /N ) Chaperone ..............................
Early Embryonic Pole
CRL ........................mm .................. wks ............. days BPD ...........cm .......... % ile
Embryonic Heart Rate ( yes/ no ).......................... (bpm)
Nuchal Translucency (Performed / Not performed ) .................. mm ............ wks ..........days
If NT not performed, give rationale ...........................................................................................................................................
Placenta: Location ................................ Haemmorhage ( No / Yes ) ......................................................................
Biometry (Performed between 14-17 weeks )
HC ...............cm .......... % ile AC ........... ...cm .......... % ile FL ...........cm .......... % ile
Comment ............................................................................................................................................................................
EDD ..................... ...... established / confir
m
e d / r edated (EDD calculated from CRL only / Composite of all measurements)
Anatomy
Uterine pathology .............................................................................................................................................................
Ovarian (Corpus Luteum Right / Left ) ....................................................................................................................
Cervix ..............................................................................................................................................................................
Comment ..........................................................................................................................................................................
Sagittal
Axial
Coronal
• High frequency transducer• HD Zoom
• Transvaginal scanning
Axial
Axial face
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Axial chest/heart Axial Abdomen - Pelvis
Sagittal
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Sagittal face
Sagittal brain/NT
BS
ICT
CM
NT
Sagittal CRL
Sagittal spine/SL
Coronal
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Coronal spine
Coronal kidneys
Coronal diaphragm
Coronal face
Axial head
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Axial head
Upper limbs
Lower limbs
NT
T21 Screening
Combined (MA+MSS+NT+NB)
Online course
Accreditation and ongoing audit
Marker
Other chromosomal abnormalities
Heart defects
>3.5mm abnormal/thickened
++
Criteria for the NT measurement:
1. CRL = 45-84mm (GA 11 to 13+6 weeks)
2. Mid-Sagittal section
3. Neutral position
4. Only head and upper thorax in included on the image
5. Magnification so that callipers provide measurements to 0.1mm
6. Maximum thickness of subcutaneous translucency is measured
7. Callipers placed on the lines that define the NT thickness
Criteria for the NT measurement:
1. CRL = 45-84mm (GA 11 to 13+6 weeks)
2. Mid-Sagittal section
3. Neutral position
4. Only head and upper thorax in included on the image
5. Magnification so that callipers provide measurements to 0.1mm
6. Maximum thickness of subcutaneous translucency is measured
7. Callipers placed on the lines that define the NT thickness
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Criteria for the NT measurement:
1. CRL = 45-84mm (GA 11 to 13+6 weeks)
2. Mid-Sagittal section
3. Neutral position
4. Only head and upper thorax in included on the image
5. Magnification so that callipers provide measurements to 0.1mm
6. Maximum thickness of subcutaneous translucency is measured
7. Callipers placed on the lines that define the NT thickness
Criteria for the NT measurement:
1. CRL = 45-84mm (GA 11 to 13+6 weeks)
2. Mid-Sagittal section
3. Neutral position
4. Only head and upper thorax in included on the image
5. Magnification so that callipers provide measurements to 0.1mm
6. Maximum thickness of subcutaneous translucency is measured
7. Callipers placed on the lines that define the NT thickness
Criteria for the NT measurement:
1. CRL = 45-84mm (GA 11 to 13+6 weeks)
2. Mid-Sagittal section
3. Neutral position
4. Only head and upper thorax in included on the image
5. Magnification so that callipers provide measurements to 0.1mm
6. Maximum thickness of subcutaneous translucency is measured
7. Callipers placed on the lines that define the NT thickness
Criteria for the NT measurement:
1. CRL = 45-84mm (GA 11 to 13+6 weeks)
2. Mid-Sagittal section
3. Neutral position
4. Only head and upper thorax in included on the image
5. Magnification so that callipers provide measurements to 0.1mm
6. Maximum thickness of subcutaneous translucency is measured
7. Callipers placed on the lines that define the NT thickness
Criteria for the NT measurement:
1. CRL = 45-84mm (GA 11 to 13+6 weeks)
2. Mid-Sagittal section
3. Neutral position
4. Only head and upper thorax in included on the image
5. Magnification so that callipers provide measurements to 0.1mm
6. Maximum thickness of subcutaneous translucency is measured
7. Callipers placed on the lines that define the NT thickness
Criteria for the NT measurement:
1. CRL = 45-84mm (GA 11 to 13+6 weeks)
2. Mid-Sagittal section
3. Neutral position
4. Only head and upper thorax in included on the image
5. Magnification so that callipers provide measurements to 0.1mm
6. Maximum thickness of subcutaneous translucency is measured
7. Callipers placed on the lines that define the NT thickness
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Maternal
+
+
Guess the Pathology……???
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