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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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