"In my practice and experience of watching scanning methods in about 75 countries including advance as well as developing countries; 15cm is cut off value and the best method having 88% accuracy is translabial scan--no shaow ,no hazzard.It is better…"
Every ultrasound specialty. One professional network.
-
Bill Goodnight
- Male
- Chapel Hill, NC
- United States
- Blog Posts
- Discussions
- Events
- Groups (2)
- Photos
- Photo Albums
- Case Challenges
Bill Goodnight's Groups
-
Fetal Echocardiography C…
152 members
-
Obstetric Ultrasound Com…
270 members
Bill Goodnight's Page
Latest Activity
Syed Amir Gilani replied to Bill Goodnight's discussion Cervical length screen in population in the group Obstetric Ultrasound Community
Jorge Han, MD, RDMS,RDCS,RVT replied to Bill Goodnight's discussion Cervical length screen in population in the group Obstetric Ultrasound Community
"Transabdominal ultrasound measurement of the cervical length may suffice on regular patients; even when it is not so accurate in many cases, due to technical considerations. In high risk patients and whenever a treatment option have to be decided it…"
Gabriela Pedigo replied to Bill Goodnight's discussion Cervical length screen in population in the group Obstetric Ultrasound Community
"Typically if a woman is low risk, the cervix is observed and measured transabdominally between 18-20 weeks. Although if the cervix is obscured by shadowing I would definately check vaginally."
Bill Goodnight replied to Bill Goodnight's discussion Fetal MRI use in practice for US detected anomalies in the group Obstetric Ultrasound Community
"Yep, sorry, should be missed at US. The debate continues in our department. I think MRI may be useful in ambiguous cases of CNS anomalies when it may change the patients' plans for the pregnancy - that is when it may make a difference in…"
Bill Goodnight added a discussion to the group Obstetric Ultrasound Community
Cervical length screen in population
I noted an interesting paper in this month's American Journal of Obstetrics and Gynecology by Cahill, et al addressing the question of transvaginal ultrasound cervical length measurements at 18-20 weeks (at time of the US standard anatomy US) for all patients. Fonseca demonstrated in 2007 (NEJM) that vaginal progesterone given to women with asymptomatic shortened cervix (<15mm) results in lower rates of preterm birth. When this paper came out, the obvious question was, 'is it really worth…See More
Syed Amir Gilani replied to Bill Goodnight's discussion Fetal MRI use in practice for US detected anomalies in the group Obstetric Ultrasound Community
"We have an average of 2-3 cases of fetal anomalies at my two pricate setups with are working as outclinics for my teaching institute in Lahore,we have an average of 170 to 200 patients a day woth 50% of them are obstetrical ultrasound.Most of them…"
Syed Amir Gilani replied to Bill Goodnight's discussion Fetal MRI use in practice for US detected anomalies in the group Obstetric Ultrasound Community
"This is good idea--it can be very benificial--great idea.
"
Lisa M. Allen replied to Bill Goodnight's discussion Fetal MRI use in practice for US detected anomalies in the group Obstetric Ultrasound Community
"Also, I forgot to mention we also have MRI's performed for the evaluation of the placenta accreta spectrum (not a fetal anomaly)."
Lisa M. Allen replied to Bill Goodnight's discussion Fetal MRI use in practice for US detected anomalies in the group Obstetric Ultrasound Community
"At our facility, all fetuses with hydrocephalus/ACC/Dandy Walker etc., sacrococcygeal teratomas, oral and neck masses (to evaluate for the need for EXIT procedure), and some neural tube defects get MRI's. Other rare anomalies will also get…"
Dr MM Nurus shafi replied to Bill Goodnight's discussion Fetal MRI use in practice for US detected anomalies in the group Obstetric Ultrasound Community
"Thanks Bill for starting discussion on this new horizon. Here I am curious , though an onlooker. In the later part of your starting discussion , I think you wanted to say...........CNS missed by US. Any way, hope for nice feed backs."
Bill Goodnight added a discussion to the group Obstetric Ultrasound Community
Fetal MRI use in practice for US detected anomalies
Good morning. Quick poll for the group: How often and for what indications does your practice order fetal MRI when a CNS anomaly is noted on US? We are in the middle of this debate at our institution including the costs and benefits for adding MRI. In general if we have a clearly identified anomaly and the remainder of the anatomy is defined, we will rarely add MRI. If visualization is difficult then we may add MRI. This is based on literature reports suggesting that fetal MRI may detect sublte…See More
Bill Goodnight replied to Brenna Crain's discussion Coding 76811 vs. 76805 in the group Obstetric Ultrasound Community
"The Society for Maternal Fetal Medicine has written suggestions for how 76811 should be used (see SMFM web site www.smfm.org). The main points that differentiate 76811 from 76805 include (from SMFM white paper):
a) CPT 76811 is not intended to be…"
Bill Goodnight joined AIUM's group
Fetal Echocardiography Community
The Fetal Echocardiography Community consists of professionals involved in the evaluation of the fetal heart with ultrasound imaging.
Bill Goodnight replied to Larry Norfleet's discussion First trimester biochemical and NT screening services in the group Obstetric Ultrasound Community
"Good point. When I was referring to 'NT', I used that loosely to mean combined first trimester screening for aneuploidy, which in our practice includes US measurement of the 11-14 week fetal nuchal translucency and maternal serum PAPPA and…"
Bill Goodnight replied to Larry Norfleet's discussion First trimester biochemical and NT screening services in the group Obstetric Ultrasound Community
"Great questions. I can give you the North Carolina MFM experience. Both the majority of the private insurance companies and NC Medicaid cover NT screening in both low and high risk patients. I am not sure of the extent of our coverage for Medicaid…"
Bill Goodnight joined AIUM's group
Obstetric Ultrasound Community
This community consists of professionals interested in all aspects of ob ultrasound. Discussions include administrative issues such as coding, practice administration, and news about legislation concerning obstetric ultrasound.
Profile Information
- What is your profession?
- Physician
- Are you an AIUM member?
- Yes
Comment Wall
- No comments yet!
© 2012 Created by AIUM.
