In my experience, nuchal translucency or NT is the accepted term for the anechoic space in the back of the fetal neck that is measured for first trimester risk assessment for Down syndrome. Both the Fetal Medicine Foundation and NTQR use this termin…
I agree. We also perform outflow tracts as well as additional cardiac views on every patient. We teach our diagnostic medical sonography students how to obtain these views. Absolutely, these views should be incorporated into the AIUM practice guidel…
I work in a high-risk obstetric office. We follow the guidelines put forth in the ACOG Practice Bulletin Number 9, October 1999. Antepartum Fetal Surveillance. According to this document,
The BPP consists of an NST combined with four observations m…
To review, the 76805 is "Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after the first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation."
The 76811 is "Ultrasou…
Are you asking for images of the RVOT? Which scanning plane? Long axis short axis? Both. I am not sure how you learned to obtain the outflow tracts, s I am not sure how to reply. If the fetus is supine, you will get the apical four-chamber view, Fro…
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Recent literature indicates 2 to 4 fold increase in the CHD risk in pregnancies conceived via IVF (in vitro fertilization with or without intra cytoplasmic sperm injection). [Hansen M. N Eng J Med 2002;346:725-730, Koivurova S. Hum Reprod 2002;17:13…
The nuchal translucency is measured between 11 weeks 0 days and 13 weeks 6 days by NTQR standards. The nuchal fold or nuchal skin is generally meausred between 15-22 weeks and less than 6mm (some use 5mm) is considered normal. Therefore, I believe t…
I looked into this a little more and if you go to the AIUM site http://www.aium.org/publications/statements.aspx and look under:
* 3D Technology
* As Low As Reasonably Achievable (ALARA)
* Prudent Use in Obstetrics
* Keepsake Fetal Imaging
This ma…
Here are a few course that are posted on the NTQR website:
Society of Maternal Fetal Medicine
30th Annual Meeting
The Pregnancy Meeting
Hilton Chicago
Chicago, IL
February 1-6, 2010
Registration Information
33rd Annual Advanced Ultrasound Seminar:…
I guess I have a few questions for you. For what reason are you performing 3D and 4D ultrasound routinely, is there a specific indication for the exam or are you saying it is standard practice, and are you gaining more information than what your sta…
Multiple studies have now been published which demonstrate an increased risk of congenital heart disease in children conceived with various forms of assisted reproduction. This increased risk appears to be independent of and in addition to risk fact…
I have found in vitro fertilization as an indication for fetal echocardiography in a few different references. Can someone please share with me why this is so?
Diane, in addition you might want to check out an article entitled "Indications for Fetal Echocardiogrpahy" in Pediatric Cardiology 2004;25(3): 210-22 (Small and Copel) and "The Performance of the basic fetal cardiac ultrasound examination" (Lee) J…