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By Dario Paladini

This re-creation of an acclaimed textual content courses readers by using ultrasound to realize and establish quite a lot of beginning defects in utero. Ultrasound pictures were better all through and are actually matched with MRI scans as a different technique of guiding clinicians. medical photographs also are incorporated. This new version extends its method of the fetus within the first trimester.

summary: This re-creation of an acclaimed textual content publications readers by utilizing ultrasound to notice and determine a variety of beginning defects in utero. Ultrasound pictures were more suitable all through and are actually matched with MRI scans as an additional technique of guiding clinicians. scientific photographs also are incorporated. This new version extends its method of the fetus within the first trimester

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Additional resources for Ultrasound of congenital fetal anomalies : differential diagnosis and prognostic indicators

Example text

Routine examination of some ­u ltrasound markers for chromosomal abnormalities has recently improved the early detection rates of fetal ­cardiac anomalies. This is first related to the association between increased NT and CHD even in euploid fetuses [14,52,53]. The same association is observed with the TR and reverse flow in the DV [25,26,31,54,55]. The need for further cardiac investigation in the presence of the a­ forementioned ultrasonographic markers (increased NT with normal karyotype, TR, and reversed DV A-wave) has led to the inclusion of these findings among the list of indications for fetal echocardiography at 18–22 weeks of gestation.

Megacystis. Megacystis is defined as a bladder measuring more than 7 mm. This finding is correlated with chromosomal abnormalities (mainly trisomy 13 and 18) in a significant number of cases [46,59,60]. We need to classify at least two different types of megacystis, both visible in the first trimester. 23), and the outcome of these cases is usually poor [60]. This type of megacystis is strikingly evident at this stage, regardless of the rather normal amount of amniotic fluid, due to the severe enlargement of the bladder in the fetal abdomen, often occupying the whole abdomen of the fetus.

The Cardiospatiotemporal image correlation (STIC) technique developed for the study of the fetal heart is described in Chapter 5. 36 Tomographic ultrasound imaging. Carcinoma of the right choroid plexus at 35 weeks’ gestation. The image shows the large malignant tumor (T) infiltrating the brain posteriorly (arrowheads) with secondary hydrocephalus (lv: lateral ventricles; arrow: fourth ventricle). The multi-slice, tomographic imaging allows assessment on the single panel of images, the extension of the tumor, and its relationship with the surrounding anatomic structures.

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