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  • Early Pregnancy Anomaly Scan

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    Cezara Si Bogdan Muresan
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    The document discusses the 12 week scan for assessing fetal anatomy and detecting anomalies. It provides details on the visualization of different structures from 7-14 weeks and advantages/shortcomings of transvaginal versus transabdominal ultrasound. Examples of various anomalies detected at 11-13 weeks are also shown, including acrania, amniotic bands, body stalk anomaly, spina bifida, hydrops, holoprosencephaly, diaphragmatic hernia, kidney anomalies, omphalocele, and single umbilical artery. The importance of the 12 week scan for early diagnosis and patient counseling is emphasized.

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    Dr. Fred Ushakov production. UCL Hospital London

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    The document discusses the 12 week scan for assessing fetal anatomy and detecting anomalies. It provides details on the visualization of different structures from 7-14 weeks and advantages/shortcomings of transvaginal versus transabdominal ultrasound. Examples of various anomalies detected at 11-13 weeks are also shown, including acrania, amniotic bands, body stalk anomaly, spina bifida, hydrops, holoprosencephaly, diaphragmatic hernia, kidney anomalies, omphalocele, and single umbilical artery. The importance of the 12 week scan for early diagnosis and patient counseling is emphasized.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    218 views80 pages

    Early Pregnancy Anomaly Scan

    Uploaded by

    Cezara Si Bogdan Muresan
    The document discusses the 12 week scan for assessing fetal anatomy and detecting anomalies. It provides details on the visualization of different structures from 7-14 weeks and advantages/shortcomings of transvaginal versus transabdominal ultrasound. Examples of various anomalies detected at 11-13 weeks are also shown, including acrania, amniotic bands, body stalk anomaly, spina bifida, hydrops, holoprosencephaly, diaphragmatic hernia, kidney anomalies, omphalocele, and single umbilical artery. The importance of the 12 week scan for early diagnosis and patient counseling is emphasized.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    of 80

    The 12 Week Scan

    Early Anomaly Scan


    Dr Fred Ushakov
    University College London Hospital

    FMF 11-13 wks Anatomical Assessment

    Dr Fred Ushakov The 12 Week Scan

    Increased NT and normal karyotype

    Dr Fred Ushakov The 12 Week Scan

    NT, TR and DV

    Markers for congenital heart defects

    Dr Fred Ushakov The 12 Week Scan

    Follow-up Scan at 16 weeks


    Proposition for women with increased NT and/or inconclusive findings *** Resolution:

    Transabdominal scan at 16 weeks = Transvaginal scan at 12 weeks


    Patient stress waiting 3-4 weeks for reassurance More complications in the case of TOP

    Dr Fred Ushakov The 12 Week Scan

    U/S visualization of fetal anatomy


    Fetal structure
    Neural tube

    7 wks
    +

    8
    +

    9
    +

    10
    +

    11
    +

    12
    +

    13
    +

    14 wks
    +

    Head
    Midgut herniation Falx cerebri Choroid plexus

    +
    +

    +
    + + +

    +
    + + +

    +
    + + +

    + +

    + +

    + +

    Thalamus
    Humerus & femur Fingers Tibia & radius Toes

    +
    + +

    +
    + +

    +
    + + + +

    +
    + + + +

    +
    + + + +

    +
    + + + +

    Cerebellum
    Face Heart - 4 chambers Lens Stomach

    +
    + +

    +
    + + +

    +
    + + + +

    +
    + + + +

    Dr Fred Ushakov The 12 Week Scan

    Transvaginal scan: Advantages

    close to the region of interest high-resolution excellent Doppler irrespective of abdominal wall thickness Good for fetal anatomy, TR, DV

    Dr Fred Ushakov The 12 Week Scan

    Transvaginal scan: Shortcomings

    Low penetration Difficult orientation Needs preparation (to empty bladder, to clean and cover transducer) Less convenient to patient and operator Needs high level of expertise

    Dr Fred Ushakov The 12 Week Scan

    Technique of Transvaginal 12 Week Anomaly Scan + Echocardiography

    Special Course:

    Dr Fred Ushakov The 12 Week Scan

    Sonographic markers of aneuploidy

    Dr Fred Ushakov The 12 Week Scan

    Acrania 11 wks

    Dr Fred Ushakov The 12 Week Scan

    Acrania 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Acrania brain 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Acrania 3D

    Dr Fred Ushakov The 12 Week Scan

    Acrania - DCDA twins 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Acrania - DCDA twins 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Acrania amniotic bands 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Amniotic bands 11 wks

    Dr Fred Ushakov The 12 Week Scan

    D/D amniotic bands vitelline artery

    Dr Fred Ushakov The 12 Week Scan

    D/D amniotic bands vitelline artery

    CRL = 26 mm 9+3 wks

    Dr Fred Ushakov The 12 Week Scan

    D/D amniotic bands vitelline artery

    Dr Fred Ushakov The 12 Week Scan

    Body stalk anomaly - 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Body stalk anomaly - 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Body stalk anomaly - 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Thoracopagus + body stalk anomaly - 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Spina bifida

    Dr Fred Ushakov The 12 Week Scan

    Normal brain - 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Dandy-Walker malformation triploidy 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Dandy-Walker malformation triploidy 12 wks transabdominal scan

    Dr Fred Ushakov The 12 Week Scan

    Triploidy, partial mole, early IUGR 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Triploidy, partial mole 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Complete mole 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Complete mole 12 wks

    Dr Fred Ushakov The 12 Week Scan

    DCDA twins: Complete mole and Normal Fetus 18 wks

    Dr Fred Ushakov The 12 Week Scan

    Encephalocele 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Encephalocele 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Cephalocele 11 wks

    Dr Fred Ushakov The 12 Week Scan

    Cephalocele 11 wks

    Dr Fred Ushakov The 12 Week Scan

    Cephalocele (not visible) 11 wks

    Dr Fred Ushakov The 12 Week Scan

    Encephalocele 12 wks - missed

    Dr Fred Ushakov The 12 Week Scan

    Encephalocele missed 12 wks now 20 wks

    Dr Fred Ushakov The 12 Week Scan

    Cystic hygroma 12 wks normal karyotype

    Dr Fred Ushakov The 12 Week Scan

    Cystic hygroma 13 wks normal karyotype - HLHS

    Dr Fred Ushakov The 12 Week Scan

    Cystic hygroma + CPC 11 wks normal karyotype - CDH

    Dr Fred Ushakov The 12 Week Scan

    Axillar and cervical cysts T21 13 wks

    Dr Fred Ushakov The 12 Week Scan

    Hydropic fetus - 13 wks (TOP no CVS)

    Dr Fred Ushakov The 12 Week Scan

    Abnormal 4 ventricle future vermis agenesis 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Holoprosencephaly - 12 wks (normal karyotype)

    Dr Fred Ushakov The 12 Week Scan

    Holoprosencephaly - 12 wks (T13)

    Dr Fred Ushakov The 12 Week Scan

    Holoprosencephaly - 12 wks (T13)

    Dr Fred Ushakov The 12 Week Scan

    Holoprosencephaly + proboscis - 12 wks (T13)

    Dr Fred Ushakov The 12 Week Scan

    ? Spina bifida 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Spina bifida? Umbilical cord

    Dr Fred Ushakov The 12 Week Scan

    Cleft lip/palate 13 wks

    Dr Fred Ushakov The 12 Week Scan

    Cleft lip/palate + polydactyly T13 13 wks

    Dr Fred Ushakov The 12 Week Scan

    Congenital Diaphragmatic Hernia 12wk (normal karyotype)

    Dr Fred Ushakov The 12 Week Scan

    Normal Heart 4CV 13w1d

    Dr Fred Ushakov The 12 Week Scan

    Congenital Diaphragmatic Hernia 11wks (normal karyotype)

    Dr Fred Ushakov The 12 Week Scan

    Congenital Diaphragmatic Hernia + TR 11wks (normal karyotype)

    Dr Fred Ushakov The 12 Week Scan

    Congenital Diaphragmatic Hernia + Abnormal Kidneys 11wks

    Dr Fred Ushakov The 12 Week Scan

    Kidneys normal 13 wks

    Dr Fred Ushakov The 12 Week Scan

    Kidneys echogenic & enlarged 13 wks HLHS (normal karyotype)

    Dr Fred Ushakov The 12 Week Scan

    Kidneys echogenic & enlarged 45X0 12 wks

    Dr Fred Ushakov The 12 Week Scan

    ???

    Dr Fred Ushakov The 12 Week Scan

    Megacystis obstructive uropathy 12 wks (normal karyotype)

    Dr Fred Ushakov The 12 Week Scan

    Megacystis 12 wks (normal karyotype)

    Dr Fred Ushakov The 12 Week Scan

    Single Multicystic Kidney 14 wks

    Dr Fred Ushakov The 12 Week Scan

    Bilateral Agenesis of Kidneys 15 wks

    Dr Fred Ushakov The 12 Week Scan

    Bilateral Agenesis of Kidneys 15 wks

    Dr Fred Ushakov The 12 Week Scan

    Omphalocele T18 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Omphalocele 12 wks (risk 1:2 normal karyotype)

    Dr Fred Ushakov The 12 Week Scan

    Omphalocele nearly missed T18 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Omphalocele & Abnormal Hands T18 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Omphalocele & Abnormal Legs T18 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Gastroschisis - 11 weeks

    Dr Fred Ushakov The 12 Week Scan

    Single Umbilical Artery T18 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Agenesis of Ductus Venosus & Hepatic Artery 12 wks (karyotype?)

    Dr Fred Ushakov The 12 Week Scan

    Agenesis of Ductus Venosus 45X0 12 wks

    Dr Fred Ushakov The 12 Week Scan

    Agenesis of Ductus Venosus 15 wks (normal karyotype)

    Dr Fred Ushakov The 12 Week Scan

    Dr Fred Ushakov The 12 Week Scan

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