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ULTRASONOGRAPHY : PAST, PRESENT AND FUTURE

Johanes C. Mose Dept. Obstet Gynecol Faculty of Medicine Universitas Padjadjaran Bandung

Sejarah berdirinya PUSKI


Pengiriman SDM ke Kobe University Jepang : 1970-1971 1977 : Alat USG bistabel di bandung (Dr. Suyono Hadi, Bgn. Penyakit Dalam RSHS) 1977 : Ekokardiografi di bgn Kardiologi FKUI/ RSCM Jakarta

3 April 1982 diadakan rapat untuk membentuk organisasi yang menampung peminat pengguna alat USG di hotel Borobudur Jakarta. Dibentuklah organisasi PUSKI dengan susunan kepengurusan pertama : - Penasehat : Dr. Sujono Hadi - Ketua : Prof. Dr. Gani Ilyas - Sekretaris : Dr. Azwar Boer - Bendahara : Dr. Sugiarto - Anggota : Dr. willyarto S. Wibisono

POGI
Thn 1990an pada stiap tahun bersamaan dengan penyelenggaraan PIT/Kongres selalu mengadakan Kursus USG Dasar kemudian diikuti dengan USG Advance Thn 2000 Kursus USG dengan Akreditasi AOFOG pertama di Bandung, bersamaan dengan PIT HKFM Pertama Thn 2007 Kursus USG dengan Akreditasi ISUOG pertama di Jogyakarta.

ISUOG APPROVED USG COURSE IN INDONESIA


I : 2007, Jogyakarta II : 2008, Bandung III : 2009, Semarang IV : 2010, Bali V : 2011, Surabaya VI : 2012, Medan VII: 2013, ???

INSTRUMENTATION
Early stage of diagnostic ultrasound : We call it : Contact compound ultrasound scanner

Even they already equipped with Doppler and color but they still occupied by CW technology At that time there was not Pulse Wave doppler exist in the market yet

3D & 4D probes

Austria Made 450 gram

Korea made 400 gram

USA made 375 gram

Made in China 2010,

Less than 250 gram ?

Powerful 2D Image Quality

Dramatically reduce

Artifacts & Clutter


4Mhz 2Mhz

Bi-directional Harmonic Imaging


Basic Harmonic Imaging Enhanced spatial resolution & contrast Clearer images in mid-fieldcenter portion For elder patient & Ignoring original transmitted signal and receiving 4Mhz signal. fat patient

4Mhz

2Mhz

Advantage

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Powerful 2D Image Quality


Conventional Harmonic Imaging

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Fundamental Imaging

Harmonic Imaging

Main Features of Harmonic Imaging


Good Spatial Resolution Good Contrast Resolution

Contrast Harmonic Imaging

To overcome vessel visualization of color Doppler Crossover of ultrasound, CT and MRI To detect and characterize liver lesion better than CT/ MRI

User can adjust flash timer (Timer1,2,3) & flash trigger (1,2,5,10 sec)

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Color & B&W real time Ultrasound from one Brand cause of different channels

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EARLY PREGNANCY

CONGENITAL ANOMALIES

Vasa Anastomosis

Septostomy

INVASIVE PRENATAL DIAGNOSIS

AMNIOCENTESIS

Transabdominal CVS

TRANSVAGINAL CVS

Fetal Blood Sampling

IUFT

Drainage techniques Needle aspiration

EARLY PREGNANCY COMPLICATION

Empty !
Blighted Ovum

Missed abortion

Ectopic pregnancy

Molar pregnancy

FETAL BIOMETRY

OBSTETRICAL COMPLICATION

PREMATURE LABOUR

PLACENTA PREVIA

ABRUPTIO PLACENTA

MULTIPLE PREGNANCY

OMPHALOPHAGUS

DOPPLER TECHNIQUE

FETAL ECHOCARDIOGRAPHY

SHORT AXIS VIEW

3D & LIVE 3D

Filly R. Ultrasound: The stethoscope of the future. Radiology 1988;167:400

From Note book to stetoscope ?

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