Obstetric and gynecologic ultrasound curriculum and competency assessment in residency training programs: consensus report

Abuhamad, Alfred; Minton, Katherine K.; Benson, Carol B.; Chudleigh, Trish; Crites, Lori; Doubilet, Peter M.; Driggers, Rita W.; Lee, Wesley; Mann, Karen; Perez, James J.; Rose, Nancy C.; Simpson, Lynn L.; Tabor, Ann; Benacerraf, Beryl R.

doi:10.1016/j.ajog.2017.10.016

Cited by 29 publications

(14 citation statements)

References 8 publications

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“…Conservative surgery may be difficult at times to fully remove the trophoblast cells in the fallopian tube, which can lead to ectopic pregnancy, fallopian tube rupture, internal bleeding, and reoperation. As a result, variations in blood β -HCG should be monitored following a conservative fallopian tube procedure, and MTX should be utilised if the β -HCG goes below 20% within one week of the operation [ 11 ]. Conservative surgery should not be chosen for keratointerstitial pregnancy owing to the abundant blood vessels and difficulties in hemostasis, according to the literature [ 12 ], although salpingectomy on the afflicted side is possible.…”

Section: Related Workmentioning

confidence: 99%

Diagnosis and Analysis of Transabdominal and Intracavitary Ultrasound in Gynecological Acute Abdomen

Yang

Wang

Zhao

et al. 2021

Computational and Mathematical Methods in Medicine

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In order to explore the effective diagnosis method of gynecological acute abdomen, this paper takes hospital gynecological acute abdomen patients as samples and selects gynecological acute abdomen patients admitted to the hospital to be included in this study. They are divided into transabdominal ultrasound group, intracavitary ultrasound group, and combined group. Moreover, this paper uses mathematical statistics to carry out sample statistics. The statistical data mainly include ectopic pregnancy, torsion of ovarian tumor pedicle, acute suppurative salpingitis, torsion of fallopian tube, hemorrhagic salpingitis, acute pelvic inflammatory disease, rupture of corpus luteum cyst, and diagnosis accuracy rate. In addition, this paper compares the diagnostic accuracy of the abdominal ultrasound group, the intracavitary ultrasound group, and the combined group. The experimental research shows that the combined ultrasound diagnosis method can effectively improve the accuracy of the diagnosis of gynecological acute abdomen.

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Section: Related Workmentioning

confidence: 99%

Diagnosis and Analysis of Transabdominal and Intracavitary Ultrasound in Gynecological Acute Abdomen

Yang

Wang

Zhao

et al. 2021

Computational and Mathematical Methods in Medicine

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“…The parameters TCD, BPD, OFD (occipitofrontal diameter), AC, and FL were measured for each fetus. The measurements were carried out in standardized procedures using standard ultrasound planes described in previous publications by Hadlock, summarized in a special report in the American Journal of Obstetrics and Gynecology [ 24 ]. HC was calculated as defined by Sniders and Nicolaides [ 25 ].…”

Section: Methodsmentioning

confidence: 99%

Fetal Growth Restriction: Comparison of Biometric Parameters

Marchand

Köppe²,

Köster³

et al. 2022

JPM

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The aim of this study was to identify growth-restricted fetuses using biometric parameters and to assess the validity and clinical value of individual ultrasound parameters and ratios, such as transcerebellar diameter/abdominal circumference (TCD/AC), head circumference/abdominal circumference (HC/AC), and femur length/abdominal circumference (FL/AC). In a retrospective single-center cross-sectional study, the biometric data of 9292 pregnancies between the 15th and 42nd weeks of gestation were acquired. Statistical analysis included descriptive data, quantile regression estimating the 10th and 90th percentiles, and multivariable analysis. We obtained clinically noticeable results in predicting small-for-gestational-age (SGA) and fetal growth restriction (FGR) fetuses at advanced weeks of gestation using the AC with a Youden index of 0.81 and 0.96, respectively. The other individual parameters and quotients were less suited to identifying cases of SGA and FGR. The multivariable analysis demonstrated the best results for identifying SGA and FGR fetuses with an area under the curve of 0.95 and 0.96, respectively. The individual ultrasound parameters were better suited to identifying SGA and FGR than the ratios. Amongst these, the AC was the most promising individual parameter, especially at advanced weeks of gestation. However, the highest accuracy was achieved with a multivariable model.

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“…Clinically, ultrasound technology is readily available to monitor fetal development and to intervene in case of developmental anomalies [42,60,61]. Obstetric use of ultrasound commonly identifies the need and guides fetal surgery.…”

Section: Plos Onementioning

confidence: 99%

High resolution ultrasound imaging for repeated measure of wound tissue morphometry, biomechanics and hemodynamics under fetal, adult and diabetic conditions

et al. 2020

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Non-invasive, repeated interrogation of the same wound is necessary to understand the tissue repair continuum. In this work, we sought to test the significance of non-invasive high-frequency high-resolution ultrasound technology for such interrogation. High-frequency high-resolution ultrasound imaging was employed to investigate wound healing under fetal and adult conditions. Quantitative tissue cellularity and elastic strain was obtained for visualization of unresolved inflammation using Vevo strain software. Hemodynamic properties of the blood flow in the artery supplying the wound-site were studied using color Doppler flow imaging. Non-invasive monitoring of fetal and adult wound healing provided unprecedented biomechanical and functional insight. Fetal wounds showed highly accelerated closure with transient perturbation of wound tissue cellularity. Fetal hemodynamics was unique in that sharp fall in arterial pulse pressure (APP) which was rapidly restored within 48h post-wounding. In adults, APP transiently increased post-wounding before returning to the pre-wounding levels by d10 post-wounding. The pattern of change in the elasticity of wound-edge tissue of diabetics was strikingly different. Severe strain acquired during the early inflammatory phase persisted with a slower recovery of elasticity compared to that of the non-diabetic group. Wound bed of adult diabetic mice (db/db) showed persistent hypercellularity compared to littermate controls (db/+) indicative of prolonged inflammation. Normal skin strain of db/+ and db/db were asynchronous. In db/db, severe strain acquired during the early inflammatory phase persisted with a slower recovery of elasticity compared to that of non-diabetics. This study showcases a versatile clinically relevant imaging platform suitable for real-time analyses of functional wound healing.

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Obstetric and gynecologic ultrasound curriculum and competency assessment in residency training programs: consensus report

Cited by 29 publications

References 8 publications

Diagnosis and Analysis of Transabdominal and Intracavitary Ultrasound in Gynecological Acute Abdomen

Diagnosis and Analysis of Transabdominal and Intracavitary Ultrasound in Gynecological Acute Abdomen

Fetal Growth Restriction: Comparison of Biometric Parameters

High resolution ultrasound imaging for repeated measure of wound tissue morphometry, biomechanics and hemodynamics under fetal, adult and diabetic conditions

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