Die Ausflusstrakt-Schnittebenen in der zweidimensionalen fetalen Echokardiografie – Teil I

Berg, Christoph; Gembruch, Ulrich; Geipel, A.

doi:10.1055/s-0028-1109178

Cited by 8 publications

(1 citation statement)

References 17 publications

(27 reference statements)

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“…Head/brain ▪ Head shape -Detection of deviations from a normal head shape (e. g. brachycephaly or "lemon sign") ▪ Visualization of the falx cerebri with the cavum septi pellucidi ▪ Assessment of the ventricular width (measurement if needed) Detection of liquid intracranial masses ▪ Visualization of both cerebellar hemispheres and the cerebellar vermis Detection of deviations from the normal size and shape of the cerebellum (e. g. "banana sign") ▪ Optional: Median sagittal section of the profile and coronal section of the upper lip Neck ▪ Transverse section of the contour Thorax ▪ Heart[13,14] …”

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confidence: 99%

Updated DEGUM Quality Requirements for the Basic Prenatal Screening Ultrasound Examination (DEGUM Level I) between 18 + 0 and 21 + 6 weeks of gestation

Kähler¹,

Schramm

Bald

et al. 2020

Ultraschall Med

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A precondition for the early detection of fetal abnormalities is the high quality of prenatal basic ultrasound (screening examination). The objective of ultrasound screening is the recognition of abnormal fetal growth and fetal anatomical anomalies. The prenatal detection of fetal abnormalities enables detailed prenatal counselling of parents, improved care at birth and potentially a reduction in morbidity and mortality. In the guidelines for maternity care in Germany (“Mutterschaftsrichtlinien”), the performance of basic ultrasound in pregnancy is not clearly defined. The required image documentation includes a few biometric measurements only. Therefore, adherence to a standard technique and the possibility of audit are limited, thus not necessarily resulting in high screening quality. In this update of the DEGUM quality requirements for level I screening ultrasound examination between 18 + 0 and 21 + 6 weeks of gestation, the required parameters, standard planes and required documentation are described in detail. The greater experience of gynecologists in the field of sonographic screening examinations and the use of a modern ultrasound technique allow improvement of the screening quality. This will improve the standard of basic ultrasound screening. Due to the enhanced standard of the DEGUM I examination, more pregnant women may benefit from a detailed ultrasound examination and specialized therapy in DEGUM level II and III centers. The required fetal structures are described in detail. This update of the requirements for level I DEGUM basic ultrasound examination between 18 + 0 and 21 + 6 weeks of gestation goes far beyond the guidelines for maternity care in Germany (the “Mutterschaftsrichtlinien”) thereby elevating standards.

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confidence: 99%