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Obstetric & Gynaecological Ultrasound

Obstetric and Gynaecological Ultrasound is a highly illustrated manual ideal for both the trainee and experienced sonographer that covers the full range of obstetric and gynaecological ultrasound examinations undertaken within a secondary referral setting. It combines the practicalities of how to perform these examinations with the information needed to interpret the findings and construct a clinically useful report. The new edition of this well-established book expands its scope to provide an understanding of ultrasound imaging within the clinical management of the gynaecological patient. Elsewhere, its obstetric content has been fully updated with the latest technological, clinical and medico-legal information relevant to routine practice. Furthermore, its experienced sonographer authors continue to advise on the practical aspects of scanning as well as the role, value and limitations of ultrasound in the diagnosis of different diseases thus providing firm foundations in both obstetric and gynaecological imaging. Explains the principles of grey scale ultrasound, Doppler ultrasound and instrumentation Addresses problems from both practical and clinical viewpoints Provides comparative images showing results of good and bad scanning techniques Advises on how to communicate findings to a pregnant woman or gynaecological patient Discusses both the normal and abnormal ultrasound appearances for each of the relevant anatomical areas together Scope fully expanded to cover gynaecological ultrasound imaging including: the physiological changes taking place during the menstrual cycle the effects of exogenous hormones on the various ultrasound appearances during the menstrual cycle the ultrasound appearances of common abnormalities of the uterus, ovaries and adnexae the ultrasound assessment of an adnexal mass using a standardized approach New images to reflect the improvements in imaging technology New chapter on screening for Down's syndrome and Edwards' and Patau's syndromes in accordance with current national screening recommendations New chapter on the medico-legal issues relevant to performing and reporting ultrasound examinations
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Table of Contents

Contributor Foreword Preface Acknowledgements 1 The principles of ultrasound, Doppler ultrasound and instrumentation 2 Preparing to scan 3 Starting to scan using the transabdominal route 4 Starting to scan using the transvaginal route 5 Assessing the early intrauterine pregnancy 6 Problems of early pregnancy 7 Dating and screening the pregnancy between 10 and 14 weeks 8 First steps in examining the second trimester pregnancy 9 Assessing the fetal head, brain, neck and face 10 Assessing the chest and heart 11 Assessing the abdomen 12 Ultrasound assessment of the spine and limbs 13 Assessing fetal growth, amniotic fluid, fetal and uterine artery Dopplers 14 Placental and cervical imaging 15 Multiple pregnancy 16 Scanning the non pregnant pelvis 17 The menstrual cycle, the menopause and the effects of exogenous hormones 18 Uterine and ovarian anomalies 19 Characterization of adnexal cysts, differential diagnoses of the pelvis and report writing 20 Professional issues Appendix 1 Orientation and fetal lie Appendix 2 Equation and look-up table for estimating gestational age (GA) from the crown rump length (CRL) as recommended by current national guidelines Appendix 3 Head circumference (HC) dating table and equation Appendix 4 Biparietal diameter (BPD) dating table ('outer to inner') Appendix 5 The 11 conditions screened for, together with their current expected detection rates, within the national screening programme Appendix 6 Equation, head circumference (HC) size chart and HC size table Appendix 7 Biparietal diameter (BPD) size chart ('outer to inner') Appendix 8 Equation, abdominal circumference (AC) size chart and AC size table Appendix 9 Equation and dating table for estimating gestational age (GA) from the femur length (FL) Appendix 10 Equation, femur length (FL) size chart and FL size table Appendix 11 Markers of chromosomal abnormality 475 Index

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