In early pregnancy, ultrasound is vital to confirm heart activity, check gestational age, determine the number of fetuses and assess chorionicity and amnionicity for multiple pregnancy. The scan between 11 and 13 + 6 weeks for nuchal translucency is used to screen for chromosomal abnormalities and major structural malformations. The incidence of multiple gestation pregnancy has increased in recent years due to in-vitro fertilization treatment. In 2016, China reported 0.3 million in vitro fertilization babies through assisted reproductive technology, which accounted for 1.6% of the total live births; the number of in vitro fertilization cycles performed increased from 360 in 2013 to 657 in 2016 per million inhabitants, and the proportion of twins among IVF deliveries was 27.9%. Acardiac anomaly, also called Twin Reversed Arterial Perfusion (TRAP) sequence, is a rare complication of monochorionic multiple pregnancies diagnosed in the first trimester by ultrasound. It is caused by an abnormal vascular anastomoses between the fetuses and is characterized by the presence of a twin embryo with an absent or nonfunctioning heart (“acardiac twin”) and a twin providing perfusion (“pump twin”) with normal appearance. In a series of 24 acardiac anomalies diagnosed between 11 and 13 weeks 6 days, there was spontaneous demise of the pump twin in 9 and obvious abnormalities in 2 between the first and second trimester. In another series of 15 acardiac anomalies diagnosed before 14 weeks, all fetuses which were managed expectantly, died. However survival in fetuses with intrauterine intervention was better. Early diagnosis allows for closer surveillance of the pregnancy and determine the best time for intrauterine intervention to improve the survival rate of the pump fetus.
{"title":"Early prenatal diagnosis of acardiac anomaly: A triplet case report","authors":"Zhengfeng Zhu","doi":"10.1002/sono.12363","DOIUrl":"https://doi.org/10.1002/sono.12363","url":null,"abstract":"In early pregnancy, ultrasound is vital to confirm heart activity, check gestational age, determine the number of fetuses and assess chorionicity and amnionicity for multiple pregnancy. The scan between 11 and 13 + 6 weeks for nuchal translucency is used to screen for chromosomal abnormalities and major structural malformations. The incidence of multiple gestation pregnancy has increased in recent years due to in-vitro fertilization treatment. In 2016, China reported 0.3 million in vitro fertilization babies through assisted reproductive technology, which accounted for 1.6% of the total live births; the number of in vitro fertilization cycles performed increased from 360 in 2013 to 657 in 2016 per million inhabitants, and the proportion of twins among IVF deliveries was 27.9%. Acardiac anomaly, also called Twin Reversed Arterial Perfusion (TRAP) sequence, is a rare complication of monochorionic multiple pregnancies diagnosed in the first trimester by ultrasound. It is caused by an abnormal vascular anastomoses between the fetuses and is characterized by the presence of a twin embryo with an absent or nonfunctioning heart (“acardiac twin”) and a twin providing perfusion (“pump twin”) with normal appearance. In a series of 24 acardiac anomalies diagnosed between 11 and 13 weeks 6 days, there was spontaneous demise of the pump twin in 9 and obvious abnormalities in 2 between the first and second trimester. In another series of 15 acardiac anomalies diagnosed before 14 weeks, all fetuses which were managed expectantly, died. However survival in fetuses with intrauterine intervention was better. Early diagnosis allows for closer surveillance of the pregnancy and determine the best time for intrauterine intervention to improve the survival rate of the pump fetus.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"1396 1","pages":"132 - 135"},"PeriodicalIF":0.4,"publicationDate":"2023-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90558108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ffion Humphries‐Hart, M. Bethune, Alexander Donnan, K. Stone, A. Lee, S. Grover
A gynaecological ultrasound on an adolescent patient can involve a transabdominal (TAUS), transvaginal (TVUS), trans‐perineal (TPUS) or transrectal (TRUS) approach. Following TAUS a TVUS or TRUS may be suitable on an adolescent patient if they are determined to be a ‘mature minor’/Gillick competent and provide informed consent. Legal information on adolescent consent to medical treatment is difficult for sonographers to obtain as current professional guidelines are not sufficiently detailed on the laws of consent to medical treatment and workplace policies are often not specific to adolescent patients. This manuscript provides information on informed consent to medical treatment, ‘mature minor’/Gillick competence determination, Australian and New Zealand legislation for ‘mature minors’ to consent to medical treatment, adolescent psychology and avoiding coercion when obtaining consent.
{"title":"Consent for gynaecological imaging in Australian and New Zealand adolescent patients: A discussion of legal considerations in sonography","authors":"Ffion Humphries‐Hart, M. Bethune, Alexander Donnan, K. Stone, A. Lee, S. Grover","doi":"10.1002/sono.12360","DOIUrl":"https://doi.org/10.1002/sono.12360","url":null,"abstract":"A gynaecological ultrasound on an adolescent patient can involve a transabdominal (TAUS), transvaginal (TVUS), trans‐perineal (TPUS) or transrectal (TRUS) approach. Following TAUS a TVUS or TRUS may be suitable on an adolescent patient if they are determined to be a ‘mature minor’/Gillick competent and provide informed consent. Legal information on adolescent consent to medical treatment is difficult for sonographers to obtain as current professional guidelines are not sufficiently detailed on the laws of consent to medical treatment and workplace policies are often not specific to adolescent patients. This manuscript provides information on informed consent to medical treatment, ‘mature minor’/Gillick competence determination, Australian and New Zealand legislation for ‘mature minors’ to consent to medical treatment, adolescent psychology and avoiding coercion when obtaining consent.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"53 1","pages":"118 - 122"},"PeriodicalIF":0.4,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90412831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Catherine M. L. Harding, B. Davies, S. Cowell, V. Saxton, S. Choong, John Strainge
This study investigated the addition of 3D ultrasound imaging to 2D ultrasound imaging when assessing the fetal spine in the second trimester in relation to: the diagnostic confidence of image assessors in interpretation, sonographer perceptions of the challenges in acquiring 3D images, and the additional time required to acquire 3D images.
{"title":"Does 3D imaging of the fetal spine improve confidence in interpreting images in the second trimester?","authors":"Catherine M. L. Harding, B. Davies, S. Cowell, V. Saxton, S. Choong, John Strainge","doi":"10.1002/sono.12361","DOIUrl":"https://doi.org/10.1002/sono.12361","url":null,"abstract":"This study investigated the addition of 3D ultrasound imaging to 2D ultrasound imaging when assessing the fetal spine in the second trimester in relation to: the diagnostic confidence of image assessors in interpretation, sonographer perceptions of the challenges in acquiring 3D images, and the additional time required to acquire 3D images.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"35 1","pages":"107 - 117"},"PeriodicalIF":0.4,"publicationDate":"2023-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74645891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SonographyVolume 10, Issue S1 p. 3-34 ABSTRACT Oral Presentation Abstracts First published: 04 May 2023 https://doi.org/10.1002/sono.12354Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Volume10, IssueS1Supplement: ASA2023 MELBOURNE ABSTRACTS 29th Annual International Conference of the Australasian Sonographers Association, 26–28 May 2023, Brisbane Convention & Exhibition CentreMay 2023Pages 3-34 RelatedInformation
超声第10卷，第S1期第3-34页摘要口头报告摘要首次发布:2023年5月4日https://doi.org/10.1002/sono.12354Read全文taboutpdf ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare给accessShare全文accessShare全文accessShare请查看我们的使用条款和条件，并在下面的复选框共享文章的全文版本。我已经阅读并接受了Wiley在线图书馆使用共享链接的条款和条件，请使用下面的链接与您的朋友和同事分享本文的全文版本。学习更多的知识。第29届澳大利亚超声医师协会国际年会，2023年5月26-28日，布里斯班会议展览中心，2023年5月
{"title":"Oral Presentation Abstracts","authors":"","doi":"10.1002/sono.12354","DOIUrl":"https://doi.org/10.1002/sono.12354","url":null,"abstract":"SonographyVolume 10, Issue S1 p. 3-34 ABSTRACT Oral Presentation Abstracts First published: 04 May 2023 https://doi.org/10.1002/sono.12354Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Volume10, IssueS1Supplement: ASA2023 MELBOURNE ABSTRACTS 29th Annual International Conference of the Australasian Sonographers Association, 26–28 May 2023, Brisbane Convention & Exhibition CentreMay 2023Pages 3-34 RelatedInformation","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136273935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The Duplex surveillance programs for infra-inguinal bypass grafts are still widely used to monitor the graft patency and can be a useful predictor for failure. This workshop is designed to cover the sonographic information required for the on-going surgical management of bypass grafts. The areas focused on will be: (cid:129) Overview of Medical Terminology, (cid:129) Understanding of types of grafts used, (cid:129) Assessment of graft patency and inflow / outflow vessels, (cid:129) Common areas of in-stenosis, (cid:129) Optimis-ing ultrasound imaging, (cid:129) Why assessing surgically excluded segments is important, (cid:129) Clarity of diagram, (cid:129) Constructing a cohesive report. The scanning element of the workshop will be concentrating on a systematic approach to investigating patient symptoms, clinical manifestation
{"title":"Workshop presentations","authors":"Joyce Chen, Paula King","doi":"10.1002/sono.12356","DOIUrl":"https://doi.org/10.1002/sono.12356","url":null,"abstract":"The Duplex surveillance programs for infra-inguinal bypass grafts are still widely used to monitor the graft patency and can be a useful predictor for failure. This workshop is designed to cover the sonographic information required for the on-going surgical management of bypass grafts. The areas focused on will be: (cid:129) Overview of Medical Terminology, (cid:129) Understanding of types of grafts used, (cid:129) Assessment of graft patency and inflow / outflow vessels, (cid:129) Common areas of in-stenosis, (cid:129) Optimis-ing ultrasound imaging, (cid:129) Why assessing surgically excluded segments is important, (cid:129) Clarity of diagram, (cid:129) Constructing a cohesive report. The scanning element of the workshop will be concentrating on a systematic approach to investigating patient symptoms, clinical manifestation","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"14 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86113693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
SonographyVolume 10, Issue S1 p. 50-57 ABSTRACT Poster Presentations First published: 04 May 2023 https://doi.org/10.1002/sono.12357Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Volume10, IssueS1Supplement: ASA2023 MELBOURNE ABSTRACTS 29th Annual International Conference of the Australasian Sonographers Association, 26–28 May 2023, Brisbane Convention & Exhibition CentreMay 2023Pages 50-57 RelatedInformation
超声第10卷，第S1期p. 50-57摘要海报演示首次发布:2023年5月4日https://doi.org/10.1002/sono.12357Read全文taboutpdf ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare给accessShare全文accessShare全文accessShare请查看我们的使用条款和条件，并在下面的复选框中分享文章的全文版本。我已经阅读并接受了Wiley在线图书馆使用共享链接的条款和条件，请使用下面的链接与您的朋友和同事分享本文的全文版本。学习更多的知识。第29届澳大利亚超声医师协会国际年会，2023年5月26-28日，布里斯班会议展览中心，2023年5月
{"title":"Poster Presentations","authors":"","doi":"10.1002/sono.12357","DOIUrl":"https://doi.org/10.1002/sono.12357","url":null,"abstract":"SonographyVolume 10, Issue S1 p. 50-57 ABSTRACT Poster Presentations First published: 04 May 2023 https://doi.org/10.1002/sono.12357Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Volume10, IssueS1Supplement: ASA2023 MELBOURNE ABSTRACTS 29th Annual International Conference of the Australasian Sonographers Association, 26–28 May 2023, Brisbane Convention & Exhibition CentreMay 2023Pages 50-57 RelatedInformation","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136273944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This session will run through the why and how of the sequential segmental analysis – that is why we need to be able to ascertain the cardiac anatomy and what strategy to use to do that. I will help demystify this often confusing subject by using images in adult orien-tation, using as simple language as possible and showing you why this is important for all cardiac sonographers to know, even if you do not routinely scan congenital patients.
{"title":"Cardiac Presentation Abstracts","authors":"","doi":"10.1002/sono.12355","DOIUrl":"https://doi.org/10.1002/sono.12355","url":null,"abstract":"This session will run through the why and how of the sequential segmental analysis – that is why we need to be able to ascertain the cardiac anatomy and what strategy to use to do that. I will help demystify this often confusing subject by using images in adult orien-tation, using as simple language as possible and showing you why this is important for all cardiac sonographers to know, even if you do not routinely scan congenital patients.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"34 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86615403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Common peroneal nerve (CPN) neuropathy resulting in foot drop is a relatively uncommon complication of patients who are positioned in the lithotomy position during surgery, and the most common cause of spontaneous painless foot drop. Although diagnosis is often based on the clinical findings, ultrasound can be used as an efficient and effective imaging tool to identify the cause of CPN neuropathy and other peripheral nerve disorders. In this article, two ultrasound cases of patients with post operation foot drop as a result of CPN neuropathy are presented. The anatomy, ultrasound imaging technique, ultrasound appearance of CPN neuropathy; and potential causes of CPN are described.
{"title":"Post operation neuropathy of common peroneal nerve resulting in foot drop","authors":"M. Tan","doi":"10.1002/sono.12359","DOIUrl":"https://doi.org/10.1002/sono.12359","url":null,"abstract":"Common peroneal nerve (CPN) neuropathy resulting in foot drop is a relatively uncommon complication of patients who are positioned in the lithotomy position during surgery, and the most common cause of spontaneous painless foot drop. Although diagnosis is often based on the clinical findings, ultrasound can be used as an efficient and effective imaging tool to identify the cause of CPN neuropathy and other peripheral nerve disorders. In this article, two ultrasound cases of patients with post operation foot drop as a result of CPN neuropathy are presented. The anatomy, ultrasound imaging technique, ultrasound appearance of CPN neuropathy; and potential causes of CPN are described.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"40 1","pages":"127 - 131"},"PeriodicalIF":0.4,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91353783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hepatic artery aneurysm: A rare but significant differential diagnosis","authors":"Anouck Van Binst","doi":"10.1002/sono.12352","DOIUrl":"https://doi.org/10.1002/sono.12352","url":null,"abstract":"hypertension","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"19 1","pages":"123 - 126"},"PeriodicalIF":0.4,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77701365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eagle syndrome is a rare disorder that affects four per 10,000 population, with few cases reported throughout the existing literature. Patients who have Eagle syndrome have an elongated styloid process with partial or complete compression to the surrounding structures and vascularity, most commonly involving the internal jugular vein (IJV). Unfortunately, due to the non-specific clinical presentation, a vast array of differential diagnoses arise, making this syndrome difficult to diagnose using ultrasound alone. In this report, I present two recent cases of post intervention bilateral IJV stenting for Eagle syndrome. The study aims to familiarise the reader with Eagle syndrome, ultrasound limitations and differential diagnoses to consider.
{"title":"Eagle syndrome: A post‐intervention vascular ultrasound case report","authors":"Lucy A. Nicholas","doi":"10.1002/sono.12351","DOIUrl":"https://doi.org/10.1002/sono.12351","url":null,"abstract":"Eagle syndrome is a rare disorder that affects four per 10,000 population, with few cases reported throughout the existing literature. Patients who have Eagle syndrome have an elongated styloid process with partial or complete compression to the surrounding structures and vascularity, most commonly involving the internal jugular vein (IJV). Unfortunately, due to the non-specific clinical presentation, a vast array of differential diagnoses arise, making this syndrome difficult to diagnose using ultrasound alone. In this report, I present two recent cases of post intervention bilateral IJV stenting for Eagle syndrome. The study aims to familiarise the reader with Eagle syndrome, ultrasound limitations and differential diagnoses to consider.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"34 1","pages":"102 - 98"},"PeriodicalIF":0.4,"publicationDate":"2023-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78295998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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