Abstract:
:The purpose of this article was to discuss the process of setting up a nuchal translucency (NT) screening clinic in clinical practice, how to interpret the information in combination with other clinical tests, what to do if abnormal results are obtained, and to illustrate some of the fetal anomalies that are associated with an increased NT. The NT was initially implemented to predict the likelihood of a fetus with Down syndrome. Maternal age can be combined with fetal NT and maternal serum biochemistry (free β-hCG and PAPP-A) at 11 to 14 weeks to identify about 90% of affected fetuses. Setting up a clinic to perform the NT screening requires certified physicians and certified sonographers. Certification can be obtained for both physicians and sonographers through Nuchal Translucency Quality Review and Fetal Medicine Foundation. Cell-free DNA testing is now altering what our patients are choosing to evaluate fetuses at risk for chromosomal anomalies and congenital anomalies. Common pitfalls to performing, interpreting, and conveying results of the NT are illustrated in this article. Nasal bone measurement, fetal anatomy examination and fetal echocardiography are tools that add sensitivity to the detection of chromosomal abnormalities. Examples of fetal anomalies discovered during the NT screening are also illustrated. Screening for obstetric complications is an additional benefit to the NT clinic.
journal_name
Ultrasound Qjournal_title
Ultrasound quarterlyauthors
Onyeacholem I,Kleiner B,Hull AD,Chibuk J,Romine L,Anton T,Pretorius DHdoi
10.1097/RUQ.0000000000000161subject
Has Abstractpub_date
2016-03-01 00:00:00pages
3-14issue
1eissn
0894-8771issn
1536-0253journal_volume
32pub_type
杂志文章,评审abstract:BACKGROUND:There have been very few small studies or case reports in the literature considering noninvasive postmortem imaging as supplement to autopsy, especially in fetuses with skeletal dysplasias. Apert syndrome accounts for 4.5% of all patients with craniosynostotic syndromes. It is classically characterized by th...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0b013e3181fe7484
更新日期:2010-12-01 00:00:00
abstract::Urinary tract infection (UTI) in infants and children demands rapid differentiation between upper UTI (pyelonephritis) and lower UTI (cystitis) for prompt treatment to be initiated so that renal damage is minimized. This pictorial review presents a wide gamut of structural and functional abnormalities of the urinary t...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/00013644-200106000-00003
更新日期:2001-06-01 00:00:00
abstract:BACKGROUND:Pneumonia is one of the most frequent widespread and severe infectious diseases in pediatric patients worldwide. Pneumonia is characterized by high incidence and possibility of complications in the course of the disease in pediatric patients. For this reason, there is a need to have a rapid and safe diagnost...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,meta分析,评审
doi:10.1097/RUQ.0000000000000411
更新日期:2019-06-01 00:00:00
abstract::Anorectal malformations are a rare condition difficult to diagnose in the prenatal period. It can be suspected if distal bowel appears dilated in the first-trimester ultrasound or if intraluminal echogenic foci are detected during the second-trimester scan. We report a case with these ultrasound signs (dilated sigmoid...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000282
更新日期:2017-03-01 00:00:00
abstract::Biliary cast syndrome (BCS) consists of mass-like hardened collections of inspissated bile and sloughed biliary mucosa filling the intrahepatic and/or extrahepatic bile ducts, which show an alternating pattern of dilatation and stricture. It is a rare but serious complication of liver transplantation frequently necess...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0000000000000196
更新日期:2016-09-01 00:00:00
abstract::HDlive (high-definition live or real-time US), a new ultrasound software, combines a movable virtual adjustable light source in a software that calculates the proportion of light reflecting through surface structures, depending on light direction. The light source can be manually positioned to illuminate the desired a...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0b013e31829a582b
更新日期:2013-09-01 00:00:00
abstract::Renal transplantation is the best treatment option for chronic renal failure, with marked improvement in social activity, work, and family life. In addition to these obvious improvements, it is an extremely cost-effective procedure when successful. Ultrasonography plays a major role in the imaging of these patients, a...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/00013644-200309000-00003
更新日期:2003-09-01 00:00:00
abstract::Our purpose was to evaluate the clinical indications for carotid duplex ultrasonography and determine for each indication how often carotid artery disease was identified.We retrospectively reviewed the consecutive reports for 3191 carotid ultrasound examinations. We tracked 14 indications to determine how often examin...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000371
更新日期:2018-09-01 00:00:00
abstract::Ultrasound is the screening method of choice for evaluation of pelvic anatomy and abnormalities of the female pelvis. It allows for detailed assessment of the uterus, endometrium, and ovaries. However, there are times when the sonographic diagnosis is nonspecific. This review article details the use of magnetic resona...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/01.ruq.0000232613.41429.ec
更新日期:2006-09-01 00:00:00
abstract::Our objective was to assess the differential diagnostic value of classification of obstructive versus nonobstructive azoospermia by scrotal ultrasound. Forty patients with azoospermia were selected for our study (ages, 23-35; average, 29 ± 5.34 years). Patients were divided into the obstructive (17) or nonobstructive ...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000299
更新日期:2017-12-01 00:00:00
abstract::Intraoperative ultrasound provides spatial resolution of the pancreas superior to computed tomography, magnetic resonance imaging, and transabdominal sonography. This pictorial essay will review common benign and malignant pancreatic processes including the following: pancreatic ductal adenocarcinoma, pancreatitis, en...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0b013e3181901ce4
更新日期:2009-03-01 00:00:00
abstract::Intraoperative ultrasonography can play a particularly useful role in facilitating surgery or guiding biopsies in the brain and spinal canal. Given the limited access that is frequently afforded to the operating surgeon, coupled with lesions that may be located in deep or seemingly inaccessible locations, sonography p...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/01.ruq.0000263840.92560.72
更新日期:2007-03-01 00:00:00
abstract::A 38-week pregnant patient with history of cesarean delivery was admitted to the hospital for induction of labor after diagnosis of fetal demise. When the clinical picture became concerning for uterine scar dehiscence, an ultrasound was ordered. After targeted ultrasound of the lower uterine segment, the sonographer i...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000260
更新日期:2017-03-01 00:00:00
abstract::This article describes the sonographic appearance of a variety of soft tissue masses. We review the current indications for performing musculoskeletal sonography as a screening and diagnostic tool in the clinical management of soft tissue masses. ...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/01.ruq.0000191657.87569.08
更新日期:2005-12-01 00:00:00
abstract::The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every two years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer reviewed journals a...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000099
更新日期:2014-12-01 00:00:00
abstract::This study aimed to evaluate the levator hiatus area (LHA) at rest and during the performance of maximal pelvic floor muscle (PFM) contractions, during the abdominal hypopressive technique (AHT), and during the combination of PFM contractions (PFMCs) and the AHT. The study included 17 healthy nulliparous women who had...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000181
更新日期:2016-06-01 00:00:00
abstract::The use of microbubble contrast greatly enhances the ability of ultrasound to delineate structures and therefore aid in diagnosis. Ultrasound microbubble contrast agents are composed of low-solubility gas encapsulated in a biomaterial shell. These agents use the physics of ultrasound imaging to effectively identify an...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0000000000000182
更新日期:2016-06-01 00:00:00
abstract::Congenital heart diseases (CHDs) carry a high prevalence rate in the general population (0.8%-1%). Most fetal CHDs occur in patients without any risk factors. The prenatal recognition of CHD has major impacts on the pregnancy and its outcome. The aforementioned data justify prenatal ultrasound (US) screening of CHD in...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0b013e3182915867
更新日期:2013-06-01 00:00:00
abstract::Despite the overwhelming prevalence of cholelithiasis, many health care professionals are not familiar with the basic pathophysiology of gallstone formation. This article provides an overview of the biochemical pathways related to bile, with a focus on the physical chemistry of bile. We describe the important factors ...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0000000000000287
更新日期:2017-09-01 00:00:00
abstract::Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a rare disorder characterized by aplasia or hypoplasia of the uterus and vagina due to arrest in the development of the müllerian ducts. Women with this syndrome have the normal 46 XX karyotype, normal female secondary sex characteristics, and primary amenorrhea. Only ...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000284
更新日期:2017-09-01 00:00:00
abstract::The advent of antiangiogenic drugs in cancer therapy necessitates an imaging modality that can longitudinally assess posttreatment changes in tumor vasculature. In this regard, microbubble contrast-enhanced ultrasonography (CEUS) offers several advantages over conventional imaging modalities. The small size of microbu...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0b013e3181bce364
更新日期:2009-12-01 00:00:00
abstract::Transcranial Doppler ultrasonography is essential in the management of children with sickle cell anemia and is a valuable adjunct to the evaluation of a variety of intracranial pathologies in children and adults, including vasoconstriction caused by subarachnoid hemorrhage, demonstration of major intracranial vessel s...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0b013e3181862b67
更新日期:2008-09-01 00:00:00
abstract:PURPOSE:The aims of this study were to evaluate if a dynamic automatic image optimization technique decreases examination time and number of keystrokes while maintaining or improving image quality and to determine if these variables vary with sonographer experience. MATERIALS AND METHODS:Five sonographers of varying e...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0b013e3181a424e2
更新日期:2009-06-01 00:00:00
abstract::We studied the relationship between breast ultrasound background echotexture (BET) and magnetic resonance imaging (MRI) background parenchymal enhancement (BPE) and whether this relationship varied with hormonal status and amount of fibroglandular tissue (FGT) on MRI. Two hundred eighty-three Korean women (52.1 years;...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000487
更新日期:2020-06-01 00:00:00
abstract::Liver fibrosis is evaluated to assess the prognosis and guide the treatment of chronic hepatitis B (CHB). To compare the efficiency of 2 transient elastography techniques for grading liver fibrosis in CHB: visual transient elastography (ViTE) with real-time image guidance and FibroScan (FS) with no image guidance. All...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000509
更新日期:2020-09-23 00:00:00
abstract::Primary angiosarcoma of the breast is a rare entity. In this case report, we present a case of primary angiosarcoma of the breast in a young woman who presents with her entire right breast enlarged without skin coloration change or signs of mastitis. She recently stopped breastfeeding. This case report will review the...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0000000000000274
更新日期:2017-03-01 00:00:00
abstract::This article reviews salient features of pediatric gynecologic ultrasound. It reviews technologic factors, technique, and normal anatomy used to evaluate the pediatric gynecologic tract for abnormality. It reviews and illustrates clinical imaging information necessary to know in the ultrasonic analysis of several clin...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/00013644-200409000-00007
更新日期:2004-09-01 00:00:00
abstract::Transabdominal bowel sonography is a fast, efficient, and cheap way of examining the intestines. It is also virtually hazard-free and well accepted by patients. During the last 20 years, it has been established as a procedure for detecting bowel disease early in the diagnostic workup. Although rather unspecific, the m...
journal_title:Ultrasound quarterly
pub_type: 杂志文章,评审
doi:10.1097/RUQ.0b013e3181ce0929
更新日期:2010-03-01 00:00:00
abstract::Early and accurate prenatal diagnosis of intrauterine growth restriction is important. Commonly used biometric parameters have limited specificity and require accurate dating. Fetal abdominal wall thickness (AWT) could be a useful supplemental parameter. We performed a retrospective study of 100 third trimester ultras...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000310
更新日期:2017-09-01 00:00:00
abstract::Abdominal ultrasound of a 28-year-old man with chronic abdominal pain and vomiting demonstrates a dilated aperistaltic distal esophagus, which was confirmed on follow-up esophagram as achalasia. The 2 main types of achalasia are primary and secondary. Primary achalasia occurs with the loss of postganglionic neurons re...
journal_title:Ultrasound quarterly
pub_type: 杂志文章
doi:10.1097/RUQ.0000000000000315
更新日期:2017-12-01 00:00:00