Beruflich Dokumente
Kultur Dokumente
Placenta Comp Images- Heart Rate, Uterine Cervix, Ovaries, Adnexa, Placenta, and Fluid
Structure/ Scan Label Landmarks Identified
Order Plane
• Begin at cervix, move superiorly out of uterine fundus
o Identify the fetus within the uterus
NO IMAGE-SCAN
TX o Identify number of fetuses
THROUGH
o Identify fetal lie
o Determine the right and left sides of the fetus
Uterus/
TX HEART RATE • Fetal heart and chest
Fetus
o Enlarge image of heart and document heart rate
with M-mode or Spectral Doppler
TX HEART RATE • Fetal heart and chest
o Enlarge image of heart and document heart rate
with a cine-loop
Uterine Sagittal CERVIX ML • Vaginal Canal
Cervix • Cervix
• Amniotic Sac
Sagittal CERVIX ML • Vaginal Canal
• Cervix
• Amniotic Sac
• Measure Cervical Length
o External os to internal os
Sagittal FETAL LIE • Document presenting fetal structure
• Cervix
o Indicate Breech or Vertex in annotation
Sagittal ADNEXA SAG RT • RT Adnexa include ovary if possible
Adnexa
Sagittal ADNEXA SAG LT • LT Adnexa include ovary if possible
PLACENTA • Placenta closest to Cervix
Sagittal
SAG INF • Retroplacental complex
PLACENTA • Placenta Mid- include cord insertion
Placenta Sagittal
SAG MID • Retroplacental complex
PLACENTA • Placenta- superior portion
Sagittal
SAG SUP • Retroplacental complex
Amniotic Q1 • Measure largest vertical pocket clear of fetal components
Sagittal
Fluid Index from Anterior to Posterior
(volume) Q2 • Measure largest vertical pocket clear of fetal components
Q1+Q2+Q3 Sagittal
from Anterior to Posterior
+Q4= AFI Q3 • Measure largest vertical pocket clear of fetal components
Sagittal
from Anterior to Posterior
*Structures • Measure largest vertical pocket clear of fetal components
seen in each Sagittal from Anterior to Posterior
pocket will Q4
vary
Fetal Head and Face Structures
Organ/ Scan Plane Label Landmarks Identified
Order
Fetal Head CHP • IHF
Coronal • Choroid Plexus within ventricle
Fetal o Try to get both in one image, if not do
Head separately (in axial plane)
Fetal Head VENTRICLES • IHF
Transaxial (indicate • Ventricles
RT & LT)
• IHF
VENTRICLES • Ventricle
(indicate • Measurement Technique
RT & LT) o Posterior ventricle
o Measure internally lateral to medial at glomus
Fetal Face Face FACE • Orbits
Coronal • Mandible
LENS
• Orbits
• Echogenic lens (can be in transaxial plane)
NOSE AND LIPS • Nostrils
• Upper lip
Face PROFILE • Forehead, nose, extended chin and neck
Midline
Sagittal
HMP:\Protocols\OBGYN Protocols\2nd Trimester Protocol.docx
2nd and 3rd Trimester OB Protocol
Fetal Thorax, Abdomen and Pelvic Structures
Organ/ Scan Plane Label Landmarks Identified
Order
• RT lung
DIAPHRAGM • Diaphragm
Sagittal
RT • Liver
Thorax/
Abdomen
• LT lung
Sagittal DIAPHRAGM • Diaphragm
LT • Stomach
• Stomach
STOMACH
Stomach Transverse • Transverse spine
• Transverse spine
• Right kidney
Transverse KIDNEYS
• Left kidney
• Left Sagittal Kidney (can be taken in coronal)
Kidneys
Sagittal RK SAG • Measurement technique
o Superior to inferior border
• Left Sagittal Kidney (can be taken in coronal)
Sagittal LK SAG • Measurement technique
o Superior to inferior border
• Transverse spine
• Umbilical cord insertion into abdomen
Transverse CI • Abdominal skin line
Umbilical • Umbilical cord projecting from abdomen
Cord
• Free floating loop of umbilical cord demonstrating
Transverse CORD 3VC
• Iliac wings
Bladder/ • Bladder
Transverse 3VC
Cord • Color Doppler around bladder
• Iliac wings
Bladder Transverse BLADDER • Bladder
GENDER
• Male
o Scrotum and penis
Gender Transverse (identify • Female
male or o Labia
female)
HMP:\Protocols\OBGYN Protocols\2nd Trimester Protocol.docx
2nd and 3rd Trimester OB Protocol
Fetal Heart
• Fetal heart images will vary from site to site. All students are responsible for completing a sweep
through the heart to determine situs, connection and recognize views
Organ/Order Scan Plane Label Landmarks Identified
• Right and left atrium
Transverse
Subcostal • Foramen Ovale
fetal chest
4 Chamber 4CH • Right and left ventricle
View SUBCOSTAL • Tricuspid and Mitral Valves
(IVS
• Spine
horizontal)
• Right and left atrium
Apical Transverse • Foramen Ovale
4 Chamber fetal chest 4CH • Right and left ventricle
View APICAL • Tricuspid and Mitral Valves
(IVS Vertical) • Spine
Superior Vena Long axis • Inferior vena cava
Cava & Inferior Sagittal fetal • Right atrium
SVC/IVC
Vena Cava chest • Superior vena cava
• Left ventricle
Left Ventricular Long Axis
• Aortic valve
Outflow Tract Transverse LVOT
• Aortic root
fetal chest
• Proximal aorta
Sagittal Fetal • 3 branches-innominate, left common carotid artery
Aortic Arch
Chest AA & left subclavian
• Thoracic aorta
Right • Right ventricle
Long Axis
Ventricular • Pulmonary valve
Transverse RVOT
Outflow Tract • Pulmonary trunk
Fetal Chest
• RT ventricle
Right • Pulmonary valve
Short Axis
Ventricular RVOT • RT pulmonary artery
Transverse
Outflow Tract SHORT • LT pulmonary artery
Fetal Chest
• Aorta
• Aortic valve
Ductus • Pulmonary trunk
Sagittal Fetal DA
Arteriosus Arch • Ductus arteriosus
Chest
• Thoracic aorta
• AO
Transverse 3 VESSEL
3 Vessel View • SVC
Fetal Chest VIEW
• DA
Pathology
• Gray scale sagittal and transverse images including images with 3 measurements (length, width and height)
• Color Doppler image document the presence of blood flow
• Spectral Doppler image document type and velocity of blood flow