Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 12 , ISSUE 4 ( October-December, 2018 ) > List of Articles

PICTURE OF THE MONTH

HDlive Silhouette for Antenatal Diagnosis of Uterine Synechia

Hirokazu Tanaka, Megumi Ito

Keywords : Antenatal diagnosis, HDlive silhouette, HDlive studio, Pregnancy, Uterine synechia

Citation Information : Tanaka H, Ito M. HDlive Silhouette for Antenatal Diagnosis of Uterine Synechia. Donald School J Ultrasound Obstet Gynecol 2018; 12 (4):249-251.

DOI: 10.5005/jp-journals-10009-1572

License: CC BY-NC 4.0

Published Online: 01-04-2019

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

We present our experience of using HDlive studio and HDlive silhouette to diagnose uterine synechia at 18 weeks and 2 days of gestation. Two-dimensional (2D) sonography showed a narrow, transverse uterine synechia in the amniotic cavity. 2D color Doppler revealed arterial blood flow consistent with the maternal heart rate in the uterine synechia. HDlive silhouette clearly demonstrated a transverse, bridging uterine synechia in front of the fetal head, and fetal arm and leg behind the placenta. Magnetic resonance imaging (MRI) confirmed the oblique horizontal band-like synechia at 31 weeks of gestation. HDlive silhouette and HDlive studio provided a novel visual depiction of uterine synechia and allowed us to demonstrate the spatial relationships among the uterine synechia, placenta, umbilical cord, and fetus in the amniotic cavity.


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