Donald School Journal of Ultrasound in Obstetrics and Gynecology

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2017 | April-June | Volume 11 | Issue 2

RESEARCH ARTICLE

Francesca Foti, G Minneci, G Calì

New Important Step in Prenatal Evaluation of Abnormally Invasive Placenta: A Study of Bladder, Uterus, and Vagina Vascularization

[Year:2017] [Month:April-June] [Volume:11] [Number:2] [Pages:2] [Pages No:89 - 90]

Keywords: Morbidity adherent placenta,Obstetric surgery,Prenatal evaluation,Abnormally invasive placenta,Accretism,Bladderuterus- vagina vascularization

PDF  |  DOI: 10.5005/jp-journals-10009-1508  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Foti F, Minneci G, Calì G. New Important Step in Prenatal Evaluation of Abnormally Invasive Placenta: A Study of Bladder, Uterus, and Vagina Vascularization. Donald School J Ultrasound Obstet Gynecol 2017;11(2):89-90.

EDITORIAL

History of Medical Ultrasound

[Year:2017] [Month:April-June] [Volume:11] [Number:2] [Pages:10] [Pages No:91 - 100]

Keywords: Doppler,3D-4D ultrasound,HDlive Silhouette,Ian Donald,Medical ultrasound

PDF  |  DOI: 10.5005/jp-journals-10009-1509  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Maeda K. History of Medical Ultrasound. Donald School J Ultrasound Obstet Gynecol 2017;11(2):91-100.

EDITORIAL

Karim D Kalache, Farhat Gothey, Daniel Kamil

Obstetric Ultrasound for Diabetes-related Congenital Anomalies

[Year:2017] [Month:April-June] [Volume:11] [Number:2] [Pages:6] [Pages No:101 - 106]

Keywords: Congenital anomalies,Diabetic embryopathy,Gestational diabetes,Pregestational diabetes,Ultrasonography

PDF  |  DOI: 10.5005/jp-journals-10009-1510  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kalache KD, Gothey F, Kamil D. Obstetric Ultrasound for Diabetes-related Congenital Anomalies. Donald School J Ultrasound Obstet Gynecol 2017;11(2):101-106.

REVIEW ARTICLE

Placenta and Transvaginal Sonography

[Year:2017] [Month:April-June] [Volume:11] [Number:2] [Pages:8] [Pages No:107 - 114]

Keywords: Low-lying placenta,Placenta,Safety and accuracy of transvaginal ultrasound

PDF  |  DOI: 10.5005/jp-journals-10009-1511  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Khurana A. Placenta and Transvaginal Sonography. Donald School J Ultrasound Obstet Gynecol 2017;11(2):107-114.

REVIEW ARTICLE

Zuber D Mulla, Alok Dwivedi

Effectiveness of Ultrasound Simulation in Obstetrics and Gynecology Education: A State-of-the-Art Review

[Year:2017] [Month:April-June] [Volume:11] [Number:2] [Pages:11] [Pages No:115 - 125]

Keywords: Clinical skills,Gynecology,Obstetrics,Training,Ultrasound education,Ultrasound simulation

PDF  |  DOI: 10.5005/jp-journals-10009-1512  |  Open Access |  How to cite  | 

Abstract

Introduction

The benefi ts and uses of ultrasound (US) are well documented for procedural and diagnostic purposes. A number of studies have evaluated the utility of simulation-based US training in achieving competency and improving safety. To the best of our knowledge, no previous studies have attempted to synthesize the effectiveness of US simulation in Obstetrics and Gynecology (OB GYN) education using a systematic method. This review article summarizes the effect of US simulation on learning outcomes in OB GYN with three objectives: (1) To review and summarize the available evidence on the effectiveness of US simulation in OB GYN; (2) determine the validity and usefulness of US simulation in OB GYN training; and (3) describe advantages and disadvantages of various US simulators available in OB GYN as of 2016.

Materials and methods

We performed a literature search using different search engines, such as Medline PubMed and EMBACE using appropriate keywords. The data were extracted from all published eligible studies. A meta-analysis was conducted in order to obtain a pooled estimate of effect of US simulation in OB GYN education based on the availability of data on common outcomes.

Results

The majority of the included studies supported the usefulness or validity of simulation training in OB GYN for the enhancement of US skills. The US simulation signifi cantly improved the skills necessary to measure crown-rump length and nuchal translucency accurately.

Conclusion

Despite the cost, integration of US simulators in medical education appears to have a positive impact on the scanning and interpretation skills of trainees. This study may assist in preparing a dedicated curriculum for OB GYN US education via the inclusion of US simulation.

How to cite this article

Arya S, Dwivedi A, Mulla ZD, Kupesic Plavsic S. Effectiveness of Ultrasound Simulation in Obstetrics and Gynecology Education: A State-of-the-Art Review. Donald School J Ultrasound Obstet Gynecol 2017;11(2):115-125.

REVIEW ARTICLE

Vandana V Ahluwalia, Prerna S Saharan, Ankita Chauhan

Clinicoradiological Approach to Sonomammographic Spectrum of Breast Disorders

[Year:2017] [Month:April-June] [Volume:11] [Number:2] [Pages:9] [Pages No:126 - 134]

Keywords: Breast imaging reporting and data system,Infection,Sonomammography,Apocrine metaplasia,Asymmetry

PDF  |  DOI: 10.5005/jp-journals-10009-1513  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Ahluwalia VV, Saharan PS, Chauhan A. Clinicoradiological Approach to Sonomammographic Spectrum of Breast Disorders. Donald School J Ultrasound Obstet Gynecol 2017;11(2):126-134.

RESEARCH ARTICLE

Linder Diaz, Belkys Zambrano, Fabio J Adami

External Validation of Gynecological Imaging and Reporting Data System for Sonographic Evaluation of Adnexal Masses

[Year:2017] [Month:April-June] [Volume:11] [Number:2] [Pages:6] [Pages No:135 - 140]

Keywords: Adnexal masses,Diagnosis,Management,Reporting,Ultrasound

PDF  |  DOI: 10.5005/jp-journals-10009-1514  |  Open Access |  How to cite  | 

Abstract

Objective

To perform an external validation of Gynecological Imaging and Reporting Data System (GI-RADS) and to assess how referring clinicians value this reporting system in their daily practice.

Materials and methods

Prospective observational study comprising 257 women (mean age 40.3 years) and 281 adnexal masses, referred by 20 clinicians to an ultrasound referral center. All women underwent transvaginal or transrectal ultrasound. Presumed diagnosis of the adnexal mass was based on examiner's subjective impression according to patter recognition analysis. Reporting was performed according to GI-RADS classification. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (LR+), and negative likelihood ratio (LR-) of the GI-RADS were calculated. The gold standard was histologic diagnosis (benign or malignant) or spontaneous resolution of the cyst during follow-up (benign). Referring clinicians were asked for completing a survey in order to assess how useful they considered this reporting system.

Results

In this study, 56 masses were classified as GI-RADS 2, 174 masses were classified as GI-RADS 3, 19 masses were classified as GI-RADS 4, and 32 masses were classified as GI-RADS 5. Among them, 230 masses were removed surgically and 51 masses resolved spontaneously. There were 35 malignant lesions. Sensitivity, specificity, LR+, and LR- were 97.1% (95% confidence interval (CI): 85.5–99.5%), 93.1% (95%CI: 89.2– 95.6%), 14.1 (95%CI: 8.8–22.3), and 0.03 (95%CI: 0.004–0.21) respectively. All 20 referring clinicians reported that GI-RADS was very useful for their clinical decision-making process.

Conclusion

GI-RADS shows a high diagnostic performance and is helpful for referring clinicians for taking clinical decisions.

How to cite this article

Diaz L, Zambrano B, Adami FJ, Alcázar JL. External Validation of Gynecological Imaging and Reporting Data System for Sonographic Evaluation of Adnexal Masses. Donald School J Ultrasound Obstet Gynecol 2017;11(2):135-140.

RESEARCH ARTICLE

Sandhya Hemraj, Devdas K Acharya, Sally M Abraham, US Vinayaka, G Ravichandra

Fetal Foot Length and Its Sonographic Correlation with Gestational Age

[Year:2017] [Month:April-June] [Volume:11] [Number:2] [Pages:5] [Pages No:141 - 145]

Keywords: Fetal foot length,Gestational age,Obstetric sonography

PDF  |  DOI: 10.5005/jp-journals-10009-1515  |  Open Access |  How to cite  | 

Abstract

Introduction

Accurate assessment of gestational age and fetal growth using ultrasound is imperative in providing good quality antenatal and perinatal care. It provides a noninvasive reliable estimate of the gestational age and serves as a baseline upon which interval fetal growth can be assessed throughout pregnancy.

Aim

The present study was undertaken to assess the relationship between gestational age and fetal foot length and to derive a nomogram correlating gestational age in weeks with fetal foot length.

Materials and methods

This was a prospective, cross-sectional study conducted on 300 pregnant women between 18 and 39 weeks of gestation after obtaining their written informed consent. Our inclusion criteria were women with singleton pregnancies who were certain of their last menstrual periods; who had previous regular menstrual cycles; who had undergone a fi rst trimester dating scan; who had a normal anomaly scan; and with normal amniotic fl uid volume. Each patient underwent a detailed antenatal ultrasound study in which, in addition to routine fetal biometry, each fetal foot length was measured. In each fetus, the measurements of the two feet were averaged for analytical purpose. For each gestational age, the fetal foot length was calculated from the raw data and linear regression analysis was used to establish a relationship between sonographic gestational age and fetal foot length. The p value was also calculated to estimate the level of signifi cance.

Results

Our study demonstrated a strong statistically significant linear relationship between gestational age and fetal foot length during the second and third trimesters of gestation.

How to cite this article

Hemraj S, Acharya DK, Abraham SM, Vinayaka US, Ravichandra G. Fetal Foot Length and Its Sonographic Correlation with Gestational Age. Donald School J Ultrasound Obstet Gynecol 2017;11(2):141-145.

Confl ict of interest: None

RESEARCH ARTICLE

Panagiotis Antsaklis

Fetal Behavior assessed by Four-dimensional Sonography

[Year:2017] [Month:April-June] [Volume:11] [Number:2] [Pages:23] [Pages No:146 - 168]

Keywords: Behavior,Brain damages,KANET test

PDF  |  DOI: 10.5005/jp-journals-10009-1516  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kurjak A, Antsaklis P, Stanojevic M, Porovic S. Fetal Behavior assessed by Four-dimensional Sonography. Donald School J Ultrasound Obstet Gynecol 2017;11(2):146-168.

RESEARCH ARTICLE

Selma Porovic, Hrvoje Juric, Senka M Dinarevic

Oxidative Status of Saliva and Plasma in Diabetic Children

[Year:2017] [Month:April-June] [Volume:11] [Number:2] [Pages:5] [Pages No:169 - 173]

Keywords: Oxidative status,Plasma,Saliva,Total antioxidant capacity,Advanced oxidation protein products,Children, Diabetes

PDF  |  DOI: 10.5005/jp-journals-10009-1517  |  Open Access |  How to cite  | 

Abstract

Aim

The objective of this study was to determine the oxidative status of saliva and plasma in diabetic children, by analyzing advanced oxidation protein products (AOPPs) and total antioxidant capacity (TAC).

Materials and methods

Study included 60 patients with diabetes mellitus type I (DMT1) aged 12.45 ± 2.65 years, and 40 healthy age-matched controls. The AOPP and TAC of the plasma and saliva samples were determined using a commercial QuantiChrom™ Antioxidant Assay Kit (DTAC-100) for TAC determination, and Immunodiagnostic AG [enzyme-linked immunosorbent assay kit for AOPP].

Results

Values of salivary and plasma AOPP were lower in diabetic patients than in healthy controls, while value of TAC was clinically and significantly higher in plasma of controls, and clinically higher in saliva of healthy control group, compared with diabetic patients. Average value of hemoglobin A1c (HbA1c) was 7.58 ± 0.85%.

Conclusion

Results of this study showed that diabetes mellitus as a condition, with well-controlled HbA1c, has no influence on AOPP levels in saliva and plasma, while TAC levels of saliva and plasma are lower in diabetic patients, which means that DMT1 has an influence on the TAC.

How to cite this article

Porovic S, Juric H, Dinarevic SM. Oxidative Status of Saliva and Plasma in Diabetic Children. Donald School J Ultrasound Obstet Gynecol 2017;11(2):169-173.

CASE REPORT

Fatima Al-Saygh, Moune Jabre

Imperforate Hymen

[Year:2017] [Month:April-June] [Volume:11] [Number:2] [Pages:4] [Pages No:173 - 176]

Keywords: Abdominal ultrasound,Hematocolpos,Imperforate Hymen

PDF  |  DOI: 10.5005/jp-journals-10009-1518  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Al-Saygh F, Jabre M, Ahmed B. Imperforate Hymen. Donald School J Ultrasound Obstet Gynecol 2017;11(2):174-176.

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