Donald School Journal of Ultrasound in Obstetrics and Gynecology

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2018 | October-December | Volume 12 | Issue 4

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PICTURE OF THE MONTH

Hirokazu Tanaka, Megumi Ito

HDlive Silhouette for Antenatal Diagnosis of Uterine Synechia

[Year:2018] [Month:October-December] [Volume:12] [Number:4] [Pages:3] [Pages No:249 - 251]

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

   DOI: 10.5005/jp-journals-10009-1572  |  Open Access |  How to cite  | 

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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EDITORIAL

Renato AM de Sá, Fernanda C da Silva

What is the Future of Intrauterine Surgery?

[Year:2018] [Month:October-December] [Volume:12] [Number:4] [Pages:3] [Pages No:252 - 254]

Keywords: Fetal therapy, Fetal ultrasonography, Fetoscopic surgery, Minimally invasive surgery

   DOI: 10.5005/jp-journals-10009-1573  |  Open Access |  How to cite  | 

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OPINION ARTICLE

Yaron Zalel

Critical Assessment of Noninvasive Prenatal Testing: Before or after Anomaly Scan

[Year:2018] [Month:October-December] [Volume:12] [Number:4] [Pages:3] [Pages No:255 - 257]

   DOI: 10.5005/jp-journals-10009-1574  |  Open Access |  How to cite  | 

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CASE REPORT

Olga Rosales-Aedo, Margarita Alvarez-de-la-Rosa, Ana I Padilla, Juan M Troyano

Fetal Mediastinal Mass Associated with Arrhythmia: Artifact and Casual Finding in Ultrasound Diagnosis

[Year:2018] [Month:October-December] [Volume:12] [Number:4] [Pages:4] [Pages No:258 - 261]

Keywords: Arrhythmia, Echocardiography, Mediastinum, Prenatal diagnosis, Thymus

   DOI: 10.5005/jp-journals-10009-1575  |  Open Access |  How to cite  | 

Abstract

Aim: We aim to report a case of an enlarged fetal thymus causing arrhythmia. Background: Fetal mediastinal masses may be clinically asymptomatic or cause hemodynamically significant alterations, heart failure, arrhythmias, and sudden cardiac death. Case description: We present a case of fetal mediastinal mass associated with an arrhythmia. A 29-year-old primigravida, with no previous medical history, was referred to our center due to suspicion of fetal arrhythmia detected in a routine control in week 34. A thymus of hyperplasic characteristics was suspected in the ultrasound evaluation. Pregnancy concluded uneventfully with favorable neonatal outcome. Conclusion: The fetal thymus is a structure that usually goes unnoticed during the process of prenatal diagnosis, and when it presents alterations in its morphology, can lead to confusion. Clinical significance: The fetal thymus can be physiologically enlarged and cause fetal arrhythmias without an adverse clinical outcome.

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REVIEW ARTICLE

Beginning of Human Life: Doubts and Controversies

[Year:2018] [Month:October-December] [Volume:12] [Number:4] [Pages:20] [Pages No:262 - 281]

Keywords: Beginning of human life, Bioethics, Embryo, Fertilization, Religion, Science

   DOI: 10.5005/jp-journals-10009-1576  |  Open Access |  How to cite  | 

Abstract

The beginning of human life and the whole mystery about it has fascinated people from time immemorial. It has been the subject of various scientific researches and religious debates. Different views on \"the beginning\" and distinct definitions are peculiar from individual to individual, in diverse countries, cultures, and religions. Substantial progress has been made so far that philosophers, scientists, ethicists, sociologists, and theologies are closer and closer to achieve some consensus, realizing that most of their views can be seen as complementary and do not exclude each other. Evaluating the process of development of human life, we can surely say that at some point there is the beginning and the end. Pointing out exact moments in time remains unascertained. Scientifically, from the biological standpoint, there are several moments which are more or less equally important and are rather seen as a continuous dynamic process that develops fluently.

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REVIEW ARTICLE

Francisco Raga, Fernando Bonilla-Musoles, Newton Osborne, Francisco JB Bartret

Ultrasound and Folliculogenesis

[Year:2018] [Month:October-December] [Volume:12] [Number:4] [Pages:18] [Pages No:282 - 299]

Keywords: Assisted reproduction technology, Gynecologic endocrinology, Ultrasound

   DOI: 10.5005/jp-journals-10009-1577  |  Open Access |  How to cite  | 

Abstract

Ultrasound as well as gynecologic endocrinology are two major advances which enabled revolution in assisted reproduction technology (ART). Today it is impossible to imagine ART without ultrasound.

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ABSTRACTS

Abstracts from the 1st Croatian Congress on Ultrasound in Gynecology and Perinatology, 10–11 November 2018, Zagreb, Croatia

[Year:2018] [Month:October-December] [Volume:12] [Number:4] [Pages:17] [Pages No:300 - 316]

   DOI: 10.5005/jp-journals-10009-1578  |  Open Access |  How to cite  | 

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