Sonal Panchal - Ultrasound for Congenital Fetal Anomalies

ULTRASOUNDforCongenital Fetal AnomaliesULTRASOUNDforCongenital Fetal AnomaliesEditorSonal Panchal MD (Radiology) Consultant Ultrasound Specialist Dr Nagoris Institute for Infertility and IVF Ahmedabad, Gujarat, India Professor Dubrovnik International University Dubrovnik, Croatia Academic Director Ian Donald Inter-University School of Medical Ultrasound, India ForewordChaitanya NagoriThe Health Sciences Publisher New Delhi | London | Panama Jaypee Brothers Medical Publishers (P) LtdHeadquarters Jaypee Brothers Medical Publishers (P) Ltd 4838/24, Ansari Road, Daryaganj New Delhi 110 002, India Phone: +91-11-43574357 Fax: +91-11-43574314 Email: jaypee@jaypeebrothers.com Overseas Offices J.P. Medical Ltd Jaypee-Highlights Medical Publishers Inc. 83 Victoria Street, London City of Knowledge, Bld. 235, 2nd Floor, Clayton SW1H 0HW (UK) Panama City, Panama Phone: +44 20 3170 8910 Phone: +1 507-301-0496 Fax: +44 (0)20 3008 6180 Fax: +1 507-301-0499 Email: info@jpmedpub.com Email: cservice@jphmedical.com Jaypee Brothers Medical Publishers (P) Ltd Jaypee Brothers Medical Publishers (P) Ltd 17/1-B Babar Road, Block-B, Shaymali Bhotahity, Kathmandu, Nepal Mohammadpur, Dhaka-1207 Phone: +977-9741283608 Bangladesh Email: kathmandu@jaypeebrothers.com Mobile: +08801912003485 Email: jaypeedhaka@gmail.com Website: www.jaypeebrothers.com Website: www.jaypeedigital.com Digital Version 2018, Jaypee Brothers Medical Publishers The views and opinions expressed in this book are solely those of the original contributor(s)/author(s) and do not necessarily represent those of editor(s) of the book. All rights reserved. No part of this publication may be reproduced, stored or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission in writing of the publishers.

All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions.

Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book. This book is sold on the understanding that the publisher is not engaged in providing professional medical services. If such advice or services are required, the services of a competent medical professional should be sought. Every effort has been made where necessary to contact holders of copyright to obtain permission to reproduce copyright material. If any have been inadvertently overlooked, the publisher will be pleased to make the necessary arrangements at the first opportunity. Inquiries for bulk sales may be solicited at: jaypee@jaypeebrothers.com Ultrasound for Congenital Fetal AnomaliesFirst Edition:Digital Version2018 ISBN 978-93-5270-088-2 CONTRIBUTORSAshok Khurana MBBS MD Sanjay Vasoya MD Trained at the HERLEV Hospital, Denmark Patel X-ray and Sonography Clinic The Ultrasound Lab Surat, Gujarat, India New Delhi, India Sathiya Senthil MBBS RDMS MSc BS Ramamurthy MBBS DMRD DNB MD (Ultrasonography) Srinivasa Ultrasound Scanning Centre Consultant in Fetal Medicine Bengaluru, Karnataka, India SONOSCAN: Ultrasonic Scan Centre Coimbatore, Tamil Nadu, India Binodini Mahendra Chauhan MD (OBG) Fellowship Fetal Medicine Sonal Panchal MD (Radiology) Consultant, Fetal Medicine Consultant Ultrasound Specialist Fetal Medicine Centre Dr Nagoris Institute for Infertility and IVF Honorary Fetal Medicine Consultant Ahmedabad, Gujarat, India Government Medical College Professor Surat, Gujarat, India Dubrovnik International University Chaitanya Nagori Dubrovnik, Croatia MD DGO Director Academic Director Ian Donald Inter-University School of Dr Nagoris Institute for Infertility and IVF Medical Ultrasound Ahmedabad, Gujarat, India India Pavithra M Vengetesh MS (OG) DGO DNB( OG) KV Sridevi MS (OBG) RCOG (UK) Fellow in Fetal Medicine Fellow Fetal Medicine Coimbatore, Tamil Nadu, India Consultant S Boopathy Vijayaraghavan Fetal Medicine and OBG Imaging MD DMRD Pinnacle Hospital and Pinnacle Womens Consultant Imaging Centre Diagnostic Radiology and Visakhapatnam, Andhra Pradesh, India Fetal Medicine SONOSCAN: Ultrasonic Scan Centre Coimbatore, Tamil Nadu, India FOREWORD It gives me a pleasure to preview this book Ultrasound for Congenital FetalAnomalies edited by Sonal Panchal.

It is designed for clear understanding of the ultrasound findings of all common fetal abnormalities, with a clear to-the-point approach. The initial chapters explaining the normal anatomy of the fetus and also clear description about the correct methodology of scanning and measurements, makes the understanding of the abnormal ultrasound findings more precise. The book also discusses the prognosis and management strategies of most lesion, making it a complete book for quick reference of the obstetric ultrasound practitioner. Chaitanya Nagori MD DGO Director Dr Nagoris Institute for Infertility and IVF Ahmedabad, Gujarat, India PREFACE This book is designed to lead the path from ultrasound findings to precise diagnosis of congenital fetal anomalies. It describes the correct method of assessment of each fetal part both qualitatively and quantitatively. Role of all ultrasound modalities (B mode, Doppler, 3D and 3D power Doppler) are discussed here.

For all pathologies, an overview of therapeutic guidelines and counseling tips are also discussed. It will surely be a useful book for obstetricians and radiologists for ultrasound diagnosis of congenital fetal abnormalities. Sonal PanchalACKNOWLEDGMENTS I am sincerely grateful to each one who has contributed to make this book perfect. Two persons require a special acknowledgment, Dr KV Sridevi and Dr Sanjay Vasoya. They have stood by me and have supported and helped me to fill up the gaps, that were so difficult to, for the completion of the book. I acknowledge the support from Dr Ashok Khurana, Dr BS Ramamurthy and Dr Boopathy Vijayaraghavan, for their very relevant and up-to-date contributions.

My special thanks to Dr Chaitanya Nagori, who has always supported and encouraged me as friend, philosopher and guide. CONTENTSChapter 1: Normal and Abnormal Embryo Chaitanya Nagori, Sonal Panchal x Confirmation of Pregnancy 2 x Confirm Location of Gestational Sac 3 x Early Detection of Multiple Gestation 6 x Growth and Progress of Pregnancy 7 x Cardiac Activity 10 x Six Weeks 10