Fleischer’s Sonography in Obstetrics & Gynecology

Description

The most authoritative guide to sonography in obstetrics and gynecology—completely revised to reflect the latest technologies and practices Written by radiologists and ob/gyns to provide a balanced perspective, this standard-setting guide is both a clinically relevant reference text and atlas. Presented in full color and enhanced by more than 2000 illustrations, it expertly examines the full spectrum of disorders and conditions likely to be encountered in gynecologic and maternal-fetal care. Readers will find coverage of the latest procedures and diagnostic guidelines for the use of sonography in ob/gyn, including 3D and 4D image processing, transvaginal sonography, and color Doppler sonography. The book opens with general obstetric sonography, covering such pivotal topics as normal pelvic anatomy and fetal echocardiography, before moving into fetal anomalies and disorders. Risk assessment and therapy, including first trimester screening and amniocentesis, are explored in the next section, while the remaining parts of the book focus on maternal disorders, gynecological sonography, and the newest complementary imaging modalities. • All-inclusive coverage of everything from sonographic operating instruments and screening the fetal patient for syndromes and anomalies, to diagnosing the female patient for cysts, infertility, and incontinence • Learning aids include: a “key points” section in each chapter; skill-building clinical scenarios; a stronger focus on differential diagnosis; multiple visuals (figure, illustration, or table) on each page; and helpful chapter-opening summaries • New chapters on enhanced myometrial vascularity, Doppler sonography of abnormal fetal condition, sonography of uterine scar pregnancies, ultrasound-guided fetal therapy, evaluation of acute and chronic pelvic pain, and contrast-enhanced Cover......Page 1 Tribute......Page 2 I. General Obstetric Sonography......Page 4 1. Ultrasound Bioeffects and Safety: What the Practitioner Should Know......Page 5 2. Normal Pelvic Anatomy as Depicted with Transvaginal Sonography......Page 28 3. Transvaginal Sonography of Early (First Trimester) Intrauterine Pregnancy......Page 48 4. Transvaginal Sonography of Ectopic Pregnancy......Page 84 5. Ultrasound of the Fetus at 11 to 18 Weeks......Page 112 6. Fetal Biometry......Page 140 7 Placenta, Cord, and Membranes......Page 164 8. Sonographic Diagnosis of Abnormally Adherent Placenta......Page 196 9. Enhanced Myometrial Vascularity: The Role of Ultrasound in the Diagnosis and Treatment......Page 206 10. Fetal Growth Restriction......Page 212 11. Uterine Artery Doppler......Page 242 12. Doppler Interrogation of the Fetal Circulation......Page 258 13. Doppler Ultrasonography for the Diagnosis and Management of Fetal Anemia, Hydrops, and Fetal Lung Maturity......Page 306 14. Color Doppler Sonography in Obstetrics......Page 324 15. Sonography in Multiple Gestation......Page 352 16. Ultrasound Evaluation in the Modern Labor Delivery Unit: An Important Diagnostic and Management Tool......Page 392 II. Fetal Anomalies and Disorders......Page 400 17. Fetal Anomalies: Overview......Page 401 18. Prenatal Diagnosis of Cerebrospinal Anomalies......Page 440 19. Fetal Neck and Chest Anomalies......Page 466 20. Prenatal Assessment of Congenital Heart Disease......Page 486 21. Fetal Gastrointestinal Anomalies......Page 520 22. The Fetal Genitourinary System......Page 570 23. Prenatal Diagnosis of Skeletal  Anomalies......Page 590 24. Ultrasound Detection of Chromosomal Anomalies, Congenital Infections, and Syndromes......Page 666 III. Risk Assessment and Therapy......Page 726 25. First Trimester Screening......Page 727 26. Fetal Biophysical Profile Score: Theoretical Considerations and Practical Application......Page 756 27. Invasive Diagnosis of The Fetus......Page 768 28. Minimally Invasive Fetal Therapy and Open Fetal Surgery......Page 850 IV. Maternal Conditions and Disorders......Page 868 29. Sonographic Examination of the Uterine Cervix......Page 869 30. Sonography of Trophoblastic Diseases......Page 902 31. Postpartum Ultrasound......Page 912 32. Sonography of Maternal Disorders Encountered During Pregnancy......Page 924 V. Gynecologic Sonography......Page 938 33. Sonographic Evaluation of Pelvic Masses......Page 939 34. Sonographic Evaluation of Uterine Disorders......Page 968 35. Transvaginal Sonography of Endometrial Disorders......Page 998 36. Sonographic Techniques for Early Detection of Ovarian and Endometrial Cancers......Page 1018 37. Sonographic Evaluation of Acute and Chronic Pelvic Pain......Page 1040 38. Contrast-Enhanced Gynecologic Sonography......Page 1058 39. Transvaginal Sonography in Gynecologic Infertility......Page 1076 40. Sonohysterography and Sonohysterosalpingography......Page 1108 41. Guided Procedures using Transvaginal, Transabdominal, and Transrectal Sonography......Page 1128 42. Pelvic Floor Ultrasound......Page 1154 43. Basic Breast Sonography......Page 1186 44. Breast Sonography: Advanced......Page 1194 VI. Complementary Imaging Modalities......Page 1202 45. Volume Sonography: Core Concepts for Clinical Practice......Page 1203 46. Obstetrical Applications for 3D Ultrasonography......Page 1242 47. The Screening Examination of the Fetal Heart: A Practical Approach......Page 1282 48. Magnetic Resonance Imaging in Obstetrics......Page 1316 49. Three-Dimensional Volumetric Sonography in Gynecology......Page 1354 50. Gynecologic MRI: Problem Solving Sonographic Uncertainties......Page 1396 Teaching Cases......Page 1423 Self-Assessment Modules......Page 1424 Supplemental Videos......Page 1425