SASUOG

South African Society for Ultrasound
in Obstetrics and Gynaecology

TEACHINGS / LECTURES / CASES


The Anomaly Scan Pictograms on this page have been supplied with compliments from Dr I Erasmus.

To open as PDF documents click here: PDF Article 1    PDF Article 2

Link to ISUOG Guidelines

 

Intrauterine, viable, placental position, no. of fetuses, cervix

3VC, amniotic fluid

BPD, HC, skull shape, midline, CSP, thalami

Lateral ventricles: anterior and posterior horns 

(<10mm = N)

Cerebellum, cysterna magna (N <10mm), nuchal skinfold (N <6mm)

Profile check, chin, lips

Nose and lips check to exclude clefts

Orbits check ,size distance

Upper palate check to exclude cleft palate

 

Spine check saggital /longitudinal view - check all

vertebral segments for presence and skin covering

from neck to sacrum

Spine check coronal view

Spine check in transverse or axial plane for defects and vertebral splaying

4ch, apex left , axis septum, valve offsetting, foramen ovale, VSD check (obligatory view)

"Trouser" sign of RVOT

(advanced/ extra view)

5ch view

Check aorta outflow,

aorta and pulm vessel

crossing exclude 

to exclude transposition of

the great vessels

(advanced/ extra view)

Aortic arch head and neck vessels (obligatory view)

Ductal arch (obligatory view)

Heart Rate:

 

Bradicardia < 100 bpm

Tachicardia > 180 bpm

 

Heart Rhythm

Measure AC, check stomach, and umbilical vein

TOF and Double bubble check

Confirm 2 kidneys and check renal pelvises normal = (N£ 5mm)

Check cord insertion and exclude exomphalos and gastroschisis

Check presence of bladder, 2 supra vessical arteries= 3VC

Check stomach below diaphragm

Measurementchecklist:

 

BPD, HC, AC, FL, EFW, HL, NT, AFI

 

 

Check that hand opens and no clinodactyly

Measure Humerus length

Check for clubfoot

Measure Femur length

Check for sandal gap

Fetal upper limbs

Hands x 2

Radius x 2 ulna x 2 Humerus x 2

 

Fetal lower limb

Feet x 2

Tibia x 2 Fibula x 2 Femur x 2

 

Check echogenicity, shape, movements, position

 

Intrauterine, viable, placental position, no. of fetuses, cervix

3VC, amniotic fluid

BPD, HC, skull shape, midline, CSP, thalami

Lateral ventricles: anterior and posterior horns (<10mm = N)

Cerebellum, cysterna magna

(N <10mm), nuchal skinfold

(N <6mm)

Profile check, chin, lips

Nose and lips check to exclude clefts

Orbits check ,size distance

Upper palate check to exclude cleft palate

Spine check saggital /longitudinal view - check all vertebral segments for presence and skin covering from neck to sacrum

Spine check coronal view

Spine check in transverse or axial plane for defects and vertebral splaying

4ch, apex left, axis septum, valve offsetting, foramen ovale, VSD check (obligatory view)

"Trouser" sign of RVOT

(advanced / extra view)

5ch view

Check aorta outflow,

aorta and pulm vessel

crossing exclude 

to exclude transposition of

the great vessels

(advanced / extra view)

Aortic arch head and neck vessels

(obligatoryview)

Ductal arch (obligatory view)

Heart Rate:

 

Bradicardia < 100 bpm

Tachicardia > 180 bpm

 

Heart Rhythm

Measure AC, check stomach, and umbilical vein

TOF and Double bubble check

Confirm 2 kidneys and check renal pelvises normal = (N£ 5mm)

Check cord insertion and exclude exomphalos and gastroschisis

 

Check presence of bladder, 2 supra vessical arteries= 3VC

Check stomach below diaphragm

Measurementchecklist:

BPD,HC,AC,FL,EFW,HL,NT,AFI

Check that hand opens and no clinodactyly

Measure Humerus length

Check for clubfoot

Measure Femur length

Check for sandal gap

Fetal upper limbs

Hands x 2

Radius x 2 ulna x 2 Humerus x 2

 

Fetal lower limb

Feet x 2

Tibia x 2 Fibula x 2 Femur x 2

 

Check echogenicity, shape, movements, position

Link to ISUOG Guidelines