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ISUOG Guidelines for the 18 – 23 week anomaly scan

From Diagnosis of fetal abnormalities

The 18 – 23 week scan

Gianluigi Pilu, Kypros H Nicolaides, Renato Ximenes, Phillipe Jeanty

Link to Anomaly Scan Pictograms, with compliments of Dr I Erasmus


Skull

Examination of integrity and normal shape, and measurement of biparietal diameter and head circumference


Brain

Examination of cerebral ventricles, choroid plexuses, mid-brain, posterior fossa (cerebellum and cisterna

Magna), and measurement of the anterior and posterior horns of the lateral ventricles


Face

Examination of the profile, orbits and upper lip


Neck

Measurement of nuchal fold thickness


Spine

Examination both longitudinally and transversely


Heart

Examination of rate and rhythm, four-chamber view, and outflow tracts


Thorax

Examination of the shape of the thorax, the lungs and diaphragm


Abdomen

Examination of the stomach, liver, kidneys, bladder, abdominal wall and umbilicus, and measurement of abdominal circumference


Limbs

Examination of the femur, tibia and fibula, humerus, radi

us and ulna, hands and feet (including shape and echogenicity of long bones and movement of joints), and measurement of femur length


Link to Anomaly Scan Pictograms, with compliments of Dr I Erasmus