From routine screening to high risk assessment in obstetrics, gynaecology and breast imaging, it is critical to start with – and maintain – high image quality across ultrasound for the benefit of women’s health. Every examination is important. If we look at multiple pregnancies and the associated risks it is clear that superior image quality […]
Jane Hanford
Canon Medical Systems UK
Retained pregnancy tissue (RPT) is a common complication affecting many women following delivery, miscarriage and termination of pregnancy. The use of transvaginal ultrasound remains the most accurate imaging modality for assessing symptomatic women. However, diagnostic accuracy is heavily dependent on a number of factors. Prompt, accurate diagnosis of RPT is essential to identify women who […]
Ellie Hulme, Jemma Johns
King's College Hospital, King's College London
The first commercial 3D ultrasound unit was introduced into clinical practice in 1989. Rapid advancements in ultrasound technology, including improvements in machines, software and transducers, have enabled the acquisition of faster and higher resolution 3D images. These advances have facilitated the storage, manipulation and analysis of 3D volumes, providing valuable assistance in accurate assessments and […]
Jayne Lander
University of Oxford
IntervePrimary PPH occurs within 24 hours of delivery and is defined as >500ml of blood loss after vaginal delivery or >1,000ml after caesarean section, with major PPH considered as haemorrhage >1,500ml. Since the assessment of volume can be inaccurate, the presence of haemodynamic instability is most useful in guiding management. PPH typically originates from one […]
Dr Shyamal Patel, Dr Liisa Chang, Dr Lakshmi Ratnam
St George's University Hospitals NHS Trust
Laparoscopy and hysteroscopy are universally accepted as the gold standards for examination of the fallopian tubes and uterine cavity respectively. Nevertheless current RCOG, HFEA and NICE guidelines promote ultrasound imaging modalities for first-line diagnostic testing in this respect. Hysterosonosalpingiography (HSS or HyCoSy) and saline infusion sonohysterography (SIS) evaluation of the tubes and uterine cavity are […]
Bill Smith, Nikki Stillwell
Clincial Diagnostic Services
Placental adhesive disorder (PAD) has also been called morbidly adherent placenta, placental invasion and placenta percreta. It occurs when there is a defect in the decidua basilis of the uterus resulting in chorionic villi invading the myometrium. There are three levels of adherence or invasion termed accreta, increta and percreta. Placenta accreta is defined as […]
Elspeth Whitby, Andrew Farkas, Andrew Fry
Sheffield Teaching Hospitals NHS Foundation Trust
Magnetic resonance imaging (MRI) is the preferred cross-sectional imaging modality for pelvic pathology in pregnancy given the well-established risks of ionising radiation to the fetus with computed tomography. While ultrasound, a safe and readily available imaging tool, remains the primary imaging investigation in pregnancy, it can be limited by overlying structures, bowel gas and the […]
Dr Ciara Gillespie, Dr Heather Moriarty, Dr Tony Geoghegan, Professor Leo Lawler
Mater Misericordiae University Hospital
Early pregnancy complications such as miscarriage and ectopic pregnancy (EP) are very common and associated with significant physical and emotional morbidity for the patient and her family. Transvaginal ultrasonography (TVS) is the diagnostic cornerstone of the management of women with early pregnancy complications, with high sensitivity of 87-99%, specificity of 94-99% and it is the […]
Heena Mehra, Jackie Ross
King's College Hospital