European Journal of Ultrasound
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DEGUM Experts

Sonography in precocious pregnancy

DEGUM Experts: Non-invasive prenatal testing to be performed exclusively in comination with sonography

Will my child be born in good health? Will it have anomalies or diseases? Those are the general questions soon-to-be-parents ask themselves. Many hope to find closure not only through sonography but also through screening tests which are available in Germany since 2012. They test blood plasma of pregnant women for trisomies and analyze sex chromosomes. The joint federal committee (Gemeinsamer Bundesausschuss - G-BA) recently suggested for those screenings to be covered by health insurance in cases of high-risk pregnancy. 

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Sonography in pregnancy: 

'Baby-Watching' - Sonograghy to be performed following maternity guidelines or following obstetric ultrasonography? DEGUM experts fill in on the details

When soon-to-be-moms hold sonographic pictures of their fetus then those are unforgettable moments for them. Nonetheless for many this is not enough: They want to see their unborn child on big screens and in 3D. The so called 'Baby-TV' is booming but following the new German Radiation Protection Ordinance (StrSchV) such sonography produced for commercial use will be prohibited as from end of 2020.

 
 

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European Journal of Ultrasound – 3/2019

Three-dimensional visualization of a fetal double aortic arch with HDlive color Doppler

Rabih Chaoui, Eberhard Merz, K. S. Heling


The case shown here, illustrates a fetus with a double aortic arch. This is in our opinion a condition, which is often difficult to differentiate froma simple right-sided aortic arch as both cases are detected in general with the visualization on 2D and color Doppler of the transverse aortic arch with its course to the right of the trachea. Only a subtle transducer movement could demonstrate whether the right aortic arch is bifurcating into two arches or not, a plane difficult to get reliably in such conditions. The use of STIC with color Doppler enables the spatial demonstration of the vessels of interest. Due to the patent ductus arteriosus prenatally, three arches are seen; the right aortic arch, the left aortic arch and the ductal arch.

Prenatal Diagnosis of Agenesis of Ductus Venosus: A Retrospective Study of Anatomic Variants, Associated Anomalies and Impact on Postnatal Outcome

Brigitte Strizek et al.

Retrospective study of 119 cases with agenesis of ductus venosus diagnosed by prenatal ultrasound in two tertiary referral centers from 2006 to 2014. The type and location of the umbilical venous drainage site was noted. Charts were reviewed for associated structural or chromosomal anomalies, pregnancy outcome and postnatal course.

 

Contrast-Enhanced Ultrasound (CEUS) and Quantitative Perfusion Analysis in Patients with Suspicion for Prostate Cancer

Andreas Maxeiner et al.

From 2012 to 2015, 158 out of 165 men with suspicion for PCa and with at least 1 negative biopsy of the prostate were included and underwent a multi-parametric 3 Tesla MRI and an MRI/US fusion-guided biopsy, consecutively. CEUS was conducted during biopsy with intravenous bolus application of 2.4 mL of SonoVue® (Bracco, Milan, Italy). In the latter CEUS clips were investigated using quantitative perfusion analysis software (VueBox, Bracco). The area of strongest enhancement within the MRI pre-located region was investigated and all available parameters from the quantification tool box were collected and analyzed for PCa and its further differentiation was based on the histopathological results.