Nuchal Translucency in First-Trimester Ultrasound Screening for ...

More documents

Recommendations

Info

Differential Diagnosis: 1 st Trimester Neck Mass •Hydrops Hydrops fetalis •Cystic Cystic Hygroma •Nonfused Nonfused amnion •Nuchal Nuchal cord Less Common: Branchial cleft cyst, hemangioma, neuroblastoma. Trans-abdominal OB U/S, axial view of fetal head Septated Cystic Hygroma Courtesy of Koeller KK, et al. “Congenital Cystic Masses of the Neck: Radiologic-Pathologic Correlation.” Radiographics, 1999;19:121-146.
Potential Mechanisms for Increased Nuchal Translucency 1.Heart strain/failure 2.Abnormal lymphatic drainage – increased # or size of lymphatics, irregular connection between lymphatics and veins, impaired fetal movement. 3.Abnormal extracellular matrix Trans-abdominal OB U/S, sagittal view PACS, BIDMC
Page 1 and 2: Nuchal Translucency in First-Trimes
Page 3 and 4: Agenda Introduction to Our Patients
Page 5 and 6: Defining Nuchal Translucency Fluid
Page 7 and 8: Criteria for NT Measurement (2) Tra
Page 9 and 10: How does Nuchal Translucency fit in
Page 11 and 12: Practice Guidelines for Trisomy 21
Page 13 and 14: Advantages of Screening with Abnorm
Page 15: You identify a neck mass during fir
Page 19 and 20: Increased NT and Fetal Abnormalitie
Page 21 and 22: •41 y/o G5P2 •Sent for early OB
Page 23 and 24: Outcome for Our First Patient: Tris
Page 25 and 26: Patient 2: NT Measurement on Fetal
Page 27 and 28: Summary Nuchal Translucency, as par
Page 29: Resources “ACOG ACOG Practice Bul

Nuchal Translucency in First-Trimester Ultrasound Screening for ...

Create successful ePaper yourself

Delete template?

Save as template?