دورية أكاديمية
أعرض في EDS

How to perform standardized sonographic examination of Cesarean scar pregnancy in the first trimester.

التفاصيل البيبلوغرافية
العنوان: How to perform standardized sonographic examination of Cesarean scar pregnancy in the first trimester.
المؤلفون: Verberkt C; Department of Obstetrics and Gynecology, Research Institute 'Amsterdam Reproduction and Development', Amsterdam UMC, location VUMC, Amsterdam, The Netherlands., Jordans IPM; Department of Obstetrics and Gynecology, Research Institute 'Amsterdam Reproduction and Development', Amsterdam UMC, location VUMC, Amsterdam, The Netherlands., van den Bosch T; Department of Obstetrics and Gynecology, University Hospitals Leuven, Leuven, Belgium.; Department of Development and Regeneration, KU Leuven, Leuven, Belgium., Timmerman D; Department of Obstetrics and Gynecology, University Hospitals Leuven, Leuven, Belgium.; Department of Development and Regeneration, KU Leuven, Leuven, Belgium., Bourne T; Department of Development and Regeneration, KU Leuven, Leuven, Belgium.; Department of Obstetrics and Gynaecology, Queen Charlotte's and Chelsea Hospital, Imperial College London, London, UK., de Leeuw RA; Department of Obstetrics and Gynecology, Amsterdam UMC, location AMC, Amsterdam, The Netherlands., Huirne JAF; Department of Obstetrics and Gynecology, Amsterdam UMC, location AMC, Amsterdam, The Netherlands.
المصدر: Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology [Ultrasound Obstet Gynecol] 2024 Sep; Vol. 64 (3), pp. 412-418. Date of Electronic Publication: 2024 Jul 25.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons, Ltd Country of Publication: England NLM ID: 9108340 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1469-0705 (Electronic) Linking ISSN: 09607692 NLM ISO Abbreviation: Ultrasound Obstet Gynecol Subsets: MEDLINE
أسماء مطبوعة: Publication: 2003- : Chichester, West Sussex, UK : John Wiley & Sons, Ltd.
Original Publication: Carnforth, Lancs, UK ; Park Ridge, N.J., USA : Parthenon Pub., c1991-
مواضيع طبية MeSH: Cesarean Section*/adverse effects , Cicatrix*/diagnostic imaging , Cicatrix*/etiology , Pregnancy Trimester, First* , Pregnancy, Ectopic*/diagnostic imaging , Pregnancy, Ectopic*/etiology , Ultrasonography, Prenatal*/standards, Female ; Humans ; Pregnancy ; Gestational Sac/diagnostic imaging ; Ultrasonography, Doppler, Color
مستخلص: Early diagnosis and appropriate management of Cesarean scar pregnancy (CSP) are crucial to prevent severe complications, such as uterine rupture, severe hemorrhage and placenta accreta spectrum disorders. In this article, we provide a step-by-step tutorial for the standardized sonographic evaluation of CSP in the first trimester. Practical steps for performing a standardized transvaginal ultrasound examination to diagnose CSP are outlined, focusing on criteria and techniques essential for accurate identification and classification. Key sonographic markers, including gestational sac location, cardiac activity, placental implantation and myometrial thickness, are detailed. The evaluation process is presented according to assessment of the uterine scar, differential diagnosis, detailed CSP evaluation and CSP classification. This step-by-step tutorial emphasizes the importance of scanning in two planes (sagittal and transverse), utilizing color or power Doppler and differentiating CSP from other low-lying pregnancies. The CSP classification is described in detail and is based on the location of the largest part of the gestational sac relative to the uterine cavity and serosal lines. This descriptive classification is recommended for clinical use to stimulate uniform description and evaluation. Such a standardized sonographic evaluation of CSP in the first trimester is essential for early diagnosis and management, helping to prevent life-threatening complications and to preserve fertility. Training sonographers in detailed evaluation techniques and promoting awareness of CSP are critical. The structured approach to CSP diagnosis presented herein is supported by a free e-learning course available online. © 2024 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.
(© 2024 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.)
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فهرسة مساهمة: Keywords: CSP; Cesarean scar defect; Cesarean scar pregnancy; Cesarean section; classification; diagnosis; first trimester; measurements; niche; practical guideline; sonography; transvaginal ultrasound; ultrasonography
تواريخ الأحداث: Date Created: 20240203 Date Completed: 20240903 Latest Revision: 20240918
رمز التحديث: 20240918
DOI: 10.1002/uog.27604
PMID: 38308856
قاعدة البيانات: MEDLINE
الوصف
تدمد:1469-0705
DOI:10.1002/uog.27604