Ultrasound Course: Long Term Fellowship Program
Curriculum for observership in Ultrasound in Obstetric & Gynaecology- 1
- Know your scanner & adjusting the correct setting
- Doppler
- Knobology
- Settings
- Safety of ultrasound
Gynaec Scans
- Systematic transvaginal scans
- Various manuals for transvaginal scan & their indications
Congenital Uterine Anomalies
Different classification systems –
- Diagnosis
- Clinical relevance
Acquired Uterine Anomalies
- Endometrial pathologies
- Polyp
- Hyperplasia
- Synachiea
- Blood
- Myometrial pathologies
- Fibroids
- Adenomyoma
- Ultrasound diagnosis & clinical relevance
Adnexal lesions – Differential diagnosis
- Different morphologies
- Doppler characteristics
- Role of dynamic assessment
Gynecological Malignancies: Ultrasound diagnostic criteria in malignancies of
- Endometrium
- Myometrium
- Ovaries
Ultrasound in Infertility:
- Ultrasound Diagnosis of PCO – relevance to endocrinology
- Cycle monitoring for infertility
- Tubal assessment
Obstetric
- Scanning Early Pregnancy
- Signs of abnormal pregnancy
- Prognosticating pregnancy
- Nuchal scan
- Method
- Guidelines
- Risk assessment
- Further management
- Second trimester – target scan
- Biometry- methodology – relevance
- Common congenital fetal anomalies
- Markers for chromosomal abnormalities
- Basics fetal echocardiography
- Detailed fetal neurosonography
- Rh isoimmunisation
Diagnosis of Growth Restriction
- Prediction & diagnosis of vascular insufficiency
- Doppler based management of pregnancies with IUGR
Doppler, it’s role in Obstetric Scans
- Changing trends in circulation in different vessels – related physiology
- Understanding placental physiology
- Abnormalities of placenta- morphology, size, adherence, position.
- Cord morphology, abnormalities, attachments, number of vessels
- Cord coiling physiology – related abnormalities
- Knot, cord round neck
- How often to scan
- Repeating of obstetric scans
- Documentation of obstetric scans
- Documentation of gynaec scans
- Repeating of gynaec scans
Multiple Pregnancies
- Complication
- Reporting
Pregnancies with Medical Disorders
- Thyroid
- Prolactin
- Hypertension
- D.M.
- Anemia
3D – 4D US basics
- Application of 3D – 4D in obstetric scans
- Application of 3D-4D in gynaec scans
- Infertility application of 3D 4D
Invasive US guideline procedures in Gynaecology
- Ovum pickup
- Embryo transfer
- Sonohysterography
- Sonosalpingography
root
Know your scanner & adjusting the correct setting
- Doppler
- Physics
- Knobology
- Settings
- What is the optimum image quality
- How to achieve the best results
- Safety of ultrasound
Gynaec Scans
- Systematic transvaginal scans
- Patient counseling & tips for better scan
- Various maneuvers for transvaginal scan & their indications
- Congenital uterine anomalies
- Different classification systems -comparison
- Diagnosis
- Clinical relevance
- Acquired uterine anomalies
- Endometrial pathologies
- Polyp
- Hyperplasia
- Synachiea
- Blood
- Endometrial pathologies
- Myometrial pathologies
- Adenomyosis
- Fibroids
- Adenomyoma
- Ultrasound diagnosis & clinical relevance
Adnexal lesions – Differential diagnosis
- Different morphologies
- Doppler characteristics
- Role of dynamic assessment
- Longitudinal assessment
Gynaecological Malignancies
- Ultrasound diagnostic criteria
- Endometrium
- Myometrium
- Ovaries
- Tubes
- Clinical relevance
Ultrasound in Infertility
- Ultrasound Diagnosis of PCO – relevance to endocrinology
- Sonoendocrinology
- Cycle monitoring for infertility
- Tubal assessment- Saline infusion salpingography, HyCosy, Role of 3D, Comparision with other techniques
- Different consensus for uterine pathologies and ultrasound- MUSA, IETA, for ovarian pathologies- IOTA, for ednometriosis IEDA
Obstetric
- Scanning Early Pregnancy
- Signs of abnormal pregnancy
- Prognosticating pregnancy
- 11-14 weeks scan
- Method
- Guidelines
- Physiology of Ductus venosus
- Physiology of tricuspid flow
- Risk assessment
- Counseling
- Further management
- Anatomical assessment
- Second trimester – target scan
- Biometry- methodology – relevance
- Common congenital fetal anomalies
- Markers for chromosomal abnormalities
- Basics and detailed fetal echocardiography- b mode, color doppler, pulsed wave doppler, m mode, embryological and genetic relevance, intrauterine management, post-delivery prognosis.
- Detailed fetal neurosonography
- Genitourinary and gastrointestinal disorders
- Fetal tumors
- Rh isoimmunisation
Diagnosis of Growth Restriction
- Prediction & diagnosis of vascular insufficiency
- Doppler based management of pregnancies with IUGR, Doppler & its role in obstetric scans
- Changing trends in circulation in different vessels – related physiology
- How often to scan
- Repeating of obstetric scans
- Genetic relevance of congenital anomalies
- Genetic testing in obstetric patients and counseling
- When is pregnancy termination indicated
- Multiple pregnancies
- Complication
- Reporting
- Pregnancies with medical disorders
- Thyroid
- Prolactin
- Hypertension
- D.M.
- Anemia
Placenta and Umbilical Cord:
- Understanding placental physiology
- Abnormalities of placenta- morphology, size, adherence, position.
- Cord morphology, abnormalities, attachments, number of vessels
- Cord coiling physiology – related abnormalities
- Knot, cord around the neck
3D – 4D US Basics
- Calculation in 3D US
- Application of 3D – 4D in obstetric scans
- Application of 3D-4D in gynaec scans
- Application of 3D – 4D in Infertility
Invasive US guideline procedures in Gynaecology
- Ovum pickup
- Embryo transfer
- Cyst aspiration
- Fetal reduction
- Sonohysterography
- Sonosalpingography
Invasive US guidelines in Obstetric
- Amnioinfusion.
- Amniocentesis
- CVS
- Cordocentesis
- Fetal biopsies
- Laser ablation in TTTS
Therapeutic uses of US
- HIFU
- Ultrasound-guided vascular procedures
Documentation and Data Analysis:
- Documentation of Obstetric Scans
- Documentation of Gynaec Scans
- Reporting of Gynaec Scans
- Data Keeping
- Basic Statistics
This course includes the hands-on training and publication of at least one paper is mandatory for this course.