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
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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
  • 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.

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