Cardiovascular Sonographers, Inc



2nd/3rd Trimester Fetal Ultrasound - IMAGE Protocol

1. Long cervix with length measurement

2. Long placenta (if close to cervix, document with placental tip to cervical os measurement)

3. Long placenta

4. Transverse placenta

5. Document fetal position

6. Transverse RUQ with AFI measurement

7. Transverse RLQ with AFI measurement

8. Transverse LLQ with AFI measurement

9. Transverse LUQ with AFI measurement

10. Transverse umbilical cord – document presence of 3 vessel cord.

11. Transverse fetal head with BPD measurement (MINIMUM OF THREE MEASUREMENTS)

12. Transverse fetal head with HC measurement (MINIMUM OF THREE MEASUREMENTS)

13. Transverse fetal head with cavum septum pellucidum and thalamus

14. Transverse fetal head with bilateral atrial/lateral ventricle measurements

15. Transverse fetal head with cerebellum measurement

16. Transverse fetal head with BPD measurement (MINIMUM OF THREE MEASUREMENTS)

17. Coronal or Transverse fetal head with corpus callosum

18. Transverse fetal head with orbits

19. Long fetal profile

20. Coronal fetal face (nose and lips)

21. Transverse spine—cervical

22. Transverse spine—thoracic

23. Transverse spine—lumbar

24. Transverse spine—sacral

25. Long spine—cervical

26. Long spine—thoracic

27. Long spine—lumbar/sacral

28. Transverse chest with 4 chamber heart

29. M-mode with HR measurement

30. Long chest with aortic arch

31. Oblique chest views LVOT and RVOT

32. Transverse abdomen at the level of the stomach

33. Transverse Abdomen with AC measurement (MINIMUM OF THREE MEASUREMENTS)

34. Transverse abdomen at the level of the cord insertion

35. Transverse abdomen at the level of the kidneys

36. Transverse fetal pelvis at the level of the bladder

37. Transverse fetal pelvis at the level of the bladder with color Doppler of 2 umbilical arteries

38. OPTIONAL: fetal sex (ultrasound has a 3% error rate at gender determination)

39. Long femur with FL measurement (MINIMUM OF THREE MEASUREMENTS)

40. RT foot

41. LT foot

42. RT hand/fingers/thumb

43. LT hand/fingers/thumb

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