ISUOG Basic Training - International Society of Ultrasound in ...
ISUOG Basic Training
Fetal Biometry ? Dating, Assessing Size & Estimating Fetal Weight
Trish Chudleigh, UK
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Key questions
1. How, & when in gestation, should gestational age be assigned?
2. What are the key features of the section of the fetal head required to measure the head circumference (HC) & biparietal diameter (BPD) correctly?
3. What are the key features of the section of the fetal abdomen required to measure the abdominal circumference (AC) correctly?
4. What are the key features of the section of the fetal femur required to measure the femur length (FL) correctly?
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Topics covered
? estimating gestational age/assessing fetal size ? standard fetal biometry ? BPD, HC, AC & FL ? correct anatomical planes for measurement &
assessment of head, abdomen & leg ? components for estimation of fetal weight (EFW) ? 3rd trimester gestational age (GA) assignment - late
referral
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Learning objective
At the end of the lecture you will be able to: ? list the measurements commonly used in obstetric
ultrasound examinations & describe how these are used
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Estimating gestational age
? between 4+3 and 5+6 weeks ? measure mean sac diameter (MSD) of gestational sac but do not date or assign EDD
? between 6+0 and 9+6 weeks ? crown rump length (CRL) [5.0 ? 31.9mm]
? between 10+0 and 13+6 weeks - CRL (32.0mm ? 80.0mm)
? between 14+0 and 24+0 weeks ? HC and/or FL, both should `agree'
? after 24+0 weeks, assess size not gestational age
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