Académique Documents
Professionnel Documents
Culture Documents
Protocol
Structure/
Order
Scan
Plane
Label
Landmarks Identified
Uterus/
Fetus
Uterine
Cervix
Adnexa
TX
NO IMAGE-SCAN
THROUGH
TX
HEART RATE
TX
HEART RATE
Sagittal
CERVIX ML
Sagittal
CERVIX ML
Sagittal
FETAL LIE
Sagittal
Sagittal
ADNEXA SAG RT
ADNEXA SAG LT
PLACENTA
SAG INF
PLACENTA
SAG MID
PLACENTA
SAG SUP
Q1
Q2
Q3
Sagittal
Placenta
Sagittal
Sagittal
Amniotic
Fluid Index
(volume)
Q1+Q2+Q3
+Q4= AFI
*Structures
seen in each
pocket will
vary
Sagittal
Sagittal
Sagittal
Sagittal
Q4
Scan
Plane
Label
Fetal
Measurements
BPD
HC
Trans
Axial
CEREBELLUM
CISTERNA
MAGNA
NUCHAL FOLD
Abdomen
TX
Long
Bone
AC
FL
Long
Bone
HL
Landmarks Identified
Cavum septum pellucidum, IHF, Thalami and Parietal
bones
Measurement technique
Place calipers on the outside of the closet parietal
bone to the inside of the farthest parietal bone
Cavum septum pellucidum, IHF, Thalami and Parietal
bones
Measurement technique
o Place calipers outside to outside of the parietal
bones
o Open the calipers with an ellipse that surrounds
the fetal skull
IHF, Cerebral Peduncles, Cerebellum, Cisterna
Magna, and Nuchal Fold
Measurement technique
o Place calipers on the outside of the lateral wall to
the outside of the opposite lateral wall
IHF, Cerebral Peduncles, Cerebellum, Cisterna
Magna, and Nuchal Fold
Measurement technique
o Place calipers at the level of the mid posterior
wall of the cerebellum to the inside of occipital
bone
IHF, Cerebral Peduncles, Cerebellum, Cisterna
Magna, and Nuchal Fold
Measurement technique
o Place calipers at the level of the mid posterior
wall of the cerebellum from the outside of
occiptal bone to outside skin line
Umbilical vein/portal vein junction
3 points of the spine
Symmetrical ribs
Measurement technique
o Place calipers on outside of skin line directly
behind spine and in front of abdomen.
o Open calipers to form an ellipse around
abdomen including the skin line
Femur bone with distal or end shadowing
Measurement technique
o Place calipers from end to end on the femur Do not include epiphysis point
o Calipers should dissect the middle of the bone
Humerus bone with distal or end shadowing
Measurement technique
o Place calipers from end to end on the
humerus-Do not include epiphysis point
o Calipers should dissect the middle of the bone
Scan Plane
Label
Landmarks Identified
Fetal Head
Coronal
CHP
IHF
Choroid Plexus within ventricle
o Try to get both in one image, if not do
separately (in axial plane)
Fetal Head
Transaxial
VENTRICLES
(indicate
RT & LT)
IHF
Ventricles
IHF
Ventricle
Measurement Technique
o Posterior ventricle
o Measure internally lateral to medial at glomus
FACE
Orbits
Mandible
LENS
Orbits
Echogenic lens (can be in transaxial plane)
Nostrils
Upper lip
PROFILE
Fetal
Head
VENTRICLES
(indicate
RT & LT)
Fetal Face
Face
Coronal
Face
Midline
Sagittal
Organ/
Order
Sagittal
Thorax/
Abdomen
Sagittal
Stomach
Transverse
Transverse
Kidneys
DIAPHRAGM
RT
RT lung
Diaphragm
Liver
DIAPHRAGM
LT
LT lung
Diaphragm
Stomach
Stomach
Transverse spine
Transverse spine
Right kidney
Left kidney
Left Sagittal Kidney (can be taken in coronal)
Measurement technique
o Superior to inferior border
Left Sagittal Kidney (can be taken in coronal)
Measurement technique
o Superior to inferior border
Transverse spine
Umbilical cord insertion into abdomen
Abdominal skin line
Umbilical cord projecting from abdomen
STOMACH
KIDNEYS
Sagittal
RK SAG
Sagittal
LK SAG
Transverse
CI
Transverse
CORD
Umbilical
Cord
Iliac wings
Bladder
Color Doppler around bladder
Bladder/
Cord
Transverse
3VC
Bladder
Transverse
BLADDER
Iliac wings
Bladder
GENDER
(identify
male or
female)
Male
o Scrotum and penis
Female
o Labia
Gender
Transverse
Scan Plane
Label
Landmarks Identified
CSP SAG
Sagittal
TSP SAG
Sagittal
LSP SAG
Transverse
CSP TX
Transverse
TSP TX
LS-SP TX
RT HUMERUS
LT HUMERUS
Longitudinal
LT ULNA/RADIUS
Longitudinal
LT HAND
Longitudinal
RT FEMUR
RT TIB/FIB
Coronal
RT FOOT
Foot
Toes
Longitudinal
LT FEMUR
LT TIB/FIB
LT FOOT
Foot
Toes
Sagittal
Spine
Transverse
Longitudinal
Longitudinal RT ULNA/RADIUS
Longitudinal
RT HAND
Upper Extremity Longitudinal
Longitudinal
Coronal
Fetal Heart
Fetal heart images will vary from site to site. All students are responsible for completing a sweep
through the heart to determine situs, connection and recognize views
Organ/Order
Landmarks Identified
Right and left atrium
Foramen Ovale
Right and left ventricle
Tricuspid and Mitral Valves
Spine
(IVS Vertical)
Superior Vena
Cava & Inferior
Vena Cava
Long axis
Sagittal fetal
chest
Left Ventricular
Outflow Tract
Long Axis
Transverse
fetal chest
Left ventricle
Aortic valve
Aortic root
Proximal aorta
3 branches-innominate, left common carotid artery
& left subclavian
Thoracic aorta
Right ventricle
Pulmonary valve
Pulmonary trunk
RT ventricle
Pulmonary valve
RT pulmonary artery
LT pulmonary artery
Aorta
Aortic valve
Pulmonary trunk
Ductus arteriosus
Thoracic aorta
AO
SVC
DA
Subcostal
4 Chamber
View
Apical
4 Chamber
View
Aortic Arch
Right
Ventricular
Outflow Tract
Right
Ventricular
Outflow Tract
Ductus
Arteriosus Arch
3 Vessel View
Scan Plane
Transverse
fetal chest
(IVS
horizontal)
Transverse
fetal chest
Sagittal Fetal
Chest
Long Axis
Transverse
Fetal Chest
Short Axis
Transverse
Fetal Chest
Label
4CH
SUBCOSTAL
4CH
APICAL
SVC/IVC
LVOT
AA
RVOT
RVOT
SHORT
Sagittal Fetal
Chest
DA
Transverse
Fetal Chest
3 VESSEL
VIEW
Area of Interest
Divide the
uterus into 4
quadrants and
measure the
largest vertical
pocket of
amniotic fluid in
each quadrant
Plane
Sagittal
Measurement
Greater than
20cm-abnormal
Less than 5cmabnormal
*measurement
may vary per site
Amniotic Fluid
Largest Vertical
Pocket
Single
Sagittal
Greater than
10cm-Abnormal
Less than 2cm-
Abnormal
*measurement
may vary per site
Comments
Patient should be supine
With the probe in the sagittal
position, locate the largest
pocket of amniotic fluid clear of
all fetal parts
Measure the fluid pocket from
anterior to posterior (at least
1cm)
Document this measurement
for each quadrant of the uterus.
Add the measurements for a
total
Measurement of the largest
single vertical pocket of fluid in
the uterus
Commonly used for twin
pregnancies
Cerebellum
Posterior Fossa
of the Brain
Sagittal
Equal to
gestational age
Nuchal Fold
Skin thickness
on the posterior
head
Coronal
Normal
-less than 6mm
up to 24 weeks
gestation
Cisterna Magna
Anechoic Space
in the Posterior
Fossa
Longest axis of
the kidney
Coronal
Normal
-less than 10 mm
Amount of
cerebrospinal
fluid in ventricle
Coronal
Kidney Length
Lateral Ventricles
Sagittal
Approximately
equal to
gestational age
through 2nd
trimester
Less than 10 mm
Area of Interest
Plane
Umbilical Artery
Document
umbilical artery
blood flow with
Color Doppler and
Spectral Analysis
in a free loop of
the umbilical cord
Longitudinal
Document
umbilical artery
blood flow with
Color Doppler and
Spectral Analysis
in a free loop of
the umbilical cord
Lateral branches
of the circle of
Willis
Longitudinal
Umbilical Vein
Middle Cerebral
Artery
Normal
Measurement
S/D= less than 3
after 30 week
PI= less than 1.4
after 30 week
Coronal
Comments
2nd-3rd trimester=
Continuous
forward flow with
increasing mean
velocities until 37
weeks
**MCA(RI)/UA(RI)=
greater than 1
Ductus Venosus
Shunt between
the umbilical vein
and inferior vena
cava
Transverse
Abdomen
Peak velocity=
50 cm/sec
Laboratory Values
Qualitative hCG-urine pregnancy test, results positive or negative
Quantitative hCG- blood pregnancy test, results indicate possible age of pregnancy
Alpha Fetoprotein (AFP)-blood test for detection of certain abnormalities at 15-20 weeks
High indicates open neural tube defect
Low indicates Down syndrome
Abnormal in cases of wrong dates, fetal demise or twins
Triple Screen or Quad Screen-combination of blood test including AFP, unconjugated estriol (uE3), hCG, and
Inhibin A (Quad screen)
Used to detect chromosome abnormalities
Pathology
Gray scale sagittal and transverse images including images with 3 measurements (length, width and height)
Color Doppler image document the presence of blood flow
Spectral Doppler image document type and velocity of blood flow