Gynecology Ultrasound - Follicle Ultrasound - Follicle Tracking - Folliculometry in 3D Scan

Gynecological Ultrasound

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Polyp of Endometrium

Polyp of Endometrium in 3D Scan

The advantage of 3D coronal plane visualization helps to identify the intrauterine pathologies, defects, synechia, polyp formation

It helps to identify the source of the lesion (location)  and number in cases of menstrual irregularities with accurate diagnosis.

The endometrium shows a rounded dense small intracavitary polyp in the mid-fundal area of the cavity.

The endometrial cavity is  normal inverted-triangular in shape.

3D scan showing a coronal view of the uterus demonstrating the contour of the uterus and cervix at the trans-endometrial plane.

Note:

  • The smooth contour of the outlines of the corpus and cervix, the interlacing myometrium which fades gradually at the cervical part.
  • The endometrial triangle with its straight lines, tapering into the cervical canal.
  • The endometrial cavity shows a small hyperechogenic mass and projecting into it.

Longitudinal views of the uterus demonstrates the uterus in the axial plane from the fundus to external os.

  • The myometrium is homogeneous.
  • The endometrial line is trilaminar with a dense focal polypoid mass arising from the fundal area and occupying the upper part of the endometrial cavity and possibly it is mucosal in origin.
The clinical presentation varies from intermenstrual, premenstrual spotting or rarely post-coital bloody discharge.
Doppler study of the endometrial polyp differentiates it from other endometrial lesions by demonstration of the feeding vessel.
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Gynecological Ultrasound Course

How to Purchase This Online Ultrasound Course

 Course Objectives and Target Skills

  1. Selection and setup of the US machine to ensure safe and optimal use to include appropriate probe selection and orientation.
  2. Accurate measurement of the endometrium in the accepted sagittal plane.
  3. Assessment of the adnexal regions: accurate identification of the normal ovaries, normal Fallopian tube, normal pelvic fluid.
  4. Accurate measurement of normal and abnormal adnexal structures: mean diameter and volume.
  5. Recognise and evaluate common:
    1. Endometrial and myometrial abnormalities.
    2. Ovarian abnormalities.
  6. Recognise and evaluate complex ovarian cysts and masses.
  7. Doppler applications and uses in gynecology.
  8. Introduction to 3D ultrasound applications in gynecology.
  9. Patient communication.
  10. Producing written summary and interpretation of results.
  11. Issue structured written report.
  12. Arranging appropriate follow up or intervention among multi-disciplinary team.

Standards of Gynecology Scans

In this HD p720 video lecture you will learn:

Ultrasound of the uterus and ovaries during ovulation.

Orientation of pelvic uterine anatomy:

  • Cervical canal.
  • Urinary bladder.
  • The ante-verted uterus.
  • Uterine dimensions technique.
  • Endometrial thickness measurement, maturity phase and pattern.
  • Assessment of :
    • Myometrial-endometrial junction using power/color Doppler.
    • The follicular system and folliculometry.
  • Doppler assessment in folliculometry.
  • Normal parameters and ultrasound picture of impeding ovulation.
  • Volume acquisition technique using surface rendering and inversion mode.
  • Multiplanar navigation.
  • Assessment of the left ovary with overall ovarian dimensions.

Ultrasound of the uterus and ovaries during non-ovulatory periods of the cycle.

Orientation of pelvic uterine anatomy:

  • Cervical canal.
  • Urinary bladder.
  • The ante-verted uterus.
  • Uterine dimensions technique.
  • Endometrial thickness measurement, maturity phase and pattern.
  • Assessment of the right ovary and left ovary with overall ovarian dimensions.
  • Initial follicle assessment (if any).

Ultrasound scanning techniques in cases of ovarian pathology.Orientation of pelvic uterine anatomy:

  • Cervical canal.
  • Urinary bladder.
  • The ante-verted uterus.
  • Standard dimensions required for assessment of a complex ovarian cyst.
  • Volume acquisition using surface rendering and inversion mode for assessment of a complex ovarian cyst.
  • Manual navigation technique for assessment of a complex ovarian cyst.
  • Color flow map and Doppler assessment of a complex ovarian cyst.
  • Exclusion of other ovarian cysts or masses.

Included Ultrasound Videos

  • Folliculometry.
  • Polycystic Ovarian Syndrome (PCOS).
  • Polyp of Endometrium.

Fibroid Uterus Ultrasound Video Lecture

Uterine fibroids are the commonest female genital tract tumor, occurring in 25 to 30 % of the female population.

  • It arises from the smooth muscle layer of the uterus and the majority of the tumors are corporeal in origin.
  • Cervical fibroids are rare.
  • The tumor location is variable.
    • Interstitial, submucosal, subserosal and broad ligamentary are common.
  • The intracavitary myomas are associated with severe symptoms:
    1. Menorrhagia.
    2. Polymenorrhagia.
    3. Intermenstrual spotting.
    4. Dysmenorrhea.
    5. Pregnancy loss or complications.

3D and 4D ultrasound helps the clinician to study the morphology, topography, number and its relations to the vascular supply of the uterus and the endometrial cavity to plan its approach for surgical management.

The addition of color flow mapping and Doppler signal study can define those cases with malignant transformations. A resistive index (RI) below 0.4 is a marker of malignant potential.

3D transvaginal sonography demonstrating a well-defined, rounded, hemispheric masses, arising from the myometrium.

3D ultrasound assessment of uterine or ovarian tumors provides the clinician with a VOCAL facility which enables the calculation of the tumor volume by tracing its outer contour in a step- wise pattern.

Gynecologic 3D ultrasound examination of uterine masses is a helpful tool for the assessment of:
1- The number of masses .
2- The nature of masses (myoma versus adenomyosis).
3- The topography of masses (corporeal, cervical, fundal).
4- The distribution of masses (anterior, posterior, lateral, interstitial, subserosal, submucosal or intracavitary).
5- The size of masses.
6- The relation of the masses to the endometrial cavity or broad ligaments.
7- The vascular pattern and flow mapping as a predictor of cell transformation or degeneration.

Included Ultrasound Videos

  • Septate uterus.
  • Rupture uterus.
  • Standards of gynecological ultrasound reports.

Click on Curriculum tab above to view included lectures, videos, explanatory notes and quizzes.

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