Ultrasonography in Obstetrics and Gynecology 5th editioin by Peter Callen ISBN 1416032649 978-1416032649

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ISBN 10: 1416032649
ISBN 13: 978-1416032649
Author: Peter Callen

  Make optimal use of the latest diagnostic and interventional ultrasound applications in your practice! This new edition of the world’s best-selling reference on obstetric and gynecologic ultrasound guides you through all of the newest ultrasound technologies, enabling you to diagnose problems accurately. The entire book has been radically updated by many new contributors to reflect all of the most recent advances, including greatly expanded information on 3-D ultrasound and the latest generation of ultrasound scanners, as well as significantly increased discussions of gynecologic ultrasound. What’s more, over 2,400 digital-quality images – 1,050 in full color – capture the characteristic appearance of a full range of ultrasound findings, and a new full-color format makes reference easier than ever. The result is an essential purchase for everyone who uses ultrasound for fetal and gynecologic diagnosis and treatment.

• Get dependable guidance on any clinical issue or challenge by consulting the world’s most popular, trusted reference on ob/gyn ultrasound!
• Obtain optimal results by applying the masterful expertise of world-renowned authority Peter W. Callen, MD, as well as a care of other top specialists on the diagnostic and interventional applications of ultrasound.

• Make optimal use of all of the latest developments, including 3-D ultrasound, the use of the latest generation of ultrasound scanners, the growing role of ultrasound in gynecologic imaging.
• Diagnose with confidence by comparing your imaging findings to more than 2,400 digital-quality images – 1,050 in full color – that depict the complete range of normal and abnormal imaging presentations.
• Locate information more quickly thanks to a new highly templated, full-color format.
• Visualize key anatomic details more clearly with hundreds of medical illustrations redrawn in full color.

Ultrasonography in Obstetrics and Gynecology 5thTable of contents:

APPENDIX A Measurements Frequently Used to Estimate Gestational Age and Fetal Biometry

Table A-1 Methods for Determining Menstrual Age

Table A-2 Variability in Predicting Menstrual Age from Sonographic Measurements (14–20 Weeks)

Table A-3 Variability in Predicting Menstrual Age in the Second Half of Pregnancy (14–42 Weeks)

Table A-4 Variability Estimates for Secondary Biometric Parameters

Table A-5 Gestational Sac Measurement

Table A-6 Mean Diameter of Gestational Sac and Corresponding Estimates of Gestational Age

Table A-7 Combined Data Comparing Menstrual Age With Mean Gestational Sac Diameter, Crown Rump Length, and HCG Levels*

Table A-8 Predicted Menstrual Age (MA) in Weeks From Crown Rump Length (CRL) Measurements (CM)*

Table A-9 Gestational Age (GA) Prediction Based on Head Measurements

Table A-10 Predicted Menstrual Age for Head Circumference Measurements (8.5–36.0 cm)

Table A-11 Percentile Values for Fetal Head Circumference

Table A-12 Predicted Menstrual Age for Abdominal Circumference Measurements (10–36 cm)

Table A-13 Percentile Values for Fetal Abdominal Circumference

Table A-14 A Comparison of Abdominal Circumference Percentiles Using Sonography

Table A-15 GA Prediction Based on Femur Length (FL)

Table A-16 Percentile Values for Fetal Femur Length

Table A-17 Length of Fetal Long Bones (mm)

Table A-18 Reference Values of Major Long Bones

Table A-19 Gestational Age for Clavicle Length

Table A-20 Comparison of Mean Postpartum and Ultrasonographic Foot Length With Streeter’s Pathologic Data (1920)

Table A-21 Fetal Foot Length Percentiles by Menstrual Age*

Table A-22 Predicted Menstrual Ages for Transverse Cerebellar Diameters of 14 to 56 mm

Table A-23 Nomogram of the Transverse Cerebellar Diameter According to Percentile Distribution

Table A-24 Predicted Biparietal Diameter (BPD) and Weeks’ Gestation From the Inner (IOD) and Outer (OOD) Orbital Distances

Table A-25 Fetal Thoracic Circumference Measurements*

APPENDIX B Measurements Used in Assessing Fetal Weight, Growth, and Body Proportions

Table B-1 Equations for the Estimation of Fetal Weight

Table B-2 Neonatal Birth Weight Derived From Gestations Dated by Early Ultrasonography (Male and Female Subjects Combined)

Table B-3 Nomogram of Estimated Fetal Weight in Twin Gestations

Table B-4 Growth Parameters in Triplets Generated From Regression Equations

Table B-5 Estimates of Fetal Weight (g) Based on Abdominal Circumference and Femur Length

Table B-6 Normal Body Ratio Data (14 to 21 Wk)

Table B-7 Normal Fetal Body Ratios (22 to 40 Wk)

Table B-8 Comparison of Fetal Parameters in LGA and AGA Fetuses

Table B-9 Conventional Sonographic Criteria for IUGR: Performance Characteristics

APPENDIX C Measurements for Amniotic Fluid Assessment

Table C-1 Amniotic Fluid Index Values in Normal Pregnancy

Table C-2 Amniotic Fluid Index Values During Normal Pregnancy, From the 5th Through to the 95th Percentile

Table C-3 Single Deepest Pocket Values of Amniotic Fluid During Normal Pregnancy, From the 5th Through to the 95th Percentile

APPENDIX D Fetal Doppler Assessment (Noncardiac)

Table D-1 Resistance Index of the Uterine Artery

Table D-2 Pulsatility Index of the Uterine Artery

Table D-3 Resistance Index of the Umbilical Artery Between 20 and 40 Weeks of Gestation

Table D-4 Pulsatility Index of the Umbilical Artery Between 20 and 40 Weeks of Gestation

Table D-5 Reference Values for the Resistance Index of Umbilical and Middle Cerebral Arteries, as well as the UA/MCA Ratio

Table D-6 Umbilical Vein Mean Velocity (cm/sec)

Table D-7 Ductus Venosus Preload Index (a/S)

Table D-8 Ductus Venosus Peak Velocity Index (S-a)/D

Table D-9 Ductus Venosus Pulsatility Index (S-a)/Tamx

Table D-10 Ductus Venosus S/a

FIGURE D-1 Doppler waveform analysis of the fetal umbilical artery. With advancing gestation and increasing compliance of the placenta, there is a progressive decrease in the systolic/diastolic ratio, Pourcelot index (Pol), and pulsatility index (PI) of the umbilical artery that is a result of increased placental flow owing to decreased resistance.

FIGURE D-2 Middle cerebral artery Doppler systolic/diastolic ratios.

APPENDIX E Doppler of the Middle Cerebral Artery to Assess Fetal Anemia

Table E-1 Threshold of Peak Velocity of Systolic Blood Flow in the Middle Cerebral Artery Above Which Mild, Moderate, and Severe Anemia Occurs

APPENDIX F Fetal Cardiac Measurements and Doppler Assessment

Table F-1 Mitral and Tricuspid Valve E/A Ratios

Table F-2 Peak or Maximum Velocity of the Aorta and Main Pulmonary Artery

Table F-3 Longitudinal Reference Ranges for Peak Systolic Velocity in the Ductus Venosus (cm/s) Based on 547 Observations in 160 Low-Risk Pregnancies

Table F-4 Longitudinal Reference Ranges for End-Diastolic Velocity in the Ductus Venosus (cm/s) Based on 547 Observations in 160 Low-Risk Pregnancies

FIGURE F-1 Left ventricular (LV) and right ventricular (RV) dimensions and LV/RV ratio. Measurements should be taken from a diastolic four-chamber view.

FIGURE F-2 Thicknesses of the right ventricular wall, interventricular septum and left ventricular wall. Measurements should be taken from a diastolic four-chamber view.

FIGURE F-3 Left atrial (LA) and right atrial (RA) dimensions and LA/RA ratio. Measurements should be taken from a systolic four-chamber view.

FIGURE F-4 Diameters of the ascending aorta (Ao) and main pulmonary trunk (PA) and aorta/pulmonary artery ratio. ao, descending aorta; d, ductus arteriosus; RA, right atrium; RPA, right pulmonary artery; RV, right ventricle.

FIGURE F-5 Diameters of the distal aortic arch (upper double headed arrow) and distal end of the aortic isthmus (lower double headed arrow). LCCA, left common carotid artery; LSA, left subclavian artery; RIA, right innominate artery.

FIGURE F-6 Diameters of the distal end of the aortic isthmus and proximal descending aorta and isthmus/descending aorta ratio. PA, main pulmonary artery.

FIGURE F-7 Diameter of the mid-segment of the ductus arteriosus. PA, main pulmonary artery.

FIGURE F-8 Diameters of the right and left pulmonary arteries (RPA and LPA respectively). Ao, ascending aorta; ao, descending aorta; PA, main pulmonary artery; SVC, superior vena cava.

APPENDIX G Sonographic Detection of Chromosomal Abnormalities

Table G-1 Reference Intervals for Nuchal Translucency (mm) by Days

Table G-2 Normal Percentile Ranges for Nasal Bone Lengths (mm) (n = 3537) for a Specific Menstrual Age (wk)

Table G-3 Observed Number of Trisomies 21, 18, and 13 in Relation to Fetal Nuchal Translucency Thickness and Expected Number of Trisomies on the Basis of Maternal Age

Table G-4 Nuchal Thickness at 14 to 24 Weeks’ Gestation by Maternal Age

Table G-5 Maternal Age-Specific Odds (1:_) of Fetal Down Syndrome During the Second Trimester Based on Nonstructural Findings

APPENDIX H Normal Measurements of the Uterus and Ovaries

Table H-1 Ovarian Volume by Decade of Life

Table H-2 Ovarian Volume by Menstrual Status

Table H-3 Normal Uterine Diameters and Volume*

APPENDIX I Medications and Reported Associated Malformations

Table I-1 Selected Medications and Reported Associated Malformations*

APPENDIX J Estimated Radiation Exposure to the Fetus during Radiographic Examinations

Table J-1 Estimated Fetal Dose for Single Radiographic Image of Abdomen or Pelvis With Fetus in Field of View

Table J-2 Estimated Fetal Dose for CT of the Abdomen or Pelvis With Fetus in Field of View

APPENDIX K MR Imaging Protocol for Pregnant Patients with Acute Right Lower Quadrant Pain

Table K-1 MR Imaging Protocol for Pregnant Patients with Acute Right Lower Quadrant Pain

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Tags: Peter Callen, Ultrasonography, Obstetrics and Gynecology