Ultrasound Imaging in Reproductive Medicine: Advances in Infertility Work-up, Treatment, and ART

360 Pages·2014·13.89 MB·English

by  Jacques S. Abramowicz MD

Laurel A. Stadtmauer
Ilan Tur-Kaspa
Editors
Ultrasound Imaging in
Reproductive Medicine
Advances in
Infertility Work-up,
Treatment, and ART
123
Ultrasound Imaging in Reproductive
Medicine

Laurel A. Stadtmauer (cid:129) Ilan Tur-Kaspa
Editors
Ultrasound Imaging in
Reproductive Medicine
Advances in Infertility Work-up,
Treatment, and ART
Editors
Laurel A. Stadtmauer, MD, PhD Ilan Tur-Kaspa, MD
Jones Institute for Reproductive Institute for Human Reproduction (IHR)
Medicine Department of Obstetrics
Department of Obstetrics and Gynecology
and Gynecology The University of Chicago
Eastern Virginia Medical School Chicago, IL
Norfolk, VA USA
USA
ISBN 978-1-4614-9181-1 ISBN 978-1-4614-9182-8 (eBook)
DOI 10.1007/978-1-4614-9182-8
Springer New York Heidelberg Dordrecht London
Library of Congress Control Number: 2013956430
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A special thanks and dedication of the book
to my parents Doris and Seymour, husband
Ivan, and daughter Alessandra, who
inspire me every day and have offered their
love
Laurel A. Stadtmauer
This book is dedicated to the love of my
life, my wife Hana Tur-Kaspa, and to our
children Leeron, Adi, and Tomer, for their
continuous love, support, and
encouragement, and to the living memories
of my parents, Miriam and Chaim Tur-
Kaspa, that their wisdom and passion for
education are an inspiration for us all
Ilan Tur-Kaspa

Foreword
I t is with great pleasure that I introduce this book on Ultrasound Imaging in
Reproductive Medicine: Advances in Infertility Work-up, Treatment, and
Assisted Reproductive Technology. Ultrasound has proven to be essential in
the care of the patient with infertility and in many aspects of reproductive
medicine, and a high-quality book that encompasses what anyone in the fi eld
needs to know is a very valuable resource indeed.
This book is laid out in a very logical sequence, starting with general infor-
mation about ultrasound safety in reproductive medicine, technique for 3D
ultrasound and Doppler applications, and legal aspects of ultrasound imaging.
The second part addresses the use of ultrasound in the infertility work-up start-
ing with ultrasound of the ovary, the uterus, and the fallopian tube and male
infertility. Each part addresses the normal changes followed by detailed chapters
on specifi c abnormalities related to infertility. The third part focuses on ultra-
sound in infertility treatment with detailed description of the role of ultrasound
in follicle monitoring, oocyte retrieval, embryo transfer, early pregnancy evalu-
ation, ectopic pregnancy, and focused ultrasound for the treatment of fi broids.
A formidable team of authors with international prominence was assem-
bled to contribute various chapters in their specifi c areas of expertise. The
book is written in a style that is easy to read and is replete with ultrasound
images, illustrating various normal and abnormal conditions. The reader will
learn about various aspects of ultrasound imaging in reproductive medicine
from world authority on the subject in a systematic and comprehensive fash-
ion. Various chapters refl ect the current state of the science in pelvic imaging
as it relates to the evaluation and management of the infertile couple.
K udos to Dr. Laural Stadtmauer and Dr. Ilan Tur-Kaspa, the book’s edi-
tors, for their vision and hard work in accomplishing this masterpiece. Laurel
is a gifted scientist, an actively practicing physician, and a superb gyneco-
logic sonologist with tremendous expertise in advanced ultrasound imaging.
Ilan is an internationally known expert in reproductive medicine and infertil-
ity and gynecologic ultrasound. Their skills and background present a special
perspective as an editor that is evident throughout the book and translates into
an evidence-based practical approach to ultrasound imaging.
This book belongs on the desk of any healthcare worker involved in the
fi eld of infertility. From my standpoint, this book will become the ultimate
book on ultrasound in reproductive medicine.
Norfolk, Virginia Alfred Z. Abuhamad, MD
vii

Pref ace
C an one imagine infertility diagnosis and treatment without imaging?
Ultrasound has become the main tool and has revolutionized the practice by
reproductive specialists worldwide and is used daily by the authors. From the
fi rst encounter with the patients who have been suffering from infertility,
ultrasound will be used for the evaluation of uterus and ovaries to rule out any
abnormalities and evaluation of ovarian reserve. Ultrasound will be part of
the monitor of a natural cycle, controlled ovarian hyperstimulation with oral
and injectable medications, and for ART. It will then be used to confi rm intra-
uterine pregnancy and for the investigation of a pregnancy of unknown loca-
tion and evaluation and treatment of ectopic pregnancy.
T herefore, it was natural for us, the coeditors, who have been involved in
advanced infertility work-up and treatment for about 20 years and have
served as Chairs of the Reproductive Imaging Special Interest Group of the
American Society for Reproductive Medicine (ASRM) to compile this book
for gynecologists, infertility specialists, ultrasonographers, radiologists, and
nurses involved in imaging and the diagnosis and treatment of the infertile
couple. It is a practical book covering all normal fi ndings and abnormalities
found in women of reproductive age. Following this practical framework of
the book, the chapters are covered in three parts and include the principles of
ultrasound; the normal and abnormal uterus, fallopian tubes, and ovaries; and
the use of ultrasound in infertility and ART treatments along with complica-
tions and ultrasound-guided techniques.
The authors have compiled many original ultrasound images with the
chapters. All authors are all internationally recognized specialists in repro-
ductive medicine as well as imaging, and their contribution made this book a
unique comprehensive coverage of the modern role of ultrasound in repro-
ductive medicine. We hope you fi nd the book helpful in improving your eval-
uation and treatment of your patients and an enjoyable experience. See better,
do ART better.
Norfolk, VA, USA Laurel A. Stadtmauer, MD, PhD
Chicago, IL, USA Ilan Tur-Kaspa, MD
ix