Manual of Ultrasound in Obstetrics and Gynaecology, 2nd Edition

180 Pages·2009·2.15 MB·English

by  Kakoli Ghosh Dastidar

Manual of
Ultrasound in
Obstetrics
and
Gynaecology
“To strive, to seek, to find…..…
……. and not to yield”
— Lord Alfred Tennyson, Ulysses
Manual of
Ultrasound in
Obstetrics
and
Gynaecology
SECOND EDITION
Kakoli Ghosh Dastidar
Head, Division of Reproductive Imaging
Ghosh Dastidar Institute for Fertility Research
208, Rash Behari Avenue
Kolkata, India
Foreword
Jim Van Eyck
®
JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD
New Delhi • Ahmedabad (cid:129) Bengaluru (cid:129) Chennai (cid:129) Hyderabad
Kochi (cid:129) Kolkata (cid:129) Lucknow (cid:129) Mumbai (cid:129) Nagpur (cid:129) St Louis (USA)
Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
Corporate Office
4838/24 Ansari Road, Daryaganj, New Delhi - 110002, India, Phone: [phone]
Registered Office
B-3 EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi - 110 002, India
Phones: [phone], [phone], [phone], [phone]
Rel: [phone], Fax: [phone]
e-mail: [email protected], Website: www.jaypeebrothers.com
Branches
(cid:129) 2/B, Akruti Society, Jodhpur Gam Road Satellite, Ahmedabad 380 015
Phones: [phone], Rel: [phone], Fax: [phone]
e-mail: [email protected]
(cid:129) 202 Batavia Chambers, 8 Kumara Krupa Road, Kumara Park East, Bengaluru 560 001
Phones: [phone], [phone], 91-80-22372664, Rel: [phone]
Fax: [phone] e-mail: [email protected]
(cid:129) 282 IIIrd Floor, Khaleel Shirazi Estate, Fountain Plaza, Pantheon Road, Chennai 600 008
Phones: [phone], [phone], Rel: [phone], Fax: [phone]
e-mail: [email protected]
(cid:129) 4-2-1067/1-3, 1st Floor, Balaji Building, Ramkote Cross Road, Hyderabad 500 095
Phones: [phone], [phone], Rel: [phone], Fax:[phone]
e-mail: [email protected]
(cid:129) No. 41/3098, B & B1, Kuruvi Building, St. Vincent Road, Kochi 682 018, Kerala,
Phones: [phone], [phone], [phone], e-mail: [email protected]
(cid:129) 1-A Indian Mirror Street, Wellington Square, Kolkata 700 013
Phones: [phone], [phone], [phone], Rel: [phone]
Fax: [phone], e-mail: [email protected]
(cid:129) Lekhraj Market III, B-2, Sector-4, Faizabad Road, Indira Nagar, Lucknow 226 016
Phones: [phone], [phone], e-mail: [email protected]
(cid:129) 106 Amit Industrial Estate, 61 Dr SS Rao Road, Near MGM Hospital, Parel, Mumbai 400 012
Phones: [phone], [phone], Rel: [phone], Fax: [phone]
e-mail: [email protected]
(cid:129) “KAMALPUSHPA” 38, Reshimbag, Opp. Mohota Science College, Umred Road, Nagpur 440 009 (MS)
Phone: Rel: [phone], Fax: [phone], e-mail: [email protected]
USA Office
1745, Pheasant Run Drive, Maryland Heights (Missouri), MO 63043, USA,
Ph: 001-636-6279734, e-mail: [email protected], [email protected]
Manual of Ultrasound in Obstetrics and Gynaecology
© 2009, Kakoli Ghosh Dastidar
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or
transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise,
without the prior written permission of the author and the publisher.
This book has been published in good faith that the material provided by author is original. Every effort
is made to ensure accuracy of material, but the publisher, printer and author will not be held responsible
for any inadvertent error(s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction
only.
First Edition: 2003
Second Edition: 2009
ISBN 978-81-8448-508-0
Typeset atJPBMP typesetting unit
Printed at Ajanta Offset & Packagings Ltd., New Delhi
To
My inspiration
Dr Sudarsan Ghosh Dastidar
and
My family
Foreword
Since the introduction by Ian McDonald in 1958,
ultrasound has improved dramatically and is now
the most important noninvasive technique in
obstetrics and gynaecology. Ultrasound is used
in many diagnostic and therapeutic procedures.
This book discusses very elegantly various impor-
tant aspects of ultrasound in obstetrics and
gynaecology including basic physics and safety,
Doppler ultrasonography, prenatal diagnosis of
congenital abnormalities and the application of
ultrasound in infertility. Furthermore, a chapter
deals on new developments like 3-Dimensional
ultrasound.
This book contains important new data and
clear illustrations and is therefore highly recom-
mended for gynaecologists, residents, medical
students and ultrasonographers.
Jim Van Eyck MD, PhD
Department of Perinatal Medicine
Isala Clinics Location Sophia
Zwolle—The Netherlands
Preface
I have been involved in ultrasound for gynaeco-
logical and obstetric diagnostic, therapeutic pur-
poses since 1984. In the process, I realized the
dearth of training facility and non-availability of
readily available reading material.
This is an attempt for present students; and
might leave scope for improvement, but to quote
Albert Einstein “A person who never made a
mistake never tried anything new”.
I hope this book is of benefit to their learning
process.
Kakoli Ghosh Dastidar
Acknowledgements
Dr Sudarsan Ghosh Dastidar, MD for valuable
guidance.
Sri Pratap Kumar Chatterjee for typing the manu-
script.
Contents
1. Basic Physics of Diagnostic
Ultrasound.................................................1
2. How to Focus?..........................................7
3. Role of Pelvic Vaginal Sonography
for Patient Evaluation and
Ovulation Monitoring ......................... 13
4. Doppler.................................................... 29
5. 3-Dimensional Ultrasound in
Gynaecology/Obstetrics ...................... 47
6. Implantation .......................................... 55
7. Abnormal Stimulation and Other
Ovulatory Disorders............................ 61
8. Tubal Patency by Colour Doppler
and 3D Ultrasound............................... 73
9. Obstetric Ultrasound .......................... 79
10. Foetal Biometry.................................... 93
11. Congenital Anomalies.......................111
12. Safety .....................................................157
Bibliography............................................165
Index.........................................................169