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Diagnostic Imaging: Obstetrics, 5th Edition

ISBN: 9780443378874
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Covering the entire spectrum of this fast-changing field, Diagnostic Imaging: Obstetrics, fifth edition, is an invaluable resource for perinatologists, radiologists, obstetricians, sonographers, and trainees―anyone who requires an easily accessible, highly visual reference on today’s obstetric and fetal imaging. Dr. Paula J. Woodward and a diverse group of fetal-imaging experts provide updated information on fetal development, disease processes, and imaging techniques and findings to help you make informed decisions at the point of care. The text is lavishly illustrated, delineated, and referenced, making it a useful learning tool as well as a handy reference for daily practice.
New to this edition
  • The 5th ed includes emphasis on fetal Intervention, an emerging, new, and cutting edge, area of practice. Individual chapters have significant updates in treatment sections including shunt placements for pleural effusions and bladder outlet obstructions. New chapters address laser procedures for twin complications and fetoscopic surgery for neural tube defects and masses
  • Major advancements have come to light since 4th ed published in June 2021 on the understanding of genetic basis of disease. This has significantly impacted the diagnosis and management of maternal/fetal issues. It is no longer a basic chromosome analysis, but now more detailed diagnoses can be made with microarray, whole exome, and whole genome analysis
  • There is a new emphasis from all the fetal imaging societies (SRU, SMFM, ACOG, ISUOG, NAFTNet) to standardize practice guidelines across the various organizations. These standards are defined and implemented across multiple sections of the book

Περιεχόμενα

SECTION 1: FIRST TRIMESTER

INTRODUCTION AND OVERVIEW

Embryology and Anatomy of the First Trimester
Approach to the Early First Trimester
Early Anatomy

ABNORMAL INTRAUTERINE GESTATION

Early Pregnancy Loss
Perigestational Hemorrhage
Chorionic Bump
Complete Hydatidiform Mole

ECTOPIC GESTATION

Tubal Ectopic
Interstitial Ectopic
Cesarean Scar Ectopic Pregnancy
Cervical Ectopic
Ovarian Ectopic
Heterotopic Pregnancy
Abdominal Ectopic

SECTION 2: BRAIN

INTRODUCTION AND OVERVIEW

Embryology and Anatomy of the Brain
Approach to the Supratentorial Brain
Approach to the Posterior Fossa

CRANIAL DEFECTS

Exencephaly, Anencephaly
Occipital, Parietal Cephalocele
Atretic Cephalocele
Frontal Cephalocele

MIDLINE DEVELOPMENTAL ANOMALIES

Abnormal Corpus Callosum
Interhemispheric Cyst/AVID
Aprosencephaly, Atelencephaly
Alobar Holoprosencephaly
Semilobar Holoprosencephaly
Lobar Holoprosencephaly
Septo-Optic Dysplasia
Syntelencephaly

CORTICAL DEVELOPMENTAL ANOMALIES

Schizencephaly
Lissencephaly
Malformations of Cortical Development

CYSTS

Choroid Plexus Cyst
Arachnoid Cyst

DESTRUCTIVE LESIONS

Intracranial Hemorrhage
Encephalomalacia, Porencephaly
Hydranencephaly

POSTERIOR FOSSA MALFORMATIONS

Aqueductal Stenosis
Chiari 2 Malformation
Chiari 3 Malformation
Dandy-Walker Malformation
Vermian Dysgenesis
Blake Pouch Cyst
Mega Cisterna Magna
Cerebellar Hypoplasia
Rhombencephalosynapsis

VASCULAR MALFORMATIONS

Vein of Galen Aneurysmal Malformation
Arteriovenous Fistula
Dural Sinus Malformation

TUMORS

Brain Tumors
Choroid Plexus Papilloma
Intracranial Lipoma

PERTINENT DIFFERENTIAL DIAGNOSES

Absent Cavum Septi Pellucidi
Mild Ventriculomegaly
Microcephaly
Abnormal Calvarium
Posterior Fossa Cyst/Fluid Collection

SECTION 3: SPINE

Embryology and Anatomy of the Spine
Approach to the Fetal Spine
Spina Bifida
Iniencephaly
Caudal Regression Sequence
Kyphosis, Scoliosis
Tethered Cord
Diastematomyelia
Sacrococcygeal Teratoma

FETAL INTERVENTION

Fetal Neural Tube Treatment

SECTION 4: FACE AND NECK

Embryology and Anatomy of the Face and Neck
Approach to the Fetal Face and Neck
Cleft Lip, Palate
Dacryocystocele
Coloboma
Epignathus
Epulis
Goiter
Cystic Hygroma
Cervical Teratoma

PERTINENT DIFFERENTIAL DIAGNOSES

Abnormal Orbits/Eyes
Abnormal Ears
Micrognathia
Macroglossia

SECTION 5: CHEST

Embryology and Anatomy of the Chest
Approach to the Fetal Chest
Congenital Diaphragmatic Hernia
Congenital Pulmonary Airway Malformation
Bronchopulmonary Sequestration
Bronchogenic Cyst
Congenital High Airway Obstruction Sequence (CHAOS)
Congenital Lobar Overinflation
Pulmonary Agenesis
Thoracic Lymphatic Malformations
Mediastinal Teratoma

PERTINENT DIFFERENTIAL DIAGNOSES

Solid/Echogenic Chest Mass
Cystic Chest Mass

FETAL INTERVENTION

Fetal Chest Interventions

SECTION 6: HEART

INTRODUCTION AND OVERVIEW

Embryology and Anatomy of the Cardiovascular System
Approach to the Fetal Heart

ABNORMAL LOCATION

Heterotaxy, Cardiosplenic Syndromes
Ectopia Cordis

SEPTAL DEFECTS

Ventricular Septal Defect
Atrioventricular Septal Defect
Atrial Septal Aneurysm

RIGHT HEART MALFORMATIONS

Ebstein Anomaly
Tricuspid Dysplasia
Tricuspid Atresia
Pulmonary Stenosis, Atresia

LEFT HEART MALFORMATIONS

Hypoplastic Left Heart Syndrome
Coarctation and Interrupted Aortic Arch
Aortic Stenosis
Total Anomalous Pulmonary Venous Return

CONOTRUNCAL MALFORMATIONS

Tetralogy of Fallot
Transposition of the Great Arteries
Truncus Arteriosus
Double-Outlet Right Ventricle

MYOCARDIAL AND PERICARDIAL ABNORMALITIES

Echogenic Intracardiac Focus
Cardiomyopathy
Rhabdomyoma
Pericardial Effusion
Pericardial Teratoma

ABNORMAL RHYTHM

Irregular Rhythm
Tachyarrhythmia
Bradyarrhythmia

PERTINENT DIFFERENTIAL DIAGNOSES

Vascular Rings
Abnormal Cardiac Axis
Chamber Asymmetry

CONGENITAL HEART DISEASE SURGERY

Blalock-Taussig Shunt
Norwood Procedure
Glenn Procedure
Fontan Procedure

SECTION 7: ABDOMINAL WALL AND GASTROINTESTINAL TRACT

INTRODUCTION AND OVERVIEW

Embryology and Anatomy of the Abdominal Wall and GI Tract
Approach to the Abdominal Wall and GI Tract

ABDOMINAL WALL DEFECTS

Gastroschisis
Omphalocele
Pentalogy of Cantrell
Body Stalk Anomaly
Bladder Exstrophy
Cloacal Exstrophy/OEIS Syndrome

BOWEL ABNORMALITIES

Esophageal Atresia
Duodenal Atresia
Jejunal, Ileal Atresia
Colonic Atresia
Anal Atresia
Cloacal Malformation/Urogenital Sinus
Volvulus
Enteric Duplication Cyst

PERITONEAL ABNORMALITIES

Meconium Peritonitis, Pseudocyst
Abdominal Lymphatic Malformation

HEPATOBILIARY ABNORMALITIES

Gallstones
Choledochal Cyst
Splenic Cyst
Gestational Alloimmune Liver Disease
Biliary Atresia
Congenital Hepatic Hemangioma
Mesenchymal Hamartoma
Hepatoblastoma

PERTINENT DIFFERENTIAL DIAGNOSES

Echogenic Bowel
Ascites
Cystic Abdominal Mass
Hepatomegaly

SECTION 8: GENITOURINARY TRACT

INTRODUCTION AND OVERVIEW

Embryology and Anatomy of the Genitourinary Tract
Approach to the Fetal Genitourinary Tract
Urinary Tract Dilation

RENAL DEVELOPMENTAL VARIANTS

Unilateral Renal Agenesis
Duplicated Collecting System
Pelvic Kidney
Horseshoe Kidney
Crossed Fused Ectopia

RENAL MALFORMATIONS

Bilateral Renal Agenesis
Ureteropelvic Junction Obstruction
Urinoma
Obstructive Renal Dysplasia
Multicystic Dysplastic Kidney
Autosomal Recessive Polycystic Kidney Disease
Autosomal Dominant Polycystic Kidney Disease
Congenital Mesoblastic Nephroma

ADRENAL ABNORMALITIES

Adrenal Hemorrhage
Neuroblastoma
Congenital Adrenal Hyperplasia

BLADDER MALFORMATIONS

Posterior Urethral Valves
Prune-Belly Syndrome
Ureterocele
Urachal Anomalies

GENITAL ABNORMALITIES

Differences of Sex Development
Hypospadias
Ovarian Cyst
Hydrocolpos

PERTINENT DIFFERENTIAL DIAGNOSES

Echogenic Kidneys
Unilateral Enlarged Kidney
Suprarenal Mass
Scrotal Mass

FETAL INTERVENTION

Fetal Urinary Tract Interventions

SECTION 9: MUSCULOSKELETAL

DYSPLASIAS

Approach to Skeletal Dysplasias
Bone Length Charts
Achondrogenesis, Hypochondrogenesis
Achondroplasia, Hypochondroplasia
Amelia/Phocomelia
Atelosteogenesis
Campomelic Dysplasia
Chondrodysplasia Punctata
Cleidocranial Dysplasia
Greenberg Dysplasia
Hypophosphatasia
Metaphyseal Chondrodysplasia
Osteogenesis Imperfecta
Short Rib-Thoracic Dysplasia Syndromes
Thanatophoric Dysplasia

EXTREMITY MALFORMATIONS

Clubfoot
Rocker-Bottom Foot
Radial Ray Malformation
Clinodactyly
Polydactyly
Syndactyly
Split Hand/Foot Malformation
Arthrogryposis, Akinesia Sequence
Proximal Focal Femoral Dysplasia
Fibular/Tibial Hemimelia

PERTINENT DIFFERENTIAL DIAGNOSES

Mildly Short Femur/Humerus
Curved/Angulated Bones
Abnormal Ossification

SECTION 10: PLACENTA, MEMBRANES, AND UMBILICAL CORD

INTRODUCTION AND OVERVIEW

Approach to the Placenta and Umbilical Cord

PLACENTA AND MEMBRANE ABNORMALITIES

Placental Abruption
Placenta Previa/Low-Lying Placenta
Vasa Previa
Placenta Accreta Spectrum
Placental Lake, Intervillous Thrombus
Succenturiate Lobe
Circumvallate Placenta
Marginal and Velamentous Cord Insertion
Chorioangioma
Placental Teratoma
Placental Mesenchymal Dysplasia

UMBILICAL CORD ABNORMALITIES

Single Umbilical Artery
Umbilical Vein Varix
Persistent Right Umbilical Vein

PERTINENT DIFFERENTIAL DIAGNOSES

Placental Cysts and Masses
Umbilical Cord Cysts and Masses

SECTION 11: MULTIPLE GESTATIONS

Approach to Multiple Gestations
Dichorionic Diamniotic Twins
Monochorionic Diamniotic Twins
Monochorionic Monoamniotic Twins
Selective Fetal Growth Restriction
Twin-Twin Transfusion Syndrome
Twin Anemia-Polycythemia Sequence
Twin Reversed Arterial Perfusion
Conjoined Twins
Triplets and Beyond
Fetus-in-Fetu

FETAL INTERVENTION

Monochorionic Twin Interventions

SECTION 12: ANEUPLOIDY

Approach to Genetic Screening
Trisomy 21
Trisomy 18
Trisomy 13
Monosomy X (Turner Syndrome)
Triploidy

SECTION 13: SYNDROMES AND MULTISYSTEM DISORDERS

Approach to Syndromes
22q11 Deletion Syndrome
Aicardi Syndrome
Amniotic Band Syndrome
Apert Syndrome
Bardet-Biedl Syndrome
Beckwith-Wiedemann Syndrome
Carpenter Syndrome
CHD7-Related Disorder (CHARGE)
Cornelia de Lange Syndrome
Crouzon Syndrome
Cystic Fibrosis
Diabetic Embryopathy
Fraser Syndrome
Fryns Syndrome
Generalized Calcification of Infancy
Holt-Oram Syndrome
Joubert Syndrome
Klippel-Trenaunay Syndrome
Meckel-Gruber Syndrome
Miller-Dieker Syndrome
Muenke Syndrome
Multiple Pterygium Syndromes
Neu-Laxova Syndrome
Niemann-Pick Disease Type C
Noonan Syndrome
Oculo-Auriculo-Vertebral Spectrum (OAVS)
Pai Syndrome
Pfeiffer Syndrome
PHACES Syndrome
Pierre Robin Sequence
Sirenomelia
Smith-Lemli-Opitz Syndrome
Treacher Collins Syndrome
Tuberous Sclerosis Complex
VACTERL Association
Valproate Embryopathy
Walker-Warburg Syndrome
Warfarin (Coumadin) Embryopathy
Wolf-Hirschorn Syndrome
Zellweger Spectrum Disorder

SECTION 14: INFECTION

Cytomegalovirus
Parvovirus B19
Toxoplasmosis
Varicella
Congenital Syphilis

SECTION 15: FLUID, GROWTH, AND WELL-BEING

Approach to Fetal Well-Being
Fetal Growth Restriction
Macrosomia
Fetal Anemia

PERTINENT DIFFERENTIAL DIAGNOSES

Polyhydramnios
Oligohydramnios
Hydrops

SECTION 16: MATERNAL CONDITIONS IN PREGNANCY

Cervical Insufficiency/Short Cervix
Myoma in Pregnancy
Adenomyosis in Pregnancy
Müllerian Duct Anomalies in Pregnancy
Synechiae
Uterine Dehiscence/Rupture
Retained Products of Conception

PERTINENT DIFFERENTIAL DIAGNOSES

Adnexal Mass in Pregnancy
Acute Abdomen in Pregnancy
Intrauterine Linear Echoes
Postpartum Hemorrhage
Postpartum Pain/Fever