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UNDERSTANDING THE VALUE OF
ULTRASOUND IN WOMEN
Nchanji Nkeh Keneth
kennchanji@yahoo.com/ excellence660@gmail.com
B.TECH/HPD MDIRT
POLYVALENT RADIOLOGIC TECHNOLOGIST/SONOGRAPHER
Thursday, July 13, 2017 5-1NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT.
ST LOUIS UNIHEBS
Part A
General Overview of Ultrasound
use in Women
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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Presentation outline
An overview of Ultrasound/medical
imaging
Encountered pathologies during
ultrasound Scans in women
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
3
Main Study Objective
To acquire general
knowledge on value of
Ultrasound in women
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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General Introduction
Brief History of Medical Imaging
and Ultrasonography
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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Popular Ultrasonography Myths
Can Ultrasound Cause Cancer?
Will it cause harm to my
growing baby?
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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Applications of Ultrasound in
Women
First Obstetric Ultrasound Scan
was done in 1953
Till date, the benefits have been
enormous
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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Major Areas of Use
 Obstetrics
 Gynecology
 Others….
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
8
Common Gynecologic Problems in
Women Detected on Ultrasound
 Uterine fibroids
 Cystic lesions (Neoplastic or benign)
 PIDs
 Congenital Malformations
 Pelvic Masses
 Uterine Polyps
 Adnexal Pathologies
 Breast abnormalities
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
9
Obstetrical Problems Detected on
Ultrasound
 Fetal Malformations
 Ectopic Pregnancy
 Fetal Demise
 Abnormal Multiple
Gestation
 Placental
Abnormalities
 Yolk Sac/GS
Problems
 Bleeding in
Pregnancy
 Abortion
 Blighted Ovum
 Amniotic Fluid
Abnormalities
 Molar Pregnancy
 Etc etc etc
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
10
Reasons Why Women Should Do an
Ultrasound Scan
NB: Ultrasound Till Date is safe for every one
and is the cheapest, accessible, Medical Imaging
Tool for women
Its use in women is recommended by Renowned
Reputable Organizations such as UKAS, AIUM
etc. based on evidence from thorough research
works
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
11
Gynecologic US Scan could be
done….
If the female has:
 Menstrual irregularities
 Persistent LAP
 Feels a palpable Hypogastric mass
 Follow up of a detected abnormality
 To locate an IUCD
 Guidance during Interventional Procedures, et
etc
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
12
An Obstetric US scan could be
done…..
To confirm an IUP
Determine the number of GS
R/o the Cause of Bleeding
Evaluate Fetal /pregnancy status
To diagnose the cause of persistent or sudden LAP
To evaluate fetal position and placenta location
To detect fetal anomalies, etc etc etc
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
13
Preparing For A Gynecologic US
 you will need a full Urinary Bladder
for TAS or
 Notify in case of any allergies for TVS
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
14
This machine Shall be Used
 The Ultrasound Machine and
Associated Probes
 Insert…….
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
15
Preparing For an Obstetric US
 In early first Trimester, a full UB is
required for TAS
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
16
Ultrasound machine with probes. Courtesy of St.
Blaise Clinic
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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Part B
Abnormalities encountered
during ultrasound Scan in
Women
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
18
The Female Pelvic Anatomy
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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Myomas (fibroids)
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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Vaginal Tumors
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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Fetal Demise
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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Dermoid Cyst
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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APPENDICITIS
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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HPD/B.TECH- MDIRT. ST LOUIS
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7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
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Ectopic Pregnancy
NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
297/17/2017
Emergency Radiology
NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
307/17/2017
Emergency Radiology
NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
317/17/2017
Emergency Radiology
NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
327/17/2017
Emergency Radiology
NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
337/17/2017
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
35
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
36
FETAL Gender
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
37
Polyhydramnious
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
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Blighted Ovum
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
39
Normal Fetal Anatomy
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
40
Take Home Points
 Ultrasound is safe and widely applicable
in Women
 Ultrasound is recommended for all
women
 Various pathological conditions can be
detected on Ultrasound
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
41
US Exam Is Operator Dependent
Appropriate request forms for US
scan with the right indications, will
influence the outcome
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
42
References
1.ISUOG Practice Guidelines: Performance of First
Trimester Fetal Ultrasound Scan. Ultrasound Obstet
Gynecol 2013. 41:102-113. DOI: 10.1002/Uog.12342
2.Kathryn A.G (2014). Ultrasound In Obstetrics and
Gynecology: A Practitioner’s Guide. Davis Publishing Inc.
ISBN: 0-941022-80-3
3.Alfred A (2014): Ultrasound in Obstetrics and
Gynecology: A Practical Approach. First Edition. ISBN:
14:978-0-692-26142-2
4.NHS (2015). Fetal Anomaly Screening Programme. A
Handbook for Ultrasound Practitioners. April 2015
5.AIUM 2017. Ultrasound Practice Parameter
NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
437/17/2017
Beri wi ba’a ghor
7/17/2017 NCHANJI NKEH KENETH,
HPD/B.TECH- MDIRT. ST LOUIS
UNIHEBS
45

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Understanding the value of Diagnostic Medical Ultrasound Scan in women. MDIRT Nchanji Nkeh Keneth

  • 1. UNDERSTANDING THE VALUE OF ULTRASOUND IN WOMEN Nchanji Nkeh Keneth kennchanji@yahoo.com/ excellence660@gmail.com B.TECH/HPD MDIRT POLYVALENT RADIOLOGIC TECHNOLOGIST/SONOGRAPHER Thursday, July 13, 2017 5-1NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS
  • 2. Part A General Overview of Ultrasound use in Women 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 2
  • 3. Presentation outline An overview of Ultrasound/medical imaging Encountered pathologies during ultrasound Scans in women 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 3
  • 4. Main Study Objective To acquire general knowledge on value of Ultrasound in women 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 4
  • 5. General Introduction Brief History of Medical Imaging and Ultrasonography 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 5
  • 6. Popular Ultrasonography Myths Can Ultrasound Cause Cancer? Will it cause harm to my growing baby? 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 6
  • 7. Applications of Ultrasound in Women First Obstetric Ultrasound Scan was done in 1953 Till date, the benefits have been enormous 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 7
  • 8. Major Areas of Use  Obstetrics  Gynecology  Others…. 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 8
  • 9. Common Gynecologic Problems in Women Detected on Ultrasound  Uterine fibroids  Cystic lesions (Neoplastic or benign)  PIDs  Congenital Malformations  Pelvic Masses  Uterine Polyps  Adnexal Pathologies  Breast abnormalities 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 9
  • 10. Obstetrical Problems Detected on Ultrasound  Fetal Malformations  Ectopic Pregnancy  Fetal Demise  Abnormal Multiple Gestation  Placental Abnormalities  Yolk Sac/GS Problems  Bleeding in Pregnancy  Abortion  Blighted Ovum  Amniotic Fluid Abnormalities  Molar Pregnancy  Etc etc etc 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 10
  • 11. Reasons Why Women Should Do an Ultrasound Scan NB: Ultrasound Till Date is safe for every one and is the cheapest, accessible, Medical Imaging Tool for women Its use in women is recommended by Renowned Reputable Organizations such as UKAS, AIUM etc. based on evidence from thorough research works 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 11
  • 12. Gynecologic US Scan could be done…. If the female has:  Menstrual irregularities  Persistent LAP  Feels a palpable Hypogastric mass  Follow up of a detected abnormality  To locate an IUCD  Guidance during Interventional Procedures, et etc 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 12
  • 13. An Obstetric US scan could be done….. To confirm an IUP Determine the number of GS R/o the Cause of Bleeding Evaluate Fetal /pregnancy status To diagnose the cause of persistent or sudden LAP To evaluate fetal position and placenta location To detect fetal anomalies, etc etc etc 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 13
  • 14. Preparing For A Gynecologic US  you will need a full Urinary Bladder for TAS or  Notify in case of any allergies for TVS 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 14
  • 15. This machine Shall be Used  The Ultrasound Machine and Associated Probes  Insert……. 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 15
  • 16. Preparing For an Obstetric US  In early first Trimester, a full UB is required for TAS 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 16
  • 17. Ultrasound machine with probes. Courtesy of St. Blaise Clinic 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 17
  • 18. Part B Abnormalities encountered during ultrasound Scan in Women 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 18
  • 19. The Female Pelvic Anatomy 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 19
  • 20. Myomas (fibroids) 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 20
  • 21. 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 21
  • 22. Vaginal Tumors 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 22
  • 23. Fetal Demise 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 23
  • 24. Dermoid Cyst 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 24
  • 25. APPENDICITIS 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 25
  • 26. 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 26
  • 27. 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 27
  • 28. 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 28
  • 29. Ectopic Pregnancy NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 297/17/2017
  • 30. Emergency Radiology NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 307/17/2017
  • 31. Emergency Radiology NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 317/17/2017
  • 32. Emergency Radiology NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 327/17/2017
  • 33. Emergency Radiology NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 337/17/2017
  • 34. 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 34
  • 35. 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 35
  • 36. 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 36
  • 37. FETAL Gender 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 37
  • 38. Polyhydramnious 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 38
  • 39. Blighted Ovum 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 39
  • 40. Normal Fetal Anatomy 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 40
  • 41. Take Home Points  Ultrasound is safe and widely applicable in Women  Ultrasound is recommended for all women  Various pathological conditions can be detected on Ultrasound 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 41
  • 42. US Exam Is Operator Dependent Appropriate request forms for US scan with the right indications, will influence the outcome 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 42
  • 43. References 1.ISUOG Practice Guidelines: Performance of First Trimester Fetal Ultrasound Scan. Ultrasound Obstet Gynecol 2013. 41:102-113. DOI: 10.1002/Uog.12342 2.Kathryn A.G (2014). Ultrasound In Obstetrics and Gynecology: A Practitioner’s Guide. Davis Publishing Inc. ISBN: 0-941022-80-3 3.Alfred A (2014): Ultrasound in Obstetrics and Gynecology: A Practical Approach. First Edition. ISBN: 14:978-0-692-26142-2 4.NHS (2015). Fetal Anomaly Screening Programme. A Handbook for Ultrasound Practitioners. April 2015 5.AIUM 2017. Ultrasound Practice Parameter NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 437/17/2017
  • 45. 7/17/2017 NCHANJI NKEH KENETH, HPD/B.TECH- MDIRT. ST LOUIS UNIHEBS 45