ULTRASOUND

Dr. Horenstein has been performing ultrasound examinations since 1983. During this time there has been amazing progress in the area. The fetal anatomy and function may be assessed with this modality. Patients typically cannot wait for this exam. Though the exam can be quite entertaining and fun it is important to remember that this is a medical study. Evaluating the fetus is done with 2-D, 3-D and 4-D imaging. There have been guidelines established by ACOG (American College of Obstetricians and Gynecologist) , AIUM ( American Institute of Ultrasound in Medicine ) and ACR ( American College of Radiology). Obstetrical ultrasound should only be done at a center with personnel AIUM certified. This certification is an involved process of documenting the ability to perform quality exams according to established criteria and to have continuous courses in ultrasound. The accreditation is renewed every 3 years. Ultrasound exams should be used when there is a medical reason and the lowest possible ultrasound exposure necessary. “Entertainment” ultrasounds are not encouraged by the ACOG, AIUM and ACR. They do not follow any standards nor are used to evaluate the fetus.

Ultrasound can diagnose many conditions that a fetus may have, however, it is not 100% . Some diagnosis may be missed or not possible to know by ultrasound and not every mother or fetus is ideal for the perfect study. A mother that has increased body tissue in the abdominal area or abdominal scars can limit the quality of the examination quite a bit. The size of the fetus or a fetus that is not in a good position also may limit the quality of the examination. All patients will receive photos and a nice 3-D image if it can be obtained. During the exam we will discuss why your obstetrician referred you for the exam, what is being seen and any concerns noted .

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