Diagnostic Ultrasound

Doppler Sonography of the Brain in Children

Summary of Key Points Transcranial Doppler (TCD) can be performed, with or without imaging. Four windows are available after closure of the anterior fontanelle—temporal, orbital, transforaminal, and submandibular. Physiologic variables including age, gender, hematocrit, viscosity, carbon dioxide, temperature, blood pressure,…

Duplex Sonography of the Neonatal and Infant Brain

Summary of Key Points Duplex sonography is a valuable, functional addition to anatomic sonography of the pediatric brain. Various quantitative metrics can be extracted from the flow curves, including peak systolic, end-diastolic flow velocity, time average maximum mean blood flow…

Neonatal and Infant Brain Imaging

Summary of Key Points Brain ultrasound of premature infants is best performed for germinal matrix hemorrhage and hydrocephalus at 10 to 14 days of life and for cystic periventricular leukomalacia at 30 days of life. The best time to assess…

Cervical Ultrasound and Preterm Birth

Summary of Key Points There is a significant association between cervix length and the risk of preterm birth. A cervical length of more than 3 cm has a high negative predictive value for delivery at less than 34 weeks' gestation. The…

Fetal Hydrops

Summary of Key Points Hydrops is defined as an abnormal accumulation of interstitial fluid in at least two body cavities (pleural, peritoneal, or pericardial) or one body cavity in association with anasarca (generalized massive edema). Placentomegaly and polyhydramnios are common…

The Fetal Musculoskeletal System

Summary of Key Points Two-dimensional ultrasound is the primary imaging modality for the majority of musculoskeletal disorders. When a fetal musculoskeletal dysplasia is suspected on ultrasound, referral to a center with expertise may be helpful. A main role of ultrasound…

The Fetal Urogenital Tract

Summary of Key Points Evaluation of amniotic fluid volume (subjective assessment combined with semiquantitative methods such as maximum vertical pocket or amniotic fluid index) provides important information about some maternal and fetal conditions, as well as placental function. Sonographic findings…

The Fetal Gastrointestinal Tract and Abdominal Wall

Summary of Key Points The gastrointestinal (GI) tract and abdominal wall anomalies are diverse. Although they may occur in isolation, many are associated with syndromic or karyotype abnormalities; thus it is important to search for associated anomalies. Familiarity with normal…