"We are the centre with highest IUI pregnancy rates and have more than 8000 IUI pregnancies at our credit."

Fellowship in Ultrasound in Obstretics & Gynaecology

Curriculum for Fellowship in Ultrasound in Obstretics & Gynaecology- 6 months

(Dr. Nagori’s Institute for infertility and IVF, Ahmedabad)
  • Know your scanner & adjusting the correct setting
    • Doppler
    • Physics
    • Knobology
    • settings
  • What is the optimum image quality
  • How to achieve best results
  • Safety of ultrasound

Gynaec scans

  • Systematic transvaginal scans
    • patient counselling & tips for better scan
  • various manuevres for transvaginal scan & their indications
  • Congenital uterine anomalies
    • Different classification systems -comparison
    • Diagnosis
    • Clinical relevance
  • Acquired uterine anomalies
    • Endometrial pathologies
      • Polyp
      • Hyperplasia
      • Synachiea
      • Blood
    • Myometrial pathologies
      • Adenomyosis
      • Fibroids
      • Adenomyoma
    • Ultrasound diagnosis & clinical relevance

Adnexal lesions – Differential diagnosis

  • Different morphologies
  • Doppler characteristics
  • Role of dynamic assessment
  • Longitudinal assessment

Gynaecological malignancies

  • Ultrasound diagnostic criteria
    • Endometrium
    • Myometrium
    • Ovaries
    • Tubes
  • Clinical relevance

Ultrasound in infertility

  • Ultrasound Diagnosis of PCO – relevance to endocrinology
  • Sonoendocrinology
  • Cycle monitoring for infertility
  • Tubal assessment- Saline infusion salpingography, HyCosy, Role of 3D, Comparision with other techniques
  • Different consensus for uterine pathologies and ultrasound- MUSA, IETA, for ovarian pathologies- IOTA, for ednometriosis IEDA

Obstetrics

  • Scanning Early Pregnancy
    • Signs of abnormal pregnancy
    • Prognosticating pregnancy
    • 11-14 weeks scan
      • method
      • guidelines
      • Physiology of Ductus venosus
      • Physiology of tricuspid flow
      • Risk assessment
      • Counselling
      • Further management
      • Anatomical assessment
    • Second trimester – target scan
      • Biometry- methodology – relevance
      • Common congenital fetal anomalies
      • Markers for chromosomal abnormalities
  • Basics and detailled fetal echocardiography- b mode, colour doppler, pulsed wave doppler, m mode, embryological and genetic relevance, intrauterine managmeent, post delivery prognosis.
  • Detailed fetal neurosonography
  • Genitourinary and gastreointestinal disorders
  • Fetal tumours
  • Rh isoimmunisation

Diagnosis of growth restriction

  • Prediction & diagnosis of vascular insufficiency
  • Doppler based management of pregnancies with IUGR Doppler its & role in obstetrics scan
    • Changing trends in circulation in different vessels – related physiology
    • How often to scan
    • Repeating of obstetrics scans
    • Genetic relevance of congenital anomalies
    • Genetic testing in obstetrics patients and counselling
    • When is pregnancy termination indicated
    • Multiple pregnancies
      • Complication
      • Repeating
    • Pregnancies with medical disorders
      • Thyroid
      • Prolactin
      • Hypertensions
      • D.M.
      • Anemia

Placenta and umbilical cord:

  • Understading placental physiology
  • Abnormalities of placenta- morphology, size, adherence, position.
  • Cord morphology, abnormalities, attachments, number of vessels
  • Cord coiling physiology – related abnormalities
  • Knot, cord round neck

3D – 4D US basics

  • Calculation 3D US
  • Application of 3D – 4D in obstetrics scans
  • Application of 3D-4D in gyneac scans
  • Infertility application of 3D 4D

Invasive US guideline procedures in gynecology

  • Ovum pickup
  • Embryo transfer
  • Cyst aspiration
  • Fetal reduction
  • Sonohysterography
  • Sonosalpingography

Invasive US guidelines in obstetrics

  • Amnioinfusion.
  • Amniocentesis
  • CVS
  • cordocentesis
  • fetal bipsies
  • Laser ablation inTTTS

Therapeutic uses of US

  • HIFU
  • Uitrasound guided vascular procedures

Documentation and data analysis:

  • Documentation of obstetrics scans
  • Documentation of gynaec scans
  • Repeating of gynaec scans
  • Data keeping
  • Basics statics

This course includes the hands on training and publication of at least one paper is mandatory for this course.