📝 FETAL ULTRASOUND TEMPLATES
🧾 Early First Trimester (GS)
🧾 First Trimester (Embryo 6–10w 6d)
🧾 First Trimester (11–13w 6d)
🧾 Second Trimester
🧾 Third Trimester
🧾 NT Screening
🧾 NT Screening – Specific Doppler
🧾 Fetal Anomalies Screening / TIFA
🧾 TIFA-Specific Fetal Doppler
🧾 Doppler Studies
🧾 Biophysical Profile / NST
🧾 RMT Assessment
─── 🧾 TIFA-Specific fetal Doppler ───
Templates
▸
COMPLETE FETAL DOPPLER FINDINGS – TIFA (18–22 WEEKS)
1 NORMAL TIFA DOPPLER
📄 UA PI normal + MCA PI normal → CPR normal
Normal fetoplacental and cerebral circulation for gestational age.
No Doppler evidence of early placental dysfunction.
Normal fetoplacental and cerebral circulation for gestational age.
No Doppler evidence of early placental dysfunction.
2 UTEROPLACENTAL DYSFUNCTION (TIFA)
📄 Uterine artery PI ↑ with normal UA & MCA
Impaired placentation.
Increased future risk of preeclampsia / FGR.
Impaired placentation.
Increased future risk of preeclampsia / FGR.
3 EARLY PLACENTAL INSUFFICIENCY
📄 UA PI ↑ + MCA PI normal → CPR borderline / ↓
Early increase in placental vascular resistance.
Early increase in placental vascular resistance.
4 EARLY FETAL HYPOXIA (BRAIN-SPARING)
📄 UA PI ↑ + MCA PI ↓ → CPR ↓
Early cerebral vasodilatation noted.
Adaptive fetal response to hypoxia.
Early cerebral vasodilatation noted.
Adaptive fetal response to hypoxia.
5 EARLY-ONSET FGR – DOPPLER RISK PATTERN
📄 UA PI ↑ + MCA PI normal / ↓ → CPR ↓
Doppler pattern suggestive of early-onset FGR risk.
Close growth and Doppler surveillance advised.
Doppler pattern suggestive of early-onset FGR risk.
Close growth and Doppler surveillance advised.
6 ABNORMAL CPR AT TIFA
📄 CPR < 5th percentile for gestational age
Predictor of adverse perinatal outcome.
Predictor of adverse perinatal outcome.
7 SEVERE PLACENTAL PATHOLOGY (RARE AT TIFA)
📄 UA AEDF
Severe placental insufficiency.
Severe placental insufficiency.
📄 UA REDF
Critical placental failure.
Critical placental failure.
8 ADVANCED FETAL COMPROMISE (CRITICAL)
📄 UA AEDF / REDF + MCA PI ↓
High risk of fetal hypoxia and acidosis.
High risk of fetal hypoxia and acidosis.
📄 Abnormal ductus venosus waveform
Impending fetal compromise.
Impending fetal compromise.
📄 Absent / reversed DV A-wave
Poor fetal outcome risk.
Poor fetal outcome risk.
9 FETAL ANEMIA (DOPPLER SCREENING)
📄 MCA PSV > 1.29 MoM
Suspicious for fetal anemia.
Suspicious for fetal anemia.
📄 MCA PSV > 1.5 MoM
Moderate to severe fetal anemia.
Moderate to severe fetal anemia.
10 FETAL POLYCYTHEMIA
📄 MCA PSV < 1.0 MoM
Increased fetal blood viscosity.
Increased fetal blood viscosity.
11 TWIN-SPECIFIC DOPPLER FINDINGS
📄 TAPS – MCA PSV discordance
Twin anemia–polycythemia sequence.
Twin anemia–polycythemia sequence.
📄 TTTS – Donor UA PI ↑ / Recipient cardiac strain
Twin-to-twin transfusion syndrome.
Twin-to-twin transfusion syndrome.
12 CARDIAC FUNCTION & CONGENITAL HEART DISEASE (DOPPLER CORRELATION)
📄 Abnormal DV waveform with normal UA & MCA
Suggestive of primary fetal cardiac dysfunction.
Underlying congenital heart disease cannot be excluded.
Suggestive of primary fetal cardiac dysfunction.
Underlying congenital heart disease cannot be excluded.
📄 Reversed / absent DV A-wave with preserved CPR
Indicative of impaired cardiac preload or myocardial dysfunction.
Seen in structural cardiac anomalies.
Indicative of impaired cardiac preload or myocardial dysfunction.
Seen in structural cardiac anomalies.
📄 Persistent abnormal DV with normal placental Doppler
Favors cardiac etiology over placental insufficiency.
Targeted fetal echocardiography advised.
Favors cardiac etiology over placental insufficiency.
Targeted fetal echocardiography advised.
13 SPECIFIC CONGENITAL CARDIAC ANOMALY SUGGESTION (TIFA)
📄 Severe TR + dilated right atrium ± abnormal DV
Suggestive of Ebstein anomaly.
Right-sided volume overload suspected.
Suggestive of Ebstein anomaly.
Right-sided volume overload suspected.
📄 Moderate TR with preserved CPR
May indicate tricuspid valve dysplasia.
Structural AV valve abnormality suspected.
May indicate tricuspid valve dysplasia.
Structural AV valve abnormality suspected.
📄 Abnormal DV + raised right heart pressures
Suggestive of pulmonary stenosis / RV outflow obstruction.
Cardiac afterload likely increased.
Suggestive of pulmonary stenosis / RV outflow obstruction.
Cardiac afterload likely increased.
📄 Abnormal DV with normal MCA PSV
Cardiac dysfunction rather than anemia likely.
Consider cardiomyopathy or complex CHD.
Cardiac dysfunction rather than anemia likely.
Consider cardiomyopathy or complex CHD.
📄 Abnormal DV + abnormal CPR
Combined placental and cardiac pathology suspected.
Poor prognostic indicator.
Combined placental and cardiac pathology suspected.
Poor prognostic indicator.
14 CARDIAC RISK STRATIFICATION (TIFA DOPPLER)
📄 Low cardiac risk: Normal DV waveform with normal UA, MCA, and CPR.
📄 Intermediate cardiac risk: Isolated TR or mildly abnormal DV with normal placental Doppler.
📄 High cardiac risk: Abnormal DV ± TR ± abnormal CPR.
15 RECOMMENDED ACTION
📄 Targeted fetal echocardiography recommended.
📄 Serial Doppler and growth surveillance advised.
📄 Multidisciplinary evaluation if cardiac abnormality suspected.
Patient Info
Fill fields and click Insert / Update to add a header to the report.
📝 No template loaded.
×
🔍 Search Saved Reports
✍️ Footer & Signatures
VIEW QR REPORT LIST
| S.No | Date | Patient Name | File | QR | Action |
|---|
No comments:
Post a Comment