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Re: 'Terrifying Sonogram' Dilemma: patient with single (new) 'soft marker' -- all other screens normalFrom: Dave Berck (djberck@yahoo.com)Fri May 23 10:40:12 2003
Nicolaides Lancet paper about 18 months ago describes the proper way to image the nasal bone in the 2nd trimester. Like NT measurements, if you don't know what you're doing, you'll definitely do a bad job. I would suggest that there are few radiologists who have any idea of how to measure a NB properly. Furthermore, the finding of a soft marker should not cause you to throw the screening results out of the window. You have to consider them in aggregate. Lastly, I would suggest that the finding of an absent nasal bone is actually NOT a soft marker, but rather a marker that greatly increases the risk of DS, more along the lines of an AV Canal defect or omphalocele. Does anyone agree?
--- RBurns <bito02@aol.com> wrote:
> This "may" communication is my error, not an error ===== David J. Berck, MD, MPH
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