Re: early fetal cardiac eco
From: art fougner, md (evsono@pipeline.com)
Wed Oct 20 10:12:57 2004
i'm also interested in this area of investigation ... seeing many folks
with diabetes here ...
art
At Wed, 20 Oct 2004, Allen Worrall wrote:
>
>I am anxious to see that video. I do lots of transvaginal scans at around 12
>weeks for nuchal translucency, and it is amazing how well one can see the
>fetal heart sometimes. In some cases (certainly not all) I feel I can see
>the four chamber view and the outflow tracts, and can confirm with color
>that the blood is flowing in the expected directions. When I report on a 12
>week scan that the four chamber view and the outflow tracts are normal in
>appearance, I suspect anyone reading the report (and sometimes I wonder if
>anyone does read the reports) would think I am joking.
>
>Allen
>
>>>----- Original Message -----
>From: "Terry J DuBose" <tjdubose@juno.com>
>To: "Multiple recipients of list ULTRASOUND" <ultrasound@dns.obgyn.net>
>Sent: Wednesday, October 20, 2004 4:39 AM
>Subject: Re: early fetal cardiac eco
>
>> Wolfgang, I did get the three video clips and forwarded them to OBGYN.net
>> for formatting for the EAB. I have not heard back from them yet... I
>> will check from the office today to see what the status is. thanks,
>> Terry
>>
>> On Wed, 20 Oct 2004 01:59:59 -0500 wolfgang.moroder@tin.it (Wolfgang
>> Moroder, M.D.) writes:
>>> Dear Terry
>>> I have tried to send you an e-mail but it seems that the anti spam
>>> devices don't allow it to go through.
>>>
>>> I'd like to post as an informal case three videoclips for a total
>>> of
>>> about 5 MB.
>>>
>>> The first color Doppler videclip shows the fetal heart at 12 weeks
>>> and
>>> that looks normal as far as it can be investigated at this stage.
>>> The second and third clips are of a chromosomically normal fetus at
>>> 14
>>> and 16 weeks. There is clear evidence already at 14 weeks of an
>>> unbalanced AV canal with a single common atrioventricular valve
>>> orifice.
>>> The first frames of the clip show a fairly normal three vessel
>>> view.
>>> There seems to be an evolution towards a more severely
>>> disproportion
>>> between the two ventricles and a single ventricle heart looking at
>>> the
>>> 16 weeks clip. The unbalanced form of AV canal is more common in
>>> chromosomically normal fetuses. The pregnancy is still ongoing and
>>> the
>>> patient is waiting for a more conclusive scan and councelling at 20
>>> weeks.
>>>
>>> For better viewing of the clips I suggest to load them from
>>> Quicktime.
>>> To my knowledge Quicktime compared to Mediaplayer has the advantage
>>> to
>>> allow a frame to frame vision of the videoclips using the right and
>>> left
>>> arrow on the computer's keeboard. The spacebar can be used as a
>>> stop
>>> and play command while control-L is a shortcut to make the clip
>>> loop.
>>> Analising color Doppler videoclips by a frame to frame method is
>>> almost
>>> essential because shifts in colors are very quick and can't be
>>> observed
>>> easyly even by a trained eye.
>>>
>>> If you consider this material interesting for publishing as a
>>> informal
>>> case I'd be very happy to send it. Please let me know how I can
>>> upload
>>> it to the OBGYN.NET server.
>>> Best regards
>>> Wolfgang
>>>
>>> --
>>> Wolfgang Moroder, MD
>>> Prenatal Unit
>>> Bolzano General Hospital Italy
>>>
--
art fougner, md
ich bin ein New Yorker
