Re: Nuchal Translucency
From: art fougner, md (evsono@pipeline.com)
Thu Aug 30 08:01:54 2001
in the US we're apparently still waitin at the station.
art
At Thu, 30 Aug 2001, Philippe Coquel wrote:
>
>I give you some precisions
>In France, the 12 wa examination is a standard and include nuchal
>translucency measure.
>Most of physicians interested by fetal ultrasonography use the King' s
>college tools and MoM
>The others use 3 mm cut-off
>The most important problem is the integration and the combinaison of results
>of the nuchal translucency measure with the results of biochemical screening
>to avoid useless amniocentesis and the death of normal fetus if you use
>separately the results of the two tests and you choose the worse .
>Currently, the biochemical screening is realised at 15-16 wa.
>We think that the time will soon come when biochemical screening will be
>achieved at 12 wa, like in the King's college protocols (PAPA)
>
>There is always inertia in diffusion of medical techniques, above all when
>there are medicolegal implications
>In the trains, there are engine(s) and caboose(s). 3 mm cut-off is in the
>caboose. But all are on the train
>
>Ph Coquel,MD
>
>>>----- Original Message -----
>From: "Doc Gynéco" <jmbr@wanadoo.fr>
>To: "Multiple recipients of list ULTRASOUND"
><ultrasound@mail.medispecialty.com>
>Sent: Wednesday, August 29, 2001 6:44 PM
>Subject: Re: Nuchal Translucency
>
>> --> Message de Philippe Coquel :
>>
>> > In France, we use the MoM to analyse nuchal translucency
>>
>> Joke isn't it ! I'm laughing out loud.
>>
>> Some of us (in France) work like that but the majority don't.
>>
>> --
>> Bien tropicalement,
>> Dr J-M BRIDERON (MD) Gyn-Obs
>> ECHOLIST : liste de diffusion sur l'echographie gyn-obs
>> http://www.gyneweb.fr/echolist.htm
>>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.