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Re: project finished, and 3D USFrom: David Nyberg (nyberg@u.washington.edu)Sun May 4 15:13:37 2003
This message is in MIME format. The first part should be readable text, while the remaining parts are likely unreadable without MIME-aware tools. Send mail to mime@docserver.cac.washington.edu for more info. Dear Colleagues: I wanted to share this information with you. Dr. Vivienne Souter and I have just finished a collaborative project regarding twin pregnancies which lasted 32 1/2 weeks and was finished, but not quite complete, on April 23 (please see attached image). They are David Scott and Sofia Nicole (Nicole, in part, is in recognition and honor of Kypros Nicolaides who 'introduced' us). On a related topic, I would like to state my support of 3D ultrasound, even for 'parental' reasons if performed correctly and by trained sonographers. The potential positive impact to the parents and family cannot be under emphasized. I believed this even before my own personal experience and before witnessing the universally response by nurses, physicians, and other healthcare workers - many of whom were not aware that ultrasound could produce these kind of images. I can certainly attest to the positive impact on someone who already is very familiar with the value of 2D ultrasound, and only can guess the impact it might have on untrained prospective parents. Although this subject has been controversial, I believe it draws an even larger number of potential patients who would benefit from the value of prenatal ultrasound. I also believe that most practices perform some additional ultrasound primarily for parents benefit, such as assessing fetal gender when asked, or in obtaining clearer profile images of the face. If we accept this, then it is not a matter of whether we should perform ultrasound primarily for parents benefit, but only a matter of the degree we do so. Ultrasound performed primarily for parents benefit is also not without diagnostic value, when performed by trained sonographers. I'm aware of cases which detected fetal anomalies missed by earlier screening studies, as well as detecting other important information such as unexpected oligohydramnios. 3D ultrasound of the fetus has such a strong positive impact for the parents, I don't think we can expect it to go away. The questions are how should it be done and! who should do it? I believe it should be done by trained, certified sonographers under the supervision of a physician, not by untrained personnel or entrepreneurs. When performed in this way, the most useful information can be obtained in the shortest period of time, consistent with the principles of ALARA exposure. I believe we should harness the power of prenatal ultrasound, and believe that 3D ultrasound performed primarily for parents benefit can also be of value. regards to all, David ------------------------------------- David Nyberg, MD ------------------------------------- 10401 E McDowell Mtn Ranch Rd -- ------------------------------------- #2-372 Scottsdale, AZ 85255 ph 480-797-0993 fax 480-513-7765 work 480-425-5000
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