Re: project finished, and 3D US
From: Allen Worrall (jworrall@alaska.net)
Sun May 4 15:59:32 2003
Congratulations to David and Vivienne.
--
Allen Worrall
>----- Original Message -----
From: "David Nyberg" <nyberg@u.washington.edu>
To: "Multiple recipients of list ULTRASOUND"
<ultrasound@mail.medispecialty.com>
Sent: Sunday, May 04, 2003 12:15 PM
Subject: Re: project finished, and 3D US
> 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
>
