Ultrasound in Obstetrics & Gynecology

Copyright © 2013 ISUOG. Published by John Wiley & Sons Ltd.

Cover image for Vol. 41 Issue 5

Editor-in-Chief: Basky Thilaganathan, UK

Impact Factor: 3.007

ISI Journal Citation Reports © Ranking: 2011: 2/30 (Acoustics); 11/79 (Obstetrics & Gynecology); 25/116 (Radiology Nuclear Medicine & Medical Imaging)

Online ISSN: 1469-0705

UOG Journal Club 2011


UOG Journal Club Articles 2011Each month the UOG Journal Club introduces a new free-access article together with discussion points to help you to explore the article in more detail and downloadable PowerPoint slides, prepared by one of UOG's Editors for trainees, containing key figures and tables. Aimed at trainees, researchers and clinicians alike, every UOG Journal Club article is specially selected from the latest issue.

December

The Journal Club article for December describes the agreement between ultrasound and histopathological findings in early-stage cervical cancer:

Early-stage cervical cancer: agreement between ultrasound and histopathological findings with regard to tumor size and extent of local disease
A. Gaurilcikas, D. Vaitkiene, A. Cizauskas, A. Inciura, E. Svedas, R. Maciuleviciene, A. Di Legge, G. Ferrandina, A. C. Testa and L. Valentin
Volume 38, Issue 6, Date: December 2011, pages 707–715


Abstract |  References  | Full Text: PDF (Size: 387K) | Supporting Information | PowerPoint Slides | FREE ACCESS

DISCUSSION POINTS

  • Are pelvic ultrasound and pelvic MRI equivalent or do they offer different information?
  • Should ultrasound (TA or TV) be a routine principal investigation in all women with suspected cervical cancer?
  • Should ultrasound (TA or TV) be a routine investigation in all women with known cervical cancer?
  • Should ultrasound (TA or TV) be used preoperatively to determine the radicality of surgery for patients with known cervical cancer?
  • Does ultrasound have a role for the follow-up of patients with cervical cancer and can it detect preclinical recurrence?

The slide presentation for this Journal Club was prepared by Dr Wellington P Martins, UOG Editor for Trainees.

November

This month’s Journal Club includes a series of four papers on the topic of miscarriage diagnosis.

Accuracy of first-trimester ultrasound in the diagnosis of early embryonic demise: a systematic review
Y. Jeve, R. Rana, A. Bhide, S. Thangaratinam
Volume 38, Issue 5, Date: November 2011, pages 489-496

Abstract  |  References  | Full Text: PDF (Size: 103K) | PowerPoint Slides | FREE ACCESS

Limitations of current definitions of miscarriage using mean gestational sac diameter and crown–rump length measurements: a multicenter observational study
Y. Abdallah, A. Daemen, E. Kirk, A. Pexsters, O. Naji, C. Stalder, D. Gould, S. Ahmed, S. Guha, S. Syed, C. Bottomley, D. Timmerman, T. Bourne
Volume 38, Issue 5, Date: November 2011, pages 497-502

Abstract  |  References  | Full Text: PDF (Size: 162K) | PowerPoint Slides | FREE ACCESS

Gestational sac and embryonic growth are not useful as criteria to define miscarriage: a multicenter observational study
Y. Abdallah, A. Daemen, S. Guha, S. Syed, O. Naji, A. Pexsters, E. Kirk, C. Stalder, D. Gould, S. Ahmed, C. Bottomley, D. Timmerman, T. Bourne
Volume 38, Issue 5, Date: November 2011, pages 503-509

Abstract  |  References  | Full Text: PDF (Size: 154K) | PowerPoint Slides | FREE ACCESS

Clinical implications of intra- and interobserver reproducibility of transvaginal sonographic measurements of gestational sac and crown–rump length at 6–9 weeks gestation
A. Pexsters, J. Luts, D. Van Schoubroeck, C. Bottomley, B. Van Calster, S. Van Huffel, Y. Abdallah, T. D'Hooghe, C. Lees, D. Timmerman, T. Bourne
Volume 38, Issue 5, Date: November 2011, pages 510-515

Abstract  |  References  | Full Text: PDF (Size: 98K) | PowerPoint Slides | FREE ACCESS

DISCUSSION POINTS

  • What is our current national/hospital guideline for the ultrasound diagnosis of miscarriage?
  • Do we need ultrasound cut-offs with high sensitivity or specificity for miscarriage?
  • How does the 95% confidence interval for specificity influence the false-positive diagnosis of miscarriage?
  • Do we need to change our hospital guidance for the ultrasound diagnosis of miscarriage?
  • What adjustments should we make to the ultrasound cut-offs to allow for operator variability of measurement?

The slide presentation for this Journal Club was prepared by Dr Tommaso Bignardi, UOG Editor for Trainees.

Following the publication of these papers in UOG, the RCOG produced an addendum containing interim guidance to Greentop Guideline No. 25 (2006) 'The Management of Early Pregnancy Loss'. To view the addendum, please click here.

October

This month's Journal Club is on an article that reports the use of pulsed-wave tissue Doppler echocardiography to examine normal fetal cardiac rhythm and common types of fetal arrhythmias. The technique described uses an adaptation of conventional settings rather than dedicated software.

Pulsed-wave tissue Doppler echocardiography for the analysis of fetal cardiac arrhythmias
B. Tutschek and K. G. Schmidt
Volume 38, Issue 4, Date: October 2011, pages 406–412

Abstract  |  References  | Full Text: PDF (Size: 316K) | PowerPoint Slides | FREE ACCESS

Two videos accompany this month's Journal Club.

Video 1 legend   Video 2 legend

DISCUSSION POINTS

  • What is the current technique used in your unit to diagnose fetal arrhythmias?
  • Is there a preferred technique or should we be able to use all three?
  • Which techniques are best suited for the discrimination of various forms of dropped/extra beats and tachycardias?

The slide presentation for this Journal Club was prepared by Dr Aly Youssef, UOG Editor for Trainees

September

This month, the UOG Journal Club article is a prospective study on the preoperative prediction of the success of submucous fibroid resection.

Preoperative assessment of submucous fibroids by three-dimensional saline contrast sonohysterography
D. Mavrelos, J. Naftalin, W. Hoo, J. Ben-Nagi, T. Holland and D. Jurkovic
Volume 38, Issue 3, Date: September 2011, pages 350–354

Abstract  |  References  | Full Text: PDF (Size: 145K) | PowerPoint Slides | FREE ACCESS

DISCUSSION POINTS

  • Which patients can be selected for hysteroscopic submucous fibroid resection?
  • Can we predict whether a submucous fibroid can be completely removed at hysteroscopy?
  • What ultrasound parameters of submucous fibroids are important when selecting patients for hysteroscopic resection?
  • What parameters and cut-off values do we use in our unit for patient selection for hysteroscopy?
  • Can mathematical models better predict complete submucous fibroid resection than single parameters?

The slide presentation for this Journal Club was prepared by Dr Ligita Jokubkiene, UOG Editor for Trainees.

August

This month’s Journal Club article introduces a simple method for the systematic labeling of twins in pregnancy:

Systematic labeling of twin pregnancies on ultrasound
T. Dias, S. Ladd, S. Mahsud-Dornan, A. Bhide, A. T. Papageorghiou and B. Thilaganathan
Volume 38, Issue 2, Date: August 2011, pages 130–133

Abstract  |  References  | Full Text: PDF (Size: 139K) | PowerPoint Slides | FREE ACCESS

DISCUSSION POINTS

  • What system is used to label twins in our unit?
  • What is the evidence for the local twin labeling protocol?
  • Is it important to be able to consistently identify the same twin throughout pregnancy?
  • Is knowledge of presentation important during the pregnancy, aside from at the time of deciding mode of delivery?
  • What is the neonatal convention for labeling twins? What are the potential implications of a peripartum switch in twin labeling?

The slide presentation for this Journal Club was prepared by Dr Asma Khalil, UOG Editor for Trainees.

July

This month, the UOG Journal Club article is an NIH-sponsored international multicenter RCT on the effectiveness of vaginal progesterone therapy in women at high risk of preterm delivery:

Vaginal progesterone reduces the rate of preterm birth in women with a sonographic short cervix: a multicenter, randomized, double-blind, placebo-controlled trial
S. S. Hassan, R. Romero, D. Vidyadhari et al. for the PREGNANT Trial
Volume 38, Issue 1, Date: July 2011, pages 18–31

Abstract  |  References  | Full Text: PDF (Size: 208K) | Supporting Information | Press Release | PowerPoint Slides | FREE ACCESS

DISCUSSION POINTS

  • What is the best screening test for identifying women at high risk of preterm birth?
  • Is it cost-effective to undertake sonographic screening for cervical length in mid-gestation?
  • Does progesterone therapy change perinatal mortality in women at high risk of preterm birth?
  • What is the magnitude of effect of vaginal progesterone on reduction of preterm birth and perinatal morbidity?

The slide presentation for this Journal Club was prepared by Dr Asma Khalil, UOG Editor for Trainees.

DISCLAIMER: Wiley-Blackwell and the International Society of Ultrasound in Obstetrics and Gynecology cannot be held responsible for errors or consequences arising from the use of information in the PowerPoint slides of the UOG Journal Club articles.

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