Should the first trimester ultrasound include anatomy survey?

Area of Science:

• Obstetrics and Gynecology
• Medical Imaging
• Fetal Medicine

Background:

• First trimester ultrasound screening, including nuchal translucency, is standard practice.
• Technological advancements have enhanced ultrasound capabilities for early fetal assessment.

Purpose of the Study:

• To demonstrate the feasibility of detailed early fetal anatomical analysis using advanced ultrasound.
• To highlight the identification of fetal malformations during the first trimester.

Main Methods:

• Review of prospective studies utilizing high-frequency transvaginal ultrasound transducers.
• Analysis of optimal gestational age windows for visualizing specific fetal anatomical structures.

Main Results:

• High-frequency transvaginal ultrasound allows for detailed examination of early fetal anatomy.
• Numerous fetal malformations, including subtle defects, can be identified in the first trimester.
• Specific gestational age timelines are provided for optimal anatomical structure assessment.

Conclusions:

• Advanced ultrasound technology significantly improves the detection of fetal malformations in the first trimester.
• Routine first trimester scans can be enhanced for comprehensive anatomical evaluation.
• Timely assessment based on gestational age is crucial for accurate diagnosis.