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Enhancing fetal ultrasound with a visual checklist
Alba Nicolas-Boluda1, Joanne K Jeffery1, Ayla Shokrzadeh-Bonnet1
1One Clinic, 7 Esplanade du Général De Gaulle, 92800 Puteaux, France.
Journal of Medical Imaging and Radiation Sciences
|September 24, 2025
Summary
A visual checklist significantly improved fetal ultrasound exam completeness, ensuring better adherence to guidelines. This tool helps reduce missing images, enhancing patient care quality in obstetric imaging.
Area of Science:
- Medical Imaging
- Obstetrics and Gynecology
- Quality Improvement in Healthcare
Background:
- Fetal ultrasound (US) quality is crucial, with guidelines emphasizing data completeness.
- Current guidelines, such as the French National Obstetric and Fetal US Conference (CNEOF 2022), set standards for exam completeness.
- Evaluating and improving the completeness of fetal US exams is essential for accurate diagnosis and patient care.
Purpose of the Study:
- To assess the impact of a visual checklist on fetal US exam completeness.
- To evaluate checklist effectiveness across first (T1), second (T2), and third (T3) trimester scans.
- To determine if the checklist aids compliance with CNEOF 2022 recommendations.
Main Methods:
- A prospective study involving three obstetrician-gynecologists using a visual checklist integrated into Sonio Pro.
- A control group of three obstetrician-gynecologists from the same institution.
- Comparison of actual images against CNEOF 2016 and 2022 recommendations to measure exam completeness.
Main Results:
- The visual checklist significantly reduced missing images across all trimesters and recommendations.
- Completion rates for T2 exams doubled under CNEOF 2022 protocol with checklist use.
- Specific views like 'placenta insertion' and 'axial kidneys' showed increased capture rates, and average missing views decreased substantially.
Conclusions:
- Visual checklists are effective tools for enhancing fetal US exam completeness.
- Checklist implementation supports adherence to evolving obstetric imaging guidelines.
- Improved exam completeness through checklists ultimately benefits patient care.
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