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It will be a long time before the quality of this profusely illustrated book is overtaken and the present spate of books on the subject of obstetric ultrasound may, as a result, suffer a numerical set-back - especially with translation into English which will "deliver the milk on everyone's doorstep". Two of the authors studied in our department in Glasgow and worked like If there are any rewards for teaching, then we humble Scots who demons. have had the privilege have had more than our share as a result of the pride with which we regard our pupils. In my own old age and looking back over the last thirty years, the innumer able difficulties, set-backs and disappointments have been more than compen sated for by those who have turned the subject from a laughable eccentricity (as I have at one time experienced) into a science of increasing exactitude. This transformation has come about, not by any efforts of mine, but by the enthusiasm and ingenuity of those who would probably have achieved as much on their own if given the encouragement which I ultimately received in Glasgow University life. Limbo must be the expected lot of most of us ordinary mortals but the work lives on. And so, in this reminiscent and philosophical mood I beg leave to quote a little poem which I wrote at an age when young men do that sort of thing.
Table des matières
1 Physics and Instrumentation in Diagnostic Ultrasound.- 1.1 Propagating Properties of Ultrasound.- 1.2 Grey-Scale Sonography.- 1.3 Transducer Beam Pattern.- 1.4 Quality of Image and Frame Rate.- 1.5 Real-Time Scanning.- 1.6 Simple and Compound Scanning.- 1.7 Contact and Water-Path Coupling.- 1.8 Current Instrumentation.- 1.9 Future Developments.- References.- 2 Safety of Diagnostic Ultrasound.- 2.1 Primary Effects.- 2.2 Biologic Effects.- 2.3 The Problem of Safe Levels.- 2.4 Concluding Remarks.- References.- 3 Examination of the Female Pelvis.- 3.1 General.- References.- 3.2 Pelvimetry.- References.- 4 Pregnancy (First Trimester).- 4.1 Normal Development.- References.- 4.2 Abnormalities in the First Trimester.- 4.3 Ectopic Pregnancy.- References.- 4.4 Tumors Associated with Pregnancy.- References.- 4.5 The Kidney in Pregnancy.- References.- 5 Multiple Pregnancy.- References.- 6 Amniocentesis.- References.- 7 Normal Fetal Anatomy in the Second and Third Trimesters.- 7.1 Examination Procedure.- References.- 7.2 Ultrasound Biometry in the Second and Third Trimester.- References.- 7.3 Diagnosis of Intrauterine Growth Retardation.- References.- 7.4 Estimation of Fetal Weight.- References.- 7.5 Critical Reading of the Biometry Literature.- References.- 7.6 Estimation of Gestational Age.- References.- 7.7 Normal Growth of Fetal Parameters.- References.- 8 Fetal Malformations.- 8.1 Signs Suggesting the Presence of a Malformation.- References.- 8.2 Neural Tube Defects.- References.- 8.3 Malformations of the Brain.- References.- 8.4 Malformations Involving the Abdomen and Gastrointestinal Tract.- References.- 8.5 Malformations of the Urogenital Tract.- References.- 8.6 Skeletal Malformations.- References.- 8.7 Tumors.- References.- 8.8 Heart Defects and Cardiovascular Diseases.-References.- 8.9 Ultrasound Evaluation of Patients at Risk of Fetal Anomalies.- References.- 9 Rhesus Incompatibility and Nonimmunologic Hydrops Fetalis.- 9.1 Rh Incompatibility.- References.- 9.2 Nonimmunologic Hydrops Fetalis.- References.- 10 Phenotype and Rare Syndromes.- References.- 11 The Placenta.- 11.1 Sonographic Placental Development.- 11.2 Localization of the Placenta.- 11.3 Evaluation of Placental Growth.- 11.4 Ultrasound Structure of the Placenta.- References.- 12 The Cervix.- References.- 13 Postpartum Ultrasound.- References.- 14 Ultrasound Screening.- 14.1 The Multistage Concept.- 14.2 Ultrasound Anatomy.- 14.3 Diagnosis of Fetal Malformations.- 14.4 Determination of Gestational Age, Growth Monitoring, and Weight Assessment.- References.- 14.5 Patterns of Fetal Activity and Their Relevance for the Assessment of Fetal Wellbeing.- References.- 14.6 The Psychological Impact of Ultrasound Scanning in Pregnancy.- References.- 14.7 Conclusions.- 15 Sonographic Aspects of the Menstrual Cycle.- 15.1 Endometrium, Follicles, Blood Vessels.- References.- 15.2 Applications of Ultrasound in Endocrinology.- References.- 16 Pathology of the Genital Tract.- 16.1 Capabilities and Limitations of Sonographic Diagnosis.- References.- 16.2 Applications of Ultrasound in Oncology.- References.- 17 Intrauterine Contraceptive Devices.- References.- 18 Diagnosis of Breast Disease.- 18.1 Normal Structures.- 18.2 Pathologic Structures.- 18.3 Real-Time Scans.- 18.4 Conclusions.- References.- 19 Appendix.- A Simple Reporting Program for Obstetrical Ultrasound.
