Articole

Acest inscris are legatura cu celelate (Standard pentru un screening de prim trimestru corect, Screeningul de prim trimestru - www.romedic.ro/centrul-medical-dr-muresan) si incearca sa faca cunoscut pacientelor si de ce nu si medicilor ginecologi interesati, cat de importanta este corectitudinea si reproductibilitatea masuratorilor ecografice fetale (translucenta nuchala, flux pe duct venos, prezenta sau absenta osului nazal..) in calculul riscului de trisomie 21, 13, 18, moarte fetala intrauteruina si de preeclampsie.

Finalitatea acestui screening este de a depista cit mai multe (cu rezultate fals pozitive cit mai mici) sarcini cu aceste probleme.

Aplicarea corecta a acestui algoritm (standard FMF) de screening ne apropie de o rata de detectie de 95% (pentru o rata fals pozitiva de doar 3,5%) pentru trisomia 21 (sindromul Down - www.downs-syndrome.org.uk).

Dublu test , triplu test, qvadruplu test sunt fara ecografie doar niste analize de laborator care pot depista (printr-un calcul de risc pentru sdr. Down) maxim 50-65% dintre sarcinile cu trisomie 21(pentru o rata fals pozitiva de 5%), fapt pentru care :

- scapa foarte multe sarcini cu aceasta afectiune;

- creaza angoase multor femei gravide prin rezultate pozitive (risc de trisomie 21 mai mare de 1/250) FALSE.

Adica multe amniocenteze nejustificate (cu "pagube colaterale"- avorturi importante).

Factorul care creste rata de detectie si scade rezultatele fals pozitive este ECOGRAFIA CORECTA in cadrul screeningului de prim trimestru (11-13 scan).

Alt factor important priveste o analiza de laborator corecta (adica dozarea PAPP-A, free Beta HCG, estriol, infibina a, alfa Feto Proteina). Pentru DUBLU TEST (PAPP-A si free Beta HCG) standard (certificat FMF) se considera: BRHAMS KRYPTOR si DELPHIA (nu - PRISCA).

Calitatea ecografie este certificarea Fetal Medicine Foundation.

Medici certificati acum in ROMANIA (octombrie 2009) sunt:

Holders of the FMF Certificate in the measurement of nuchal translucency

Many thousands of sonographers have been awarded the FMF Certificate of competence in the measurement of NT. These sonographers have attended the internet based course on the 11-13 weeks scan and have submitted satisfactory images demonstrating their competence in the measurement of fetal NT.



FMF Certificate of competence

Measurement of nuchal translucency

To view the list of sonographers who have obtained the Certificate of competence in measurement of nuchal translucency pleaseby country: Romania

Simionescu Anca Angela

Dumitru Gafitanu

Laura Giurcaneanu

Gheorghe Iliev

Mara Mitrea

Romeo Muntean

Marius Bogdan Muresan

Dragos Nemescu

Magdalena Petrache

Adrian Claudiu Ratiu

Alina Veduta

Holders of the FMF Certificate in assessment of the nasal bone



FMF Certificate of competence

Assessment of the nasal bone

To view the list of sonographers who have obtained the Certificate of competence in assessment of the nasal bone pleaseby country: Romania

Laura Giurcaneanu

Gheorghe Iliev

Marius Bogdan Muresan

Dragos Nemescu

Alina Veduta

Holders of the FMF Certificate in assessment of ductus venosus flow



FMF Certificate of competence

Assessment of ductus venosus flow

To view the list of sonographers who have obtained the Certificate of competence in assessment of ductus venosus flow pleaseby country: Romania

Laura Giurcaneanu

Gheorghe Iliev

Mara Mitrea

Marius Bogdan Muresan

Dragos Nemescu

Alina Veduta

Holders of the FMF Certificate in measurement of uterine artery PI



FMF Certificate of competence

Measurement of uterine artery PI

To view the list of sonographers who have obtained the Certificate of competence in measurement of uterine artery pi pleaseby country: Romania

Gheorghe Iliev

Marius Bogdan Muresan

Dragos Nemescu

Alina Veduta

Toate aceste date sunt publice pe:

www.fetalmedicine.com