PG09: Ultrasound Imaging In Reproductive Medicine: A Practical Approach
Time:8:15 am - 5:00 pm
Location:Room 8 - San Diego Convention Center
Laurel A. Stadtmauer, M.D., Ph.D. (Chair), Eastern Virginia Medical School
Steven Goldstein, M.D. (Co-Chair), NYU School of Medicine
Elizabeth Puscheck, M.D., Wayne State Medical Center
Ilan Tur-Kaspa, M.D., Institute for Human Reproduction
Developed in Cooperation with the Imaging in Reproductive Medicine Special Interest Group and the American Institute of Ultrasound in Medicine
NEEDS ASSESSMENT AND COURSE DESCRIPTION
Ultrasound and ultrasound-guided procedures have become integral components, not just of assisted reproductive technology (ART), but also in the day-to-day practice of reproductive medicine, infertility and gynecology. In 2009, new practice guidelines for ultrasound in reproductive medicine were published by the American Institute of Ultrasound in Medicine (AIUM) and in collaboration with the American Society for Reproductive Medicine. Surveys of members of the Society for Reproductive Endocrinology and Infertility, the Imaging Special Interest Group and ASRM have revealed a strong desire for CME credits in ultrasonography that would prepare reproductive medicine professionals and gynecologists for accreditation by the AIUM. In addition, there is an interest in training and credentialing reproductive nurses and nurse practitioners to perform limited ultrasounds in the office.
The objective of this course is to provide comprehensive survey of the use of ultrasonography in the female pelvis for physicians and other health care providers who use gynecologic sonography. A practical problem-solving approach will be implemented with case presentations. The faculty will critically review the application of ultrasonography to the infertility evaluation, diagnosis, treatments and complications as a way to maximize ART success. Ultrasound has helped in the early pregnancy evaluation and monitoring as well as in assessing pregnancy complications. Many other gynecologic findings on ultrasound such as congenital uterine anomalies, ovarian masses, tubal disease and other uterine pathologies will be discussed along with their impact on fertility and the decision for surgery. A variety of reproductive problems throughout the reproductive lifespan, from puberty through menopause, will be addressed from an ultrasound perspective. Newer technologies with current or potential applications, such as 3-dimensional (3-D) ultrasound, Doppler, and cost-effective use of CT- and MRI-guided procedures will also be covered. There will be interactive discussion of cases and controversies, and participants will also have the opportunity to learn practical applications and manipulate 3-D images. This course will fulfill CME requirements for AIUM credentialing.
At the conclusion of this course, participants should be able to:
- Summarize the appropriate use of ultrasonography in the evaluation of infertility, uterine abnormalities and the pathology of the reproductive tract.
- Describe the proper assessment of early pregnancy and list findings on early pregnancy assessments that are associated with poor outcomes.
- Discuss the importance of 3-D ultrasonography in reproductive medicine, and the importance of Doppler blood flow assessment in reproductive medicine and gynecology.
- Evaluate patients with pelvic pain, abnormal bleeding and adnexal masses using a practical approach.
- Evaluate when surgical intervention is needed, when cancer is suspected and when imaging procedures can be performed to treat abnormalities on ultrasound.