ISUOG Practice Guidelines: performance of first‐trimester fetal ultrasound scan
Open accessAbstract
performance of first-trimester fetal ultrasound scan Clinical Standards CommitteeThe International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) is a scientific organization that encourages safe clinical practice and high-quality teaching and research related to diagnostic imaging in women's healthcare.The ISUOG Clinical Standards Committee (CSC) has a remit to develop Practice Guidelines and Consensus Statements that provide healthcare practitioners with a consensus-based approach for diagnostic imaging.They are intended to reflect what is considered by ISUOG to be the best practice at the time at which they are issued.Although ISUOG has made every effort to ensure that Guidelines are accurate when issued, neither the Society nor any of its employees or members accept any liability for the consequences of any inaccurate or misleading data, opinions or statements issued by the CSC.The ISUOG CSC documents are not intended to establish a legal standard of care because interpretation of the evidence that underpins the Guidelines may be influenced by individual circumstances, local protocol and available resources.Approved Guidelines can be distributed freely with the permission of ISUOG (info@isuog.org). When should a first-trimester fetal ultrasound scan be performed?There is no reason to offer routine ultrasound simply to confirm an ongoing early pregnancy in the absence of any clinical concerns, pathological symptoms or specific indications.It is advisable to offer the first ultrasound scan when gestational age is thought to be between 11 and 13 + 6 weeks' gestation, as this provides an opportunity to achieve the aims outlined above, i.e. confirm viability, establish gestational age accurately, determine the number of viable fetuses and, if requested, evaluate fetal gross anatomy and risk of aneuploidy 4 -20 .Before starting the examination, a healthcare provider should counsel the woman/couple regarding the potential benefits and limitations of the first-trimester ultrasound scan. (GOOD PRACTICE POINT)
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The timing of the first trimester scan is standardized to 11 + 0 and 13 + 6 weeks of gestation.
“The timing of the first trimester scan is standardized to 11 + 0 and 13 + 6 weeks of gestation”
From Evolving the Era of 5D Ultrasound? A Systematic Literature Review on the Applications for Artificial Intelligence Ultrasound Imaging in Obstetrics and Gynecology (2023) · cites this paper as [130]
The Abstract advises offering the first ultrasound scan between 11 and 13 + 6 weeks, supporting the stated window. But Section 4, “Assessment of gestational age,” recommends offering an early dating scan from 10 + 0 to 13 + 6 weeks; the paper therefore does not establish 11 + 0 as a fixed lower limit for every first-trimester scan. (LLM, conf=0.84)
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- Copyright 2013 ISUOG. Published by John Wiley & Sons, Ltd. Ultrasound Obstet Gynecol 2013; 41: 102-113. 14690705, 2013, 1, · DOI
- Hoffman CS, Messer LC, Mendola P, Savitz DA, Herring AH, Hartmann KE. Comparison of gestational age at birth based on last menstrual period and ultrasound during the first trimester. Paediatr Perinat Epidemiol 2008; 22: 587-596.
- Guideline review date: June 2015) The authorship of this article was incomplete as initially published. This version of the article correctly acknowledges all authors who contributed to the development of the Guidelines. Copyright 2013 ISUOG. Published by John Wiley & Sons, Ltd. Ultrasound Obstet Gynecol 2013; 41: 102-113. 14690705, 2013, 1, · DOI
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Schwarze, V., Froelich, M. F., Marschner, C., Knösel, T., Rübenthaler, J., & Clevert, D. (2020) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-020-05735-8 · Cited by 30 · see citing works
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Expected‐value bias in routine third‐trimester growth scans
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No. 352-Technical Update: The Role of Early Comprehensive Fetal Anatomy Ultrasound Examination
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Clinically Relevant Prenatal Ultrasound Diagnosis of Umbilical Cord Pathology
Bohîlțea, R. E., Dima, V., Ducu, I., Iordache, A., Mihai, B.-M., Munteanu, O., Grigoriu, C., Veduță, A., Pelinescu‐Onciul, D., & Vlădăreanu, R. (2022) · Diagnostics · doi:10.3390/diagnostics12020236 · Cited by 28 · see citing works
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Fetal biometry to assess the size and growth of the fetus
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Self-citationMachine Learning Algorithms for Classification of First‐Trimester Fetal Brain Ultrasound Images
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Contrast-Enhanced Ultrasound for Assessing Abdominal Conditions in Pregnancy
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- Authors
- Salomon, L. J., Alfirevic, Z., Bilardo, C. M., Chalouhi, G. E., Ghi, T., Kagan, K. O., Lau, T. K., Papageorghiou, A. T., Raine‐Fenning, N., Stirnemann, J., Suresh, S., Tabor, A., Timor‐Tritsch, I. E., Toi, A., & Yeo, G. S. H.
- Affiliations
- University of Copenhagen (DK)
- ORCID
- Venue
- Ultrasound in Obstetrics & Gynecology
- Publisher
- Wiley
- Published
- 2012-12-25
- Volume
- 41
- Issue
- 1
- Pages
- 102-113
- ISSN
- 0960-7692 (ISSN-L)
- 1469-0705
- OpenAlex
- W1221682153
- Cited by
- 621
- References
- 91
- Citations by year
- 2026: 30 · 2025: 54 · 2024: 58 · 2023: 59 · 2022: 59 · 2021: 75 · 2020: 62 · 2019: 41 · 2018: 40 · 2017: 39 · 2016: 36 · 2015: 31 · 2014: 25 · 2013: 12
- FWCI
- 19.07
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Ultrasound in Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Fetal and Pediatric Neurological Disorders
- Keywords
- nuchal translucency, gestational age estimation, fetal viability, preimplantation genetic testing for aneuploidy, fetal anatomy, patient counseling
- MeSH terms
- Female, Fetal Diseases, Fetus, Gestational Age, Humans, Pregnancy, Pregnancy Trimester, First, Prenatal Care, Time Factors, Ultrasonography, Prenatal, Chromosome Disorders
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