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ISUOG Practice Guidelines: performance of first‐trimester fetal ultrasound scan
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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”
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]
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Abu-Rustum, R., Smith, E., Szlachetka, K., & Zarudskaya, O. M. (2025) · Journal of Ultrasound in Medicine · doi:10.1002/jum.70044 · Cited by 2
Diagnostic Impact of Fetal MRI in 556 Fetuses: Where It Adds Value Beyond Ultrasound
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Lyu, G., Liao, R., Jiang, Q., He, X., & Weng, Z. (2025) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-025-08231-z · Cited by 2
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Özsoy, H. G. T., Şen, E. E., Urfalı, F. E., Aydın, G. A., Akyüz, B., & Dandıl, E. (2026) · Journal of Clinical Medicine · doi:10.3390/jcm15187127 · Cited by 2
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Campbell, H., Karim, J. N., Papageorghiou, A. T., Wilson, E., Rivero‐Arias, O., & Study, T. A. (2025) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/1471-0528.18053 · Cited by 2
Self-citationReischer, T., Catic, A., Brennus, C., Göbl, C. S., & Yerlikaya‐Schatten, G. (2025) · BMC Pregnancy and Childbirth · doi:10.1186/s12884-025-07611-2 · Cited by 2
Moderne Konzepte des Ersttrimester-Screenings
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Self-citationDirective clinique No 388 - Détermination de l’âge gestationnel par échographie
Butt, K., & Lim, K. I. (2019) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2019.04.011 · Cited by 2
Metadata
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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