《第一孕期 US 用词汇：超声放射学会共识会议推荐》。

A Lexicon for First-Trimester US: Society of Radiologists in Ultrasound Consensus Conference Recommendations.

机构信息

From the Department of Radiology, Thomas Jefferson University, Philadelphia, Pa (S.K.R.); Department of Radiology, Einstein Healthcare Network/Jefferson Health, Philadelphia, Pa (M.M.H.); Department of Radiology, Brigham and Women's Hospital/Harvard Medical School, Boston, Mass (P.M.D., M.C.F.); Department of Radiology and Imaging Sciences, University of Utah, Salt Lake City, Utah (A. Kennedy); Department of Radiology and Radiological Sciences and Department of Obstetrics and Gynecology, Vanderbilt University, Nashville, Tenn (R.A.); American College of Obstetricians and Gynecologists, Newark, NJ (K.B.); Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Tex (L.D.); Department of Obstetrics and Gynecology, Pennsylvania State University, University Park, Pa (S.K.H.); Department of Radiology, Stanford University, Stanford, Calif (A. Kamaya); Division of Child Health, University of Arizona College of Medicine Phoenix, Phoenix, Ariz (A. Koyama); Department of Emergency Medicine, Columbia University, New York, NY (P.C.L.); Department of Radiology and Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Mich (K.E.M.); Department of Radiology, Mayo Clinic Arizona, Phoenix, Ariz (T.M.); Department of Obstetrics and Gynecology, University of South Florida, Tampa, Fla (S.G.O.); Department of Radiology, University of North Carolina, Chapel Hill, NC (K.O.); Department of Diagnostic Radiology, Oregon Health & Sciences University, Portland, Ore (R.S.); Department of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, Pa (S.S.); and Department of Radiology and Biomedical Imaging and Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco, 1001 Potrero Ave, 1X57, San Francisco, CA 94110 (L.M.S.).

出版信息

Radiology. 2024 Aug;312(2):e240122. doi: 10.1148/radiol.240122.

DOI:10.1148/radiol.240122

PMID:39189906

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11366677/

Abstract

The Society of Radiologists in Ultrasound convened a multisociety panel to develop a first-trimester US lexicon based on scientific evidence, societal guidelines, and expert consensus that would be appropriate for imagers, clinicians, and patients. Through a modified Delphi process with consensus of at least 80%, agreement was reached for preferred terms, synonyms, and terms to avoid. An (IUP) is defined as a pregnancy implanted in a normal location within the uterus. In contrast, an (EP) is any pregnancy implanted in an abnormal location, whether extrauterine or intrauterine, thus categorizing cesarean scar implantations as EPs. The term is used in the setting of a pregnant patient without evidence of a or IUP or EP at transvaginal US. Since cardiac development is a gradual process and cardiac chambers are not fully formed in the first trimester, the term is recommended in lieu of 'heart motion' or 'heartbeat.' The terms 'living' and 'viable' should also be avoided in the first trimester. 'Pregnancy failure' is replaced by (EPL). When paired with various modifiers, is used to describe a pregnancy in the first trimester that may or will not progress, is in the process of expulsion, or has either incompletely or completely passed. © RSNA and Elsevier, 2024 This article is a simultaneous joint publication in and . All rights reserved. The articles are identical except for minor stylistic and spelling differences in keeping with each journal's style. Either version may be used in citing this article. See also the editorial by Scoutt and Norton in this issue.

摘要

美国超声放射学会召集了一个多学会小组，根据科学证据、社会准则和专家共识，制定了一个适用于成像医师、临床医生和患者的早孕超声词汇。通过改良 Delphi 法，以至少 80%的共识达成一致，确定了首选术语、同义词和避免使用的术语。宫内妊娠 (IUP) 是指在子宫内正常位置着床的妊娠。相比之下，异位妊娠 (EP) 是指任何在异常位置着床的妊娠，无论是子宫外还是子宫内，因此将剖宫产瘢痕植入归类为 EP。术语“妊娠物”用于经阴道超声检查未发现 IUP 或 EP 的妊娠患者。由于心脏发育是一个渐进的过程，并且在早孕期间心脏腔室尚未完全形成，因此建议使用术语“妊娠物”代替“胎心运动”或“胎心”。在早孕期间，也应避免使用“活胎”和“有生机的”。“妊娠失败”用 EPL 替代。当与各种修饰语一起使用时，“妊娠物”用于描述可能进展、正在排出或已经不完全或完全排出的早孕妊娠。版权所有 © 2024 年 RSNA 和 Elsevier。本文是在和同时联合发表的。除了为符合每个期刊的风格而进行的微小的文体和拼写差异外，两篇文章完全相同。在引用本文时，可以使用任意一篇。另请参阅本期 Scoutt 和 Norton 的社论。