Medical Education Without Borders

OBGYN Track
Ultrasound Track

Basic Obstetrical Ultrasound

Course Course
Start Date: 10/10/2020 End Date:11/21/2020

Total course length 12 hours

All lectures will be conducted from 8-10 PM KSA Time/1-3 US PM
Eastern time (Daylight saving takes effect in November which will affect
the US time )

Certificates of Attendance Provided

Target Audience For Registration

• Sonographers (Obstetrics and General)
• Obstetrics and gynecology & Radiology
Residents
• Obstetrics and gynecology & Radiology
Specialists
• Consultant Obstetricians LIMITED SEATS
• Consultant Radiologists AVAILABE
• Medical Interns
• Medical Students
 Course Description
Whether you are looking to learn the basic foundations of obstetrical
ultrasound or you want to solidify your knowledge. This very informative and
interactive course is exactly what you need. We will go over the basics of
obstetrical ultrasound with plenty of ultrasound examples of optimal vs non-
optimal images and a step by step guide on how to obtain these images. The
course will also cover normal first, second, and third trimester anatomy. The
correct way to perform Doppler studies and amniotic fluid index and much
more are included with many neat tricks along the way. Remember plenty of
images and videos. The small course size will allow for interaction between
attendees and our expert faculty. A must-attend for any medical professionals
who plans to perform obstetrical ultrasound

Course Faculty

Sahar Hassan
Jamil ElFarra, MD, Samantha N. Callis,
Abdulghani, MD,
FACOG, MS MHA, RDMS, RDCS,
SBOG, JBOG, ARDMS
Maternal Fetal Medicine RVT
Maternal –Fetal
Specialist
Medicine Consultant
 Course Schedule & Syllabus
Date Faculty Topic Moderator
Saturday 10/10/2020 Sahar Abdulghani Basic physics of ultrasound Jamil Elfarra

Consistency is Key!
Saturday 10/17/2020 Samantha N. Callis Jamil Elfarra
Sonographic Knobology

Saturday 10/24/2020 Sahar Abdulghani Doppler Imaging Jamil Elfarra

Saturday 11/07/2020 Sahar Abdulghani First trimester ultrasound Jamil Elfarra

Second and Third Trimester

Saturday 11/14/2020 Samantha N. Callis Imaging part I Jamil Elfarra

Second and Third Trimester

Saturday 11/21/2020 Samantha N. Callis Jamil Elfarra
Imaging part I

Lecture Saturday 10/07/2020 : Basic physics of ultrasound

Lecture Objective:
Attendees will gain the didactic foundation to establish the basic
physics of ultrasound. This standard of practice will further improve
the understanding of the physics of ultrasound and apply the
knowledge to enhance our ability to perform real-time sonography.
• History of development of ultrasound
• It is essential to know the basics?
• Definition of ultrasound
• Types of ultrasound
• The characteristics of a sound wave
• How is an image formed on the monitor?
• Beam Formation
• Resolutions
• Sound with tissue interaction.
Lecture Saturday 10/17/2020: Consistency is Key! Sonographic Knobology
Lecture Objective:
Attendees will gain the didactic foundation to establish a consistent standard
of practice in real time imaging. This standard of practice will further improve
the quality of images obtained for official, interpretable studies in imaging
archive systems as part of the patient’s record.

Two-Dimensional Doppler Imaging: Three-

Imaging: • Color Flow Doppler Dimensional/Four-
o Color gain Dimensional
o Pulse Repetition Imaging:
• Probe Frequency/Scale
• Preset o Wall Filter • Brief
• Depth • Spectral Doppler discussion of
• Focus o Pulsed-wave Doppler importance of
• Gain ▪ Utility, benefits, optimizing
• Time Gain limitations other factors
Compensation ▪ Doppler cursor prior to 3D/4D
• Dynamic ▪ Sample volume
Range/Compression location
• Persistence ▪ Sample volume
• Motion mode size
▪ Pulse Repetition
Frequency/Scale
▪ Baseline
▪ Doppler
waveform gain
▪ Wall filter
▪ Sweep speed
o Continuous-wave
Doppler
▪ Utility, benefits,
limitations
▪ Doppler cursor
▪ PRF/Scale
Lecture Saturday 10/24/2020: Doppler Imaging
Lecture Objective:
Attendees will gain the didactic foundation to establish a consistent
standard of practice in real time imaging in Doppler studies. This
standard of practice will further improve the quality of images
obtained for official, interpretable studies in imaging archive systems
as part of the patient’s record.
➢ Doppler Imaging
• History
• Purpose of Doppler
• Direction flow and phenomenon
• Spectral Doppler
• Factors which affects the frequency shifts
• Characteristic of blood flow
• Pulse Repetition Frequency (PRF)
➢ Doppler Artifacts / Color Doppler
• Color Box
• Color Box width
• Frame rate
• Color Gain
• Color Map
• Wall Filter
• Sweep Speed
➢ Types of Doppler's
➢ Steps in Color Doppler
➢ Clinical Challenges with Doppler
➢ Appropriate technique for obtaining a uterine artery Doppler
waveform
➢ Appropriate technique for obtaining an umbilical artery
Doppler waveform
➢ Appropriate technique for obtaining an MCA Doppler
➢ Ductus venosus
➢ Helpful Tips for Doppler studies
• How to optimize pulse wave Doppler?
• How to optimize Doppler measurements?
Lecture Saturday 11/07/2020: First trimester Ultrasound
Lecture Objective:
Attendees will gain the didactic foundation to establish a consistent
standard of practice in real time imaging in basic first trimester
protocols. This standard of practice will further improve the quality of
images obtained for official, interpretable studies in imaging archive
systems as part of the patient’s record.
➢ Introduction
➢ Probe/Preset
➢ Basic fetal exam should provide the following information:
• Assessment of gestational age.
• Fetal number.
• Documentation of fetal viability.
• Fetal presentation.
• Placental location
• Assessment of amniotic fluid volume.
• Survey of fetal anatomy for gross malformations.
• Evaluation of the ovaries and possible maternal pelvic masses.
• Performed /reviewed by an appropriately trained operator.
➢ Limitations of first trimester scan
➢ Indications for first trimester early scanning
➢ Viability
➢ Failed First Trimester Pregnancy
➢ What Equipment should be used?
➢ Safety of ultrasound in the first trimester
➢ Gestational Age Assessment
➢ Which measurements should be performed in the first trimester?
➢ Is it physiological or pathological abdominal herniation?
➢ Assessment of fetal anatomy
➢ Major fetal anomalies can be detected in first trimester
➢ Multiple Pregnancies
➢ Nuchal translucency (NT) In brief
➢ Other intra- and extra uterine structures included in FTS
➢ Role of three-dimensional (3D) and 4D ultrasound
Lectures Saturday 14 & 21/11/ 2020: Second and Third Trimester Imaging
Lecture Objective:
Attendees will gain the didactic foundation to establish a consistent
standard of practice in real time imaging in basic second and third
trimester protocols. This standard of practice will further improve the
quality of images obtained for official, interpretable studies in imaging
archive systems as part of the patient’s record

Second Trimester Imaging :

• Probe(s)
• Preset(s)
• Pregnancy Dating
• Cervix and Placental Evaluation
• Uterine and Adnexal Evaluation
• Early, Routine, and Detailed Anatomic Survey
• Amniotic Fluid Assessment (MVP, 4-Quadrant AFI)
• Biometry
• Fetal Cardiac Evaluation

Third Trimester Imaging:

• Probe(s)
• Preset(s)
• Pregnancy Dating
• Cervix and Placental Evaluation
• Uterine and Adnexal Evaluation
• Anatomical Evaluation
• Amniotic Fluid Assessment (MVP, 4-Quadrant AFI)
• Biometry
• Antenatal Testing and Doppler Velocimetry: BPP, UCD, MCA, DV Doppler
• Fetal Cardiac Evaluation

END OF COURSE