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A Lexicon for First-Trimester US: Society of Radiologists in Ultrasound Consensus Conference Recommendations.
Radiology ( IF 12.1 ) Pub Date : 2024-08-01 , DOI: 10.1148/radiol.240122
Shuchi K Rodgers 1 , Mindy M Horrow 1 , Peter M Doubilet 1 , Mary C Frates 1 , Anne Kennedy 1 , Rochelle Andreotti 1 , Kristyn Brandi 1 , Laura Detti 1 , Sarah K Horvath 1 , Aya Kamaya 1 , Atsuko Koyama 1 , Penelope Chun Lema 1 , Katherine E Maturen 1 , Tara Morgan 1 , Sarah G Običan 1 , Kristen Olinger 1 , Roya Sohaey 1 , Suneeta Senapati 1 , Lori M Strachowski 1
Affiliation  

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 intrauterine pregnancy (IUP) is defined as a pregnancy implanted in a normal location within the uterus. In contrast, an ectopic pregnancy (EP) is any pregnancy implanted in an abnormal location, whether extrauterine or intrauterine, thus categorizing cesarean scar implantations as EPs. The term pregnancy of unknown location is used in the setting of a pregnant patient without evidence of a definite or probable 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 cardiac activity 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 early pregnancy loss (EPL). When paired with various modifiers, EPL 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 Supplemental material is available for this article. This article is a simultaneous joint publication in Radiology and American Journal of Obstetrics & Gynecology. 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.

中文翻译:


美国早孕期词典:超声放射科医生协会共识会议建议。



超声放射科医生协会召集了一个多协会小组,根据科学证据、社会指南和专家共识制定适合成像人员、临床医生和患者的美国妊娠早期词汇。通过修改后的 Delphi 流程,达成至少 80% 的共识,就首选术语、同义词和应避免的术语达成一致。宫内妊娠(IUP)被定义为植入子宫内正常位置的妊娠。相比之下,异位妊娠 (EP) 是指植入异常位置的任何妊娠,无论是宫外还是宫内,因此将剖宫产疤痕植入归类为 EP。术语“未知部位妊娠”用于经阴道超声检查没有明确或可能的 IUP 或 EP 证据的怀孕患者。由于心脏发育是一个渐进的过程,并且心室在妊娠前三个月尚未完全形成,因此建议使用术语“心脏活动”来代替“心脏运动”或“心跳”。在妊娠早期也应避免使用“活着”和“有活力”等术语。 “妊娠失败”被早期妊娠流产(EPL)所取代。当与各种修饰语搭配使用时,EPL 用于描述妊娠早期可能会或不会进展、正在排出、或已不完全或完全通过的妊娠。 © RSNA 和 Elsevier,2024 本文提供补充材料。本文是《Radiology》和《American Journal of Obstetrics & Gynecology》同时联合发表的文章。版权所有。除了与各期刊风格保持一致的细微文体和拼写差异外,这些文章完全相同。任一版本均可用于引用本文。 另请参阅本期 Scoutt 和 Norton 的社论。
更新日期:2024-08-01
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