This article is intended to help private office OB / GYN physicians to understand where they might be able to use the power 3D/4D ultrasound of their own practice "It takes a look through the eyes of both a business person and a clinician.
What are advantages to using 3D/4D Ultrasound in OB?
Unless someone corrects me, the only advantage an obstetrician General receives the use of 3D OB is an increase in marketing, improved patient satisfaction, and if possible to increase cash flow if we manage patients out of pocket for a 3D/4D ultrasound. Make no mistake, these are all very important because a practice is a company as well, and businesses need to keep their customers happy and make a profit to keep the lights on. However, a clinically pure, it is of little value. Simply because once an abnormality is seen, the patient is sent to a Perinatologist (High-Risk OB Dr.) for specialty care.
Now here's the biggie! Follow me on this one … Clinically you get better information and more of it in less time, and reimbursement increased. So you can actually spend less time scanning Clinical information not available through 2D, and get paid more money? Yes. I'm sorry, you know … less time, more money. What an oxymoron that you're used to right?
Let's look closer …
Benefits of 3D Ultrasound
Â • only accurate way of producing the transverse view (by volume rendering).
Â • Minimizes patient discomfort by acquiring and storing data in one go with very little manipulation of the probe transvaginal.
Â • Allows the broader sweep of collected data than are available with B-mode transvaginal ultrasound due to positioning limited / handling of the transvaginal probe.
Â • to measure the exact volume of cysts, polyps, fibroids.
Â • Allows the exact location and volume measurements of intramural fibroids.
Â • Only way to determine the exact positioning of the IUD.
Uses of 3D Ultrasound
Â • emerging as the ideal imaging modality for uterine anomalies (compared to MRI).
Â • Used for the characterization of adnexal masses higher, including hydrosalpinx, ovarian tumors, endometriomas, etc.
Â • Provides a detailed analysis of the uterine cavity, especially when combined with Saline-infusion sonography (SIS). This technique is sometimes called virtual hysteroscopy.
Â • When used with technical volume inversion allows the rapid and complete characterization of multi-cystic structures, such as ovaries or polycystic ovaries with more follicles.
Â • Can be used for preoperative mapping of uterine fibroids.
Â • Very accurate way to characterize and monitor the postmenopausal adnexal masses.
Paul M. Kapenga
Paul Kapenga is Vice President for Advisor Medical (http://www.advisormedical.com) which specializes in selling new and refurbished ultrasound equipment to Physicians. Paul can be reached at firstname.lastname@example.org for any questions or inquiries.
Polycystic ovaries? What does this mean?
I had an ultrasound and he said: "Polycystic ovaries evoking not the PCO (polycystic ovarian syndrome). What are polycystic ovaries and how is it different from PCOS?
Polycystic ovaries are very typical for PCOS – see below