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REVIEW  UPDATE IN LATE FETAL GROWTH RESTRICTION 

Minerva Obstetrics and Gynecology 2021 August;73(4):415-22

DOI: 10.23736/S2724-606X.21.04795-X

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Quality control of fetal biometric evaluation and Doppler ultrasound

Giovanni GRANOZIO 1, Raffaele NAPOLITANO 1, 2

1 Fetal Medicine Unit, University College London Hospitals, NHS Foundation Trust, London, UK; 2 Elisabeth Garret Andersson Institute for Women’s Health, University College London, London, UK



In recent years quality control in obstetric ultrasound has become recommended and an essential component of obstetric scanning. This is to minimize the inaccuracy and variability related to fetal measurements, to provide an effective quality assurance system to sonographers to certify their practice and decrease the impact of medical litigations. For a quality control system in obstetric ultrasound to be useful clinically, multiple strategies need to be employed: certified training, practical standardization exercise, image storing, qualitative and quantitative quality control. Qualitative quality control consists of the evaluation of images obtained for fetal biometry and Doppler scans using an objective score against predefined criteria. Quantitative quality control consists of analyzing quantitatively the performance of a sonographer and the impact on measurements values. Quantitative analysis could be performed either using estimates of intraobserver or interobserver reproducibility of plane acquisition and caliper placements.


KEY WORDS: Quality control; Biometry; Doppler ultrasonography; Reproducibility of results

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