21st World Congress on Ultrasound in Obstetrics and Gynecology, 18-22 September 2011, Los Angeles, USA: presentations and awards

Abstract

Awarded to Hugh Robinson* This year's recipient is a very worthy addition to the list of Gold Medal winners, whose important contributions to the development of ultrasound are still felt today. Hugh Robinson was born in 1943 in Ayr, in the south of Scotland. He was educated at Ayr Academy, a school that was founded—I love saying this in America—in 1202, and completed his medical education at Glasgow University, qualifying in 1967. In 1972, he became First Assistant to Professor Ian Donald at the Queen Mother's Hospital in Glasgow and from 1973 to 1975 he pioneered first-trimester studies on fetal heart rate, crown–rump length measurement and early pregnancy failure. It is of note that many of his publications in this period carry only the name of Hugh Robinson - there was no droit du seigneur with Ian Donald; if one of Donald's junior doctors made an advance or had an original idea then he let them publish it with their name on the title page alone. Ian Donald was in this regard the most generous of men. In 1977–1978, Hugh collaborated with Joachim Hackelöer in his pioneering work on follicular and corpus luteal development. He subsequently moved to Melbourne, Australia, to take up a position as Assistant Professor at the Royal Women's Hospital. There he collaborated with Lachlan de Crespigny on numerous papers on subjects such as ectopic pregnancy, fertility scanning and interventional ultrasound. From 1987 to 1992, he was instrumental in setting up a training program for ultrasound as a subspecialty in obstetrics and gynecology in Australia and he discussed this in an early Editorial for Ultrasound in Obstetrics & Gynecology. Hugh retired from medical practice in 2006 to run his own vineyard, on the Mornington Peninsula located south of Melbourne. I have been told by an expert that Hugh's vineyard produces the best pinot noir in the world. As always with Hugh, he is meticulous in everything that he does. Many of our Gold Medal winners have received the award for a lifetime of endeavor. In Hugh's case, it is for his extraordinary burst of innovation over those few years in the early 1970s. His paper ‘Sonar measurement of fetal crown–rump length as means of assessing maturity in first trimester of pregnancy’ was published in the British Medical Journal in 1973. I have to admit that at the time I was somewhat incredulous that it was possible to predict the gestational age from the crown–rump length measurement to within 3 days between the 6th and 14th weeks of gestation. The best that I could do at that time with the biparietal diameter in the second trimester was to within 9 days. Previous charts of crown–rump length had shown a huge range for any given week of gestation and it was Hugh's precise technique that allowed him to produce the classic graph with narrow confidence limits with which we are all familiar. I must remind you that he was using a static scanner (the Diasonograph) which today would be regarded as extremely cumbersome. Also in 1973, he published ‘Fetal heart rates as determined by sonar in early pregnancy’ in the British Journal, then The Journal of Obstetrics and Gynaecology of the British Commonwealth. Until then nobody had measured the fetal heart rate from as early as 6 weeks 3 days, or demonstrated the acceleration in fetal heart rate to a peak of 180 bpm at 9 weeks. The graph that Hugh produced has not changed, and could still today be used reliably in daily practice. In 1975 he published ‘The diagnosis of early pregnancy failure by sonar’, the beginning of ultrasound diagnosis of failed pregnancy. Hugh's work was performed transabdominally, and the 1980s saw the development of real-time transvaginal sonography led by Ilan Timor-Tritsch, which allowed more detailed study of the early embryo and the ‘genetic sonogram’. Hugh Robinson is a quiet, modest, self-effacing Scot. To speak to him you would never realize that he pioneered first-trimester diagnosis. No-one previously had studied the embryo so intensively. His work laid the foundation for further studies. Many of us still use his graphs today. That is why we honor him today with the award of the Ian Donald Gold Medal. The following free communications presented at the 21st World Congress on Ultrasound in Obstetrics and Gynecology are acknowledged as the best presentations in their categories. Full abstracts to these titles can be found in Ultrasound in Obstetrics and Gynecology 2011; 38 (Suppl. 1). We thank these authors for their valuable contributions to our scientific program. Top abstract winner Prevention of preterm delivery in twin gestations (PREDICT): a multicentre randomised placebo-controlled trial on the effect of vaginal micronised progesterone (OC01.01) L. Rode1,2, K. Klein3, K. Nicolaides4, E. Krampl-Bettelheim3, I. Vogel5, H. Larsen6, A. Holmskov7, K. Riis Andreasen8, N. Uldbjerg9, J. Ramb10, B. Bødker11, L. Skibsted12,2, L. Sperling13, S. Hinterberger14, L. Krebs15, H. Zingenberg16, E. Weiss17, I. Strobl18, L. Laursen19, J. Tranberg Christensen20, B. M. Hansen21, A. Lando21, A. Tabor1,2. 1Department of Fetal Medicine 4002, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark; 2Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark; 3Department of Obstetrics & Gynecology, Medical University of Vienna, Vienna, Austria; 4Harris Birthright Research Centre for Fetal Medicine, King's College Hospital, London, United Kingdom; 5Department of Clinical Genetics, Aarhus University Hospital Skejby, Aarhus, Denmark; 6Department of Obstetrics & Gynecology, Aalborg Hospital, Aalborg, Denmark; 7Department of Obstetrics & Gynecology, Viborg Hospital, Viborg, Denmark; 8Department of Obstetrics & Gynecology, Hvidovre Hospital, Hvidovre, Denmark; 9Department of Obstetrics & Gynecology, Aarhus University Hospital Skejby, Aarhus, Denmark; 10Department of Obstetrics & Gynecology, Sønderborg Hospital, Sønderborg, Denmark; 11Department of Obstetrics & Gynecology, Hillerød Hospital, Hillerød, Denmark; 12Department of Obstetrics & Gynecology, Roskilde University Hospital, Roskilde, Denmark; 13Department of Obstetrics & Gynecology, Herlev Hospital, Herlev, Denmark; 14Department of Obstetrics & Gynecology, General Hospital of Klagenfurt, Klagenfurt, Austria; 15Department of Obstetrics & Gynecology, Holbæk Hospital, Holbæk, Denmark; 16Department of Obstetrics & Gynecology, Glostrup Hospital, Glostrup, Denmark; 17Department of Obstetrics & Gynecology, Medical University of Graz, Graz, Austria; 18Department of Obstetrics & Gynecology, Medical University of Innsbruck, Innsbruck, Austria; 19Department of Obstetrics & Gynecology, Odense University Hospital, Odense, Denmark; 20Department of Obstetrics & Gynecology, Gentofte Hospital, Gentofte, Denmark; 21Department of Neonatology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark Alfred Kratochwil award for best oral communication on 3D ultrasound Fetal brain morphology and medullary vascular development (OC23.05) R. K. Pooh. CRIFM Clinical Research Institute of Fetal Medicine PMC, Osaka, Japan Young Investigator award winner—Obstetrics Impaired maternal cardiac contractility and systolic dysfunction is a feature of preterm and not term preeclampsia (OC03.05) K. Melchiorre1,2, G. Sutherland2, A. Baltabaeva2, M. Liberati3, B. Thilaganathan1. 1Fetal Maternal Medicine Unit, St George's Hospital, University of London, University of London, London, United Kingdom; 2Department of Cardiology and Cardiothoracic Surgery, St George's Hospital Medical School, London, United Kingdom; 3Department of Obstetrics and Gynaecology, University of Chieti, Chieti, Italy Young Investigator award winner—Gynecology Agreement between ultrasound and histopathological findings with regard to tumor size and extent of local disease in cases of early stage cervical cancer (OC24.01) A. Gaurilcikas1, D. Vaitkiene1, A. Cizauskas2, E. Svedas1, A. Bartusevicius1, S. Augustis3, A. Testa4. 1Obstetrics and Gynecology, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania; 2Department of Pathology, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania; 3Lithuanian University of Health Sciences, Kaunas, Lithuania; 4Gynecologic Oncology Unit, Catholic University of Rome, Rome, Italy Best Oral Communications The following oral communications were each selected as the best in their subject area. Selection was according to a combination of anonymous peer-review in advance of the Congress and scores for presentation and/or scientific merit allocated on-site by a panel of judges. General gynecology Ultrasound assessment of the intima and media layers on the carotid arteries in peri- and postmenopausal women (OC27.04) F. Chantraine1, B. Tutschek2, J. Schaaps1, J. Foidart1. 1Gynaecology and Obstetrics, CHR Citadelle, CHU ULg, Liege, Belgium; 2Gynaecology and Obstetrics, Inselspital, Bern, Switzerland Early pregnancy Local and systemic methotrexate injection may be the preferred treatment of Cesarean section scar pregnancies: experience of 16 cases (OC07.03) I. E. Timor-Tritsch, A. Monteagudo, E. Rodgers, R. Santos. Ob/Gyn Dept., NYU School of Medicine, New York, NY, USA Uterine bleeding New ultrasound based mathematical models for the preoperative prediction of high risk endometrial cancer (OC17.02) C. Van Holsbeke1,2, L. Ameye3, A. Testa4, F. Mascilini4, A. Masbäck5, D. Fischerova6, S. Fransis7, E. de Jonge1, D. Timmerman2, E. Epstein5. 1Obstetric and Gynecology, Ziekenhuis Oost-Limburg, Genk, Belgium; 2Obstetric and Gynecology, University Hospitals Leuven, Leuven, Belgium; 3Department of Electrical Engineering, Katholieke Universiteit Leuven, Leuven, Belgium; 4Department Obstetrics & Gynecology, Università Cattolica del Sacro Cuore, Rome, Italy; 5Department of Obstetrics & Gynecology, Karolinska Institutet, Stockholm, Sweden; 6Department of Obstetrics & Gynecology, Charles University, Prague, Czech Republic; 7Department of Pathology, Ziekenhuis Oost-Limburg, Genk, Belgium Reproductive medicine The reproductive outcomes of women with congenital uterine anomalies: a systematic review (OC14.04) Y. Chan1, K. Jayaprakasan1, A. Tan2, J.G. Thornton1, A. Coomarasamy2, N. Raine-Fenning1. 1School of Clinical Sciences, Division of Human Development, University of Nottingham, Nottingham, United Kingdom; 2Academic Unit of Obstetrics and Gynaecology, Birmingham Women's Hospital, Birmingham, United Kingdom Ovarian pathology Selection of women with an ovarian tumor for surgery in specialist centers: a comparison of two triaging protocols (OC21.02) B. Van Calster1,2, T. Bourne3,4, R. Husicka3, L. Valentin5, A. Testa6, C. Van Holsbeke7,4, I. Vergote4, S. Van Huffel1,2, D. Timmerman4. 1Department of Electrical Engineering (ESAT), Katholieke Universiteit Leuven, Leuven, Belgium; 2IBBT-K.U. Leuven Future Health Department, Katholieke Universiteit Leuven, Leuven, Belgium; 3Department of Obstetrics and Gynecology, Imperial College London, Hammersmith Campus, London, United Kingdom; 4Department of Obstetrics and Gynecology, University Hospitals K.U. Leuven, Leuven, Belgium; 5Department of Obstetrics and Gynecology, Skåne University Hospital, Malmö, Sweden; 6Istituto di Clinica Ostetrica e Ginecologica, Università Cattolica del Sacro Cuore, Rome, Italy; 7Department of Obstetrics and Gynecology, Ziekenhuis Oost-Limburg, Genk, Belgium Imaging in oncology Agreement between ultrasound and histopathological findings with regard to tumor size and extent of local disease in cases of early stage cervical cancer (OC24.01) A. Gaurilcikas1, D. Vaitkiene1, A. Cizauskas2, E. Svedas1, A. Bartusevicius1, S. Augustis3, A. Testa4. 1Obstetrics and Gynecology, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania; 2Department of Pathology, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania; 3Lithuanian University of Health Sciences, Kaunas, Lithuania; 4Gynecologic Oncology Unit, Catholic University of Rome, Rome, Italy Pelvic pain Office sonovaginography: redefining the concept of a normal pelvis on transvaginal ultrasound in women with suspected endometriosis (OC11.04) S. Reid1, S. Winder1, G. Reid2, G. Condous1. 1Acute Gynaecology, Early Pregnancy and Advanced Endosurgery Unit, Sydney Medical School, University of Sydney, Nepean Hospital, Sydney, NSW, Australia; 2Sydney Women's Endosurgery Centre, Sydney, NSW, Australia Urogynecology Does levator trauma ‘heal’? (OC29.03) K. Shek, V. Wong, S. E. Langer, H. Dietz. Department of Ob/Gyn, Sydney Medical School Nepean, Penrith, NSW, Australia Aneuploidy & fetal anomalies—first trimester Increased nuchal translucency, normal karyotype and infant development (OC02.03) C. B. Miltoft1, C. K. Ekelund1, B. M. Hansen2, A. Lando2, O. B. Petersen3, P. Skovbo4, F. S. Jørgensen5, L. Sperling6, H. Zingenberg7, A. Nikkila8, A. C. Shalmi9, I. Stornes10, V. Ersbak11, A. Tabor1. 1Fetal Medicine and Ultrasound, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark; 2Department of Neonatology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark; 3Department of Obstetrics and Gynaecology, Aarhus University Hospital, Skejby, Aarhus, Denmark; 4Department of Obstetrics and Gynaecology, Aalborg University Hospital, Aalborg, Denmark; 5Fetal Medicine Unit, Department of Obstetrics and Gynaecology, Copenhagen University Hospital, Hvidovre, Copenhagen, Denmark; 6Department of Obstetrics and Gynecology, Copenhagen University Hospital, Herlev, Copenhagen, Denmark; 7Department of Obstetrics and Gynecology, Copenhagen University Hospital, Glostrup, Copenhagen, Denmark; 8Department of Obstetrics and Gynecology, Copenhagen University Hospital, Gentofte, Copenhagen, Denmark; 9Department of Obstetrics and Gynecology, Copenhagen University Hospital, Hillerød, Copenhagen, Denmark; 10Department of Obstetrics and Gynecology, Randers Hospital, Randers, Denmark; 11Department of Obstetrics and Gynecology, Silkeborg Hospital, Silkeborg, Denmark Aneuploidy & fetal anomalies—second trimester Potential role and clinical impact of noninvasive prenatal testing by massively parallel DNA sequencing of maternal blood (OC28.06) A. J. Sehnert1, L. D. Platt2, A. Abuhamad3, R. P. Rava1. 1Research, Artemis Health, Inc., San Carlos, CA, USA; 2Center for Fetal Medicine and Women's Ultrasound, Los Angeles, CA, USA; 3Obstetric and Gynecology Department, Eastern Virginia Medical School, Norfolk, VA, USA Fetal cardiology Fetal cerebral blood flow predicts neurologic functioning in infants with congenital heart disease (CHD) (OC19.05) I. A. Williams1, A. R. Tarullo2, P. G. Grieve1, A. Wilpers1, M. M. Myers2,3, W. P. Fifer2,3. 1Pediatrics, Columbia University College of Physicians & Surgeons, New York, NY, USA; 2Psychiatry, Columbia University College of Physicians & Surgeons, New York, NY, USA; 3Department of Developmental Neuroscience, New York State Psychiatric Institute, New York, NY, USA Central nervous system Fetal optic nerve sheath measurement as a potential non-invasive tool for assessment of increased intracranial pressure (23.01) K. K. Haratz1,2, F. Viñals3, D. Lev4,7, H. Feit1,7, L. Ben-Sira5,7, T. Lerman-Sagie6,7, G. Malinger1,7. 1Division of Prenatal Diagnosis, Wolfson Medical Center, Holon, Israel; 2Fetal Medicine Discipline, Department of Obstetrics, Federal University of São Paulo - UNIFESP, São Paulo, Brazil; 3Clinica AGB Ultrasonografia, Clinica Sanatorio Aleman, Concepcion, Chile; 4Genetics Institute, Wolfson Medical Center, Holon, Israel; 5Division of Pediatric Radiology, Tel Aviv Medical Center, Tel Aviv, Israel; 6Division of Pediatric Neurology, Wolfson Medical Center, Holon, Israel; 7Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel Multiple pregnancy Vaginal progesterone and the risk of preterm delivery in high-risk twin gestations - secondary analysis of a placebo-controlled randomized trial (OC06.01) K. Klein1, L. Rode2,3, K. Nicolaides4, E. Krampl-Bettelheim1, H. Larsen5, A. Holmskov6, K. Riis Andreasen7, N. Uldbjerg8, J. Ramb9, B. Bødker10, L. Skibsted11, L. Sperling12, S. Hinterberger13, L. Krebs14, H. Zingenberg15, E. Weiss16, I. Strobl17, L. Laursen18, J. Tranberg Christensen19, I. Vogel20, B.M. Hansen21, A. Lando21, A. Tabor2,3. 1Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria; 2Department of Fetal Medicine 4002, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark; 3Faculty of Health Sciences, University of Copenhagen, Copenhagen, Denmark; 4Harris Birthright Research Centre for Fetal Medicine, King's College Hospital, London, United Kingdom; 5Department of Obstetrics and Gynecology, Aalborg Hospital, Aalborg, Denmark; 6Department of Obstetrics and Gynecology, Viborg Hospital, Viborg, Denmark; 7Department of Obstetrics and Gynecology, Hvidovre Hospital, Hvidovre, Denmark; 8Department of Obstetrics and Gynecology, Aarhus University Hospital Skejby, Aarhus, Denmark; 9Department of Obstetrics and Gynecology, Sønderborg Hospital, Sønderborg, Denmark; 10Department of Obstetrics and Gynecology, Hillerød Hospital, Hillerød, Denmark; 11Department of Obstetrics and Gynecology, Roskilde University Hospital, Roskilde, Denmark; 12Department of Obstetrics and Gynecology, Herlev Hospital, Herlev, Denmark; 13Department of Obstetrics and Gynecology, General Hospital of Klagenfurt, Klagenfurt, Austria; 14Department of Obstetrics and Gynecology, Holbæk Hospital, Holbæk, Denmark; 15Department of Obstetrics and Gynecology, Glostrup Hospital, Glostrup, Denmark; 16Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria; 17Department of Obstetrics and Gynecology, Medical University of Innsbruck, Innsbruck, Austria; 18Department of Obstetrics and Gynecology, Odense University Hospital, Odense, Denmark; 19Department of Obstetrics and Gynecology, Gentofte Hospital, Gentofte, Denmark; 20Department of Clinical Genetics, Aarhus University Hospital Skejby, Aarhus, Denmark; 21Department of Neonatology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark Fetal growth & assessing fetal health Early treatment of gestational diabetes and obstetric adverse outcome prevention (OC30.04) B. Matarrelli1, E. Vitacolonna2, M. D'Angelo2, G. Pavone1, C. Celentano1. 1ObGyn, University of Chieti, Chieti, Italy; 2Internal Medicine, University of Chieti, Chieti, Italy Fetal therapy Radiofrequency ablation (RFA) vs. bipolar cord coagulation (BCC) in the management of complex monochorionic pregnancies: a 14 year single center experience (OC15.02) M. Bebbington, E. Danzer, J. Moldenhauer, N. Khalek, M. P. Johnson. Center for Fetal Diagnosis and Treatment, Children's Hospital of Philadelphia, Philadelphia, PA, USA Obstetric management Preeclampsia predisposes to persistent long-term postpartum left ventricular myocardial injury (OC03.06) K. Melchiorre1,3, G. Sutherland2, A. Baltabaeva2, M. Liberati3, B. Thilaganathan1. 1Fetal Maternal Medicine Unit, St. George's Hospital, University of London, London, United Kingdom; 2Department of Cardiology and Cardiothoracic Surgery, St George's Hospital, London, United Kingdom; 3Obstetric and Gynecology Department, University of Chieti, Italy, Chieti, Italy Imaging technologies Analysis of fetal ear rotation by three-dimensional rendering mode using a novel method: the ear angle - preliminary results (OC10.04) A. R. Hatanaka, L. C. Rolo, E. Araujo Junior, P. M. Nowak, R. Mattar, L. Nardozza, A. F. Moron. São Paulo Federal University, São Paulo, Brazil Maternal fetal Doppler Comparison of placental blood flow in the third trimester of normal and diabetic pregnancy using a novel stereological 3D power Doppler technique (OC22.05) N. W. Jones1,2, N. Raine-Fenning2, E. Bradley1, H. Mousa1, R. Deshpande1,2, P. Mansell1,2, G. Bugg1. 1Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom; 2School of Clinical Sciences, Division of Human Development, University of Nottingham, Nottingham, United Kingdom Safety issues The effect of power settings on obstetric ultrasound measurements (OC20.01) R. K. Sande1,2, K. Matre3, G. E. Eide4, T. Kiserud1,2. 1Fetal Medicine Unit, Department of Obstetrics and Gynaecology, Haukeland University Hospital, Bergen, Norway; 2Clinical Fetal Physiology Research Group, Department of Clinical Medicine, University of Bergen, Bergen, Norway; 3Institute of Medicine, University of Bergen, Bergen, Norway; 4Centre for Clinical Research, Haukeland University Hospital, Bergen, Norway Best Short Oral Presentations (oral posters) The following short oral presentations were each selected as the best in their subject area. Selection was according to a combination of anonymous peer-review in advance of the Congress and scores for presentation and/or scientific merit allocated on-site by a panel of judges. Early pregnancy Ovulation-implantation interval in relation to early pregnancy outcome (OP02.05) A. Mahendru1, T. R. Everett1, G. A. Hackett2, C. M. McEniery2, I. B. Wilkinson2, C. Lees1. 1Fetal Medicine, Addenbrooke's Hospital, Cambridge, United Kingdom; 2Clinical Pharmacology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Trust, Cambridge, United Kingdom Uterine pathology Image Study Webapp - a web interface for imaging-based interrater agreement studies (OP08.01) A. Installe1,2, D. Timmerman3, B. De Moor1,2, T. Van den Bosch3. 1Department of Electrical Engineering, ESAT-SCD, Katholieke Universiteit Leuven, Leuven, Belgium; 2IBBT-K.U. Leuven Future Health Department, Katholieke Universiteit Leuven, Leuven, Belgium; 3Department of Obstetrics and Gynecology, U.Z.-Leuven, Katholieke Universiteit Leuven, Leuven, Belgium Reproductive medicine Anomalies of the Muller duct development in women with reproductive disorders (OP19.06) D. Smetanova, M. Hynek, S. Brezinova, M. Matouskova, D. Stejskal. Fetal Medicine, GENNET, Prague, Czech Republic The effect of ovulation on standardised fractional moving blood volume (sFMBV) of the subendometrium (OP19.08) S. Sur, J. Elangovane, J. Clewes, B. Campbell, N. Raine-Fenning. School of Clinical Sciences, Division of Human Development, University of Nottingham, Nottingham, United Kingdom Ovarian pathology The evolution of simple ovarian cysts detected at transvaginal ultrasound examination in breast cancer patients (OP24.02) D. Franchi1, B. Sara1, C. Norma1, R. Davide2, S. Mario1. 1Gynecology Department, European Institute of Oncology, Milano, Italy; 2Epidemiology and Biostatistics Department, European Institute of Oncology, Milano, Italy Urogynecology Levator ani muscle injury after first delivery in Chinese primiparous women (OP34.07) S. Chan, A.S. Wong, R. Cheung, A. Yiu, L. Lee, W. Pang. Department of O&G, The Chinese University of Hong Kong, Hong Kong, Hong Kong Gynecology case reports A pelvic mass of curious origin in a patient with prior hysterectomy and bilateral salpingo-oophorectomy (OP13.02) L. Haakova, V. Hejda, P. Safar, L. Krofta. Institute for the Care of Mother and Child, Prague, Czech Republic Labor 3D ultrasound evaluation of changes in the angle of progression in nulliparous women undergoing spontaneous vaginal and operative delivery (OC22.10) A. M. Youssef, T. Arcangeli, F. De Musso, M. Nanni, E. Maroni, A. Priolo, F. Giorgetta, G. Pilu, N. Rizzo, T. Ghi. Prenatal Medicine Unit, S.Orsola Malpighi Hospital. Bologna University, Bologna, Italy The first-trimester scan Low maternal levels of first-trimester PAPP-A and free β-hCG are associated with an increased risk of admission to NICU and of neonatal disease (OP21.01) I. Kirkegaard1,2, N. Uldbjerg1, T. B. Henriksen2,3. 1Deparment of Obstetrics & Gynecology, Aarhus University Hospital, Skejby, Aarhus N, Denmark; 2Perinatal Research Unit, Aarhus University Hospital, Skejby, Aarhus N, Denmark; 3Department of Pediatrics, Aarhus University Hospital, Skejby, Aarhus N, Denmark Fetal cardiology Detection of major fetal heart defects with routine use of color Doppler (OP35.06) C. Heien1, M. Berget3, C. Lycke Ellingsen2, T. M. Eggebø1. 1Department of Obstetrics and Gynecology, Stavanger University Hospital, Stavanger, Norway; 2Department of Pathology, Stavanger University Hospital, Stavanger, Norway; 3Department of Pediatrics, Stavanger University Hospital, Stavanger, Norway Central nervous system Prenatal detection of closed spina bifida (OP03.05) K. O. Kagan, H. Abele, B. Yazdi, M. Hoopmann. Obstetrics and Gynecology, University of Tuebingen, Tuebingen, Germany Multiple pregnancy Aortic intima media thickness in twin pregnancies affected by selective intrauterine growth restricted and small for gestational age co-twin (OP31.02) S. Visentin1, V. Zanardo2, D. Trevisanuto2, F. Grumolato1, S. Vedovato2, E. Cosmi1. 1Obstetrics and Gynecology, University of Padua, Padua, Italy; 2Pediatrics, University of Padua, Padua, Italy Fetal therapy MRI findings in MC twin pregnancies after intra-uterine fetal death (OP17.01) S. Lipitz, C. Hoffman, Y. Yinon, L. Gindes, G. Greenberg, E. Sivan, B. Weisz. Obstetrics and Gynecology, Sheba Medical Center, Tel-Hashomer, Israel Fetal growth & surveillance Utility of uterine artery Doppler, alone or in combination with brain Doppler, in the prediction of adverse perinatal outcome in term small-for-gestational-age fetuses (OP20.02) R. Cruz-Martinez, S. Savchev, E. Maroni, F. Figueras, E. Gratacós. Department of Maternal-Fetal Medicine, Hospital Clinic, Barcelona, Spain Placental disease Diagnosis of placental insufficiency with magnetic resonance imaging using the Diffusion Weighted Imaging (DWI) on a murine model of vascular fetal growth restriction (OP06.01) M. Alison2,4, G. E. Chalouhi1,2, N. Siauve2,3, B. Deloisonf1,2, G. Autret2,3, D. Balvay2, R. Thiam2,3, C. Charles-Andre2,3, C. Olivier2,3, L. J. Salomon1,2. 1Department of Obstetrics and Fetal Medicine, Hôpital Necker-Enfants-Malades, AP-HP, Université Paris V, Paris, France; 2Laboratoire de Recherche en Imagerie, Inserm U 970, PARCC, Hôpital Européen Georges Pompidou, Paris, France; 3Radiology Department, Hôpital Européen Georges Pompidou, Paris, France; 4Radiology Department, Hôpital Robert Debré, AP-HP, Université Paris 7, Paris, France Fetal anomalies Second and third trimester termination of pregnancy for fetal anomaly: impact of a previous Caesarean section on maternal morbidity (OP26.02) M. Driessen1,2, M. Dommergues1,2, L. Mandelbrot3, I. Durand-Zaleski4,5, N. Boudjema4, J. Nizard1,2. 1Obstetrics and Gynecology, Groupe Hospitalier Pitié Salpétrière, Paris, France; 2Université Pierre et Marie Curie Paris VI, Paris, France; 3Obstetrics & Gynaecology, Hôpital Louis Mourier, Assistance Publique Hôpitaux de Paris Université Paris VII Denis-Diderot, Colombes, France; 4Service de Santé Publique, Hôpital Henri Mondor, Assistance Publique Hôpitaux de Paris, Université Paris EST Créteil, Créteil, France; 5Unité de Recherche Clinique Economie de la Santé, Assistance Publique Hôpitaux de Paris, Université Paris EST Créteil, Créteil, France Imaging technologies in obstetrics & gynecology Fetal aortic intima media thickness measurement by decomposing unprocessed radio frequency derived ultrasound wall reflection into two Gaussian pulses (OP23.09) P. C. Struijk1,3, H. Migchels1, V. J. Mathews2, P. A. Stewart1, E. B. Clark3, C. L. de Korte4, F. K. Lotgering1. 1Obstetrics & Gynecology, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands; 2Electrical and Computer Engineering, University of Utah, Salt Lake City, UT, USA; 3Pediatrics, University of Utah, Salt Lake City, UT, USA; 4Clinical Physics Laboratory, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands Maternal fetal Doppler Maternal ophthalmic artery Doppler: novel parameter to predict early-onset pre-eclampsia in the first trimester of pregnancy (OP09.04) J. A. Alves3, P. Praciano3, J. Oliveira3, S. Bezerra3, F. D. Costa1,2. 1Ultrasound Department, Royal Women's Hospital, Melbourne, VIC, Australia; 2Department of Perinatal Medicine, Royal Women's Hospital, Melbourne, VIC, Australia; 3Department of Public Health, State University of Ceara, Fortaleza, Brazil Quality assurance Visibility and dimensions of Caesarean section scars in pregnancy - an interobserver variability study (OP33.03) O. Naji1, A. Daemen2, A. Smith1, Y. Abdallah1, A. Pexsters3, C. Stalder1, S. Ghaem-Maghami1, D. Timmerman3, T. Bourne1,3. 1Obstetrics and Gynaecology Department, Imperial College London, The Hammersmith Hospital, London, United Kingdom; 2Department of Electrical Engineering (ESAT), Katholieke Universiteit Leuven, University Hospitals, Leuven, Belgium; 3Department of Obstetrics & Gynecology, University Hospitals K.U. Leuven, Leuven, Belgium Fetal intervention and first trimester: obstetric case reports The human fetal tail: first trimester finding leading to the detection of familial pilonidal sinus (OP28.01) E. Bornstein1,2, K. Delaney1, M. Rivera1, I. E. Timor-Tritsch2, M. Y. Divon1. 1OBGYN, Lenox Hill Hospital, New York, NY, USA; 2NYU School of Medicine, New York, NY, USA Obstetric case reports Subependymal heterotopia: US and MR diffusion tensor imaging (OP32.07) B. Matarrelli1, C. Briganti2, R. Navarra2, A. Tartaro2, M. Caulo2, C. Celentano1. 1Ob & Gyn, University of Chieti, Chieti, Italy; 2Radiodiagnostic Dept, University of Chieti, Chieti, Italy