F76Patients undergoing three‐dimensional ultrasound: review of referrals for 111 patients

Abstract

BackgroundThree‐dimensional ultrasound (3DUS) is a rapidly emerging imaging technology offering improved visualization of patient anatomy. The purpose of this project was to identify the distribution of patients referred for 3DUS on a clinical service and assess the potential impact on care and management strategies.MethodCharts from 111 patients having 3DUS studies in our clinical obstetrical and gynecological service were reviewed for indications. Patients were categorized as:1) 3DUS specific referrals based on 2DUS findings, 2) value added DUS studies to2) trouble shoot problems identified with 2DUS, 3) physician requested 3DUS studies to enhance patient reassurance and 4) patient initiated 3DUS studies for reassurance.ResultsIndication for 3DUS studies were: 3DUS specific referrals (30) (e.g. facial anomalies, sonohysterogams), trouble shoot problems identified with 2DUS (45) (e.g. club feet, vasa previa), physician requested studies to enhance patient reassurance (e.g. prior anomalies) and patient initiated 3DUS for reassurance (15) (e.g. prior anomalies, surrogate parents, hospice patients). Availability of 3DUS imaging resulted in new models of patient referral (internet, patient initiated, distant to the community).ConclusionAs new technology (e.g. 3DUS) enters the clinical arena, new pathways for patients to access technology develop (outside referrals, patient referrals, internet).Improved information alters and improves patient responses (comprehension, decision making, reassurance) to their medical situation.