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  • 0 Pregnancy & Ultrasound

    • by Administrator
    • 16-07-2019
    0.00 of 0 votes

    Introduction Ultrasound is a ubiquitous technology in all areas of medicine but many people are either ignorant of the nature of the technology or have a misguided notion of it. It is not unusual to find people putting it in the same bracket as an x-ray. This misguided impression can quite understandably evoke significant anxiety, especially where pregnancy is concerned. Let’s start by stating a simple but important act. Ultrasound does not involve ionising radiation.Ultrasound is a form of sound waves generated at very high frequency. This will be in the range of 3.5 to 7 million cycles per second (Megahertz). Normal sound waves audible to the ear are at a much lower frequency of fewer than 20 thousand cycles per second. How Ultrasound Works The sound waves are produced by a crystal built in the probe used for the test. The waves are then reflected from the various structures they encounter as they travel through the body. The data produced by the reflected waves is then processed by the computer in the scanning machine to produce an image on the screen representative of the reflecting structures. That is how the detailed image of the pregnant uterus and baby within, complete with movements, is produced and seen in real-time. The conventional position for an obstetric ultrasound is on your back, usually propped up comfortably to allow you a clear view of the monitor screen. A clear, water-based conducting gel is applied to the abdomen. The gel helps transmit the sound waves. A hand-held probe is then moved over the area in a systematic way. Alternatively, the scan is performed with the probe placed in the vagina (transvaginal ultrasound scanning). This technique often complements conventional ultrasound techniques by providing better detail especially in the very early phase of pregnancy. A woman will normally be advised accordingly if this is deemed to be the more appropriate route or sometimes as an additional measure if the abdominal route has not provided all the required information. A full bladder is necessary to get a good picture. Therefore, the person due to being scanned will be asked to drink a few glasses of water (or similar) an hour or so before the test and to refrain from urinating before the procedure. A full bladder is, however, not necessary for the transvaginal Ultrasound. There may be some slight discomfort from pressure on the full bladder otherwise the procedure is perfectly painless. The conducting gel may feel slightly cold and wet. There is no perception of the sound waves and of-course you cannot hear them. When to have a Scan Scans may be performed in the First Trimester to: Confirm a normal pregnancy Confirm viability Assess the baby's age (gestation) Assess potential problems such as threatened miscarriage, ectopic pregnancy etc. Assess the baby's heartbeat Confirm the number of embryos/fetuses Identify any abnormalities of the placenta, uterus, and other pelvic structures The main early trimester scans are the early pregnancy scan and the dating scan. In the Second Trimester (after 13 weeks) Assess the baby's age, growth, position, and sometimes gender. A detailed look at the baby’s vital organs and limbs to identify or rule out any possible congenital problems. Identify any developmental (growth) problems Rule out multiple pregnancies Evaluate the placenta, amniotic fluid, and other pelvic organs. In the Third Trimester (after 26 weeks):Scans not normally required at this stage except when monitoring pregnancy development and fetal wellbeing in special situations: these may include: Multiple pregnancies Suspected fetal growth problems Chronic medical conditions such as diabetes, hypertension, epilepsy etc. Pre-eclampsiaOther situations where a scan may be called for are when there is a need to: Detect cervical changes that might predict preterm labour. Verify breech presentation or other uncommon fetal or cord position before delivery. Get valuable information leading to treatment of any conditions arising in the course of a pregnancy in a bid to improve a woman’s chances of having a healthy baby.  Scan Aided Tests and Procedures Pregnancy ultrasound plays a crucial role in antenatal care. Some tests which are routinely done for diagnostic purposes are directly ultrasound-guided. Such tests include: Amniocentesis: This is the most well-known and commonest invasive test used to make a diagnosis of any condition that may be affecting the fetus. It is commonly performed in the early second trimester (15 – 16 weeks) and is now routinely ultrasound guided. An amniocentesis is a test in which the cells that are floating in the fluid surrounding the fetus are examined for the chromosomal pattern of the fetus. The operator will have the ultrasound probe on the abdomen and will guide the fine needle used under direct ultrasound guidance into the womb. Once the tip is seen to be inside a pool of amniotic fluid, a sample will be drawn for the test. Normally this takes a few short minutes and in the vast majority, only one attempt is sufficient.Amniocentesis results are usually available two to three weeks after the test. Amniocentesis carries a risk of losing the pregnancy of about 0.5 - 1% (1 in 100-200). Age is probably the commonest indication for requesting amniocentesis usually for the diagnosis of Down’s Syndrome. This is because, all other factors being normal, the older the mother, the higher the risk of Down’s and other chromosomal disorders. A 21 year old mother has a 1:1700 risk of having a baby with Down’s Syndrome, a 30 year old 1:950, at 40 the risk is almost 1:100 and by 45 years of age it is 1:30.As mentioned earlier while these statistics refer to the most recognized chromosomal anomaly, there are other anomalies, some of them incompatible with life. It is therefore important for any prospective mother to be aware that the overall risk of all chromosomal anomalies is significantly higher than that of Down’s alone at any stage of life. A 201 year old will therefore have an overall chromosomal abnormalities risk (for her baby) of about 1:500 and at 40 the risk would have risen to 1:66.CVS: This stands for Chorionic Villus Sampling which simply means taking a biopsy from the developing placenta. It is also ultrasound guided. The procedure is also performed under direct ultrasound guidance. It differs from amniocentesis in three major aspects: It can and is usually performed earlier in the pregnancy. This is towards the end of the first trimester. Results are available much more rapidly with a normal turnaround of 48 – 72 hours. It has a significantly higher procedure associated miscarriage rate which could be as much as twice that of amniocentesis. Fetal Echocardiography: Congenital heart defects occur in about 1% of live births. Causes are multiple and sometimes cannot be identified. Whilst a routine detailed ultrasound scan performed at 18-20 weeks will focus on the heart among other major organs, not all defects will be detected. It is also sometimes necessary to perform a much more detailed study of the baby’s heart. This specialised structural study using ultrasound is called echocardiography or popularly just shortened as ‘echo’. Situations, where this may be recommended, include: A family history of congenital heart disease An abnormal fetal heart rhythm detected during a routine examination. Fetal heart abnormalities detected during a routine pregnancy ultrasound scan Abnormality of another major organ system such as the gut or lungs. Insulin-dependent (type 1) diabetes Exposure to some drugs in very early pregnancy. For example, some anticonvulsants used to treat epilepsy can damage the developing heart. If the mother has abused alcohol or drugs during pregnancy If a mother has diabetes, phenylketonuria, or a connective tissue disease such as lupus If the mother has had rubella during pregnancy Diagnosis of some chromosomal abnormalities   Cordocentesis Sometimes it becomes necessary to obtain a sample of blood from the umbilical cord of the unborn baby, usually for diagnostic purposes. This requires direct ultrasound visualization. This would simply not be feasible without the aid of ultrasound. In some condition, transfusion of blood into the unborn baby is performed. Again, this is directly dependent on ultrasound.There are many other areas where ultrasound in pregnancy is not only useful but indispensable. These include localization of the placenta which could help determine the safest mode and timing of delivery, checking pattern of blood flow in the cord, a useful feature in monitoring fetal well-being in at risk fetuses, estimating fetal weight which could be useful in making important decisions and many more.   Biophysical ProfileSometimes there is concern about the unborn baby’s wellbeing. This may be because the baby is not moving well, growth is unsatisfactory or the pregnant mother is suffering from such conditions as pre-eclampsia, diabetes etc. It may, in such circumstances, be deemed necessary to monitor the baby closely and one of the strategies sometimes adopted is to perform what is known as a biophysical profile > With this one checks the baby’s movements, general muscle tone, breathing movements and fetal heart pattern. Apart from the latter, the rest are all done by using ultrasound.   Trans-vaginal Ultrasound scanning   The idea of having the scan performed vaginally can and does provoke anxiety for some women. It is important to say that this is a safe procedure and does not in any way pose a risk to either mother or baby.In very early pregnancy, this may be the preferable method of scanning as it produces sharper details and may give crucial information otherwise unobtainable (using trans-abdominal scanning). It is also the case that a transvaginal scan does not require a full bladder, not the most comfortable of requirement especially for an expectant mother struggling with perpetual nausea. A vaginal scan also circumvents the difficulties with obtaining a good view of the embryo/fetus in early pregnancy for women who are overweight or obese.   Amniotic FluidUltrasound scanning is quite useful in estimating the amniotic fluid volume. This is easy to do and in most cases, this will be normal. However, where the volume is found to be reduced or increased, it could be a very important gauge of the baby’s wellbeing. It may also be the first warning that something is not quite right with the baby and could trigger further, more specific, tests. Serial ultrasound scan monitoring of fluid volume is sometimes used to monitor the progress of a pregnancy and together with other tests could be used to make a decision on the timing and/or mode of delivery. Placental locationIt is not possible through a physical examination to tell the exact location of a placenta in the womb. For the majority of pregnant women, this is really of no importance. However, about 1 in 50 mothers (2%) will have placenta praevia (low-lying placenta) at term. This is a potentially dangerous condition for both mother and baby and most of those affected will need close antenatal observation and delivery by caesarean section. Ultrasound scanning does accurately locate the placenta and aid in making these crucial decisions.It is important to stress that almost one in five women will be found to have a ‘low-lying’ placenta at their 20 weeks pregnancy scan. This is no cause for panic as for the vast majority of them, the placenta will be normally located by the time they get to the third trimester. Many units offer a repeat ultrasound scan at around 32-34 weeks as a form of reassurance. Placental abruptionPlacenta praevia (above) is not to be confused with Placental abruption (abruption placenta). The two conditions are not related even though for both the main concern is severe haemorrhage that is associated with them. In placental abruption, the placenta gets partly or wholly detached from the womb. That will cause bleeding and in most cases, pain. The extent of the bleeding and therefore its effect on the baby will depend on the degree of placental detachment. Ultrasound scanning has a limited role in placental abruption. The diagnosis is mainly secured on a clinical presentation rather than ultrasound findings. Twins and ultrasound scanningIn days gone by, it was not unusual for twins and rarely other forms of multiple pregnancies not to be discovered until the time of delivery. Ultrasound changed all that. It is exceedingly unusual for that to happen in modern times in most developed countries. Over 95% of mothers in the United Kingdom have antenatal ultrasound scans and the figure is just over 70% in the USA. Even in those countries where ultrasound scans are not offered as a matter of course, the obstetrician or midwife looking after the pregnant woman will suspect the presence of multiple pregnancies in the course of examining her abdomen. This will usually trigger a recommendation for an ultrasound scan. Confirming the number of fetuses is then, in most cases, a straightforward affair. Identical or not?Many prospective mothers carrying twins are anxious to know whether the babies are identical or not. In many (but not all) cases it is possible to tell whether they are or not using ultrasound scanning.If the twins are sharing the same gestation sac or even if they are in different sacs but sharing the same placenta, they are then definitely identical. This is, however, not that common (and a good thing too).Most twins have separate placentas and sacs. These could be identical or non-identical. It is sometimes possible to tell with a fair degree of confidence whether such twins are identical or not depending on the timing of the ultrasound scan. Of-course if the twins are of different sex, that is confirmatory that they are non-identical. However, it is only possible to tell the gender of a fetus after about 16-17 weeks. The babies have also got to be in a favourable position to be able to do this.Sharing a sac or placenta not good?This is not the best form for twins as there are significant potential complications unique to this type of twins. Some of these complications can be life-threatening for the one or both babies. The subject is discussed further in the section on multiple pregnancies. Doppler UltrasoundWhen there are problems or suspected complications, this special type of ultrasound may be employed to try to get important information which may aid in decision making. It takes its name from the 19th-century Austrian physicist Christian Doppler who was the first to describe the phenomenon. So, what is it?Doppler ultrasound is a form of ultrasound that can detect and measure blood flow. Doppler ultrasound depends on the Doppler effect, a change in the frequency of a wave resulting here from the motion of a reflector, in this case, the red blood cells.If you are keen to know what the various types of Doppler Ultrasound are, here we will attempt to explain. It is not a walk in the park. Don’t say you haven’t been warned. Colour Doppler -- This technique estimates the average velocity of flow within a vessel by colour coding the information. The direction of blood flow is assigned the colour red or blue, indicating flow toward or away from the ultrasound probe (transducer). Pulsed Doppler -- This method allows a sampling volume or "gate" to be positioned in a vessel visualized on the grey-scale image, and displays a graph of the full range of blood velocities within the gate versus time. The amplitude of the signal is approximately proportional to the number of red blood cells and is indicated, not in colour, but simply as a shade of grey. Power Doppler -- This device depicts the amplitude, or power, of Doppler signals rather than the frequency shift. This allows detection of a larger range of Doppler shifts and thus better visualisation of small vessels, but at the expense of directional and velocity information.  Color Doppler depicts blood flow in a region and is used as a guide for the placement of the pulsed Doppler gate for more detailed analysis at a particular site.Doppler ultrasound has many applications including, for example, the detection and measurement of decreased or obstructed blood flow to the legs as in suspected DVT. Colour Doppler ultrasound is done first to evaluate vessels rapidly for abnormalities and to guide placement of the pulsed Doppler to gain sample volume for detailed analysis of velocities. The bottom line:It is very difficult to imagine modern obstetrics without ultrasound. It is an integral part of the care of the pregnant mother and her unborn baby and there is no doubt at all that millions of people across the globe arguably owe their lives to this technology which is now taken as a matter of course. Twins and other forms of multiple pregnancies FrequencyAbout 1% of spontaneous conceptions among the Caucasian population will be twins or other less common forms of multiple pregnancies. The rate is slightly higher for those of black African ancestry and somewhat lower for Japanese and others of oriental ancestry. The rate of multiple pregnancies in assisted conception such as IVF is significantly higher. For any individual woman, family history is a significant factor. If a woman is a twin herself, she has a much higher chance than average of having twins herself. The same applies to a woman who has first-degree twin relatives i.e. siblings or parents. The rate of identical twins is however constant and is not influenced by age, race, family history or any other factors. Monozygotic twins is another term to describe identical twins. The rate is roughly 4 per 1,000 births. Twin IssuesTwins may be exciting but these pregnancies also have their own specific challenges. It is important to stress up-front that the majority of twin pregnancies, upwards of 85%, have a completely successful outcome and dispel the impression that twin pregnancy is automatically bad news.That done, let's turn to the common saying, which happens to be largely true, that doctors and midwives like repeating when speaking about twin pregnancies. The saying goes “all pregnancy complications are commoner in twins apart from prolonged pregnancy”. That is an important and honest starting point. So, when you talk of prematurity, pre-eclampsia, placental abruption, growth restriction, antepartum haemorrhage, postpartum haemorrhage, it is a true general statement that the risk of any of these is higher, the bigger the number of babies a woman is carrying. Unique Twin Issues: Increased risk of pregnancy complications is not the only issue that needs to be dealt with. There are problems that are unique to twin pregnancy. The most important one of these is a twin-to-twin transfusion. This condition occurs only in identical (monozygotic twins) and specifically those who share a placenta. The medical term for a common placenta in twins is monochorionic. It is true that twins that share a placenta have got multiple blood vessel communications within that placenta. These communications are not always a problem and in many if not most cases there is no problem as there is physiological equilibration of the blood flow in both. However, for some, these communications are a problem which is sometimes lethal for one or both. This is brought about by an imbalance in the blood flow whereby one ends up as a ‘donor’ and the other a ‘recipient’. It means there is a net flow of blood to the recipient and this is the one at greatest risk as he/she gets overloaded. Can anything be done? When twin-to-twin transfusion is suspected or diagnosed, the care becomes a specialist issue. There will be serial ultrasound scanning to track the progress of the condition of the twins. Other tests will also be done to keep a close eye on the babies. Sometimes intervention is required to try to reduce the severity of the condition. In most cases, delivery is early to try to prevent further deterioration. Not all cases of twin-to-twin transfusion are that severe. Some are mild enough not to require any intervention. Vanishing twin It is true but probably not widely recognised that twin pregnancies in the second and third trimester represent at most two-third of pregnancies that start as such. What does this mean? Basically, it means, a lot more pregnancies start as twins. For a variety of reasons some embryos in twin pregnancies do not make it beyond the first few weeks and these pregnancies continue as singleton pregnancies. Some of these women would have had early ultrasound scans say at 6 or 7 weeks. Presence of twins would have been identified then and a repeat scan a few weeks down the line a repeat scan shows, not two, but one fetus. The other twin has ‘vanished’.As mentioned earlier, this phenomenon is estimated to affect up to a third of all twins that start as such. Mercifully, this vanishing occurs fairly early before the first scan for most affected mothers and therefore these will be oblivious of the fact that they started off with twins. The loss of the one twin is usually accompanied by very mild or no noticeable symptoms.  

  • 0 Abdominal Ultrasound Scan. Gallstones: Risk Factors and Causes

    • by Administrator
    • 21-01-2019
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    Cholelithiasis is  the medical term for Gallstone disease. Cholelithiasis is one of the most common and costly of all digestive diseases. This post outlines some of the associated risk factors and the more common causes of gallstone formation with some additional details about their classification. NHS UK (2016) states that gallstones are thought to be caused by an imbalance in the chemical make up of the bile within the gallbladder. These chemical imbalances cause tiny crystals to form within the bile that can gradually increase in size from tiny grains of sand to the size of a pebble over a period of time.   Risk Factors The risk factors identified by Wang and Afdhal (2016) for gallstones in the gallbladder (cholelithiasis) include:- diet, age, gender, oestrogen therapy, obesity, fasting, diabetes, family history, rapid weight loss, some medications including those that reduce cholesterol or Lipids or an antibiotic called Cerfriaxone, disease of the ilium or it’s resection and spinal cord injuries. Stockley (2001) states that gallstones are not exclusive to fair, fat, flatulent, fertile over 40 years old females as was previously thought but are also found in young and old alike and have even been detected on fetal ultrasound scanning in the womb. According to Nathanson (2014) it has been estimated from autopsy studies that 12% of men and 24% of women of all ages have gallstone disease present and that 10-30% of them become symptomatic. There are over 40,000 operations to remove the gallbladder and its gallstones (cholecystectomy) performed annually in the UK. Stockley (2001) states that gallstones are formed in several ways: Cholesterol stones which are hard are formed due to an increase in the concentration of cholesterol in the blood (hypercholesterolaemia). An increase in bilirubin in the blood (hyperbilirubinaemia) found in patients with haemolytic anaemia which form irregularly shaped soft, small brown pigment gallstones. Biliary stasis caused by a faulty, malformed, non-emptying gallbladder or obstructed cystic duct leading to stagnant bile. This creates high concentrations of cholesterol and bile pigments following excessive water absorption. This leads to the formation of mixed cholesterol and bile pigment stones, the most common type of gallstone.   There are differing methods used for gallstone classification, namely their chemical composition location Wang and Afdhal (2016) classify gallstones into 3 types based on their chemical composition and macroscopic appearance: cholesterol, pigment and rare stones. 75% of gallstones in the Western world are cholesterol stones consisting mainly of cholesterol monohydrate crystals and precipitates of amorphous calcium bilirubinate. These stones are further sub-classified as either pure cholesterol or mixed stones that contain at least 50% of cholesterol by weight. The remainder of gallstones are classified as pigmented stones that contain mostly calcium hydrogen bilirubinate and they can be further sub-classified into two groups: black pigment (20%) and brown pigment stones (4.5%). Rare gallstones account for 0.5% and include calcium carbonate stones and fatty acid-calcium stones.   Wang and Afdhal (2016) classify gallstones by their location as Intrahepatic stones which are predominantly brown pigment stones Gallbladder stones which are mainly cholesterol stones with a small group of black pigment stones. Bile duct stones (choledocholithiasis) which are composed mostly of mixed cholesterol stones. Gallstone Diagnosis The abdominal ultrasound scan is the first line of investigation in the diagnosis of gallstones. This ultrasound scan is performed on a fasted patient.  The reason for fasting is that the gallbladder is like a balloon. When we eat something fatty, the gallbladder will excrete the bile into the gut to break down the fat and therefore the gallbladder collapses and it is not possible therefore to see if there are any stones within the lumen. In IUS we offer private ultrasound scans in London our to evaluate your gallbladder for any signs of gallstones, thickening of the gallbladder wall and the existence of any pericholecystic fluid. We will also check your liver, your pancreas, your kidneys and the spleen. You can book an abdominal ultrasound scan in London by visiting our ultrasound scan appointments booking page. You can find more information about the upper abdominal scan here.     References: NHS Choices (2016) Gallstones causes. Available at: http://www.nhs.uk/Conditions/gallstones/Pages/causes.aspx [Accessed 17/10/2016] Wang, D., Afdhal, N. (2016). Gallstone Disease In: Feldman, M., Friedman, L., Brandt,L.(eds) Sleisanger and Fordtran’s Gastrointestinal and Liver Disease Pathophysiology / Diagnosis / Management. Volume 1. 10th Edition. Philadelphia, Saunders Elsevier. pp -1100 - 1108 Stockley, M (2001) Abdominal Ultrasound. 1st edition. Greenwich Medical Media Nathanson, L. (2014) Gallstones, In: Garden, O., Parks, R. (eds.) Hepatobilary and Pancreatic Surgery. A Companion to Specialist Surgical Practice. 5th edition. Edinburgh. Saunders Elsevier. p 174. Bibiliograph: http://www.webmd.com/digestive-disorders/gallstones#1What Are Gallstones? [Accessed 17/10/2016] http://www.livescience.com/34726-gallstones-symptoms-treatment.html. [Accessed 18/10/2016] Mayo Clinic (2013) Gallstones causes. Available at: http://www.mayoclinic.org/diseases-conditions/gallstones/basics/causes/con-20020461. [Accessed 18/10/2016]      

  • 0 Private scans

    • by Administrator
    • 21-01-2019
    0.00 of 0 votes

    Welcome to our new private scan blog. Our private scan clinic in Notting Hill Gate offers a wide range of private scans for men and women as well as pregnancy private scans. We are conveniently located a few minutes walk from Notting Hill Gate tube station and we offer a range of out of hour private scan appointments, including emergency/on-call private scans to suit your lifestyle. You can find the whole range of our private scans and costs here.         Who interprets the results of the private scan and how do I get them? Our Sonographer, a Health Care Professional specifically trained to perform and understand the ultrasound scan images, will do your private scan and provide you with a written report that you can take it your doctor.  Our sonographers will also discuss the results with you during and after your ultrasound scan examination. It is very common that sometimes when you leave you to remember of a question that you forgot to ask, so please don't hesitate to contact us either via phone or e-mail and we will do our best to answer your question.   What are the benefits and risks of the ultrasound scan examination? Benefits Ultrasound scanning is noninvasive. An ultrasound scan exam may be occasionally, temporarily uncomfortable, but it should not be painful. Ultrasound is widely available, easy-to-use and less expensive than other imaging modalities. Ultrasound imaging is extremely safe and does not use any ionizing radiation. Ultrasound scanning gives a clear picture of soft tissues such as liver that do not show up well on x-rays. Risks There are no known harmful effects on humans related to ultrasound scan examinations.   What are the limitations of Ultrasound Scan Imaging?  Ultrasound waves do not travel well in bowel or gas so you can not fully evaluate abdominal organs such as stomach and bowel or organs obscured by the bowel. It can also be hard to fully visualise the internal anatomy of large patients as the sound has further to travel and therefore the returning echoes are weaker.   Why choose us for your private scan? We are conveniently located in the heart of London, just a few minutes’ walks from Notting Hill Gate station, in a cobbled cul-de-sac off Kensington Mall in the Royal Borough of Kensington and Chelsea. We offer same day and emergency after hours and weekend appointments in a clean and caring environment, to suit your needs. Unlike some of our competitors, we provide you with a private scan report at the same day to fast track any potential treatment.  We have years of experience in medical ultrasound scanning. Experience gained working for flagship NHS trusts alongside leaders in the field of diagnostic medical imaging including general ultrasound, urology, musculoskeletal, gynaecology, pelvis, testicular and vascular scan examinations. You can, therefore be assured that your health is in good hands. Our range of private scan examinations includes the abdomen, pelvis, kidneys, bladder, prostate, ovary, testicle, scrotal, knee, shoulder, groin, ankle, wrist to name a few. We are also experts in pregnancy ultrasound and we regularly rotate through our hospital EPU that mainly deals with recurrent miscarriage. Our full range of private scans can be viewed via the site menu. Our competitively priced private scan services and personalised service is second to none and this is the reason our clients recommend us to friends and family.    About Ultrasound Scans Diagnostic Medical ultrasound scan or medical sonography as otherwise known is a painless imaging technique utilising sound waves to produce internal images of the body.It is called ultrasound as the sound frequency being used is at the region of 1 to 20MHz. The human ear can't hear these frequencies.The sound waves are produced by the transducer or the probe as most commonly known. As they travel through the body they bounce back to the transducer due to various sound transmissions differences in tissues. The returning echoes are picked up by the probe and a powerful computer analyses the echoes and creates the 2d image on the screen.There are various kinds of ultrasound scans that can be performed and each looks at different organs of the body such as tendons, muscles, joints, blood vessels, liver, kidneys, uterus and ovaries to confirm or exclude possible pathology.Unlike Ct and MRI, ultrasound does not use radiation and therefore is pregnancy friendly. It is also live and is ideal for musculoskeletal exams to evaluate moving joints.   Looking for a private scan in London? IUS London specialises in diagnostic private ultrasound scans to provide you with quick diagnosis and the much-needed reassurance about your health, within a convenient location. The cost of a private ultrasound scan shouldn’t be prohibited when it comes to someone’s wellbeing. This is why our prices are competitive and affordable with no compromise to the level of care. The price you see is the price you pay with no hidden extras. We have hundreds of happy clients including GP’s, consultants, radiologists and midwives to name a few. Some of our clients choose us when large, well-established ultrasound scanning companies failed them in diagnostic accuracy and especially aftercare. We offer ultrasound scan appointments via our online booking system or on the phone. We do not charge a deposit or a cancellation fee as we care more about our clients and we respect their decision to decide what is best for them without concern about the ultrasound scan deposit they already paid.     

  • 0 Private Pregnancy scans and Scanxiety

    • by Administrator
    • 21-01-2019
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    Scan Anxiety- Scanxiety and the truth   There have been lots of talks lately on the newspapers and online about scanxiety - someone created a fancy word to describe anxiety before diagnostic scans such as CT and MRI. The term quickly included private ultrasound scans mainly private pregnancy scans in a newspaper attempt to grab the reader’s attention.  The Guardian headline reads:"Scanxiety: why private baby scans are on the riseMany pregnant women are paying for extra ultrasounds, for reassurance or for ‘souvenir scans’. But does multiple scanning pose a risk to the unborn child?" The MailOnline article reads:Pregnant women with 'scanxiety' are told to avoid private ultrasounds as firms offer multiple scans to assuage their fears Study found almost a third of mothers-to-be pay for extra scans while pregnant Many do so due to anxiety, despite NHS offering scans at 12 weeks and 20 weeks Parent site ChannelMum.com says ‘pop-up’ firms target women with 'scanxiety' Another article on MailOnline reads:The rise of 'scanxiety': Pregnant women are risking their babies' health by paying for unnecessary scans UK and US guidelines advise getting two scans: one at 12 weeks, one at 20 weeks A new study shows a third of mothers-to-be pay for extra private ultrasounds Too many high-intensity scans may cause harm to the foetus, experts warn  Anxiety over the baby's health may be doing more harm than good, they say     Going through these articles as a qualified sonographer with more than 15 years experience, i found out that they were full of inaccuracies, misinformation and scaremongering. Ultrasound is used in pregnancy since the late 70s. There were a few research publications suggesting that ultrasound might affect the growth of the unborn baby but with no conclusive evidence and consequent studies failed to duplicate the results. The medical community, therefore, is suggesting that ultrasound should be used where clinically indicated. NICE recommends 2 scans at 12 and 20 weeks as sufficient during the pregnancy. A new study in England, however, shows that almost a third of expectant mothers are paying for additional private scans.  So NICE knows better than the pregnant mothers or is it because NICE has to take into account the lack of NHS sonographers and midwives and try to alleviate the stress on the NHS? If two ultrasound scans are enough in the UK, why they are not enough in the USA, Australia and most other European countries? So would you say to an expectant mother and her partner who had a miscarriage and sometimes, unfortunately, multiple ones, who are in the waiting room shaking waiting to find out if their baby has a heartbeat that is overreacting and suffering from scanxiety? Do you think that the ultrasound scan is clinically indicated? I would say yes as the ultrasound scan will either reassure them, that their baby is alive or at the worst case scenario will confirm their fear but at least they will know and they will be able to deal with it. In very anxious patients, sometimes a quick scan is the best option for alleviating stress which is helpful in so many other ways. In our London ultrasound clinic, we do not just do pregnancy scans such the early pregnancy/reassurance scan but we do a variety of other ultrasonic examinations such as abdominal, pelvic and musculoskeletal examinations. We have clients from all walks of life including health care professionals who are not willing to wait 6+ weeks to have a scan on the NHS as they want to find out if there is something wrong with them and treat it ASAP. We assume that these clients are suffering from scanxiety too but all these articles concentrated on expecting mothers as a soft target. Never the less anxiety associated with the results of a scan either ultrasound, CT or MRI between cancer patients is well documented. Some concerns on these articles arise from the intensity of the ultrasound beam and the length of ultrasound scanning. The intensity of the ultrasound beam is significantly higher on 4D scans than 2D scans as is the scanning time. In our London ultrasound clinic we do not offer 4D ultrasound scans but most of the ultrasound clinics that do offer them, they offer them later in pregnancy at 20+ weeks, when the baby is well developed and the effects of ultrasound intensity are minimal.  The most valid point of these articles is the use of untrained/unqualified sonographers. I am not aware of any ultrasound clinics in the UK that uses unqualified sonographers and as far as I know, most of the ultrasound clinics are registered with CQC. Never the less the DailyMail has compiled a list with tips on finding a reputable scanning clinic:   TIPS ON FINDING A REPUTABLE SCANNING CLINIC  ·  Check that your ultrasound clinic is registered with the Care Quality Commission, to ensure it meets professional standards.·  Look online for clinic reviews and check how long the company has been established.·  Ask the clinic about staff qualifications and experience. Any reputable firm will be happy to help. Your sonographer should be HCPC qualified.·  Some clinics do offer discounts to make the treatment affordable for everyone. However if you are being pressured to buy more packages than you need or can afford, consider going elsewhere. It's your body, your baby and your choice.·  If you feel overly anxious, speak with your midwife. Your ultrasound clinic will work with him or her. If you have any questions please feel free to contact us.       What can be seen on ultrasound during the early Pregnancy Scan Pregnancy or baby ultrasound scans are a routine part of prenatal care. Ultrasound scans are completely painless, have no known side effects on mothers or babies, and can be carried out at any stage of pregnancy: in early pregnancy, ultrasound is being used to confirm the baby's heartbeat and exclude any early stage abnormalities; later in pregnancy ultrasound is being used to evaluate the baby's overall health. It may be worth noting that spotting is common in pregnancy. Usually, it's nothing to worry about, but it's always best to double check with your doctor or midwife.What can be seen during the early scan: At 5 weeks gestation (i.e 3 weeks after conception) a small gestation sac might be visible. At 6 weeks, the yolk sac, the embryo (foetal pole) and the heartbeat might be visible. At 7 weeks the embryo will be around 10mm with a fast heartbeat. At 8 weeks, the embryo will be around 16mm and the body and the head might be distinguishable. The embryonic movement might also be seen. At 9 weeks, the embryo is now a foetus and head, body and limbs start to form.    

  • 0 Our Most Frequent Pregnancy Scans

    • by Administrator
    • 21-01-2019
    0.00 of 0 votes

    p>The pregnancy scans offered by the NHS might not always be enough to offer the reassurance that the pregnancy is progressing properly. You can find below the most popular private pregnancy scans in our ultrasound clinic in London. These scans offer peace of mind that every couple seeks. Early pregnancy scan. We offer this scan from the 6th to 11th week gestation. This scan will confirm your pregnancy, calculate your estimated due date, detect whether it is a single or multiple pregnancy scan. Dating scan.  We offer this scan from the 11th to 14th week. This scan will date your pregnancy by measuring the crown to rump length (CRL), confirm if it is a single or multiple pregnancy and most importantly will confirming foetal viability by checking the baby’s heartbeat. Gender scan. From 16 weeks onwards we can identify the gender of your baby with very high accuracy. Using our ultrasound scanner, loaded with the latest ultrasound technology the sonographer will be able to tell you if you having a boy or a girl. Growth scan. If you had previous birth complications or have any concerns or worries this scan will check your baby’s growth. We offer the growth scan, between the 24th and 38th week of your pregnancy.       What are the benefits and risks of the pregnancy ultrasound scans? Benefits The pregnancy scan is non-invasive. If a transvaginal scan is required the ultrasound exam might be a little uncomfortable but not painful. Ultrasound examinations are significantly cheaper than other diagnostic imaging modalities. Ultrasound imaging is safe for the baby and the mother as there is no ionizing radiation involved. You can not see the baby using conventional x-ray imaging. Ultrasound is the preferred imaging investigation for the diagnosis and monitoring of pregnancies. Ultrasound allows the sonographer to see inside the uterus in real time and provides neccesary information  about the pregnancy. Risks There are no known harmful effects on humans related to pregnancy ultrasound examinations. Although urasound has been used in pregnancy for more than 40  years with no evidence suggestining it is harmful to the patient, embryo or fetus, ultrasound should be performed only when clinically indicated and by qualified practitioners.   Who interprets the results of the private scan and how do I get them? Our Sonographer, a Health Care Professional  specifically trained to perform and understand the ultrasound scan images, will do your exam and provide you with a written report that you can take it your your doctor.  Our sonographers will also discuss the results with you during and after your examination. Our sonographers are advanced practicioners with years of ultrasound scanning experience; fully qualified, registered with the HCPC and work full/part time for flagship London NHS hospitals. On an average month they perform more than 500 examinations a month and regularly train junior radiologists in the art of ultrasound scanning. During the working day in the NHs they deal with all kinds of routine and emergency scans. They rotate through the hospitals recurrent miscarriage unit where they gain valuable experience in pregnancy and its various complications. It is very common that sometimes when you leave you remember of a question that you forgot to ask, so please don't hesitate to contact us either via phone or e-mail and we will do our best to answer your question.     About  Pregnancy Scans A pregnancy ultrasound scan is the same as a ‘normal’ scans but is being used to evaluate the overall health of your baby instead of looking at other organs such as gallbladder for gallstones  or  kidney for kidney stones. So in pregnancy ultrasound scans are being used to visualise the baby, the placenta, the uterus and cervix and your ovaries.Pregnancy ultrasound scans or prenatal ultrasounds are very common and being carried in any stage of the pregnancy.   When Is an Ultrasound Performed During Pregnancy? You will normally offered two ultrasound scans during your pregnancy from the NHS. The first pregnancy  scan is at 12 weeks and called a dating scan. The second pregnancy scan is at 20 weeks and called an anomaly scan.Most of the expectant mothers, especially the ones with previous complications such as miscarriage they do not believe that 2 ultrasound scans during pregnancy are enough  and this is the reason they choose to have a private pregnancy scan in London with us.   What are ultrasound scans used for in pregnancy? Depending on your stage of pregnancy, ultrasounds will be used to give you and your doctor or midwife answers about your pregnancy. First Trimester Ultrasounds Check that you are pregnant and that your baby has a heartbeat. Check if you have a singleton or twins Make sure that the pregnancy is not an ectopic located within the endometrial cavity and is not outside the womb such as in the fallopian tube. Look for the cause of any bleeding you might have. Date the pregnancy by measuring the crown rump length of the foetal pole. Second Trimester Ultrasounds   Verify dates and growth Estimate the  baby's risk of Down's syndrome by measuring fluid at the back of your baby’s neck between about 10 weeks and 14 weeks Help with diagnostic tests by showing the position of the baby and placenta. Check your baby to see if all his organs are normal. Diagnose abnormalities Assess the amount of amniotic fluid  and the location of the placenta. Evaluation of fetal well-being Third trimester Ultrasounds Make sure your baby is growing at the expected rate. Confirm if your baby is a boy or a girl. Some mothers to be, will, unfortunatelly get various complications during pregnancy such as high blood pressure, kidney infections and abnormal liver function tests. As ultrasound scans are pregnancy friendly your doctor wight refer you for an abdominal/liver scan or a kidney scan to check for anything that might explain your symptoms.Although these ultrasound scans are not pregnancy scans, they are related to pregnancy and in most cases all the complications resolve after delivery. But like everything else related to your health and your baby’s health: better safe than sorry. What can be seen during the early scan: At 5 weeks gestation (i.e 3 weeks after convception) a small gestation sac might be visible. At 6 weeks, the yolk sac, the embryo (foetal pole) and the heart beat might be visible. At 7 weeks the embryo will be around 10mm with fast heart beat. At 8 weeks, the embryo will be around 16mm and the body and the head might be distinguisable. Embryonic movement might also seen. At 9 weeks, the embryo is now a foetus and head, body and limbs start to form.   Why choose us for your private pregnancy ultrasound scan in London? We are conveniently located in the heart of London, just a few minutes’ walk from Notting Hill Gate station, in a cobbled cul-de-sac off Kensington Mall in the Royal Borough of Kensington and Chelsea. We offer same day and emergency after hours and weekend appointments in a clean and caring environment, to suit your needs. Unlike some of our competitors we provide you with a report while you wait to fast track any potential treatment.  We have years of experience in medical ultrasound. Experience gained working for flagship NHS trusts alongside leaders in the field of diagnostic medical imaging including general ultrasound, urology, musculoskeletal, gynaecology, pelvis, testicular and vascular examinations. You can, therefore be assured that your health is in good hands. Our range of ultrasound examinations include, other than pregnancy, the abdomen, pelvis, kidneys, bladder, prostate, ovary, testicle, scrotal, knee, shoulder, groin, ankle, wrist to name a few. We regularly rotate through our hospital EPU that mainly deals with recurrent miscarriage. Our full range of scans can be viewed via the site menu. Our competitively priced pregnancy scan examinations and personalised service is second to none and this is the reason our clients recommend us to friends and family.    About Ultrasound Scans Diagnostic Medical ultrasound scan or medical sonography as otherwise known is a painless imaging technique utilising sound waves to produce internal images of the body.It is called ultrasound as the sound frequency being used is at the region of 1 to 20MHz. The human ear cant can’t hear these frequencies.The sound waves are produced by the transducer or the probe as most commonly known. As they travel through the body they bounce back to the transducer due to various sound transmissions differences in tissues. The returning echoes are picked up by the probe and a powerful computer analyses the echoes and creates the 2d image on the screen.There are various kinds of ultrasound scans that can be performed and each looks at different organs of the body such as tendons, muscles, joints, blood vessels, liver, kidneys, uterus and ovaries to confirm or exclude possible pathology.Unlike Ct and MRI, ultrasound does not use radiation and therefore is pregnancy friendly. It is also live and is ideal for musculo-skeletal exams to evaluate moving joints.   Looking for a private pregnancy ultrasound scan in London? IUS London specialises in diagnostic private ultrasound scans to provide you with quick diagnosis and the much-needed reassurance about your health, within a convenient location. The cost of a private ultrasound scan shouldn’t be prohibited when it comes to someone’s wellbeing. This is why our prices are competitive and affordable with no compromise to the level of care. The price you see is the price you pay with no hidden extras. We have hundreds of happy clients including GP’s, consultants, radiologists and midwives to name a few. Some of our clients choose us when large, well established ultrasound scanning companies failed them in diagnostic accuracy and especially aftercare. We offer ultrasound scan appointments via our online booking system or on the phone. We do not charge a deposit or a cancellation fee as we care more about our clients and we respect their decision to decide what is best for them without concern about the ultrasound scan deposit they already paid.    Emergency London Pregnancy Ultrasound Services Our ultrasound scan clinic in London now offers emergency on-call pregnancy ultrasound services.We understand that health problems can arise any time of day and night. The NHS does not always compliment their physical examination with an emergency ultrasound scan due to availability of equipment and staff.If you were to require an emergency pregnancy ultrasound scan, whether it be late evening during weekends and Saturdays or all day Sunday then please call 07539 290816 in order to see our availability and arrange a convenient time.Please see our emergency ultrasound scan page for more information.

  • 0 Pregnancy Ultrasound Scan

    • by Administrator
    • 21-01-2019
    0.00 of 0 votes

    Pregnancy Ultrasound Scan An ultrasound scan is frequently offered to women that are pregnant at about 12-14 weeks. In certain conditions, for example, if there aren't any particular risks or issues, you may be able in have earlier or later scans if needed. How they work An Ultrasound Works transmits silent sound waves through the body tissues to create an image of your baby in your womb, which you and your partner will be able to see on a TV/computer screen. Before having your stomach scan, you'll be asked to drink lots of fluid rather than to empty your urinary bladder! If your urinary bladder is complete, it then pushes up from your uterus to provide a better perspective of your infant. This is really important in the very first 50% of pregnancy. When you are lying down, also a gel is going to be put on your stomach and a hand held probe/scanner/transducer will be moved in various directions on the skin to allow you to realize your infant in your womb. Ultrasound scans may also be carried out utilizing a vaginal probe. If this is true, you'll not typically should have a complete urinary bladder since these sorts of ultrasound scans provide a clearer image, particularly in early pregnancy. While the scan has been carried out, the operator will usually explains what she/he is looking at, and you may be given a black and white print of the image to take home with you, since well since information along with graphs of various measurements. Some units even gives you the option to get your scan recorded on also a video tape, which you can buy. Do ultrasound scans hurt? Ultrasound scans are completely painless, and also to date there is no medical evidence to prove who they can harm either this pregnant woman or her infant. Seeing your baby moving around throughout the scan can be extremely enjoyable and reassuring. In case your baby is developing typically and also to monitor its growth along with well being. Show the exact position of your infant and the placenta evaluate bleeding in early pregnancy, along with exclude an ectopic pregnancy. Identify fetal abnormalities, especially of the head or spine, such as the structural/developmental defects spina bifida and hydrocephalus, or to specify this risk of this chromosomal disorder Down's syndrome. Show your baby moving and allow you to hear his/her heartbeat and see fetal movements, amniotic fluid volume and blood flow to the womb along the umbilical cord where possible allow you to find out the sex of your baby at the 20 week scan, but if you want to know you will probably have to ask.

  • 0 6 Week Baby Ultrasound Scan

    • by Administrator
    • 21-01-2019
    0.00 of 0 votes

      Congratulations on your pregnancy and welcome to the world of pregnancy ultrasounds. You will have at least two ultrasound scans during your pregnancy provided by the NHS: a 12 week dating scan and a 20 week anomaly scan. The 12 week scan will provide confirmation and dating fo your pregnancy. The 20 week scan scan will provide information about your baby's growth and development. A 5 weeks scan will offer very limited information about your pregnancy unless there is suspicion of ectopic and therefore the 6 weeks is the most common gestation age that an ultrasound is performed. A 5 week scan maybe performed if you experience pelvic pain in one side of your pelvis or shoulder tip pain. This ultrasound scan will check for any evidence of an ectopic pregnancy. It can sometimes be inconclusive and a follow up scan might be required. Ectopic pregnancy is when the fertilized egg attaches itself outside of the uterus with most common location being the fallopian tube on the side where you ovulated from. The 6 weeks scan is also limited but in most cases can confirm the pregnancy and viability. It is mainly performed when there are concerns about the pregnancy and to confirm the gestational age. Feeling nervous about having an ultrasound scan so early in your pregnancy is normal. Try to stay calm and prepare yourself for what may happen. Bringing with you your partner or a close family member for extra support might be a good idea.   Reasons for a 6 Week Ultrasound scan 6 week ultrasound scans are not routinely offered by the NHS. You might want to have a private 6 weeks ultrasound scan if you suspect that your pregnancy is not progressing well or if you would like a definite pregnancy dating confirmation. Reasons for a 6 Week Ultrasound Scan Previous miscarriage. You had fertility treatment. Pelvic pain on one side Vaginal spotting or bleeding. you are unsure how far along you are in your pregnancy. At 6 weeks, you won't be able to see much detail of your baby. The ultrasound scan however should be able to confirm the gestation age by measuring either the gestation sac or the feotal pole if visible. Sometimes you will be able to see the baby's heartbeat. Most importantly the sonographer will be able to check that your baby is within the endometrial cavity and that you do not have an ectopic pregnancy. Everyone obviously is different and sometimes a follow up ultrasound in a week to 10 days might be necessary to give you more information.   What to expect during your 6 week ultrasound scan It is more likely that at 6 weeks gestation age you will need to have a transvaginal or internal ultrasound scan insteed of a transabdominal scan (through the abdomen). This is because it is early stage and everything is still small. The transvaginal scan will be able to get closer to the endometrium and produce a better clearer image of the pregnancy insitu. A 6 week ultrasound can also help to find the cause for any early pregnancy pain or bleeding.   Your baby at 6 weeks At 6 weeks, your baby should measure approximately 5-9mms in length. 6 weeks into your pregnancy is also the earliest time you might be able to see the foetal pole and the foetal heartbeat. The foetal heartbeat is seen like two parallel lines flickering. Most literature is saying that the foetal heartbeat should be around 90-110 beats per minute but we have seen slower heartbeats with positive pregnancy outcomes.  The yolk sac, a ring shape bright circle might also be visible. The yolk sac is where your baby is feeding from at this early stage in pregnancy. Sometimes only the gestation sac is visible with no foetal pole of yolk sac and you might be asked to come back in a week to 10 days as you could be ealier in your pregnancy than you think.    If you have any questions please leave a comment and we will do our best to answer. At our private ultrasound clinic we offer pregnancy scans from as early as 5-6 weeks in times to suit you.                       Who interprets the results of the early pregnancy scan and how do I get them? Our Sonographer, a Health Care Professional  specifically trained to perform and understand the ultrasound images, will do your exam and provide you with a written report that you can take it your your doctor.  Our sonographers will also discuss the results with you during and after your examination. It is very common that sometimes when you leave you remember of a question that you forgot to ask, so please don't hesitate to contact us either via phone or e-mail and we will do our best to answer your question.   What are the benefits and risks of the early pregnancy ultrasound examination? Benefits The early pregnancy, reassurance scan is non-invasive. If a transvaginal scan is required the ultrasound exam might be a little uncomfortable but not painful. Ultrasound examinations are significantly cheaper than other diagnostic imaging modalities. Ultrasound imaging is safe for the baby and the mother as there is no ionizing radiation involved. You can not see the baby using conventional x-ray imaging. Ultrasound is the preferred imaging investigation for the diagnosis and monitoring of pregnancies. Ultrasound allows the sonographer to see inside the uterus in real time and provides neccesary information  about the pregnancy. Risks There are no harmful effects on humans or babies related to pregnancy ultrasound examinations. Although ultrasound has been used in pregnancy for more than 40  years with no evidence suggestining it is harmful to the patient, embryo or fetus, ultrasound should be performed only when clinically indicated and by qualified practitioners.       About  Pregnancy Scans A pregnancy ultrasound scan is the same as a ‘normal’ scans but is being used to evaluate the overall health of your baby instead of looking at other organs such as gallbladder for gallstones  or  kidney for kidney stones. So in pregnancy ultrasound scans are being used to visualise the baby, the placenta, the uterus and cervix and your ovaries.Pregnancy ultrasound scans or prenatal ultrasounds are very common and being carried in any stage of the pregnancy.   When Is an Ultrasound Performed During Pregnancy? You will normally offered two ultrasound scans during your pregnancy from the NHS. The first pregnancy  scan is at 12 weeks and called a dating scan. The second pregnancy scan is at 20 weeks and called an anomaly scan.Most of the expectant mothers, especially the ones with previous complications such as miscarriage they do not believe that 2 ultrasound scans during pregnancy are enough  and this is the reason they choose to have a private pregnancy scan in London with us.   What are ultrasound scans used for in pregnancy? Depending on your stage of pregnancy, ultrasounds will be used to give you and your doctor or midwife answers about your pregnancy. First Trimester Ultrasounds Check that you are pregnant and that your baby has a heartbeat. Check if you have a singleton or twins Make sure that the pregnancy is not an ectopic located within the endometrial cavity and is not outside the womb such as in the fallopian tube. Look for the cause of any bleeding you might have. Date the pregnancy by measuring the crown rump length of the foetal pole. Second Trimester Ultrasounds Verify dates and growth Estimate the  baby's risk of Down's syndrome by measuring fluid at the back of your baby’s neck between about 10 weeks and 14 weeks Help with diagnostic tests by showing the position of the baby and placenta. Check your baby to see if all his organs are normal. Diagnose abnormalities Assess the amount of amniotic fluid  and the location of the placenta. Evaluation of fetal well-being Third trimester Ultrasounds Make sure your baby is growing at the expected rate. Confirm if your baby is a boy or a girl. Some mothers to be, will, unfortunatelly get various complications during pregnancy such as high blood pressure, kidney infections and abnormal liver function tests. As ultrasound scans are pregnancy friendly your doctor wight refer you for an abdominal/liver scan or a kidney scan to check for anything that might explain your symptoms.Although these ultrasound scans are not pregnancy scans, they are related to pregnancy and in most cases all the complications resolve after delivery. But like everything else related to your health and your baby’s health: better safe than sorry. What can be seen during the early scan: At 5 weeks gestation (i.e 3 weeks after convception) a small gestation sac might be visible. At 6 weeks, the yolk sac, the embryo (foetal pole) and the heart beat might be visible. At 7 weeks the embryo will be around 10mm with fast heart beat. At 8 weeks, the embryo will be around 16mm and the body and the head might be distinguisable. Embryonic movement might also seen. At 9 weeks, the embryo is now a foetus and head, body and limbs start to form.     Why choose us for your early pregnancy ultrasound scan in London? We are conveniently located in the heart of London, just a few minutes’ walk from Notting Hill Gate station, in a cobbled cul-de-sac off Kensington Mall in the Royal Borough of Kensington and Chelsea. We offer same day and emergency after hours and weekend appointments in a clean and caring environment, to suit your needs. Unlike some of our competitors we provide you with a report while you wait to fast track any potential treatment.  We have years of experience in medical ultrasound scanning. Experience gained working for flagship NHS trusts alongside leaders in the field of diagnostic medical imaging including general ultrasound, pregnancy, urology, musculoskeletal, gynaecology, pelvis, testicular and vascular examinations. You can, therefore be assured that your health is in good hands. Our range of ultrasound examinations include the abdomen, pelvis, kidneys, bladder, prostate, ovary, testicle, scrotal, knee, shoulder, groin, ankle, wrist to name a few. We are also experts in pregnancy ultrasound and we regularly rotate through our hospital EPU that mainly deals with recurrent miscarriage. Our full range of scans can be viewed via the site menu. Our competitively priced private ultrasound scan services and personalised service is second to none and this is the reason our clients recommend us to friends and family.    About Ultrasound Diagnostic Medical ultrasound scan or medical sonography as otherwise known is a painless imaging technique utilising sound waves to produce internal images of the body.It is called ultrasound as the sound frequency being used is at the region of 1 to 20MHz. The human ear cant can’t hear these frequencies.The sound waves are produced by the transducer or the probe as most commonly known. As they travel through the body they bounce back to the transducer due to various sound transmissions differences in tissues. The returning echoes are picked up by the probe and a powerful computer analyses the echoes and creates the 2d image on the screen.There are various kinds of ultrasound scans that can be performed and each looks at different organs of the body such as tendons, muscles, joints, blood vessels, liver, kidneys, uterus and ovaries to confirm or exclude possible pathology.Unlike Ct and MRI, ultrasound does not use radiation and therefore is pregnancy friendly. It is also live and is ideal for musculo-skeletal exams to evaluate moving joints.   Looking for an pregnancy reassurance ultrasound scan in London? IUS London specialises in diagnostic private ultrasound scans to provide you with quick diagnosis and the much-needed reassurance about your health, within a convenient location. The cost of a private ultrasound scan shouldn’t be prohibited when it comes to someone’s wellbeing. This is why our prices are competitive and affordable with no compromise to the level of care. The price you see is the price you pay with no hidden extras. We have hundreds of happy clients including GP’s, consultants, radiologists and midwives to name a few. Some of our clients choose us when large, well established ultrasound scanning companies failed them in diagnostic accuracy and especially aftercare. We offer ultrasound scan appointments via our online booking system or on the phone. We do not charge a deposit or a cancellation fee as we care more about our clients and we respect their decision to decide what is best for them without concern about the ultrasound scan deposit they already paid.    Emergency Early Ultrasound Scan Service in London Our ultrasound scan clinic in London now offers emergency on-call ultrasound services.We understand that health problems can arise any time of day and night. The NHS does not always compliment their physical examination with an emergency ultrasound scan due to availability of equipment and staff.If you were to require an emergency ultrasound scan, whether it be late evening during weekends and Saturdays or all day Sunday then please call 07539 290816 in order to see our availability and arrange a convenient time.Please see our emergency ultrasound scan page for more information.

  • 0 Pregnancy Scans

    • by Administrator
    • 21-01-2019
    0.00 of 0 votes

    Pregnancy Scans A pregnancy ultrasound scan is the same as a ‘normal’ ultrasound scan but is being used to evaluate the overall health of your baby instead of looking at other organs such as gallbladder for gallstones or kidney for kidney stones. So in pregnancy ultrasound scans are being used to visualise the baby, the placenta, the uterus and cervix and your ovaries.Pregnancy ultrasound scans or prenatal ultrasounds are very common and being carried in any stage of the pregnancy.   When Is an Ultrasound Performed During Pregnancy? You will normally be offered two ultrasound scans during your pregnancy from the NHS. The first scan is at 12 weeks and called a dating scan. The second pregnancy scan is at 20 weeks and called an anomaly scan.Most of the expectant mothers, especially the ones with previous complications such as miscarriage do not believe that 2 scans during pregnancy are enough and this is the reason they choose to have a private pregnancy scan in London with us.   What are ultrasound scans used for in pregnancy? Depending on your stage of pregnancy, ultrasounds will be used to give you and your doctor or midwife answers about your pregnancy. First Trimester Ultrasounds Check that you are pregnant and that your baby has a heartbeat. Check if you have a singleton or twins Make sure that the pregnancy is not an ectopic located within the endometrial cavity and is not outside the womb such as in the fallopian tube. Look for the cause of any bleeding you might have. Date the pregnancy by measuring the crown-rump length of the foetal pole.   Second Trimester Ultrasounds   Verify dates and growth Estimate the  baby's risk of Down's syndrome by measuring fluid at the back of your baby’s neck between about 10 weeks and 14 weeks Help with diagnostic tests by showing the position of the baby and placenta. Check your baby to see if all his organs are normal. Diagnose abnormalities Assess the amount of amniotic fluid and the location of the placenta. Evaluation of fetal well-being   Third-trimester Ultrasounds Make sure your baby is growing at the expected rate. Confirm if your baby is a boy or a girl. Some mothers to be, will, unfortunately, get various complications during pregnancy such as high blood pressure, kidney infections and abnormal liver function tests. As ultrasound scans are pregnancy friendly your doctor might refer you for an abdominal/liver scan or a kidney scan to check for anything that might explain your symptoms.Although these scans are not pregnancy scans, they are related to pregnancy and in most cases, all the complications resolve after delivery. But like everything else related to your health and your baby’s health: better safe than sorry.

  • 0 What is an Ultrasound Scan

    • by Administrator
    • 21-01-2019
    0.00 of 0 votes

    The ultrasound scan or ultrasonography as otherwise known is a painless diagnostic imaging technique utilising sound waves to produce internal images of the body. It is called ultrasound as the sound frequency being used is at the region of 1 to 20MHz. A sound frequency that the human ear can’t hear. These are the frequencies used by the navy sonar and by animal echolocation such as dolphins and bats. The ultrasound waves are produced by the transducer or the probe as most commonly known. As these sound waves travel through the body bounce back because of differences in the tissues. The bounced back sound waves are called echoes. These echoes are picked up by the probe and a powerful computer analyses them and creates the 2d ultrasound image on the scanner screen. There are various kinds of sonograms that can be performed and each looks at different organs of the body such as tendons, muscles, joints, blood vessels, liver, kidneys, uterus and ovaries to confirm or exclude possible pathology. Unlike CT and MRI, ultrasound does not use radiation and therefore is pregnancy friendly. Ultrasound, therefore, is being used in all stages of pregnancy starting from as early as 5 weeks gestation. It is also live and is ideal for musculoskeletal exams to evaluate moving joints.   What are the benefits and risks of sonography? Benefits  Ultrasound scans are noninvasive. An ultrasound scan exam may be occasionally, temporarily uncomfortable, but it should not be painful. Ultrasound is widely available, easy-to-use and less expensive than other imaging modalities. Ultrasound scans are extremely safe and do not use any ionizing radiation. Ultrasound scanning gives a clear picture of soft tissues such as liver that does not show up well on x-rays. Risks  There are no known harmful effects on adults or babies related to an ultrasound scan. Unlike some other scans, such as CT, ultrasound scans don't involve exposure to radiation.     What are the limitations of Ultrasound Imaging?   Sound waves do not travel well in bowel or gas so abdominal organs such as stomach and bowel or organs obscured by bowel cannot be fully evaluated with ultrasound.   It can also be hard to fully visualise the internal anatomy of large patients as the sound waves have further to travel and therefore the returning echoes are weaker.   Are there any special preparations needed for a scan? This will depend on the kind of imaging test you are having. You should have received information about preparation with your appointment confirmation. It is therefore very important to read your confirmation letter/e-mail carefully. Certain types of ultrasound scan may need you to follow specific instructions to improve the image quality of the scan. Examples include: Drink plenty of water and do not empty your bladder until after your scan – this may be necessary before an antenatal scan or gynaecological pelvic scan. Avoid eating for 8 hours before your scan, but drink plenty of clear fluids and do not empty your bladder until after the scan – this may be necessary before an abdominal scan checking your liver and gallbladder. External Ultrasound scan An external ultrasound scan is used to examine the liver, kidneys and other organs in your abdomen. It can also be used to assess your muscles and joints and many other organs through your skin. A lubricating gel is put on your skin and a small handheld probe is moved over your skin to assess the underlying structures. You should not feel anything other than the sensor and gel on your skin. Internal or Transvaginal Ultrasound scan An internal ultrasound allows our ultrasonographer to look through the vagina. During the procedure, you will be asked to lie on your back and a small probe will be gently passed into the vagina and the images are transmitted to a monitor. Internal examinations are ideal for looking at your ovaries and womb and may cause some discomfort, but should not be painful.   Who will I see? Our Sonographer, a Health Care Professional specifically trained to perform and understand the ultrasound scan images, will do your ultrasound scan exam and provide you with a written ultrasound scan report that you can take it your doctor.  Our sonographers will also discuss the ultrasound scan results with you during and after your scan.     How long does a scan usually take? The actual examination takes 10 to 15mins depending on the scan you having. Please allow some extra time for your ultrasound report.     How much does an ultrasound scan cost? The price of a private ultrasound scan in London shouldn’t be prohibited when it comes to someone’s wellbeing. This is why our ultrasound scan prices are competitive and affordable with no compromise to the level of care. The price you see for the ultrasound scan is the price you pay with no hidden extras and no booking fees   Where can I get a scan? In the UK your doctor can refer you for a scan to your nearest NHS hospital. The waiting time in most hospitals is around 6 weeks. You can, therefore, opt to have a private ultrasound with prices starting from as little as £99.  

  • 0 Ultrasound

    • by Administrator
    • 21-01-2019
    0.00 of 0 votes

    Ultrasound Ultrasound scanning is the use of high-frequency sound waves to produce images of organs, tissues, or blood flow within a patient for diagnostic purposes. Due to the use of sound waves instead of radiation, ultrasound procedures are believed to be completely safe.   Ultrasound procedures    The most common ultrasound  procedures are: Pelvic scans: This scan can be performed both transabdominal and transvaginally. Transabdominal scans require a full bladder. You will need to consume a litre of water 30 to 60 minutes prior to your scan taking place. The ultrasound probe is pushed against the lower abdominal wall to look down into the pelvis. A transvaginal (TV) Scan is performed with an empty bladder, using a thin probe inserted into the vagina. This allows detailed information to be obtained by having the probe closer to the pelvic organs. Abdominal scans: Performed transabdominally, these scans usually involve fasting for four hours before the examination to allow for improved imaging of the liver and gall bladder. Renal scans: Performed transabdominally with a full bladder, this requires the patient to drink a litre of water 30 to 60 minutes prior to the scan taking place. This scan then helps to assess the kidneys and bladder. Doppler Venous/arterial scans:  Doppler imaging analyses the flow of blood within vessels.   Musculoskeletal scans: These are carried out by a musculoskeletal specialist   Preparing for an Ultrasound scan Certain types of ultrasound scan may need you to follow specific instructions to improve the image quality of the scan. Examples include: Drink plenty of water and do not empty your bladder until after your scan – this may be necessary before an antenatal scan or gynaecological pelvic scan. Avoid eating for 8 hours before your scan, but drink plenty of clear fluids and do not empty your bladder until after the scan – this may be necessary before an abdominal scan checking your liver and gallbladder. External Ultrasound scan An external ultrasound scan is used to examine the liver, kidneys and other organs in your abdomen. It can also be used to assess your muscles and joints and many other organs through your skin. A lubricating gel is put on your skin and a small handheld probe is moved over your skin to assess the underlying structures. You should not feel anything other than the sensor and gel on your skin. Internal or Transvaginal Ultrasound scan An internal ultrasound allows our ultrasonographer to look through the vagina. During the procedure, you will be asked to lie on your back and a small probe will be gently passed into the vagina and the images are transmitted to a monitor. Internal examinations are ideal for looking at your ovaries and womb and may cause some discomfort, but should not be painful.   Private Ultrasound  If you are looking for reassurance early in your pregnancy (not 4D ultrasound) or a general medical private ultrasound in London to visualise the internal organs and body structures to get quick answers about your health, you can rest assured that our sonographers have the skills and the knowledge to provide you with the instant answers you need.   

 

 

 

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