The Sonographic Evaluation Of Twin-To-Twin Transfusion Syndrome
Course Overview
Master the critical role of sonography in diagnosing and managing Twin-to-Twin Transfusion Syndrome (TTTS) in monochorionic twins. This course covers the early detection and advanced sonographic findings of TTTS, including discrepancies in nuchal translucency, amniotic fluid volumes, and placental cord insertions. Learn the importance of early diagnosis through first trimester markers, and explore the second and third trimester findings such as growth discordancy, polyhydramnios, and abnormal Doppler waveforms. Gain expertise in using Quintero staging to assess the severity of TTTS and understand how treatments like amniocentesis and laser surgery can improve outcomes. The course also discusses long-term outcomes for both donor and recipient twins after TTTS interventions, including cardiovascular adaptation and neurodevelopmental implications. This course is designed for clinicians seeking to improve the survival rates and management strategies for TTTS in twin pregnancies.
Course Objectives
After completing this activity, the participant will:
determine the chorionicity in the 1st trimester.
describe the sonographic findings with twin-to-twin transfusion syndrome.
identify poor prognostic factors in twin-to-twin transfusion syndrome.
summarize interventions that can improve the outcome of one or both fetuses.
Target Audience
Physicians, sonographers, and others who perform and/or interpret obstetrical ultrasound.
Credit Information
Credit Type
* AMA PRA Category 1™
Number of Credits
1
* AMA PRA Category 1 ™ credits are used by physicians and other groups like PAs and certain nurses. Category 1 credits are accepted by the ARDMS, CCI, ACCME, and Sonography Canada.
Faculty
Lyndon M. Hill, MD
Professor Obstetrics and Gynecology
Medical Director Ultrasound
Magee Women's Hospital
Pittsburgh, PA
Disclosure
In compliance with the Essentials and Standards of the ACCME, the author of this CME tutorial is required to disclose any significant financial or other relationships they may have with commercial interests. Dr. Lyndon Hill discloses no such relationships exist. No one at IAME who had control over the planning or content of this activity has relationships with commercial interests.
In compliance with the Essentials and Standards of the ACCME, the author of this CME tutorial is required to disclose any significant financial or other relationships they may have with commercial interests.
IAME has assessed conflict of interest with its faculty, authors, editors, and any individuals who were in a position to control the content of this CME activity. Any identified relevant conflicts of interest have been mitigated. IAME's planners, content reviewers, and editorial staff disclose no relationships with ineligible entities.
Estimated Time for Completion
1 hour
Date of Release
September 30th, 2009
Date of Most Recent Review
December 9th, 2024
Expiration Date
December 8th, 2027
Accreditation
The Institute for Advanced Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The Institute for Advanced Medical Education designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Sonographers: These credits are accepted by the American Registry for Diagnostic Medical Sonography (ARDMS), Sonography Canada, Cardiovascular Credentialing International (CCI), and most other organizations.
For information on the applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board or other credentialing organization.
