Editors-in-ChiefAsim Kurjak (Croatia)Frank A Chervenak (USA)

July-September 2015 Volume 9 Number 3 ISSN 0973-614X

www.jaypeebrothers.comwww.jaypeejournals.com

The Official Journal of the Ian Donald Inter-University School of Medical Ultrasound

Donald SchoolJournal of Ultrasound

in Obstetrics and Gynecology

ii

2. Ethical Considerations

3. Copyright

Journal of Ultrasoundin Obstetrics and Gynecology

Donald School

Manuscripts submitted for publication must comply with the following ethical considerations:

Informed consentInformed consent of the patients must be taken before they are considered for participation in the study. Patient identifying information, such as names, initials, hospital numbers or photographs should not be included in the written descriptions. Patient consent should be obtained in written and archived with the authors.

Protection of Human Subjects and Animals in ResearchWhen conducting experiments on human subjects, appropriate approval must have been obtained by the relevant ethics committees. All the procedures must be performed in accordance with the ethical standards of the responsible ethics committee both (institutional and national) on human experimentation and the Helsinki Declaration of 1964 (as revised in 2008). When reporting experiments on animals, authors must follow the institutional and national guidelines for the care and use of laboratory animals.

Following guidelines must be followed before submission of the manuscript: The articles must represent original research material, should not have been published before and should not be under consideration of publi­cation elsewhere. This, however, does not include previous publication in form of an abstract or as part of published literature (review or thesis). It is the duty of the author to obtain the necessary permissions for extensive quotations, tables, illustrations or any other copyrighted material they are using in the paper before a paper can be considered for publication. Copyright of the article gets transferred to Jaypee Brothers Medical Publishers (P) Ltd., once the article has been accepted for publication. The author would be asked to sign the ‘Copyright Transfer Form’ before his/her article is considered for publication. Once the copyright transfer statement has been signed by the corres ponding author, no change in authorship or in the order of the authors listed on the article would be accepted by Jaypee Brothers Medical Publishers (P) Ltd. Also by signing the above­mentioned form, the author reassigns the rights of copublishing or translation if considered necessary in future to the publisher. In the advent of occurrence of any dispute, the matter would be resolved within the jurisdiction of New Delhi court. While all care has been taken to provide accurate and correct information in accordance with the date of publication, neither the authors/ editors and nor the publisher takes any legal responsibility for any unintentional omission or error. The publisher makes no expressed or implied warranty with respect to the information contained herein. The published material cannot be photocopied for the following purposes: general distribution, promotion, new works or resale. If this is required, specific written permission requires to be obtained from the publisher. Exclusive rights to reproduce and distribute the articles in this journal have been protected by copyright. This also covers the rights to reproduce or distribute the article as well as the translation rights. No material published in this journal can be reproduced in digital format or stored in form of electronic databases, video disks, etc. Both the conflict of interests and financial disclosure need to be handled well while con­ducting the research study. Disclosure of such relation ships is also important in connection with all articles submitted for publication. Both of these have also been included in the copyright transfer form. Authors should give due acknowledgment

to the individuals who provide writing or other assistance while conducting the research study and also disclose the funding source for the research study.

Copyright© Jaypee Brothers Medical Publishers (P) Ltd.

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1. Aims and Scope

The Donald School Journal of Ultrasound in Obstetrics and Gynecology publishes quality review articles of all aspects of ultrasound as it impacts diagnosis and management in the field. As the technology and its applications are constantly improving, there is a need for lifelong learning for all sonologists so that they can optimize their care of gynecologic, maternal and fetal patients on an ongoing basis. The Ian Donald Inter­University School of Medical Ultrasound with its 50 active member nations is proud to support. The Donald School Journal of Ultrasound in Obstetrics and Gynecology and provide continuing medical education to sonologists throughout the world.

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Publishing Center

Publisher Jitendar P Vij

Associate DirectorChetna Vohra

Managing EditorEkta Aggarwal

Creative Designer Radhe Shyam Singh

Editors­in­Chief

Asim Kurjak CroatiaFrank A Chervenak USA

Editorial OfficeJournals DepartmentJaypee Brothers Medical Publishers (P) Ltd.4838/24, Ansari Road, Daryaganj New Delhi­110 002, IndiaPhone: +91­11­43574357Fax: +91­11­43574314e-mail: journals@jaypeebrothers.com

July-September 2015 Vol. 9 No. 3

Donald School Journal ofUltrasound in Obstetrics and Gynecology

DSJUOG

Production OfficeJaypee Brothers Medical Publishers (P) Ltd.4838/24, Ansari Road, DaryaganjNew Delhi­110 002, India Phone: +91­11­43574357 Fax: +91­11­43574314e-mail: journals@jaypeebrothers.com

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Executive Editors

Sanja Kupesic Plavsic USARitsuko K Pooh Japan

Ivica Zalud USARenato Augusto Moreira de Sa Brazil

Panagiotis Antsaklis GreeceTuangsit Wataganara Thailand

Editorial BoardHisham Ahmad Arab Saudi Arabia

Nelson Aguilar Colombia

Vincenzo D’Addario Italy

Tony Duan China

Alaa Ebrashy Egypt

Taib Delic Bosnia and Herzegovina

Orion Gliozheni Albania

Erasmo Huertas Tacchino Peru

Tze Kin Lau Hong Kong

Aleksandar Ljubic Serbia

Abdal-Latif Ashmaig Khalifa Sudan

Ana Tikvica Luetic Croatia

Oliver Vasilj Croatia

Anton Mikhailov Russia

Azen Salim Indonesia

Cihat Sen Turkey

Liliana Voto Argentina

Hari Shrestha Nepal

Alexandra Matias Portugal

Syed Amir Gilani Pakistan

Corazon Yabes-Almirante Philippines

Abdallah Adra Lebanon

Mohamed S Elmahaishi Libya

Fida Mahmoud Ahmad Thekrallah Jordan

Yaron Zalel Israel

Awatif Al Bahar UAE

Ha To Nguyen Vietnam

Aliyu Labaran Dayyabu Nigeria

Gordana Adamova Macedonia

Marina Degtyareva Russia

Gwang Jun Kim Korea

Salim Daya Canada

Official Director of Publishing

Jitendar P Vij India

Secretary of the Journal

Jadranka Cerovec

Co­Editors

Kazuo Maeda Japan—HistoryAna Bianchi Uruguay—Obstetrics

Giovanni Monni Italy—Invasive diagnostic proceduresZoltan Papp Hungary—Prenatal diagnosis

Eberhard Merz Germany—3D/4D sonographyVeljko Vlaisavljevic Slovenia—Human reproduction

Miroslaw Wielgos Poland—EducationRadu Vladareanu Romania—GynecologyMilan Stanojevic Croatia—Neonatology

Narendra Malhotra India—Developing countriesCarmina Comas Gabriel Spain—Non­invasive prenatal diagnostics

Aris Antsaklis Greece—TwinsAshok Khurana India—Urogynecology

Tamara Illescas Spain & Waldo Sepulveda Chile—1st trimester screening

For Website QueriesPhone: +91­11­43574357

e-mail: contact@jaypeejournals.com

iv

iAn DONALD SCHOOL DIRECTORScountry e-mail address

School DirectorsAsim Kurjak Croatia asim.kurjak@public.carnet.hrFrank A Chervenak USA fac2001@med.cornell.eduVice-DirectorEberhard Merz Germany emerz@mail.uni­mainz.deRegional DirectorsJaideep Malhotra (Indian Subcontinent) India jaideepmalhotraagra@gmail.comRitsuko K Pooh (Asia and Oceania) Japan pooh27ritsuko@fetal­medicine­pooh.comGiovanni Monni (Europe) Italy prenatalmonni@tiscali.itAna Bianchi (Latin America) Uruguay anabbianchi@gmail.comAbdallah Adra (Arabic World) Lebanon aa107@aub.edu.lb, adramfm@inco.com.lbExecutive BoardSanja Plavsic Kupesic (Chairman) USA sanja.kupesic@ttuhsc.eduRitsuko K Pooh Japan pooh27ritsuko@fetal­medicine­pooh.comIvica Zalud USA ivica.zalud@gmail.comPanagiotis Antsaklis Greece panosant@gmail.comWaldo Sepulveda Chile waldosep@yahoo.co.ukMilan Stanojevic Croatia milan.stanojevic@optinet.hrTuangsit Wataganara Thailand twataganara@yahoo.comSonal Panchal (Director for Education) India sonalyogesh@yahoo.comAdvisory BoardGiampaolo Mandruzzato (Chairman) Italy mandruzzatogiampaolo@tin.itJose Maria Carrera Spain jmcarrera@matres­mundi.orgGian Carlo Di Renzo Italy direnzo@unipg.itJoachim Dudenhausen Germany joachim.dudenhausen@charite.deToshiyuki Hata Japan toshi28@med.kagawa­u.ac.jpKazuo Maeda Japan maedak@mocha.ocn.ne.jpPermanent Director of Advanced International Courses on Ultrasound and Human ReproductionDomenico Baldini Italy dbaldini@libero.itDirectors of National BranchesSameer Abdullah Saudi Arabia samirabdullah@hotmail.com, drsabdullah@gmail.comAbbas Aflatoonian Iran abbas_aflatoonian@yahoo.comAwatif Al Bahar/Muna Al Kuwari Dubai, UAE ajalbahar@dha.gov.ae/muna.alkuwari@yahoo.comGhalia Gaber Abd El Mottaleb Abu Dhabi, UAE ghgaber@gmail.comNelson Aguilar Colombia nelsonyesid@gmail.comMandy Abushama Qatar mdabushama@hotmail.comSaadia Amour Sultan (Al Riyami)/Kanchana Rajan Oman drsaadiaalriyami@gmail.com/raajaan@omantel.net.omAris Antsaklis Greece arisants@otenet.grShahana Afroz Bangladesh nmcdhaka@agni.comAna Bianchi Uruguay anabbianchi@gmail.comCarmina Comas/Bernat Serra Barcelona, Spain carcom@dexeus.com/berser@dexeus.comPavel Calda Czech Republic calda@gynstart.czVincenzo D’Addario Bari, Italy v.daddario@gynecology4.uniba.itGiovanni Monni Cagliari, Italy prenatalmonni@tiscali.it Tony Duan/Chen Min China tduan@yahoo.com/chenm@cuhk.edu.hkAlaa Ebrashy Egypt ebrashy3@yahoo.comTaib Delic/ Selma Porovic Bosnia and Herzegovina taib.delic@bosna­sunce.ba/ selma.porovic@gmail.comOrion Gliozheni Albania gliorion@icc­al.orgErasmo Huertas Tacchino/Alfredo Guzman Peru erasmohuertas@hotmail.com/alfredoguz@gmail.comTze Kin Lau Hong Kong drtklau@hkparamount.comAleksandar Ljubic Serbia gakljubic@gmail.comRitsuko K Pooh Japan pooh27ritsuko@fetal­medicine­pooh.comAbdal­Latif Ashmaig Khalifa Sudan profashmaig@hotmail.comNarendra Malhotra/Jaideep Malhotra India mnmhagra3@gmail.com/jaideepmalhotraagra@gmail.comSonal Panchal Ahmedabad, India sonalyogesh@yahoo.comAna Tikvica Luetic/Oliver Vasilj Croatia ana_tikvica@yahoo.com/oliver.vasilj@gmail.comAnton Mikhailov St Petersburg, Russia amikhailov@AM2697.spb.eduAlexander Papitashvili Georgia ampsmpge@hotmail.com

Contd...

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Directors of National BranchesZoltan Papp Hungary papp.zoltan@maternity.huAzen Salim Indonesia azen364@msn.comCihat Sen/Murat Yayla Turkey csen@perinatal.org.tr, csen@iandonald.org/

myayla99@yahoo.comFlorin Stamatian/Radu Vladareanu Romania florin_stamatian@yahoo.com/vladareanu@gmail.com Yuriy P Vdovychenko/Andrew Tkachenko Ukraine vdovichenko@perinatolog.com.ua/avt@perinatolog.com.uaVeljko Vlaisavljevic Slovenia veljko.vlaisavljevic@ivf­adria.comLiliana Voto/Jorge Hamer Argentina lvoto@intramed.net/drjorgehamer@hotmail.comMiroslaw Wielgos Poland miroslaw.wielgos@wum.edu.plIvica Zalud Honolulu, USA ivica.zalud@gmail.comRoberto Cassis Martinez Ecuador robertocassis@hotmail.comHari Kishor Shrestha Nepal harishrestha340@hotmail.com, omhrc@wlink.com.npEberhard Merz Germany emerz@mail.uni­mainz.deYves Ville France ville.yves@gmail.comFarah Sulaiman Youssif Bahrain farahnuaimy@yahoo.comAlexandra Matias Portugal matiasalexand@gmail.comFrancisco Filho Mauad Brazil fmn@ultra-sonografia.com.brSyed Amir Gilani Pakistan profgilani@gmail.comSnezana Crnogorac Montenegro snezanacrnogorac1@gmail.com, snezana_cg@yahoo.comKarl Erwin Schweinfurth Alvarado Honduras karlerwin64@gmail.comMiguel Antonio Ruoti Cosp Paraguay mruoticosp@gmail.comCorazon Yabes­Almirante Philippines cora313@yahoo.comMohammad Hashim Wahaaj Afghanistan wahaajhospital@yahoo.comAbdallah Adra Lebanon adramfm@inco.com.lbMohamed S Elmahaishi Libya elmahaishi@elmahaishi.comFida Mahmoud Ahmad Thekrallah Jordan fidaaymen@hotmail.comHa To Nguyen/Pham Viet Thanh Vietnam hatonguyen@gmail.com/bvtudu@hcm.vnn.vn/

thuky.bgd@tudu.com.vnMonia Ferchiou Cherif/Mounira Nouri Chaabane Tunisia moniaferchiou@yahoo.fr/chaabanem@hotmail.frTuangsit Wataganara Thailand twataganara@yahoo.comRuben Quintero Miami, USA yvrq@aol.comJeanne Hortence Fouedjio Cameroon fouedjiojeanne@yahoo.frYaron Zalel Israel zalel1954@gmail.comKwabena Appiah­Sakyi Ghana kasak@doctors.org.ukAbdulfetah Abdulkadir Ethiopia chechera68@gmail.comGordana Adamova Macedonia gadamova@hotmail.comRodrigo Ayala Yáñez Mexico rayalaabc@gmail.comMarina Degtyareva/Lali Sichinava Moscow, Russia mvdegtyareva@gmail.com/lalisichinava@gmail.comWaldo Sepulveda Chile waldosep@yahoo.co.ukJose De Lancer Despradel/Fauzi Bacha Arbaje Dominican Republic josedelancer@yahoo.com, fauzibacha@hotmail.comLira Kalieva Kazakhstan lira_kali@mail.ruGwang Jun Kim Korea gjkim@cau.ac.krTeuta Daullxhiu Kosovo teutadaullxhiu@hotmail.com, teutadaullxhiu@gmail.comSalim Daya Canada dayas@mcmaster.caRoumen Gueorguiev Dimitrov Bulgaria roumendim@abv.bgMark P Brincat Malta brincatm@maltanet.netFatma Gahramanli Azerbaijan fatigy@yahoo.comRuzanna Abrahamyan Armenia r_abrahamyan@mail.ruTamara Illescas Molina Madrid, Spain tamaraillescas@hotmail.comGendenjamts Battulga Mongolia btulga05@yahoo.comFreddy Gonzalez Arias Venezuela freddygonarias@gmail.com

Aliyu Labaran Dayyabu Nigeria zainalabidinaliyu@yahoo.comMohamed Bayari Morocco mohamed.bayari@gmail.comLarisa Belotserkovtseva/Tatyana Petrova Surgut, Russia info@surgut­kpc.ru, lbelotserkovtseva@gmail.com/

shuvaeva66@mail.ruFiras Jawdat Abdeljawad Palestine dr_firasjawdat@yahoo.comWilliam Ching Hua Hsiao Taiwan hsiaochh2866@gmail.comAdolfo Liao Sao Paulo, Brazil a.liao@proafeto.com.br, liao@usp.brNatalia Bondarenko Irkutsk, Russia bondnatasha@mail.ruRenato Augusto Moreira de Sá Rio de Janeiro, Brazil renatosa.uff@gmail.comHisham Ahmad Arab Jeddah, Saudi Arabia arab123@gmail.comRaul Moreira Neto Porto Alegre, Brazil raul@ecomoinhos.com.br, rmneto@cpovo.net

Contd...

country e-mail address

vi

Directors of National BranchesValentin Friptu Republic of Moldova friptu@hotbox.ruVasilios Tanos Cyprus v.tanos@aretaeio.comJuan Troyano Luque Spain (Canary Islands) jtroyanol@sego.esArkadiy Makogon Russia (Novosibirsk) makogon@ngs.ruGrigory A Penzhoyan Russia (Krasnodar) pga05@mail.ruAjay Rane Australia ajay.rane@jcu.edu.auOusmane Bechir Hassaballah Chad samnna2015@gmail.comElsa Viora Italy (Turin) viora.elsa@yahoo.it; eviora@cittadellasalute.to.itOfficial publisher—Jaypee Brothers Medical Publishers (P) Ltd.—Director of PublishingJP Vij India jaypee@jaypeebrothers.comGlobal marketing partner - Dialog India Services Pvt LtdShivkumar Menon India shiv@dialogindia.comRaj Menon India raj@dialogindia.comAdministrative Secretary of the SchoolJadranka Cerovec Croatia jadranka.cerovec@yahoo.com

Contd...

country e-mail address

vii

IAN DONALD SCHOOL COURSES IN 2015Date city, country Number of Participants

February 4­6 Bangkok, Thailand 420

February 13­14 Abu Dhabi, UAE 52

February 21 Athens, Greece 120

February 28­March 1 Osaka, Japan 189

March 26­27 Bucharest, Romania 250

April 9­10 Dubai, UAE 56

April 10­12 Adana, Turkey 257

April 19 Zagreb, Croatia 110

May 7 Sarajevo, BIH 70

May 4­5 Mexico City, Mexico 200

May 14­16 Ljubljana, Slovenia 60

May 20­22 Guayaquil, Ecuador 200

May 28­30 St Petersburg, Russia 57

June 2 Samara, Russia 350

June 3 Volgograd, Russia 200

June 5 Krasnodar, Russia 450

June 7 Moscow, Russia 28

June 8 Moscow, Russia 43

June 9 Moscow, Russia 67

June 10 Moscow, Russia 320

June 11 St Petersburg, Russia 170

June 19­21 Cagliari, Italy 600

July 24 Bucaramanga, Colombia 450

August 7­8 Honolulu, Hawaii, USA 78

August 22­28 Lucknow, Delhi, Kolkata, Hyderabad, Chennai, Mumbai, India

1020

September 1­2 Kathmandu, Nepal 300

September 11­14 Geneva, Switzerland 98

September 24­26 Ribeirao Preto, Brazil 500

September 25­27 Skopje, Macedonia 106

October 3­4 Gifu, Japan 300

October 23­25 Sarajevo, BIH

November 3 Madrid, Spain

November 19­21 Tbilisi, Georgia

November 20 Porto Alegre, Brazil

December 11 Budapest, Hungary

December 11­13 Athens, Greece

viii

ANNOUNCEMENT

GLOBAL MARKETING PARTNER

Ian Donald Inter­University School of Medical Ultrasound is pleased to announce that

Dialog India Services Pvt LtdUnit No. 5, Ground Floor, Dilkap Chambers

Behind Balaji Telefilms, Veera Desai Road ExtensionAndheri (W), Mumbai­400053, Maharashtra, India

Tel: 66990140/60, Fax: 66990150Cell: 9004656306

www.dialogindia.com

has been appointed as exclusive global educational marketing partner of the School.

ix

Here are some photos taken during3rd Global ConGress of

Ian DonalD sCHools

June 19-21, 2015Cagliari, Italy

x

NEWS!

PROF. KURJAK REGULAR FELLOW OFRUSSIAN ACADEMY OF SCIENCE

After being a member of Medical Academy of Russia for 15 years, our director Asim Kurjak has been recently elected as regular fellow of

Russian Academy of Science.    We heartily congratulate him on such a significant scientific achievement.

xi

NEWS!PROF. ASIM KURJAK

DOCTOR HONORIS CAUSAUNIVERSITY OF TIRANA (ALBANIA)

JULY 2015

Few months ago founder and director of our School professor Asim Kurjak was elected Doctor Honoris Causa of the University of Tirana, Albania. This highest recognition of 60 years old University was accompa-nied with laudatio of professor Orion Gliozheni, director of Ian Donald School in Albania. This is the ninth 

honorable degree from the world distinguished universities given to our director.

Congratulations!

Professor Kurjak in special uniform (toga) at the ceremony

Greetings from Rector of Tirana University

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xiv

ContentsPicture of the Month

A New Field of ‘Fetal Sono-ophthalmology’ by 3D HDlive Silhouette and Flow ........................... 221-222 Ritsuko K Pooh

Original Articles Maternal Vitamin D Deficiency and Fetal Growth ................................................................................ 223-229 Christos Ioannou Associations between the Grade of Placental Maturity at Third Trimester Ultrasound and

Maternofetal Outcomes at the Maternity of the Yaoundé Central Hospital: A Prospective Cohort Study ........................................................................................................................ 230-233

Jeanne Hortence Fouedjio, Florent Ymele Fouelifack, Jovanny Tsuala Fouogue, Thierry Tetka Tetka Evaluation of Parameters that Influence Morbidity in Peripartum Hysterectomy .......................... 234-238 George Daskalakis, Panos Antsaklis, Vasilios Pergialiotis, Alexandros Rodolakis,

George Vlachos, Dimitrios Loutradis, Nikolaos Papantoniou Challenges in Sonographic Detection of Fetal Major Structural Abnormalities at the

First Trimester Anomaly Scan .................................................................................................................... 239-259 Dominic Iliescu, Monica Cara, Stefania Tudorache, Panos Antsaklis, Iuliana Ceausu,

Daniela Paulescu, Liliana Novac, Nicolae Cernea, Aris Antsaklis

Review Articles Is Kurjak Antenatal Neurodevelopmental Test Ready for Routine Clinical Application?

Bucharest Consensus Statement ................................................................................................................ 260-265 Milan Stanojevic, Panos Antsaklis, Aida Salihagic Kadic, Maja Predojevic,

Radu Vladareanu, Simona Vladareanu, Raul Moreira Neto Sonographic Evaluation of Obstetric Anal Injuries... ............................................................................ 266-274 Themos Grigoriadis, Sylvia-Christina Mylona, George Giannoulis, Stavros Athanasiou, Aris Antsaklis Sonographic Signs of Perinatal Infection ................................................................................................ 275-279 Stavros Natsis, Panos Antsaklis, Themos Grigoriadis, Aris Antsaklis Invasive Procedures in Monochorionic Twins ........................................................................................ 280-292 Aris Antsaklis, Panos Antsaklis Invasive Prenatal Diagnosis: Chorionic Villus Sampling .................................................................... 293-306 Michael Sindos, Fotodotis M Malamas, Panos Antsaklis, Aris Antsaklis Invasive Prenatal Diagnosis: Amniocentesis .......................................................................................... 307-313 Mariana Theodora, Panos Antsaklis, Aris Antsaklis Systematic Appraisal of Diagnosis and Management of Arrhythmias in the Fetus ....................... 314-326 Orhan Uzun, Gokhan Goynumer, Cihat Sen, Bryan Beattie

Case Reports An Interesting Case of Undiagnosed Conjoined Twins ....................................................................... 327-330 Krishna Kirtan, Divyasree Doopadapalli, Nageshu Shailaja, Lingegowda Krishna, BS Bhat Hysterectomy of a 15 Years Old Girl: A Rare Case Report ................................................................... 331-334 Tapasi Pati, Sibananda Nayak, Sanjukata Mohapatra, Mahesh Chandra Sahu, Rabindra Nath Padhy

Abstracts ................................................................................................................................................................335-354

Donald School

Journal of Ultrasoundin Obstetrics and Gynecology

July-September 2015 Volume 9 Number 3