Implementation of Pulse Inversion Harmonic Imaging on 2d Convex Transducer on Anatomical Information of first-trimester Pregnancy Ultrasound Image
Main Article Content
This study aims to compare the imaging results of Pulse Inversion Harmonic Imaging (PIHI) on transabdominal ultrasound with convex 2D transducer with and without PIHI on transvaginal ultrasound in providing anatomical information on first-trimester pregnancies. Involving 30 pregnant women meeting inclusion and exclusion criteria, the research was conducted at Swamedika Clinic Jakarta in August 2023. A quasi-experimental method was employed with evaluation performed by ultrasound experts and assessment by a radiologist unaware of PIHI use. The findings indicate that the use of PIHI on transabdominal ultrasound yields clear images of the boundary walls, fetal objects, and yolk sac boundary with appropriate frequency, gain, and depth settings. However, the comparative analysis between images with PIHI on transabdominal and without PIHI on transvaginal did not show significant differences. This study highlights the potential of PIHI in enhancing the quality of ultrasound images in the first trimester of pregnancy, although the results did not significantly differ from transvaginal technique without PIHI.
Keywords:
Pulse Inversion, Harmonic Imaging, Convex Transducer, Anatomical Information, Pregnancy, Ultrasound Image
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Puspa Dewi T, Meyla Risilwa dan, Obstetri dan Ginekologi Fakultas Kedokteran Unsyiah B, dr Zainoel Abidin Banda Aceh R, Kepaniteraan Klinik Senior Departemen Obstetrik dan Ginekologi Fakultas Kedokteran Universitas Syiah Kuala M, Aceh B. Kehamilan Ektopik Terganggu: Sebuah Tinjauan Kasus. J Kedokt Syiah Kuala [Internet]. 2017;17(1):26–32. Available from: https://jurnal.unsyiah.ac.id/JKS/article/view/8604
Suryaningsih NF, Nirwana BS, Wigati PW, Saidah H. PEMERIKSAAN KEHAMILAN DENGAN PERILAKU PEMANFAATAN ULTRASONOGRAFI RELATIONSHIP LEVEL OF PREGNANT WOMEN ’ S KNOWLEDGE ABOUT ULTRASONOGRAPHY IN PREGNANCY EXAMINATION WITH BEHAVIOR OF USING ULTRASONOGRAPHY Program Studi Kebidanan , Fakultas Ilmu Kesehatan , U. J Mhs Kesehat [Internet]. 2022;4(1):1–10. Available from: http://ojs.unik-kediri.ac.id/index.php/jumakes/article/view/3505/pdf
Li Y, Feng T, Sun J. Evaluation of clinical effect of transabdominal sonography and transvaginal sonography in early diagnosis of ectopic gestation. Pakistan J Med Sci. 2017;33(1):53–8.
Kaur A, Kaur A. Transvaginal ultrasonography in first trimester of pregnancy and its comparison with transabdominal ultrasonography. J Pharm Bioallied Sci. 2011;3(3):329–38.
Federation W. Manual USG-Obstetri. 1995;2.
Torloni MR, Vedmedovska N, Merialdi M, Betrán AP, Allen T, González R, et al. Safety of ultrasonography in pregnancy: WHO systematic review of the literature and meta-analysis. Ultrasound Obstet Gynecol. 2009;33(5):599–608.
Edwards A. 3-D Ultrasound in Obstetrics and Gynecology. Vol. 42, The Australian and New Zealand Journal of Obstetrics and Gynaecology. 2002. 221–221 p.
Zander D, Hüske S, Hoffmann B, Cui XW, Dong Y, Lim A, et al. Ultrasound Image Optimization (Knobology): B-Mode. Ultrasound Int Open. 2020;6(1):E14–24.
Ryu JA, Kim B, Kim S, Yang SH, Choi MH, Ahn HS. Ultrasound evaluation of normal and abnormal fetuses: Comparison of conventional, tissue harmonic, and pulse-inversion harmonic imaging techniques. Korean J Radiol. 2003;4(3):184–90.
Ma Q, Ma Y, Gong X, Zhang D. Improvement of tissue harmonic imaging using the pulse-inversion technique. Ultrasound Med Biol. 2005;31(7):889–94.
Turner SP, Monaghan MJ. Tissue harmonic imaging for standard left ventricular measurements: Fundamentally flawed? Eur J Echocardiogr. 2006;7(1):9–15.
Bioengineering NI of BI and. Ultrasound. Ultrasound [Internet]. 2022;(April). Available from: https://www.nibib.nih.gov/sites/default/files/2022-05/Fact-Sheet-Ultrasound.pdf
Nakamura K. Ultrasonic transducers. Vol. 9, Ultrasonics. 2012. 743 p.
Gunter Schmidt M. Thieme Clinical Compions: Ultrasound. New York: Thieme; 2007.
Kirk E, Bottomley C, Bourne T. Diagnosing ectopic pregnancy and current concepts in the management of pregnancy of unknown location. Hum Reprod Update. 2014;20(2):250–61.
Salomon LJ, Alfirevic Z, Bilardo CM, Chalouhi GE, Ghi T, Kagan KO, et al. ISUOG practice guidelines: Performance of first-trimester fetal ultrasound scan. Ultrasound Obstet Gynecol. 2013;41(1):102–13.
Kurjak A, D’addario V. Ultrasound in the first trimester. CRC Handb Ultrasound Obstet Gynecol. 2019;1:55–88.
Histed SN, Deshmukh M, Masamed R, Jude CM, Mohammad S, Patel MK. Ectopic pregnancy: A trainee’s guide to making the right call. Radiographics. 2016;36(7):2236–7.
Rutz M, Bougler C. M-Mode fetal heart ultrasound [Internet]. 2020. Available from: https://www.acep.org/sonoguide/basic/early-pregnancy
Morgan MA. Normal Uterus Ultrasound [Internet]. 2015. Available from: https://radiopaedia.org/articles/33795
Contreras Ortiz SH, Chiu T, Fox MD. Ultrasound image enhancement: A review. Biomed Signal Process Control [Internet]. 2012;7(5):419–28. Available from: http://dx.doi.org/10.1016/j.bspc.2012.02.002
Nomura, K., et al. (2017). Investigation of Optimal Weight Gain During Pregnancy for Japanese Women. Scientific Reports, 7(1), pp. 1?7. Available from : https://www.alodokter.com/kenali-pertambahan-berat-badan-ibu-hamil-yang-normal-di-sini
Centers for Disease Control and Prevention (2022). Healthy Weight, Nutrition, and Physical Activity. Body Mass Index (BMI). Available from : https://www.alodokter.com/kenali-pertambahan-berat-badan-ibu-hamil-yang-normal-di-sini
Mayo Clinic (2022). Pregnancy Week by Week. Pregnancy Weight Gain: What's Healthy?, Available from : https://www.alodokter.com/kenali-pertambahan-berat-badan-ibu-hamil-yang-normal-di-sini
Bell, S. Baby Centre UK (2022). Weight Gain in Pregnancy.
Johnson, T. WebMD (2020). Gain Weight Safely During Your Pregnancy.
Available from : https://www.alodokter.com/kenali-pertambahan-berat-badan-ibu-hamil-yang-normal-di-sini
