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This CME activity is structured as a practical, clinically oriented review of recent advances in first trimester ultrasound. A mix of topics including comprehensive normal fetal anatomy along with abnormalities of major organ systems in the first trimester will be discussed. Guidelines and indications for imaging in the first trimester are discussed so participants can expand their clinical practices. Tips, images, and pitfalls provide balance to the program.Target Audience This program is designed for obstetricians and gynecologists, maternal-fetal medicine physicians, radiologists, family medicine physicians, genetic counselors and sonographers, who order, perform and interpret ultrasound examinations in obstetrics and gynecology. The goal of this educational activity is to bring the level of practice for the health practitioners to a higher degree of proficiency in obstetric sonography.Educational Objectives At the completion of this CME teaching activity, you should be able to:Assess normal fetal anatomy in the first trimester.Explain the indications and national guidelines for first trimester ultrasound.Optimize scanning parameters and techniques of the first trimester ultrasound examination.Review major fetal malformations that can be diagnosed in early gestation.Discuss the use of ultrasound in screening for fetal aneuploidy in the first trimester.Program ▼First Trimester Ultrasound: Pregnancy Dating & Elements of Failed PregnancyBryann Bromley, M.D.Fetal and Embryonic Sonographic Anatomy Before 11 WeeksBernard Benoit, M.D.How to Get the Best Ultrasound Image in the First TrimesterAlfred Abuhamad, M.D.The New "Detailed First Trimester Ultrasound": National GuidelinesBryann Bromley, M.D.The Role of First Trimester Ultrasound in the Evaluation of Multiple PregnanciesReem S. Abu-Rustum, M.D., FACOG, FACS, FAIUMFirst Trimester Ultrasound: The Fetal BrainElena Sinkovskaya, M.D., Ph.D.Diagnosing Spina Bifida in the First TrimesterRabih Chaoui, M.D.First Trimester Ultrasound: The Fetal FaceRabih Chaoui, M.D.Case Presentation 1Elena Sinkovskaya, M.D., Ph.D.First Trimester Ultrasound: The Fetal HeartReem S. Abu-Rustum, M.D., FACOG, FACS, FAIUMFirst Trimester Ultrasound: the Fetal GI TractElena Sinkovskaya, M.D., Ph.D.First Trimester Ultrasound: The Fetal Genitourinary TractAlfred Abuhamad, M.D.Case Presentation 2Bryann Bromley, M.D.Skeletal Anomalies: Can We Diagnose in the First Trimester?Rabih Chaoui, M.D.Ultrasound Signs of Aneuploidies at 11-14 WeeksBernard Benoit, M.D.Case Presentation 3Reem S. Abu-Rustum, M.D., FACOG, FACS, FAIUMScreening for Fetal Malformations in Early Gestation: The Role of the Midsagittal PlaneAlfred Abuhamad, M.D.The Use of 3D in the 11-14 Weeks Ultrasound ExaminationsBernard Benoit, M.D.First Trimester Ultrasound in the Diagnosis of Common and Rare Syndromic ConditionsRabih Chaoui, M.D.The Placenta & Umbilical Cord in Early GestationElena Sinkovskaya, M.D., Ph.D.Placenta Accreta Spectrum: Sonographic Markers in Early GestationBryann Bromley, M.D.Congenital Mullerian Malformations: Role of 3D Ultrasound in DiagnosisBernard Benoit, M.D.Adnexal Masses in Pregnancy: Who Should I Send to Surgery?Alfred Abuhamad, M.D.CME Release Date 9/01/2022CME Expiration Date 8/31/2025