CALLEN’S ULTRASONOGRAPHY IN OBSTETRICS AND GYNECOLOGY book pdf

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OBSTETRICS AND GYNECOLOGY book

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Alfred Z. Abuhamad, MD
Mason C. Andrews Professor and Chairman
of Obstetrics and Gynecology
Vice Dean for Clinical Affairs
Eastern Virginia Medical School
Norfolk, Virginia
Nancy A. Ayres, MD
Director of Fetal Cardiology
Texas Children’s Hospital Heart Center and
Texas Children’s Fetal Center
Director of Non-Invasive Imaging
Texas Children’s Hospital Heart Center
Department of Pediatrics
Section of Cardiology
Baylor College of Medicine
Houston, Texas
Robert H. Ball, MD
Medical Director
Obstetrix of the Mountain States
Salt Lake City, Utah
Oksana H. Baltarowich, MD
Professor of Radiology
Department of Radiology
Thomas Jefferson University
Philadelphia, Pennsylvania
Beryl Benacerraf, MD
Departments of Radiology and Obstetrics
and Gynecology
Brigham and Women’s Hospital
Department of Obstetrics and Gynecology
Massachusetts General Hospital
Harvard Medical School
Boston, Massachusetts
Genevieve L. Bennett, MD
Assistant Professor of Radiology
Department of Radiology
Assistant Professor of Obstetrics and
Gynecology
Department of Obstetrics and Gynecology
NYU Langone Medical Center
New York, New York
Carol B. Benson, MD
Professor of Radiology
Harvard Medical School
Director of Ultrasound
Co-Director of High-Risk Obstetrical
Ultrasound
Radiology Director of the Noninvasive
Vasular Laboratory
Brigham and Women’s Hospital
Boston, Massachusetts
Vincenzo Berghella, MD
Director
Maternal-Fetal Medicine
Professor
Obstetrics and Gynecology
Sidney Kimmel Medical College of Thomas
Jefferson University
Philadelphia, Pennsylvania
Deborah Rose Berman, MD
Associate Professor
Department of Obstetrics and Gynecology
University of Michigan Health System
Ann Arbor, Michigan
Priya Bhosale, MD
Associate Professor of Radiology
Department of Diagnostic Radiology
MD Anderson Cancer Center
Houston, Texas
Douglas L. Brown, MD
Professor of Radiology
Mayo Clinic College of Medicine
Rochester, Minnesota
Peter W. Callen, MD
Professor of Radiology, Obstetrics,
Gynecology, and Reproductive Sciences
Department of Radiology
University of California San Francisco
School of Medicine
San Francisco, California
Suneet P. Chauhan, MD
Professor
Department of Obstetrics and Gynecology
McGovern Medical School at
The University of Texas Health Science
Center at Houston (UT Health)
Houston, Texas
Ramen H. Chmait, MD
Associate Professor
Obstetrics and Gynecology
University of Southern California
Director
Los Angeles Fetal Surgery
Los Angeles, California
Jodi S. Dashe, MD
Professor
Department of Obstetrics and Gynecology
University of Texas Southwestern Medical
Center at Dallas
Medical Director of Prenatal Diagnosis and
Genetics
Parkland Health and Hospital System
Dallas, Texas
Catherine Devine, MD
Associate Professor of Radiology
Department of Diagnostic Radiology
MD Anderson Cancer Center
Houston, Texas
Jeffrey M. Dicke, MD
Professor
Department of Obstetrics and Gynecology
Washington University School of Medicine
St. Louis, Missouri
Peter M. Doubilet, MD, PhD
Professor of Radiology
Harvard Medical School
Senior Vice Chair
Department of Radiology
Brigham and Women’s Hospital
Boston, Massachusetts
Sarah Ellestad, MD
Assistant Professor
Department of Obstetrics and Gynecology
Division of Maternal-Fetal Medicine
Medical Director
Duke Perinatal
Duke University Medical Center
Durham, North Carolina
Jimmy Espinoza, MD, MSc, FACOG
Associate Professor
Department of Obstetrics and Gynecology
Division of Maternal and Fetal Medicine
Texas Children’s Hospital–Pavilion for
Women
Baylor College of Medicine
Houston, Texas
Vickie A. Feldstein, MD
Professor
Radiology and Biomedical Imaging
Obstetrics, Gynecology, and Reproductive
Sciences
University of California San Francisco
San Francisco, California
Ob/Gyne Books Full

viii CONTRIBUTORS
Roy A. Filly, MD
Professor Emeritus
Radiology and Biomedical Imaging,
Surgery, Obstetrics, Gynecology, and
Reproductive Sciences
University of California San Francisco
School of Medicine
San Francisco, California
Mary C. Frates, MD
Associate Professor of Radiology
Harvard Medical School
Assistant Director of Ultrasound
Brigham and Women’s Hospital
Boston, Massachusetts
Maynor Garcia, MD
Department of Obstetrics and Gynecology
Division of Maternal-Fetal Medicine
Wayne State University
School of Medicine
Detroit, Michigan
Perinatology Research Branch, NICHD/
NIH/DHHS
Bethesda, Maryland, and Detroit, Michigan
Carly S. Gardner, MD
Assistant Professor of Radiology
Department of Radiology
Baylor College of Medicine
Houston, Texas
Katherine R. Goetzinger, MD, MSCI
Assistant Professor
Division of Maternal Fetal Medicine
Department of Obstetrics, Gynecology, and
Reproductive Sciences
University of Maryland
School of Medicine
Baltimore, Maryland
Luís F. Gonçalves, MD
Department of Radiology and Department
of Obstetrics and Gynecology
Beaumont Health System
Divisions of Radiology and Fetal Imaging
Royal Oak, Michigan
Department of Radiology and Department
of Obstetrics and Gynecology
Oakland University William Beaumont
Hospital
School of Medicine
Rochester, Michigan
Edgar Hernandez-Andrade, MD, PhD
Associate Professor
Division of Maternal-Fetal Medicine
Department of Obstetrics and Gynecology
Wayne State University
School of Medicine
Detroit, Michigan
Perinatology Research Branch NICHD/
NIH/DHHS
Bethesda, Maryland, and Detroit, Michigan
Barbara L. Hoffman, MD
Professor
Department of Obstetrics and Gynecology
University of Texas Southwestern Medical
Center at Dallas
Parkland Health and Hospital System
Dallas, Texas
Mindy M. Horrow, MD, FACR, FSRU,
FAIUM
Vice Chair
Department of Radiology
Einstein Medical Center
Professor of Radiology
Sidney Kimmel Medical College
Thomas Jefferson University
Philadelphia, Pennsylvania
Kathryn Johnson Gray, MD, PhD
Combined Maternal-Fetal Medicine/
Genetics Fellow
Maternal-Fetal Medicine
Brigham and Women’s Hospital
Division of Genetics
Boston Children’s Hospital
Boston, Masschusetts
Adeeb Khalifeh, MD
Fellow
Obstetrics and Gynecology
Jefferson Medical College of Thomas
Jefferson University
Philadelphia, Pennsylvania
Jeffrey A. Kuller, MD
Professor of Obstetrics and Gynecology
Division of Maternal-Fetal Medicine
Duke University Medical Center
Durham, North Carolina
Sherelle Laifer-Narin, MD
Associate Professor of Radiology
Department of Radiology
Division of Body Imaging
Chief
Ultrasound and Fetal MRI
Columbia University Medical Center
New York, New York
Jill E. Langer, MD
Professor of Radiology
Chief
Ultrasound Section
Department of Radiology
The Perelman School of Medicine at the
University of Pennsylvania
Philadelphia, Pennsylvania
Wesley Lee, MD
Co-Director
Texas Children’s Fetal Center
Section Chief
Women’s and Fetal Imaging
Professor
Department of Obstetrics and Gynecology
Baylor College of Medicine
Houston, Texas
Mark E. Lockhart, MD, MPH
Professor of Diagnostic Radiology
Chief
Abdominal Imaging Section
Chief
Genitourinary Imaging
University of Alabama at Birmingham
Birmingham, Alabama
Suchaya Luewan, MD
Maternal-Fetal Medicine Unit
Department of Obstetrics and Gynecology
Faculty of Medicine
Chiang Mai University
Chiang Mai, Thailand
Everett F. Magann, MD
Professor of Obstetrics and Gynecology
Obstetrics and Gynecology
University of Arkansas for the Medical
Sciences
Little Rock, Arkansas
Shiraz A. Maskatia, MD
Assistant Professor
Department of Pediatrics
Section of Cardiology
Baylor College of Medicine
Texas Children’s Hospital Heart Center and
Texas Children’s Fetal Center
Houston, Texas
Hector Mendez-Figueroa, MD
Assistant Professor
Department of Obstetrics, Gynecology, and
Reproductive Sciences
Division of Maternal Fetal Medicine
The University of Texas Health Science
Center Houston
Houston, Texas
Ob/Gyne Books Full

CONTRIBUTORS ix
Malgorzata Mlynarczyk, MD, PhD
Maternal Fetal Medicine Fellow
Department of Obstetrics and Gynecology
Eastern Virginia Medical School
Norfolk, Virginia
Tara A. Morgan, MD
Clinical Instructor
Radiology and Biomedical Imaging
University of California San Francisco
School of Medicine
San Francisco, California
Shaine A. Morris, MD, MPH
Assistant Professor
Pediatrics
Division of Pediatric Cardiology
Texas Children’s Hospital Division of
Pediatric Cardiology
Houston, Texas
Allan Nadel, MD
Director of Prenatal Diagnosis
Department of Obstetrics and Gynecology
Massachusetts General Hospital
Boston, Massachusetts
Paulo Nassar de Carvalho, MD, MSc, PhD
Perinatologist
Department of Obstetrics
Instituto Fernandes Figueira/FIOCRUZ
Coordinator
Department of Obstetrics
Clinica Perinatal
Rio de Janeiro, Brazil
Mary E. Norton, MD
Vice Chair of Clinical and Translational
Genetics and Genomics; and
David E. Thorburn, MD, and Kate
McKee Thorburn Endowed Chair in
Perinatal Medicine and Genetics
Professor
Obstetrics, Gynecology, and Reproductive
Sciences
University of California San Francisco
San Francisco, California
Anthony O. Odibo, MD, MSCE
Professor of Obstetrics and Gynecology
Director of Obstetric Ultrasound and Fetal
Therapy
USF Health—Morsani College of Medicine
Department of Obstetrics and Gynecology
Division of Maternal Fetal Medicine
South Tampa Center for Advanced
Healthcare
Tampa, Florida
Harriet J. Paltiel, MDCM
Associate Professor of Radiology
Harvard Medical School
Radiologist
Boston Children’s Hospital
Boston, Massachusetts
Kate E. Pettit, MD
Assistant Professor
Department of Obstetrics and Gynecology
Division of Maternal-Fetal Medicine
University of Virginia
Charlottesville, Virginia
Andrew Phelps, MD
Assistant Professor of Pediatric Radiology
Radiology and Biomedical Imaging
UCSF Benioff Children’s Hospital
San Francisco, California
Gianluigi Pilu, MD
Department of Obstetrics and Gynecology
University of Bologna
Bologna, Italy
Liina Põder, MD
Associate Professor of Clinical Radiology
Department of Radiology and Biomedical
Imaging
University of California San Francisco
School of Medicine
San Francisco, California
Dolores H. Pretorious, MD
Professor of Radiology
Director of Imaging at UC San Diego
Maternal-Fetal Care and Genetics
Department of Radiology
University of California San Diego
San Diego, California
Aliya Qayyum, MBBS, MRCP, FRCR
Professor of Radiology
Department of Diagnostic Radiology
MD Anderson Cancer Center
Houston, Texas
Maryam Rezvani, MD
Associate Professor of Radiology
University of Utah School of Medicine
Salt Lake City, Utah
Britton D. Rink, MD, MS
Director
Perinatal Genetics
Division of Maternal Fetal Medicine
Mount Carmel Health System
Columbus, Ohio
Letty Romary, MD
Professor
Center for Molecular Medicine and Genetics
Wayne State University
Detroit, Michigan
Maternal Fetal Medicine Fellow
Department of Obstetrics and Gynecology
Eastern Virginia Medical School
Norfolk, Virginia
Roberto Romero, MD, Med Sci
Chief
Program for Perinatal Research and
Obstetrics
Division of Intramural Research
Eunice Kennedy Shriver National Institute
of Child Health and Human
Development
National Institutes of Health
Perinatology Research Branch, NICHD/
NIH/DHHS
Bethesda, Maryland, and Detroit, Michigan
Professor
Department of Obstetrics and Gynecology
University of Michigan
Ann Arbor, Michigan
Professor
Department of Epidemiology and
Biostatistics
Michigan State University
East Lansing, Michigan
Adam T. Sandlin, MD
Assistant Professor
Division of Maternal-Fetal Medicine
Obstetrics and Gynecology
University of Arkansas for Medical Sciences
Little Rock, Arkansas
Leslie M. Scoutt, MD, FACR
Professor of Radiology and Vascular Surgery
Vice Chair
Chief
Ultrasound Section
Medical Director
Non-Invasive Vascular Laboratory
Department of Radiology and Biomedical
Imaging
Yale University
School of Medicine
New Haven, Connecticut
Howard T. Sharp, MD
Professor of Obstetrics and Gynecology
Chief
Division of General Obstetrics and
Gynecology
Department of Obstetrics/Gynecology
University of Utah Health Care
Salt Lake City, Utah
Ob/Gyne Books Full

x CONTRIBUTORS
Lynn L. Simpson, MD
Professor of Obstetrics and Gynecology
Department of Obstetrics and Gynecology
Columbia University Medical Center
New York, New York
Nga V. Tran, RDMS
Sonographer
Maternal Fetal Care and Genetics
University of California San Diego
San Diego, California
Marjorie C. Treadwell, MD
Professor
Department of Obstetrics and Gynecology
University of Michigan Health System
Ann Arbor, Michigan
Amanda S. Trudell, DO
Clinical Fellow Maternal Fetal Medicine
Department of Obstetrics and Gynecology
Washington University School of Medicine
St. Louis, Missouri
Diane M. Twickler, MD
Professor
Departments of Radiology and Obstetrics
and Gynecology
University of Texas Southwestern
Dallas, Texas
Darci J. Wall, MD
Assistant Professor of Radiology
Mayo Clinic College of Medicine
Rochester, Minnesota
Milena M. Weinstein, MD
Assistant Professor
Division of Female Pelvic Medicine and
Reconstructive Surgery
Department of Obstetrics, Gynecology, and
Reproductive Biology
Harvard Medical School
Massachusetts General Hospital
Boston, Massachusetts
Sarah Wheeler, MD
Fellow
Obstetrics and Gynecology
Division of Maternal-Fetal Medicine
Duke University Medical Center
Durham, North Carolina
Louise Wilkins-Haug, MD, PhD
Professor
Department of Obstetrics and Gynecology
Brigham and Women’s Hospital
Boston, Massachusetts
Thomas C. Winter, MD
Professor of Radiology
Adjunct Professor of Obstetrics/Gynecology
Chief
Adominal Imaging Section
University of Utah School of Medicine
Salt Lake City, Utah
Lami Yeo, MD, FACOG, FAIUM
Professor
Division of Maternal-Fetal Medicine
Department of Obstetrics and Gynecology
Wayne State University School of Medicine
Detroit, Michigan
Director of Fetal Cardiology
Perinatology Research Branch, NICHD,
NIH, DHHS
Bethesda, Maryland, and Detroit, Michigan
Ob/Gyne Books Full

The first edition of this textbook was published well over 30 years ago,
when Peter Callen was a young faculty member, we were in medical
school, and obstetric sonography was an emerging subspecialty.
Whereas the book has grown and evolved through the subsequent
editions, it has remained one of the most highly regarded texts in
obstetric and gynecologic ultrasound. The three of us grew up reading
and learning from Callen’s Ultrasonography in Obstetrics and Gynecology.
Therefore, when we were invited to edit the sixth edition, it was
an opportunity that we were eager to embrace, daunting though it was
to follow in Peter’s footsteps.
Over the years, many aspects of obstetric and gynecologic ultrasound
have changed. Ultrasound technology and equipment continue
to improve. The anatomic detail that can be visualized and the physiologic
parameters that can be assessed have expanded the utility, as
well as the complexity, of ultrasound imaging. As in other areas of
medicine, care of the obstetric and gynecologic patient in today’s practice
has advanced to involve much more collaboration across disciplines.
This sixth edition reflects this change and was truly a
multidisciplinary effort reflecting contributions from experts in
obstetrics and gynecology, maternal-fetal medicine, and diagnostic
radiology and biomedical imaging. Mary recruited authors from the
fields of obstetrics and maternal-fetal medicine and edited chapters on
obstetric and fetal sonography. Leslie served as the gynecology editor,
managing the recruitment of authors and editing of chapters focused
on gynecologic imaging. Vickie helped ensure that the ultrasound
images, diagrams, and medical illustrations were of the highest quality.
The three of us have been fortunate to have been trained by, and subsequently
worked alongside, some renowned leaders in the field of

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