An ISUOG Advanced Course
Hot topics & controversies in feto-maternal medicine
4^th edition
Diagnoses, additional tests & counselling issues

>>>>>>> Giovedì, 21 novembre 2024 <<<<<<<

13.30 Registration
14.00 Course Opening

SESSION I
CNS I. Counseling and management issues in borderline findings.

14.10 Virtual/ill-defined CSP. Benign finding or not?
14.30 Transverse cerebellar diameter at 2°-10° centile. 
14.50 Head circumference at 2°-5* centile.

15.10 LIVE DEMO 1. How to avoid false positives and false negatives on screening US.

15.30   DEBATE I. Mild (borderline) ventriculomegaly. Do we all counsel in the same way?
15.50   Introduction.
16.00 Discussion (all faculty) & voting

16.30   Coffee Break

SESSION II
CNS II. Challenging diagnoses

17.00 LIVE DEMO 2 Demonstrating midline structures.
17.20 HPE. Not always a straightforward diagnosis. 
17.40   Pericerebral spaces. Do they matter? 
18.00   CC. An update on whether to measure and what to measure. 
18.20   Discussion (all faculty) & voting

>>>>>>> Venerdì, 22 novembre 2024 <<<<<<<

SESSION III
Fetal Heart. Counseling issues in borderline findings.

8.30   Extrasystole. Refer or not? 
 8.50 Mild bradycardia / tachycardia. 
 9.10   Persistent lsvc. Benign or not? 
9.30 Discussion & voting
9.40 Ductus venosus and porto-umbilical anomalies. Do they really matter in prognostic terms
10.00   Discussion & voting

10.15   Coffee Break

SESSION IV
Hot topics in fetomaternal medicine. Rarely…but it does happen: adverse fetal effects from maternal metabolic conditions. Thyroid dysfunction & hyperemesis gravidarum.

10.45 National/international guidelines for management of thyroid dysfunction in pregnancy. 

11.05 Special lecture Thyroid dysfunction in pregnancy. Managing tireotoxicosis in the mother and the fetus. 
11.35 Severe hyperemesis gravidarum and its possible consequences on the fetus. 
11.55 Special lecture CMV infection. New insights and concepts from A to Z. 
12.25 Discussion

13.00 Lunch

SESSION V
Facial anomalies.    

14.30   LIVE DEMO 3 Systematic assessment of fetal facial anatomy. 
14.50   Anomalies of the eye. 
15.10   Anomalies of the ear. 
15.30   Anomalies of the nose. 
15.50   Anomalies of the mouth.
16.10   Discussion

16.20   Coffee Break

SESSION VI
Dysplastic kidneys. Not only PKK.

16.50   Genetic overview of the dysplastic fetal kidney. 
17.10   New challenges in the diagnosis of “hyperechoic kidneys”: from genetics to ultrasound and back. 
17.30   PKK, MKK & other dysplasias. Diagnostic and prognostic features.
17.50 Vesico-amniotic shunt, amnioinfusion & lasering. Is there still any role? 
18.10 Update on the neonatal management of complete renal insufficiency. 

18.30   Discussion

>>>>>>> Sabato 23 novembre 2024 <<<<<<<

SESSION VII
The hidden spine.

8.30   Normal anatomy of spine and cord. 
8.50   LIVE DEMO 4 Assessment of the spine and the cord.
9.20   Closed spinal dysraphisms and segmentation defects. From isolated to syndromic. 
10.00   Postnatal management and outcome of segmentation defects. 
10.20   Folic acid / inositol supplementation to prevent open and closed NTD. 
10.50   Discussion

11.10   Coffee break

SESSION VIII
Screening and diagnosis of genetic anomalies in the fetus: which test is the best?

11.30   Cell-free DNA Screening – Where do we go and where we do not want to go? 
11.50   Single-cell screening/diagnosis – Where do we go and where we do not want to go? 
12.10   Discussion
12.20   DEBATE III Exome sequencing – In selected cases, in all anomalies or…in all foetuses? 
12.50   Discussion & voting
13.00   CME test and goodbye

Prof. Dario Paladini