Pregnancy ultrasound plays a crucial role in monitoring the health and development of the fetus throughout pregnancy. It serves as a screening tool with various applications, including:

See also Doppler Fluximetry in Pregnancy, Fetal Ultrasound, Obstetric and Gynecologic Ultrasound and Vaginal Probe.

Gynecologic ultrasound and obstetric ultrasound are two distinct applications of ultrasound imaging that serve different purposes in the field of women's health. While both involve the use of ultrasound technology to examine the pelvic region, they have different focuses and objectives.

Gynecologic [gynaecologic, Brit.] ultrasound primarily concentrates on the evaluation of the female reproductive organs, including the uterus, ovaries, fallopian tubes, and surrounding structures. It is commonly performed for various gynecological concerns, such as abnormal bleeding, pelvic pain, infertility investigations, and monitoring of reproductive disorders. It can identify signs of inflammation, the presence of free fluid, cysts, and tumors. This non-invasive technique aids in diagnosing and monitoring gynecological pathologies, facilitating early intervention and appropriate treatment. Typically, a transabdominal sonogram is performed with a full bladder to provide an initial assessment. However, if the pelvic ultrasound reveals any abnormalities or fails to provide a clear image of the organs, a more detailed evaluation can be achieved through a transvaginal sonography. This approach allows for improved visualization of the uterus and ovaries by placing the ultrasound probe inside the vagina.

Obstetric ultrasound, also known as prenatal, fetal or pregnancy ultrasound, is the branch of medical imaging that focuses on the use of ultrasound technology to assess the health and development of a fetus during pregnancy. Women with uncomplicated pregnancies commonly undergo an ultrasound examination between the 16th and 20th week of gestation. This routine assessment, performed with a real-time scanner, serves to determine accurate gestational age, monitor fetal size, and assess overall growth. The middle of the pregnancy trimester provides a crucial window for detecting many abnormalities of fetal anatomy. Advanced imaging techniques enable healthcare professionals to identify potential structural issues. Early detection of these abnormalities allows for timely intervention, counseling, and the implementation of appropriate management strategies.
See also Pregnancy Ultrasound, Pelvic Ultrasound, Hysterosalpingo Contrast Sonography and Vaginal Probe.

(AUS) Abdominal ultrasound, also known as abdominal sonography, is a medical imaging technique that focuses on the visualization and assessment of the abdominal organs. While 'abdominal ultrasound' is the commonly used term, there are alternative terms that can be used to refer to this imaging modality: (TAE) transabdominal echography, abdominal ultrasonography, sonogram, FAST (Focused Assessment with Sonography for Trauma).
Abdominal ultrasound imaging is an invaluable clinical tool for identifying the underlying cause of abdominal pain. An abdominal ultrasound examination encompasses a comprehensive evaluation of the liver, gallbladder, biliary tree, pancreas, spleen, kidneys, and abdominal blood vessels. It is a cost-effective, safe, and non-invasive medical imaging modality that is typically utilized as the initial diagnostic investigation.
Advanced ultrasound techniques, such as high-resolution ultrasound, endoscopic ultrasound, and contrast-enhanced Doppler, further enhance the detection of small lesions and provide detailed information for precise diagnosis.
To prepare for an abdominal ultrasound, it is recommended to have nothing to eat or drink for at least 8 hours, starting from midnight the night before the examination.

Indications:
FAST (Focused Assessment with Sonography for Trauma) is a rapid diagnostic test used for trauma patients. It sequentially evaluates the presence of free fluid in the pericardium (hemopericardium) and in four specific views of the abdomen. These views include the right upper quadrant (RUQ), left upper quadrant (LUQ), subcostal, and suprapubic views. They aid in identifying hemoperitoneum in patients with potential truncal injuries. The space between the liver and the right kidney (RUQ), known as Morison's pouch, is a location where intraperitoneal fluid can accumulate.
Emergency abdominal ultrasonography is indicated in cases of suspected aortic aneurysm, appendicitis, biliary and renal colic, as well as blunt or penetrating abdominal trauma. It plays a crucial role in the timely assessment and management of these conditions, providing critical information to guide appropriate treatment decisions.

See also Handheld Ultrasound, Pelvic Ultrasound, Pregnancy Ultrasound, Prostate Ultrasound, Interventional Ultrasound and Pediatric Ultrasound.

Fetal ultrasound is a safe and non-invasive imaging technique used to visualize and monitor the development of a fetus during pregnancy. It employs high-frequency sound waves to create detailed images of the baby, the placenta, and the uterus. Fetal ultrasound provides valuable information about the baby's growth, organ development, and overall well-being. It is commonly used to determine gestational age, assess fetal anatomy, detect abnormalities, and monitor fetal movements and heart rate. This essential tool enables healthcare professionals to ensure the optimal health of both the mother and the baby throughout the pregnancy.
The FDA (Food and Drug Administration) has established regulations governing ultrasound usage, including specific guidelines for fetal ultrasound examinations. These regulations permit an eight-fold increase in ultrasound intensity for fetal scans. They place considerably responsibility on the user to understand the output measurements, the mechanical index (MI), the thermal index (TI) and to use them in their scanning. The primary safety concern in prenatal diagnostic imaging is temperature rise. It is known that hyperthermia is teratogenic. The efforts of investigators have concentrated on defining the temperature increases and exposure times which may give rise to biological effects and on determining the ultrasound levels which might, in turn, lead to those temperature rises.
In fetal ultrasound, the highest temperature increase would be expected to occur at bone and the thermal index with bone at/near the focus (TIB) would give the 'worst case' conditions. The mechanical index and thermal index must be displayed if the ultrasound system is capable of exceeding an index of 1. The displayed indices are based on the manufacturer's experimental and modeled data. However, an independent study has demonstrated significant discrepancies over declared spatial peak time averaged intensity (I-SPTA) output of up to 400%.

See also ALARA Principle, Pregnancy Ultrasound and Doppler Fluximetry in Pregnancy.

Ultrasound is the ideal tool to examine children of all ages. It is fast, painless, uses no ionizing radiation, and does not require a baby to remain still for long periods. Real-time modes show movement of internal tissues and organs. Advanced ultrasound imaging techniques such as color Doppler, 4D ultrasound, harmonic imaging, and higher resolution, as well as the application of ultrasound contrast agents broaden the potential of ultrasound.
Pediatric [paediatric, Brit.] ultrasound can be used in all body regions and reduce the number of more invasive or radiating examinations that often additionally need sedation or intravenous iodinated contrast agents.

See also Fetal Ultrasound, Reflux Sonography, Ultrasound Safety, Abdominal Ultrasound and Pregnancy Ultrasound.