Download Quality control of routine second trimester four chamber view

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Appendix S2: Scoring grid C online help
1 APEX
A) At the apex, a difference in structure between left and right ventricles is clearly demonstrated (moderator band in
right ventricle)
Example
B) At the apex, a difference in structure between left and right ventricles is not clearly demonstrated. Also select B if
you feel the apex cannot be seen on the image.
Example :
C) Criterion impossible to evaluate. You cannot answer this question with the elements seen on this image.
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2 INTER VENTRICULAR SEPTUM
A) Inter ventricular septum is clearly demonstrated from apex to crux
Example:
B) Inter ventricular septum is not clearly demonstrated from apex to crux, or is only partly seen
Examples:
C) Criterion impossible to evaluate. You cannot answer this question with the elements seen on this image.
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3 ATRIO VENTRICULAR VALVES
A) Both atrio ventricular valves are clearly demonstrated
Examples
B) Both atrio ventricular valves are not clearly demonstrated
Examples:
C) Criterion impossible to evaluate. You cannot answer this question with the elements seen on this image.
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4 NON LINEAR INSERTION OF ATRIO VENTRICULAR VALVES (NORMAL
OFFSET)
A) The image demonstrates that the insertion of atrio ventricular valves is not linear, whether there is an obvious
difference in the insertion site (example 1) or not (example 2)
Example 2
Example 1
B) The image does not demonstrates that the insertion of atrio ventricular valves is not linear
Examples:
C) Criterion impossible to evaluate. You cannot answer this question with the elements seen on this image.
In example shown, the question cannot be answered
because the atriculo ventricular valves are not
demonstrated at all
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5 SEPTUM PRIMUM (LOWER RIM OF ATRIAL SEPTAL TISSUE)
On still images, the inter atrial septum is seldom clearly demonstrated from the heart crux to the posterior wall of the
atria. Please focus on the lower part of the inter atrial septum image that seems to arise above the heart crux.
A) The lower part of the inter atrial septum is clearly demonstrated (whether or not the posterior aspect of the
septum is demonstrated on the image).
Examples:
B) The lower part of the inter atrial septum is not clearly demonstrated (even though the posterior aspect of the
septum may be demonstrated on the image).
Examples:
C) Criterion impossible to evaluate. You cannot answer this question with the elements seen on this image.
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6 AORTA
A) An image that may correspond to a cross section of the aorta is clearly demonstrated behind the atrium
Examples:
B) An image that may correspond to a cross section of the aorta is not clearly demonstrated behind the atrium
Examples:
C) Criterion impossible to evaluate. You cannot answer this question with the elements seen on this image.
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7 PULMONARY VEIN
A) An image that may correspond to a pulmonary vein connected to the left atrium is clearly demonstrated
Examples:
A) An image that may correspond to a pulmonary vein connected to the left atrium is not clearly demonstrated
Examples:
C) Criterion impossible to evaluate. You cannot answer this question with the elements seen on this image.
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