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Exam Requirements: Gynecological Ultrasound (Revised 8-23-2024)

Revision History


Accreditation in gynecological ultrasound requires two complete transvaginal pelvis exams from two different patients. All requirements must be met with transvaginal imaging and only transvaginal images will be reviewed.


Dedicated children's facilities are required to submit two complete transabdominal pelvis exams from two different patients. All requirements must be met with transabdominal imaging and only transabdominal images will be reviewed. 


Please see the article on Modalities with Low Volume or Emergency Use as needed. 


DO NOT submit a female pelvic study with an intrauterine device (IUD).


Complete documentation/survey means a series of several images throughout the entire organ in two planes. For example, from one side of the organ to the other in the longitudinal plane and from superior to inferior in the transverse plane.


Anatomy should be intentionally imaged in an organized fashion and correctly labeled for clarity.



Exam Requirements: Gynecological Ultrasound Accreditation

Female Pelvis

  • Uterus

    • Complete documentation in longitudinal 

      • At least three gray scale images to include right lateral, mid without measurement, left lateral

    • Complete documentation in transverse

      • At least three gray scale images to include lower uterine segment, body without measurement, fundus

    • Size – length, height (AP), width

    • Endometrium without and with measurement

    • Cervix - longitudinal and transverse

  • Ovaries

    • Complete documentation of both ovaries in longitudinal 

      • At least two distinctly different gray scale images of each ovary without measurements or color/spectral Doppler

    • Complete documentation in transverse 

      • At least two distinctly different gray scale images of each ovary without measurements or color/spectral Doppler

    • Size – length, height (AP), width

OR

  • Longitudinal gray scale cine clip from medial to lateral throughout both ovaries

  • Transverse gray scale cine clip from superior to inferior throughout both ovaries

  • At least one static longitudinal gray scale image of each ovary without measurements or color/spectral Doppler

  • At least one static transverse gray scale image of each ovary without measurements or color/spectral Doppler 

  • Size - length, height (AP), width



Revision History for this Article

Date

Section

Description of Revision(s)

12-12-19

All

Article created; FAQs incorporated; No criteria changes

1-27-2020


Changed endovaginal to transvaginal. Added "For transvaginal submissions, all requirements must be imaged transvaginally. Only transvaginal images will be reviewed".

6-2-2020


Added complete documentation description

8-3-2020


Added additional complete documentation description for uterus and ovaries

10-14-2020


Edited exam description from two complete female pelvis exams to two complete transvaginal pelvis exams and added clarification that dedicated children's facilities are required to submit two complete transabdominal pelvis exams.

2-19-2021

Female Pelvis

Added requirements for submissions after March 1, 2021

1-21-2022


Updated exam requirements

8-23-2024


Added link to the Modalities with Low Volume or Emergency Use article


Female Pelvis

Removed Cul de Sac requirement



Previous: Exam Requirements: Obstetrical UltrasoundNext: Exam Requirements: General Ultrasound

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