Exam Requirements: Gynecological Ultrasound (Revised 5-13-2025)

Katie Albus

Modified on: Tue, 13 May, 2025 at 4:06 PM

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

OR

Longitudinal gray scale cine clip from right to left throughout the uterus
At least one static longitudinal gray scale image of the uterus (mid uterus) without measurement
Complete documentation in transverse
At least three gray scale images to include lower uterine segment, body without measurement, fundus

OR

Transverse gray scale cine clip from superior to inferior throughout the uterus
At least one static transverse gray scale image of the uterus (mid uterus) without measurement
Size – length, height (AP), width
Longitudinal 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
5-13-2025	Uterus	Updated uterus requirements

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Next: Exam Requirements: General Ultrasound

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

OR

Longitudinal gray scale cine clip from right to left throughout the uterus

At least one static longitudinal gray scale image of the uterus (mid uterus) without measurement

Complete documentation in transverse

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

OR

Transverse gray scale cine clip from superior to inferior throughout the uterus

At least one static transverse gray scale image of the uterus (mid uterus) without measurement

Size – length, height (AP), width

Longitudinal 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

5-13-2025

Uterus

Updated uterus requirements

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