Scientific Programme

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MODULE 1: Fetal morphologic and genetic diagnosis

Academic Tutors:
  • Dr. Eduard Gratacós - Esta dirección de correo electrónico está siendo protegida contra los robots de spam. Necesita tener JavaScript habilitado para poder verlo.
  • Dr. Elisenda Eixarch - Esta dirección de correo electrónico está siendo protegida contra los robots de spam. Necesita tener JavaScript habilitado para poder verlo.

Masterclass by Eduard Gratacós


Morphological ultrasound

  • First trimester anatomical evaluation
  • First trimester screening of fetal defects
  • Systematic morphological ultrasound
  • Basic and advanced evaluation: doppler and M mode
  • Basic ultrasound of CNS anomalies
  • Most common facial defects
  • Most frequent congenital heart defects
  • Congenital heart defects. Screening First trimester
  • Pulmonary anomalies
  • Gastrointestinal and abdominal wall ultrasound
  • Kidneys and urinary tract most common anomalies
  • Extremities anomalies and most frequent skeletal dysplasia
  • Ultrasound markers of aneuploidies in second trimester
  • First trimester genetics sonogram

Screening of chromosomaland genetic anomalies

  • Aneuploidy conventional screening. Combined test
  • Screening and prenatal diagnosis in multiple gestations
  • Chorionic villus sampling (CVS) and amniocentesis
  • The Karyotype. Accuracy and limitations
  • Cell-free fetal DNA
  • Genomic microarray

MODULE 2: Doppler and placental pathology

Academic Tutors:
  • Dr. Francesc Figueras - Esta dirección de correo electrónico está siendo protegida contra los robots de spam. Necesita tener JavaScript habilitado para poder verlo.
  • Dr. Lola Gómez - Esta dirección de correo electrónico está siendo protegida contra los robots de spam. Necesita tener JavaScript habilitado para poder verlo.

Masterclass by Francesc Figueras


Fetal-Placental doppler

  • Basics of doppler
  • Basic vessels: umbilical artery, uterine artery
  • Cerebral circulation: MCA and aortic isthmus
  • Venous vessels: Ductus venosus and umbilical vein

Early onset disease

  • Prediction and prevention of preeclampsia
  • Integrated management of fetal growth restriction
  • Management of early preeclampsia
  • Management of early fetal growth restriction

Late onset disease

  • Prediction and diagnosis of late fetal growth restriction
  • Late onset fetal growth restriction
  • Late onset preeclampsia
  • Second trimester intrauterine growth restriction

MODULE 3: Fetal Neurosonography

Academic Tutors:
  • Dr. Elisenda Eixarch - Esta dirección de correo electrónico está siendo protegida contra los robots de spam. Necesita tener JavaScript habilitado para poder verlo.
  • Dr. Miriam Illa - Esta dirección de correo electrónico está siendo protegida contra los robots de spam. Necesita tener JavaScript habilitado para poder verlo.

Masterclass by Elisenda Eixarch


Advanced fetal neuro

  • CNS anatomy and d+B49:B66evelopment
  • Systematic neurosonography
  • MRI in the evaluation of the fetal CNS

CNS Structural anomalies

  • First trimester detectable anomalies
  • Ventriculomegaly
  • Midline anomalies
  • Posterior fossa anomalies
  • Vascular anomalies
  • Space occupying lesions
  • Malformation of cortical development (MCDs)
  • Surgical pathology: spina bifida

Asquired anomalies

  • Destructive lesions of the fetal CNS
  • Infections
  • Prenatal fetal brain remodelling

MODULE 4: Maternal pathology

Academic Tutors:
  • Dr. Lola Gómez - Esta dirección de correo electrónico está siendo protegida contra los robots de spam. Necesita tener JavaScript habilitado para poder verlo.
  • Dr. Teresa Cobo - Esta dirección de correo electrónico está siendo protegida contra los robots de spam. Necesita tener JavaScript habilitado para poder verlo.

Masterclass by Francesc Figueras


Chronic viral infections

  • Hepatitis B and C
  • HIV: implications from conception to delivery
  • Invasive procedures in chronic viral infection

Emerging infections in our population

  • Syphilis and pregnancy
  • Other imported diseases: Chagas, malaria, Dengue and Chikunguya
  • Listeria and pregnancy
  • Zika virus all about the new TORCH

Torch infections

  • Toxoplasmosis
  • Varicella and simple herpes
  • CMV infections: diagnosis and clinical management
  • PVB19. Diagnosis and treatment of fetal anemia

Prevention of infections and contacts

  • Management of pregnancy with contac with infection diseases
  • Vaccines and pregnancy in perigestational period

Maternal fetal pathology

  • Early screening of prematurity
  • Risk of prematurity
  • Premature rupture of membranes (PROM)
  • Risk of preterm delivery
  • Preeclampsia: management of maternal complications
  • Update in gestational diabetes
  • Thromboembolic prophylaxis
  • Systemic lupus erythematosus and antiphospholipid syndrome
  • Pregnancy and heart disease
  • Thyroid diseases in pregnancy
  • Previous c-section: obstetric implications

MODULE 5: Fetal echocardiography

Academic Tutors:
  • Dr. Olga Gómez - Esta dirección de correo electrónico está siendo protegida contra los robots de spam. Necesita tener JavaScript habilitado para poder verlo.
  • Dr. Josep M Martínez - Esta dirección de correo electrónico está siendo protegida contra los robots de spam. Necesita tener JavaScript habilitado para poder verlo.

Masterclass by Dr. Josep M Martínez


Introduction

  • Importance and epidemiology of congenital heart disease
  • Fetal echocardiography
  • Techniques for the measurement of fetal cardiac function
  • Study of fetal cardiac function: indications and considerations

Septal congenital heart diseases

  • Ventricular septal defect
  • Atrioventricular septal defect
  • Double inlet single ventricle

Left congenital heart diseases

  • Left hypoplastic heart and Mitral atresia
  • Aortic stenosis / Atresia
  • Coarctation of aorta
  • Interrupted aortic arch
  • Other aortic arch anomalies: a) Right aortic arch b) Aberrant right subclavian artery c) Double aortic arch

Right congenital heart diseases

  • Tricuspid atresia
  • Ebstein anomaly, Tricuspid valve dysplasia
  • Pulmonary stenosis-atresia

Conotruncal congenital heart diseases

  • Tetralogy of Fallot
  • Transposition of great arteries
  • “Corrected” transposition of great arteries
  • Double outlet right ventricle
  • Truncus arteriosus

Other defects

  • Anomalies of pulmonary and systemic venous return
  • Other congenital heart defects: a) Isomerisms b) Cardiomyopathies c) Tumors
  • Alerts signs: a) Intracardiac echogenic focus, b) Asymmetry, c) Cardiac axis deviation, d) Tricuspid regurgitation, e) Pericardial effusion
  • Arrhythmias: a) Irregular Rhythms b) Tachyarrhythmias c) Bradyarrhythmias
  • Fetal therapy: Cardiac intervention
  • Final summery and conclusions

MODULE 6: Fetal pathology

Academic Tutors:
  • Dr. Josep M Martínez - Esta dirección de correo electrónico está siendo protegida contra los robots de spam. Necesita tener JavaScript habilitado para poder verlo.

Masterclass by Dr. Eduard Gratacós


Anomalies suitable for postnatal surgery

  • Pulmonary anomalies: Congenital bronchopulmonary malformations
  • Abdominal Wall defects
  • Gastrointestinal anomalies
  • Nefrourologic anomalies: Upper Urinary tract dilation
  • Fetal tumors, EXIT surgery

Anomalies suitable for fetal therapy

  • Thoracic anomalies: a) Congenital diaphragmatic hernia, b) hydrothorax, c) CHAOS.
  • Low urinary tract obstruction or dilation (LUTO).
  • Fetal anemia. Intrauterine transfusion. Alloimmune thrombocytopenia.
  • Amniotic fluid abnormalities.

Patology of multiple gestation

  • Early assessment in twins and selective feticide
  • Multifetal pregnancy: triplets/more management and discordant anomaly
  • Monochorionic twin pregnancy: complications a) TTTs, b) sIUGR, c) TRAP, d) TAPS

Other fetal pathology

  • Genetic anomalies in fetal pathology. Genetic diagnosis
  • Amniotic bands

PRACTICUM

For each module, a set of ultrasound images must be obtained by the participant and sent in an electronic format through her/his personal interactive platform. Images must be obtained according to pre-established criteria for the acquisition, quality and magnification, and include virtually all common ultrasound exams conducted in the practice of advanced fetal medicine.

  • MODULE 1: First and second trimester anatomical standard sections and US markers.
  • MODULE 2: Doppler images of the most common vessels and fetal weight estimates.
  • MODULE 3: Fetal brain structures in all relevant sections.
  • MODULE 4: Cervical length images in different clinical scenarios.
  • MODULE 5: Cardiac structures and Dopplers in in all relevant sections.
  • MODULE 6: Relevant images of a minimal number of well-documented anomalies.

RESEARCH PROJECT

This is expected to be a piece of research, either a study using their own data or a systematic review on a given topic of interest.

The specific topic for each participant will be agreed upon with one expert, who will act as supervisor and evaluator on completion of the work. Participants can obviously ask and receive advice for completing the research work, but they are expected to produce it mostly on their own.

PRESENTIAL PARTS

From May 4 to May 20, 2022

From November 7 to November 18, 2022

Professors:

Mar Bennasar, Toni Borrell, Fátima Crispi, Marta López, Edurne Mazarico, Eva Meler, Miriam Pérez Cruz. With the participation of the course directors. (Eduard Gratacós and Francesc Figueras)

The presential part is designed to promote the contact between the course participants in addition to allowing a direct contact with the course directors and other experts in fetal medicine in order to share their experience and vision on the integration of ultrasound in fetal medicine and on modern fetal medicine in general.

It consists of:

Meet the professor sessions

Sessions of 4 hours of exposure to practical aspects moderated by professors from Fetal I + D Education, with open discussions at the end of the sessions with participation of the course directors most of the days.

  • Ultrasound screening.
  • Fetal cardiology including echocardiography, therapy and fetal cardiac function.
  • Prenatal diagnosis of chromosomic and genetic diseases.
  • Brain imaging and fetal neurology.
  • Placental insufficiency: IUGR and preeclampsia.
  • Invasive procedures and fetal therapy.
  • Twin pregnancy.
  • Prematurity and PPROM.
  • Fetal Infections.
  • Issues around labor: labour induction, postpartum hemorrhage, fetal monitoring.
  • Basics on biostatistics and research methods in fetal medicine.
  • Organization of clinical and academic units and department.

Simulation sessions

During the stays in Barcelona, participants will take some simulation sessions in a state of the art facility, to train in critical obstetrical situations.

Invasive techniques workshops

The workshops will be carried out on simulators with the guidance of experts in invasive techniques for prenatal diagnosis.

Clinical Cases

Participants will be asked to present their own clinical cases and these will be discussed in a group supervised by an expert.