Megavision Diagnostics

13/03/2023

08/03/2023

Holi Mania ‘23

24/10/2022

24/10/2022

EBSTEIN ANOMALY WITH HYDROPS FETALIS

A 21 yrs old G2P1 came for routine ultrasound, 26 weeks gestational age by USG. No history of cardiac anomalies in previous child or in family.

Fetus has cardiomegaly with enlarged right atrium. Septal and posterior leaflets of tricuspid valve are displaced inferiorly from the tricuspid valve annulus, towards the apex of heart, originate from the right ventricular myocardium.

Consequently, the proximal portion of RV is continuous with true RA and forms an “ATRIALIZED PORTION” of RV.

Pulmonary artery is smaller than ascending aorta.

Severe holosystolic tricuspid regurgitation, regurgitant jet typically arising from middle of the RV.

All features suggestive of EBSTEIN ANOMALY.

Fetus has also developed ascites and marked scalp edema (HYDROPS FETALIS).

06/08/2021

Digital OPG by our newly installed system

05/08/2021

Installation of highly advanced
# DIGITAL DENTAL OPG
(Vatech PaX-i plus, Imported from South Korea).
* True digital scan with ultrasensitive sensors (no casettes used).
* Short scan time 1.9 second.
* Superb image quality (unbeatable in entire Delhi).

31/05/2021

Our new premises

06/05/2021

SPINA BIFIDA

This leaflet is to help you understand what Spina bifida is, what tests you need and the implication of having been diagnosed with Spina bifida is for you, your baby and your family.

What is Spina bifida?

Spina bifida is a defect of the spine exposing the contents of the spinal cord (the nerves going from the brain to various parts of the body). There are two kinds of spina bifida; an open defect is when there is no skin covering the hole in the spine; a closed defect is, instead, covered completely by the skin.

How does spina bifida happen?

Spina bifida is a failure of closure of the spine during the first month of pregnancy. In most cases of open spina bifida, there is a fluid-filled sac bulging out. It contains deformed nerves and the sac around them called meninges. That sac is called a myelomeningocele. Less frequently, the spine is open in the back and is not covered by meninges; this is called a myelocele.

The cause for the spina bifida is variable with many factors often contributing to the anomaly. A lack of folic acid increases the risk of spina bifida. It is important when you plan to have a baby to increase your intake of folic acid before conception.

A problem with the number of chromosomes (where our genetic make-up is stored) or changes within the chromosomes are more frequent in babies with spina bifida. Other genetic problems can be the reason for the spina bifida. Most often, no explanation is found on why this is happening.

Should I have more tests done?

The two main categories of anomalies associated with spina bifida are anomalies of the brain and foot deformities. In almost all cases of open spina bifida, a typical change in the back of the brain is found (called Arnold-Chiari malformation). Many babies will also have extra fluid inside their brain. The feet will often be in a clubbed position. Some babies will also have other anomalies in their body which can make things more challenging. Because of this, a specialized ultrasound is recommended to thoroughly assess the baby.

As some babies will have anomalies in their chromosomes, testing them with an amniocentesis is often offered. When an amniocentesis is done, a needle is inserted in your abdomen to collect some fluid from around the baby and test it.

In rare cases, the neural tube defect is part of a genetic disease, such as Meckel syndrome, Jarcho-Levin syndrome, and Currarino syndrome. These disease are more likely if there are other problems dtected on the ultrasound. Many women will receive genetic counseling and decide with a specialized doctor if these possibilities should be tested by an amniocentesis.

What does it mean for my baby after it is born?

The outcome is extremely variable, depending where and how much of the spine is affected and on whether or not other anomalies are seen. Although most babies survive, some will not. Those who survive may present problems such as paralysis of limbs, loss of bladder or bowel control, sexual dysfunction and learning disabilities. Severe excessive amount of fluid in the brain, clubfoot and curved spine are associated with more problems after birth.

After birth, your baby will need surgery to repair the defect and long term follow-up to help with the various issues associated with the changes in the spine and the nerves. Many will require multiple surgeries as they grow up.

Will it happen again?

The risk of having another child with spina bifida or similar types of problems is around 2-4%. A higher dose of folic acid vitamin before trying to become pregnant can decrease that risk. Rarely, the risk will be much higher because certain genetic causes were found. A doctor with expertise in genetics can help you assessing your specific risk.

What other questions should I ask?

Is the spina bifida open or closed?
Are other malformations present (such as Arnold-Chiari, clubfoot, scoliosis)?
What genetic testing is available?
How often will I have ultrasound examinations done?
Is surgery during the pregnancy an option?
Where is surgery after pregnancy available for the baby?
Where should I deliver?
Where will the baby receive the best care after delivery?
Can I meet in advance the team of doctors that will be looking after my baby following delivery?

25/03/2021

in pregnancy

This leaflet is to help you understand the use of ultrasound in pregnancy, the timing of your scans, and what additional scans you might need during your pregnancy.

*What is an ultrasound scan?

An ultrasound scan is an easy way to look at the developing fetus inside your uterus. The image can be enlarged to view the uterus (womb), the placenta (afterbirth), the amniotic fluid (the water around the baby) and the anatomy of the baby.

*Is it safe for me and for my baby?

Ultrasound scans have been performed in pregnancy for more than 30 years – until now there are no known risks for you or your fetus. Sound waves can generate heat as they cause small vibrations. This heat is minimal and disappears quickly but can build up if the scan is performed over a long period of time in the same area. Therefore, it is important that the professional doing your ultrasound keeps that in mind while performing the examination. There are international safety regulations to which all companies making ultrasound equipment have to comply.

*Why do I need a scan in pregnancy?

Your scan is an important part of your pregnancy care. In the past doctors and midwives relied on external or internal physical examinations only. Whilst this is still important, scans can provide much more information. It is the only way of “seeing” the baby. Sometimes the physical examination may suggest a problem (for example: the abdomen feels too small or too big for the week of pregnancy). Ultrasound can provide more information on the growth of the baby and the amount of amniotic fluid. Scans may be performed at various times in pregnancy with different aims. The number of these scans will vary according to where you are having your scan and whether any problems are suspected.

The following clinical questions can be answered by these routine scans:

*Scans in early pregnancy (up to 10 weeks):

Is the pregnancy in the uterus?
How many babies are there?
If twins, what kind of twins are they?
Is the baby alive (has a heartbeat)?
When is the due date? (dating scan)

*11-14 weeks scan:

Is the baby early development appearing normal?
How many babies are there?
If twins, what kind of twins are they?
Are there any anomalies visible?
Is there extra fluid in the neck? (nuchal translucency screening)
When is the due date? (dating scan)
During this scan you may also be given the option to have a risk assessment for chromosomal anomalies (such as Down syndrome). Ask for more information on the possibilities to your doctor or midwife.

*20 weeks (2nd trimester/anatomy) scan:

When is the due date? (less reliable than done earlier)
How many babies are there?
Is the baby growing well?
Are there any problems suspected for the baby? (anatomy scan)
Where is the placenta located in the uterus?
Is there a normal amount of amniotic fluid?
Growth scans (in the third trimester/last 3 months of pregnancy):

Is the baby growing well?
Is there a normal amount of amniotic fluid?
What is the baby’s position?
Are there problems suspected that could not be seen earlier?
Doppler (blood flow) examination:

The ultrasound machine can also examine the flow of blood to the placenta or within certain blood vessels. Colour Doppler may be used to identify the vessels that will show in red or blue colours, according to the direction of blood flow. Blood flow produces a special sound which resembles the heartbeat. This examination can add important information on how well the placenta is working and on the condition of the fetus.

Special and additional ultrasound scans in pregnancy:

* Cervical length measurement

This investigation is performed using a small probe inserted into the va**na (transva**nally) with the purpose of measuring the length of the cervix. If the cervix is short the doctor or midwife will discuss whether there is an increased chance of premature birth and possible measures to prevent it.

* Anomaly scan and Fetal heart examination

If during the scan any suspicious finding is seen, the person performing the scan may suggest you for special scan e.g, anomaly scan and/or fetal echo. The scan may be repeated in more detail to look for the condition that is suspected. Further tests may be suggested. You may need to wait for results of these tests but should be told when to expect them and how you will be informed. You may feel anxious during this time and your doctor/midwife should recommend someone for you to talk to if you want to.

* 3D Scans

Many ultrasound machines are currently able to produce 3D pictures. These pictures can be useful to add some details when anomalies are suspected. The person performing the scan will decide if a 3D scan is necessary.

Do I have to have a scan in pregnancy?

No, the scan is ‘your choice’. However, ultrasound is the only technique that allows the possibility to look at the fetus. The information is important for good pregnancy care and most doctors and midwives consider the scan a key part of this. It is however important that the purpose of the scan is explained so that you are not confronted with unwanted information. Ultrasound is not perfect and it can miss problems or incorrectly classify them. Further tests or a repeat scan may be required to confirm the findings. It is not unusual for an ultrasound scan to suggest one problem and for another to be found after the baby is born.

29/08/2020

We welcome our visitors to our new address:
42 & 43, Pocket 14, Sector 24, Rohini, Delhi 110085