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Gynécologie Obstétrique & Fertilité
Volume 34, n° 9
pages 683-691 (septembre 2006)
Doi : 10.1016/j.gyobfe.2006.07.026
Received : 16 Mars 2006 ;  accepted : 25 July 2006
Le contrôle de qualité en échographie prénatale : intérêt de la biométrie
Quality control of prenatal ultrasound. A role for biometry

L.-J. Salomon , J.-P. Bernard, Y. Ville
Service de gynécologie-obstétrique, CHI de Poissy-Saint-Germain, 10, rue Champ-Gaillard, 78300 Poissy, France 

Auteur correspondant.

Du fait du déséquilibre profond qui existe entre une demande de soins prénatals croissante et une augmentation incessante des poursuites judiciaires sur des cas d'échographie prénatale, il paraît nécessaire aujourd'hui de mettre en place des procédures de contrôle de qualité. En nous appuyant sur la littérature, nous passons ici en revue différentes approches possibles pour le contrôle de qualité en échographie prénatale. En particulier, nous mettons l'accent sur l'intérêt des biométries foetales et de certains outils statistiques pour développer une approche de contrôle de qualité qualitative et quantitative. Ces outils pourraient s'appliquer en outre au stade de la formation initiale et pour la formation continue des échographistes.

The full text of this article is available in PDF format.

Because of an increasing demand for limited health care resources as well as an increasing impact of legal aspects in ultrasound practice, it has become necessary to ensure that screening procedures are cost-effective and clinically effective and to develop systems that could help sonographists in certifying their practice. Based on the literature, various approaches for quality control are reviewed. Special emphasis is put on the use of fetal biometry and statistical tools to develop quality control systems based on both qualitative and quantitative approach. Besides their potentials for audit and quality control, such tools could also be useful during the process of training.

The full text of this article is available in PDF format.

Mots clés : Échographie, Foetus, Prénatal, Biométrie, Qualité, Z-scores

Keywords : Ultrasound, Fetal, Prenatal, Biometry, Quality, Z-scores

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