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Fleischer’s Sonography in OBSTETRICS and GYNE­COLOGY: Textbook and Teaching Cases, eighth edition is a unique hybrid of authoritative text coupled with challenging and educational teaching cases. While providing the latest clinical information, this book also offers an effective means for self-assessment of one’s own clinical knowledge using the Teaching Cases as self-assessment modules.

This edition of Sonography in OBSTETRICS and GYNECOLOGY has been considerably revised and updated. A major addition is the extensive series of Teaching Cases. Each case consists of the patient’s medical history, representative static images, cineloop videos, questions/answers, and teaching points with appropriate references. Hopefully, the addition of these cases will maximize the educational impact of the combined work.

Obstetrical and gynecological sonography has enjoyed many technologic innovations and improved clinical understandings since the publication of the seventh edition in 2011. Foremost among these include improved three- and four-dimensional ultrasonography and enhanced image processing. Genetic screening of early pregnancies has been significantly enhanced with cell-free DNA testing, making detailed sonographic evaluation of early fetal anatomy very important. The data obtained from large randomized clinical trials (RCT) such as the International Ovarian Tumor Analysis (IOTA) has provided evidence-based data for improved sonographic evaluation of women with ovarian masses. Similar data is being compiled regarding the sonographic evaluation of patients with other common gynecologic disorders such as abnormal uterine bleeding. This database has provided in-depth understanding of these disease processes and their optimal diagnostic work-up. Another major recent accomplishment in women’s imaging is the long-term outcome data of the United Kingdom Collaborative for Ovarian Cancer Screening trial, which was an RCT multicentered study involving long-term (15-20 years) follow-up of hundreds of thousands of women in both control and screened groups. The data derived from this large study certainly gives impetus for further investigation that will eventually formulate optimal screening/early detection for ovarian cancer, which remains a “silent killer.” Yet another significant advancement in women’s imaging is transperineal and transvaginal sonography of pelvic floor disorders, which affords excellent static and dynamic anatomic detail.

Ultimately, it is hoped that this work affords opportunity for optimizing clinical expertise with obstetrical and gynecological sonography that, in turn, positively impacts the health of women worldwide.

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