TIFFA SCAN PROTOCOLS

LIQUOR

• SUBJECTIVE/MVP
• AFI-after 26 wks

CERVIX

• Cervical length and internal os should be
assessed by transvaginal route

REPORTING

• Must after every scan
• Should reflect findings/inferences from each

step
• Clear meaningful message
• Always compare with previous scans

REPORTING

• HISTORY- Indications for scan
• SURVEY- Single live fetus…
• BIOMETRY- Values,& weeks GA

Must print biometry values
• TARGETED SCAN- All fetal organs imaged and

normal for the period of
gestation
(mention organs not seen)
• FETAL ACTIVITY- Fetal cardiac activity(HR)/fetal
movements normal
• FETAL ENVIRONMENT- Placenta anterior…

Liquor adequate
• FINAL IMPRESSION- Summary of relevant findings

IMAGE DOCUMENTATION

• Should aim to be as exhaustive as possible
• Electronic documentation
• Paper prints or X ray film documentation

TAKE HOME MESSAGE

• The final 3 for good TIFFA scan
-Good equipment
-Committed Radiologist
-USG friendly fetus

• Following this rule ensures that no major
abnormality will be missed.