ISPD 2022 debate—When offering a first trimester ultrasound at 11 + 0 to 13 + 6 weeks, a detailed review of fetal anatomy should be included
Bibliographic record
Abstract
Key points What is already known about this topic? Through the introduction of the nuchal translucency scan at 11 + 0 to 13 + 6 weeks gestation for aneuploidy screening in the 1990s, the role of the first trimester scan has evolved to include an assessment of fetal anatomy. Advances in ultrasound technology and expertise now mean that many fetal anomalies that were previously detected on the routine second trimester anatomy scan are now detected in the first trimester. What does this study add? This report summarizes the oral debate that was presented at the 22nd International Conference on Prenatal Diagnosis and Therapy in Montreal, Canada, on 21 June 2022. Our maternal–fetal medicine experts argue for and against the proposition that a detailed review of fetal anatomy should be included in all scans performed at 11 + 0 to 13 + 6 weeks gestation.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.008 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.005 | 0.002 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.008 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".