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Gestational Sac week 4 ultrasound scan In these early first trimester scans, when no structures are visible within the gestational sac, gestational age (GA) may be estimated from the sac diameter.A common method is to measure the mean sac diameter (MSD), add 30 to the sac size in millimeters, to give gestational age in days.It initially appears as a round, anechoic structure.In experienced hands, it may be detected as early as 30 days gestation by TVU.The embryonic pole appears adjacent to the yolk sac, soon showing cardiac activity.Since the connecting stalk is short, the embryonic pole is found near the wall.
If cardiac activity can be detected but the embryo is not measurable, the GA is about 5.5 to 6.0 weeks.In early pregnancies, the actual cardiac rate is less important than its presence or absence.
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