From Guidelines to Imaging:
The Detailed First-Trimester Ultrasound Exam

In Partnership With:
Premier Ultrasound Logo
Premier Ultrasound Services is a full-service ultrasound partner supporting healthcare providers and health systems, with a strong focus on clinical quality, education, and supporting sonographers.

By the end of this webinar, participants will be able to:

  • Describe the indications, gestational-age window (12 weeks 0 days–13 weeks 6 days), and required components of the detailed first-trimester ultrasound examination based on the AIUM Practice Parameter and supporting professional society guidelines.
  • Perform a systematic first-trimester fetal anatomic survey—including evaluation of the head and brain, face, heart, abdomen, spine, and extremities—using optimized transabdominal and transvaginal imaging techniques.
  • Recognize normal first-trimester fetal anatomy and the sonographic features of major structural anomalies detectable during this period, including how these findings may differ from their appearance in the second trimester.
  • Identify technical limitations and potential imaging pitfalls—including fetal size and position, maternal body habitus, and gestational age—and accurately document findings to support clear communication with the interpreting physician.
Claim Your Free CME Credit
Fill out the form below to register for the webinar and claim your CME credit.
Date
November 11, 2026
Time
7:00 PM EST
Credit
1 SDMS OB CME
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Meet Your Instructor
Mishella Perez
Bruce Cohen, MD, FACOG
Mishella Perez
BS, RDMS, RDCS, FAIUM
Maternal-Fetal Medicine Ultrasound Educator
Mishella Perez is a Clinical Ultrasound Educator in Maternal-Fetal Medicine specializing in high-risk obstetrics and fetal echocardiography. With two decades of experience across Radiology, Obstetrics and Gynecology, and Maternal-Fetal Medicine, she has educated and mentored ultrasound students, sonographers, residents, fellows, and faculty.
Mishella serves on the American Institute of Ultrasound in Medicine (AIUM) Executive Committee and previously chaired its Obstetrics Community of Practice. She is the recipient of the 2026 AIUM Distinguished Sonographer Award. Mishella also serves on the Board of Directors of the Joint Review Committee on Education in Diagnostic Medical Sonography (JRC-DMS) as the AIUM Liaison. Her additional professional involvement includes the Society for Maternal-Fetal Medicine’s (SMFM) MFM Sonographer Certification Task Force and the Fetal Heart Society’s (FHS) Conference and Sonographer Subcommittee.
Her professional interests include fetal echocardiography, detailed first-trimester imaging, and the integration of AI into prenatal imaging to improve patient care, expand access, and optimize prenatal screening.

20+ Years in Ultrasound

2026 AIUM Distinguished Sonographer

AIUM Executive Committee Member

Lynn Flamm
RDMS, BS
Chief Sonographer & Educator
Meet Your Instructor
A Legacy of Excellence in Ultrasound Education
Lynn Flamm, is a Registered Diagnostic Medical Sonographer with over three decades of
clinical experience. Most of that time has been exclusively in OB/Gyn ultrasound. She also has
a Bachelor of Science degree in Healthcare Management. Since earning her ARDMS
credentials in 1992, Lynn has dedicated her career to excellence in ultrasound practice,
physician collaboration, and advancing sonographer education.
She currently serves as the Chief Sonographer in a rural Southern Illinois Women’s Health
Clinic. She has held multiple leadership roles across corporate and private OB/GYN practices.
Lynn is also an experienced clinical instructor, having supervised and mentored ultrasound
students since 1998.
As the Founder, and CEO of Sono Techniques Academy, Lynn developed a comprehensive
OB/GYN ultrasound training platform designed to elevate sonographer proficiency and support
providers in clinical practice. The Academy offers structured learning modules, voice-guided
instruction, registry review content, and AIUM-driven education through a mobile and
web-based app.
Lynn has achieved AIUM accreditations for multiple OB/GYN offices, developed ultrasound
department policies and procedures, and maintained active CME engagement and RDMS
status for over 33 years. Her mission is to give back to the profession by improving ultrasound education, strengthening
clinical standards, and supporting the next generation of sonographers and providers
30+ Years
Clinical Experience
Podcast Host
The Seasoned Sonographer
Founder & CEO
Sono Techniques Academy
About Ouma Health
Ouma Health is the largest, independent, physician-led telehealth group in the country focused on maternity care and perinatology.
Unlike app-based competitors that rely on unlicensed coaches and advocates, Ouma is a tech-enabled clinical practice delivering real medical care. Every patient is matched with qualified clinicians who provide continuity of care throughout the entire pregnancy journey.
Licensed to practice in all 50 states and Medicaid-enrolled in 20 states and growing, we serve health plans, healthcare systems, fertility providers, and employers nationwide.
Physician-led telehealth group
Licensed in all 50 states
Real medical care with qualified clinicians
In Partnership With Premier Ultrasound
Bringing you high-quality continuing medical education to advance the field of sonography and improve patient outcomes.
1 SDMS CME Credit
Available for attendees
About Sono Techniques Academy
Sono Techniques Academy is a comprehensive, OB/Gyn-focused ultrasound education
platform created to support sonographers, students, and providers in achieving consistent, high-quality imaging. The program is built around AIUM and ACOG guidelines and reflects over three decades of experience in OB/Gyn ultrasound education and clinical scanning.
Learn More
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