磁声磁共振及超声波诊断中心.pdf

磁 聲 磁 共 振 及 超 聲 波 診 斷中 心 M A G N U S M a g n e t i c R e s o n a n c e a n d U l t r a s o u n d D i a g n o s t i c C e n t e r Dr Tse Hei-yee, Lowina謝喜兒醫生 Dr Chan Yu-leung 陳宇亮醫生 Request Form Name: ___________________________________________ Date: ________________ LMP: ____________________ EDC: ____________________ Gestation: ___________ Referring Doctor: ________________________________ Your Ref: _______________ Reasons for referral: ______________________________________________________ A. Prenatal Down Syndrome Screening 唐氏綜合症 產前篩查  HKU first trimester combined test 香港大學妊娠早期測試 $1200  HKU integrated test 香港大學 綜合測試 $1600  First Trimester Fetal Nuchal Translucency 早 孕期胎兒頸皮厚度 $800 B. Ultrasound scan 超聲波掃描  high resolution fetal morphology scan 高解像胎兒結構超聲波掃描 $1800  high resolution fetal morphology scan for twin $3200 高解像胎兒結構超聲波掃描 (雙胞胎)  3D/4D scan 三維/四維立體超聲波掃描 $1500 C. Prenatal diagnostic tests 產前診斷檢驗  chorionic villous sampling (+PCR test) $5500 絨毛膜活檢 (+聚合酶反應鏈快速測試 ) $6500  chorionic villous sampling + high resolution scan 絨毛膜活檢 +高解像胎兒結構超聲波掃描  amniocentesis (+PCR test) 羊膜穿刺(+聚合酶反應鏈快速測試 ) $4500  amniocentesis + high resolution scan $5500 羊膜穿刺 +高解像胎兒結構超聲波掃描  Fetal blood sampling 抽胎血 $6500 D. Fetal monitoring 胎兒監察  growth scan + Doppler test 胎兒成長掃描 + 多普勒測試 $800  fetal biophysical profile study 胎兒生物物理指標評估 $1000 E. Fetal MRI study 胎兒磁力共振掃描