Profile
Dr Gowrishankar earned his Medical Degree from the University of Madras and has specialized in Radiology.
Further to his completion of postgraduate training in Radiology, he went to the United Kingdom to be trained in Fetal Medicine and Fetal interventions from Prof Kypros Nicolaides at Harris Birth Right Research Centre Kings College Hospital –London
He has obtained the RCOG /RCR Advanced Ultrasound Diploma in Obstetric ultrasound and is also accredited by the EBCOG (European Board and College of Obstetrics and Gynaecology) and EAPM (European association of perinatal medicine) for training in Fetal Medicine.
Dr Gowrishankar Paramasivam, in addition, had supervised training in Fetal MRI by Prof Mary Rutherford to interpret and report fetal MRI.
Special interests:
1.Tertiary level fetal anomaly scanning which includes early first-trimester fetal anomaly assessment and fetal echo, fetal growth, Doppler and assessment of fetal well-being across gestation.
2. Perform routine fetal interventions like amniocentesis, chorionic villous sampling, multifetal pregnancy reductions and insertion of fetal shunts (vesico amniotic, pleural shunts etc)
3. Management of high-risk multiple pregnancies including fetal interventions. Expertise in selective reduction in Monochorionic twins by Radiofrequency ablation
4. Intrauterine fetal transfusions
5. Fetoscopic laser ablation for twin to twin transfusion syndrome (TTTs)
6. Fetal MRI
7. Advanced 3D Imaging in fetal neurology and facial Dysmorphology
8. Management of IUGR, preeclampsia in singleton and multiple pregnancies
He was awarded an MD from Imperial College London for his research on “Prelabour assessment of fetal cardiac function”.
He is involved in various research projects and has numerous publications to his credit.
Publications
1. Etiology and perinatal outcome in periviable fetal growth restriction associated with structural or genetic anomalies, Dall'Asta A, Paramasivam G, Lees CC. Ultrasound Obstet Gynaecol 2019 Jun 10. Doi: 10 1002/uog.20368.
2. Fetal abdominal cysts: antenatal course and postnatal outcomes, Sanna E, Paramasivam G, Lees CC. J Perinat Med. 2019 May 27;47(4):418-421.
3. How to obtain diagnostic planes of the fetal central nervous system using three dimensional ultrasound and a context-preserving rendering technology. Dall'Asta A, Paramasivam G, Lees CC. Am J Obstet Gynecol. 2019 March;220(3):215-229.
4. The brain shadowing sign; A clue finding for early suspicion of
craniosynostosis. Dall'Asta A, Paramasivam G, Lees CC, Frusca T. Fetal Diagn Ther. 2019;45(5):357-360.
5. Etiology and prognosis of severe ventriculomegaly diagnosed at late gestation, Dall'Asta A, Paramasivam G, Lees CC. Ultraschall Med. 2018 Dec;39(6): 675 -689.
6. Evaluation of the tramline sign for abnormally invasive placenta using three -dimensional ultrasound and crystal Vue rendering technology, Dall'Asta A, Shah H, Masini G, Paramasivam G, Yazbek J, Bourne T, Lees CC. Ultrasound Obstet Gynecol. 2017 Dec 5. doi: 10.1002/uog.18975.
7. Quantitative analysis of fetal face morphology using 3D ultrasound and statistical shape modelling: a feasibility study, Dall'Asta A, Schievano S, Bruse JL, Paramasivam G, Kaihura CT, Dunaway D, Lees CC. Am J Obstet Gynecol. 2017 Jul;217(1):76. e1-76. e8. doi: 10.1016/j.ajog.2017.02.007.
8. Qualitative evaluation of Crystal Vue rendering technology in the assessment of fetal lip and palate, Dall’Asta AA, Paramasivam G,Lees C. Ultrasound Obstet Gynecol. 2016 Nov 1. doi: 10.1002/uog.17346.
9. Crystal Vue technique for imaging fetal spine and ribs, Dall’Asta AA, Paramasivam G, Lees C. Ultrasound Obstet Gynecol. 2016 Marc; 47(3). doi: 10.1002/uog.15800.
10. Are fetuses that fail to achieve their growth potential at increased risk of intrapartum compromise? Prior T, Paramasivam G, Bennett P, Kumar S. Ultrasound Obstet Gynecol. 2015 Oct; 46(4):460-4. doi: 10.1002/uog.14758.
11. Perinatal- and procedure-related outcomes following radiofrequency ablation in monochorionic pregnancy. Kumar S, Paramasivam G, Zhang E, Jones B, Noori M, Prior T, Vasudeva A, Wimalasundera RC. AJOG. 2014 May;210(5).
12. Outcome following selective fetal reduction in monochorionic and dichorionic twin pregnancies discordant for structural, chromosomal and genetic disorders. Nobili E, Paramasivam G, Kumar S. ANZJOG, Jan 2013 (IF 1.24).
13. Diaphragmatic Hernia: A postnatal complication of anomalous drainage of the umbilical vein. Jowett V, Paramasivam G, Seale A, Choudhry M, Yates R, Gardiner H Ultrasound Obstet Gynecol. 2013 Jan 3. doi: 10.1002/uog.12381.
14. Perinatal outcomes of fetal echogenic bowel. Saha E, Mullins EW, Paramasivam G, Kumar S, Lakasing L. Prenat Diagn. 2012 Aug; 32(8):758-64. (IF 2.106).
15. Postnatal outcome of prenatally diagnosed severe renal pelvic dilatation. S Kumar, S Walia O Ikepeme, Paramasivam G, K Murphy, J Deal, L Lakasing. Prenat Diagn. 2012 Jun; 32(6):519-22 (IF 2.106).
16. Fetal transverse limb defects: Case series and literature review. F Saeed, Paramasivam G, M Wiechec, S Kumar. Journal of Clinical Ultrasound. 39(8):454-457 Oct 2011.
17. Accuracy of prenatal diagnosis and prediction of lethality for fetal skeletal dysplasias. P Yeh, F Saeed, Paramasivam G, J Wyatt-Ashmead, S Kumar. 2011. Prenat Diagn 31(5):515-518 May 2011 (IF 2.106).
18. Managing the difficult case of fetal anemia. E Zhang, F Regan, M Layton, Paramasivam G, J Wyatt-Ashmead, I Roberts, S Kumar. 2011. J Matern Fetal Neonatal Med. 2011 Dec;24(12):1498-503 (IF 1.59).
19. Radiofrequency ablation for selective reduction in complex monochorionic pregnancies. Paramasivam G, Wimalasundera R, Wiechec M, Zhang E, Saeed F, Kumar S. BJOG 117(10):1294-1298 Sep 2010. (IF 3.437).
20. Progesterone and the risk of preterm birth among women with short cervix – Fetal Medicine Foundation Second Trimester Screening Group. Gajewska K, Molina F, Paramasivam G, Khoury O. New England Journal of Medicine: Vol 357:462-469
21. Cervical length and maternal factors in expectantly managed prolonged pregnancy: Prediction of onset of labour and mode of delivery Gajewska K, Paramasivam G, Khoury O. Ultrasound obstet Gynae 2008 Oct; 32(5): 646 – 651
22. Mobile calculi in retrocaval ureter presenting as Dietl’s crisis. Paramasivam G. Indian journal of radiology and imaging 2004 14:4; 355-360.
Accreditations and Academic appointments
1. Honorary Clinical Lecturer – Imperial College, London, UK
2. Adjunct Professor – Department of Obstetrics and
Gynaecology
Manipal Academy of Higher Education, Manipal -- India
Professional Memberships
* Member -- Royal College of Obstetricians and Gynaecologists
(RCOG) UK
* Member -- Royal College of Radiologists (RCR) UK
* Member -- International society of Obstetrics and Gynaecology
(ISUOG)
* Life member -- Indian Medical Association (IMA)
* Life member -- Indian Radiological and Imaging Association
(IRIA)
* Life member -- Madurai Alumni of Radiologists Society