MCCCD Official Course Competencies:

DMI252  2003 Spring – 2010 Summer II

Advanced Medical Ultrasound Procedures

1.

Describe patient preparation, equipment, and scan protocols used for performance of ultrasound examinations. (I, IX)

2.

Describe the anatomy and pathology of the neck, scrotum, testes, penis, prostate, breast, gastrointestinal tract and abdominal wall. (II, VII)

3.

Describe the anatomy and pathology of blood flow in the heart and vessels using Doppler, gray scale and color ultrasound. (III, VII)

4.

Describe the technique of ultrasound in recognizing normal and abnormal anatomy in neurological and musculoskeletal ultrasound. (IV, VII)

5.

Define the role of ultrasound in interventional and intraoperative procedures, including the use of contrast agents, aseptic technique and surgical application (V, IX)

6.

Discuss the role of ultrasound in medicine regarding medical- legal issues, ethics and patient rights. (VIII)

7.

Describe the current correct procedures for protecting patients and health care workers using current Center for Disease Control (CDC) and Occupational Safety and Health Administration (OSHA) guidelines during sonographic procedures. (IX)

8.

Describe current and future trends in patient information and, record keeping, image acquisition and processing, communication systems and display. (X)

MCCCD Official Course Outline:

DMI252  2003 Spring – 2010 Summer II

Advanced Medical Ultrasound Procedures

I. Equipment

A. Terminology

B. Physical Principles

1. Transducers

2. Pre sets

3. B mode, color, and special display

C. Scan Protocols

II. Superficial Organ Anatomy

A. Neck

1. thyroid

2. parathyroid

3. salivary glands

4. tongue and palate

5. congenital anomalies

B. Scrotum and Testes

C. Prostate

1. biopsy

2. brachytherapy

D. Breast

1. biopsy

2. tray set up

E. Penile Ultrasound

F. Gastrointestinal Tract

G. Abdominal Wall

H. Sonographic Abnormalities

III. Anatomy of the Heart and Vessels

A. Gray Scale

B. Doppler

C. Color Flow Assessment

D. Trans-esophageal Echocardiography (TEE)

E. Stress Echocardiography

F. Vascular Imaging

1. arterial

2. venous

3. cerebrovascular

4. peripheral

5. abdominal

6. pelvic

G. Transplants

H. Correlation with Other Modalities

I. Sonographic Abnormalities

IV. Neurosonographic Procedures

A. Neonates

B. Adults

C. Eye and Orbits

1. Doppler

2. biometry

D. Transcranial Doppler

E. Spine

F. Shunts

G. Extra Corporal Membranous Oxygenation (ECMO)

H. Blood Flow Direction

I. Intraluminal

J. Sonographic Abnormalities

V. Intraoperative/Interventional

A. Neurological

B. Abdominal

C. OB/GYN

D. Pelvis

1. male

2. female

E. Vascular

F. Cardiac

G. Extremities

H. Contrast Agents

I. Portable Ultrasound

1. bedside

2. operating room

3. other imaging areas

J. Ablation, seeding

K. Endoscopy

L. Shunts

M. Paracentesis

N. Thoracentesis

O. Biopsy

VI. Musculoskeletal

A. Hips

B. Spine

C. Upper Extremity

D. Lower Extremity

E. Sonographic Variants and Abnormalities

VII. Advanced Sonographic Pathology

A. Masses

1. cysts

2. benign lesion

3. stones

4. solid lesions

5. metastases

B. Lab Tests

C. Biopsy

D. Surgery

E. Sensitivity and Specificity

F. Imaging

1. gray scale

2. color

3. Doppler

4. spectral display

5. correlation with other imaging modalities

VIII. Medical-legal Issues

A. Code of Ethics

1. medical

2. legal

B. Living Will

C. Power of Attorney

D. Advanced Directives

E. Patient Privacy

1. bill of rights

2. HIPAA

F. Right to Life

G. Wrongful Life and Death

H. Legal Terminology

I. Role of Computers in Medicine

IX. Aseptic Technique Protocols

A. Patient Preparation and Consents

B. Set up of Sterile Field

C. Proper Attire

1. gown

2. gloves

3. face protection

4. other

D. OSHA Requirements

E. CDC Guidelines

F. Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Recommendations

G. Equipment Cleaning and Sterilizing

H. Role of Sonography in Sterile Procedures

I. ACR, AIUM and ACOG Protocols

X. Image Acquisition and Record Keeping

A. Picture Archiving and Communication System (PACS)

B. Digital Imaging Communication (DICOM)

C. Film Processing

1. dry film

2. digital

3. computed radiography

4. MRI

D. Telemedicine

E. Web Based

1. internet

2. intranet

F. 3 D/ 4 D Imaging

G. New Applications and Recent Developments

H. Computer Technology

I. Future Trends

1. web based learning

2. books, journals, CD ROMS

3. equipment manufacturers

4. miniaturization

5. computer based