MCCCD Official Course Competencies:

DMI237  2008 Fall – 2010 Summer II

Ultrasound Anatomy

1.

Define and use reference points, planes, and terminology related to sonographic imaging. (I)

2.

Describe the protocols used for sonographic examinations. (II)

3.

Identify sonographic anatomy of the abdomen, images, measurement methods, and scanning planes used in abdomen imaging (III)

4.

Identify sonographic anatomy, images, measurement methods, and scanning planes used in male pelvic imaging as it may apply, to include urinary bladder, with emphasis on scrotal scan. (IV)

5.

Identify sonographic anatomy, images, measurement methods, and scanning planes used in scanning female pelvic imaging as it may apply, to include urinary bladder, with emphasis on uterus and ovaries. (IV)

6.

Identify sonographic anatomy, images, measurement methods, and scanning planes as it may apply, in scanning first trimester obstetrical examination. (V)

7.

Identify sonographic anatomy, images, measurement methods, and scanning planes as it may apply, in scanning second and third trimester obstetrical examination. (V)

8.

Identify sonographic anatomical characteristics of musculoskeletal, glandular, and vascular tissues. (VI)

MCCCD Official Course Outline:

DMI237  2008 Fall – 2010 Summer II

Ultrasound Anatomy

I. Anatomical Orientation

A. Body Planes

1. Coronal

2. Transverse

3. Sagittal

4. Oblique

B. Directional Terms and Reference Points

1. Cranial

2. Caudal

3. Ventral

4. Dorsal

5. Medial

6. Lateral

7. Proximal

8. Distal

9. Anterior

10. Posterior

11. Superior / Inferior

12. Common abbreviations II. Protocols

A. Standard protocols used

1. American College of Radiology (ACR), American Institute of Ultrasound in Medicine (AIUM) recommended protocols

2. Individual department specific

3. Examination specific

4. Patient considerations

III. Abdomen

A. Standard Anatomic Regions

1. Right Upper Quadrant

2. Left Upper Quadrant

3. Epigastric

4. Right Lower Quadrant

5. Left Lower Quadrant

6. Umbilical

7. Right Iliac

8. Left Iliac

9. Hypogastric

B. Liver

1. Lobes

2. Identification of tissues

3. Veins

4. Morrison's pouch

5. Gallbladder

6. Common bile duct

C. Aorta

1. Aneurysm measurement method

2. Branches

D. Inferior Vena Cava

E. Pancreas

1. Splenic vein

2. Portal confluence

F. Kidneys

1. Anatomy

2. Association with the surrounding tissues

G. Spleen

1. Anatomy

2. Vasculature

a. Association with surrounding tissues

IV. Pelvic Scanning

A. Urinary Bladder: male and female

1. Iliac blood vessels

2. Ureteral jets/color flow Doppler

3. Ureterocele

4. Pre and post void volumes

5. Wall thickness - pre and post void

B. Female Pelvic scanning

1. Vaginal canal

2. Cervix

3. Uterus

4. Measurements

5. Uterus and bladder association

6. Adnexa and structural association

C. Male pelvic imaging: Scrotum

1. Normal anatomy

2. Anatomic variants

3. Pediatric scrotal scan

V. Obstetrics imaging

A. First trimester scan

1. Uterus and gestational sac

2. M-mode

3. Crown-Rump-Length

4. Adnexa

B. Second trimester scan and third trimester scan

1. Uterus

2. Adnexa

3. Cervix

a. Competence

(1). Transabdominal

(2). Translabial

(3). Transvaginal

b. Placenta previa

c. Vesa previa

4. Fetal structures

a. Fetal lie

b. Placenta

(1). Anatomic findings

(2). Grade

c. Fetal diaphragm integrity

d. Fetal measurements as it may apply with gestational age

(1). Patient (maternal) preparation / position

e. Head

f. Face

g. Neck

h. Chest

i. Fetal Abdomen/pelvis

(1). Abdominal wall integrity

j. Extremities

(1). Upper

(2). Lower

k. Spine: sagittal and transverse

(1). Three ossification centers in transverse plane

(2). Structural integrity in sagittal as well as transverse

l. Umbilical Cord

(1). Transverse and sagittal

(2). Number of vessels

(3). Twists

(4). Loops around the neck

(5). Insertion

m. Amniotic fluid index

(1). All four quadrants

VI. Muskuloskeletal and Small Parts Imaging

A. Muscle tissue

B. Tendons and ligaments

C. Neck

1. Thyroid

2. Other structures

3. Bone

D. Vascular Imaging

1. Arteries

2. Veins