Official Course Description:   MCCCD Approval:  01/26/99
ICE203AB     19996-99999	LEC	1 Credit(s)	1 Period(s)
Advanced Concepts of Cerebrovascular Imaging
Anatomy and physiology of the cerebrovascular system. Carotid artery occlusive disease, transcranial Doppler, and neonatal echocephalography. Physics and equipment related to cerebrovascular imaging. Applications of ultrasound. Prerequisites: Registered Diagnostic Medical Sonographer (RDMS) or registry eligible, or permission of department.

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MCCCD Official Course Competencies:
ICE203AB   19996-99999	Advanced Concepts of Cerebrovascular Imaging

1.	Define specific terms and describe disease dynamics related to cerebrovascular sonography. (I)
2.	Describe the physical dynamics, normal , and abnormal anatomical variants of the cerebrovascular system. (II)
3.	Describe clinical manifestations of carotid artery disease. (III)
4.	Describe echoencephalography and its application in imaging the abnormal newborn brain. (IV)
5.	Describe indirect testing methods of cerebrovascular ultrasound imaging. (V)
6.	Compare and contrast specific cerebrovascular ultrasound imaging equipment. (VI)
7.	Describe transcranial Doppler and its use for imaging of vascular blood flow. (VII)
8.	Describe current developments and future trends in cerebrovascular technology. (VIII)

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MCCCD Official Course Outline:
ICE203AB   19996-99999	Advanced Concepts of Cerebrovascular Imaging

I. Terminology A. Anatomy B. Vascular terms C. Sonographic terms D. Disease dynamics II. Cerebrovascular Anatomy and Physiology A. Physical dynamics 1. Circle of Willis 2. Internal and external carotids 3. Vertebral arteries 4. Peripheral vessels 5. Collateral vessels 6. Venous system B. Normal anatomical variants C. Morphologic abnormalities D. Resistance and vascular beds E. Collateral pathways III. Carotid Artery Disease A. Carotid bruit B. Transient ischemic attack C. Stroke D. Non-hemispheric symptoms E. Clinical manifestations F. Plaque morphology G. Cardiac abnormalities H. Atherosclerotic disease I. Surgery and trauma IV. Neonatal Echoencephalography A. Technique B. Anatomic landmarks C. Equipment D. Scan protocol E. Normal anatomy F. Abnormal anatomy and pathology G. Limitations of technique H. Scanning pitfalls I. Correlative imaging V. Indirect Testing Methods A. Periorbital Doppler B. Pressure ocular plethysmography C. Pulse delay ocular plethysmography D. Supraorbital plethysmography E. Other VI. Cerebrovascular Imaging Equipment A. Real-time B. Color flow C. Doppler 1. Continuous wave 2. Pulsed wave 3. Duplex D. Multi-purpose equipment E. Equipment/ exam results F. Capabilities G. Limitations H. Recording devices I. Intraoperative and interventional VII. Transcranial Doppler A. Technique B. Anatomic landmarks C. Equipment D. Scan protocol E. Normal anatomy F. Pitfalls in scanning G. Pathology and abnormal findings H. Intraoperative and interventional VIII. Developments and Trends in Cerebrovascular Imaging A. Current B. Future

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