Maricopa Community Colleges  ICE207   19996-99999 
Official Course Description:   MCCCD Approval:  01/26/99  
ICE207      19996-99999 L+L 3 Credit(s) 5 Period(s)
Fundamentals of Venous Imaging
Vascular physics and terminology. Venous applications of ultrasound. Normal, abnormal and pathologic states of arterial anatomy. Prerequisites: Registered sonographer or registry eligible or permission of department.
 
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MCCCD Official Course Competencies:
 
ICE207   19996-99999 Fundamentals of Venous Imaging
1. List and define specific terms related to venous imaging. (I)
2. Describe the physical principles of sound and ultrasound related to venous imaging. (II)
3. Compare and contrast various types of ultrasound venous imaging equipment. (III)
4. Describe normal venous anatomy of the brain, abdomen, pelvis, extremities and heart. (IV)
5. Describe patient history contributing factors and symptoms related to vascular disease. (V)
6. Define and apply Doppler examination of the vascular ultrasound patient. (VI)
7. Define and apply Plethysmography techniques. (VII)
8. Define and apply Duplex imaging techniques of the vascular system. (VIII)
9. Compare and contrast other specific imaging techniques of the venous system with ultrasound. (IX,X)
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MCCCD Official Course Outline:
 
ICE207   19996-99999 Fundamentals of Venous Imaging
    I. Medical Terminology
        A. Anatomic terms
        B. Scanning terminology
        C. Pathology
      II. Physics:
          A. Wave properties
            1. Piezo electric effect
            2. wave propagation
            3. resolution
            4. frequency
            5. intensity
            6. amplitude
            7. acoustic impedance
            8. attenuation
            9. transducer beam profiles
            10. biological effects
          B. Doppler effect
            1. Doppler shift
            2. Doppler equation
            3. Doppler signals
            4. waveform analysis
            5. audible Doppler
            6. directional encoding
            7. analog waveform
            8. signal spectrum
            9. flow mapping
            10. aliasing
            11. non directional
            12. directional
              a. stereo
              b. waveform
            13. continuous wave
            14. pulsed wave
        III. Ultrasound Imaging Equipment
            A. A-mode
            B. B-mode
              1. sector scans
              2. linear array
              3. continuous wave Doppler
            D. pulsed wave Doppler
            E. duplex scanning
            F. color flow imaging
          IV. Venous Anatomy
              A. Brain
              B. Abdomen
              C. Pelvis
              D. Extremities
              E. Heart
              F. Structure of veins
                1. deep
                2. superficial
                3. perforators
                4. venous sinuses
                5. central veins
                6. venous vales
            V. Patient History
                A. Contributing factors acute/chronic
                  1. stroke
                  2. heart attack
                  3. surgery
                  4. hypertension
                  5. plague
                  6. varicose veins
                  7. lymphedema
                  8. ulcers
                  9. thrombosis
                  10. predisposing factors
                  11. skin changes
                  12. trauma
                  13. congenital abns.
                B. Patient Symptoms
                  1. Permanent
                  2. Transitory
                  3. Neurological
                  4. Varicose veins
                  5. Surgeries
                C. Lab values and other diagnostic tests
              VI. Doppler Examination
                  A. Technique
                    1. patient positioning
                    2. probe positioning
                    3. recording images
                    4. other
                  B. Findings/interpretation
                    1. normal
                    2. abnormal
                  C. Obstruction
                    1. proximal to probe
                    2. distal to probe
                    3. directly under probe
                  D. Incompetence
                    1. Proximal to probe
                    2. Distal to probe
                    3. Over perfuration
                  E. Pulsatility
                VII. Outflow and Physiologic Plethysmography
                    A. Technique
                      1. patient position
                      2. probe position
                      3. occluding cuff and other
                      4. compression
                      5. respirations
                    B. Methods
                      1. strain gauge
                      2. impedance
                      3. cuff placements
                      4. air
                    C. Findings/interpretation
                      1. normal
                      2. pathology
                    D. Limitations
                    E. Capabilities
                  VIII. Duplex Imaging
                      A. Technique
                      B. Patient positioning
                        1. limb positioning
                        2. cuff positioning
                        3. capabilities
                        4. limitations
                      C. Findings/interpretation
                      D. Abdominal/pelvic
                        1. recording images
                        2. interpretation of results
                        3. limitations
                        4. capabilities
                    IX. Additional Methods of Imaging
                        A. Photo plethysmography
                        B. Invasive testings
                          1. isotope venograns
                          2. contrast venograns
                          3. surgery
                          4. future modalities
                      X. Correlations with Ultrasound
                          A. Other imaging methods
                            1. capabilities
                            2. limitations
                          B. Testing methods
                            1. capabilities
                            2. limitations
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