MCCCD Program Description

Concepts of Vascular Imaging

Course: DMS210

First Term: 2024 Fall

Lecture 3.0 Credit(s) 3.0 Period(s) 3.0 Load
Subject Type: Occupational
Load Formula: S - Standard Load

Description: Vascular physics and terminology. Application of imaging concepts to arterial, venous, and cerebrovascular ultrasound. Normal, abnormal and pathologic states of human vascular anatomy. Review and demonstration of selected scanning protocols to include extremity, cerebral vascular systems, and abdominal duplex.

MCCCD Official Course Competencies
1. Define general terms related to vascular sonography. (I, III, IX, X) 2. Apply specific terms and physical units related to vascular ultrasound physics including real-time, Doppler and color flow. (II, IX, X, XV) 3. Compare and contrast scan protocols of the arterial, venous, and cerebrovascular system. (III-VIII, XI, XIV) 4. Explain the pathology of selected abnormal conditions of the vascular systems. (IV-VI,VIII) 5. Describe normal and abnormal peripheral vascular physiology and hemodynamics. (V, X, XIV) 6. Explain sonography appearance, sonographic techniques, measurements, and doppler characteristics of vascular structures. (V, X, XIV, XV) 7. Describe vascular examinations and circulation test procedures. (IX-XII, XIV) 8. Identify anatomy and anatomic variants of the cardiovascular system. (XIII) 9. Describe ultrasound surgical procedures. (XVI)
MCCCD Official Course Competencies must be coordinated with the content outline so that each major point in the outline serves one or more competencies. MCCCD faculty retains authority in determining the pedagogical approach, methodology, content sequencing, and assessment metrics for student work. Please see individual course syllabi for additional information, including specific course requirements.

MCCCD Official Course Outline
I. Medical terminology A. Pressure and flow resistance 1. Left heart 2. Peripheral arterial system 3. Peripheral venous system B. Vascular terms 1. Arteries 2. Veins C. Sonographic terms 1. Normal 2. Abnormal 3. Pathologic II. Vascular ultrasound physics A. Real time principles and proper use B. Doppler principles including continuous and pulse wave C. Color flow III. Anatomy of the cardiovascular system A. Heart B. Pulmonary circulation C. Vessel structure 1. Artery 2. Capillaries 3. Veins D. Aorta and branches E. Cerebrovascular F. Hepatoportal venous G. Mesenteric arteries H. Peripheral arterial I. Peripheral venous J. Renal vessels K. Vena cava and iliac veins IV. Vascular disease, pathophysiology, and hemodynamic effects A. Aneurysm and pseudoaneurysm B. Arterial embolism C. Atherosclerosis D. Congenital anomalies E. Fibromuscular dysplasia F. Genetic disorders G. Iatrogenic injury H. Infection I. Intimal hyperplasia J. Ischemia K. Neoplasia L. Portal hypertension M. Systemic hypertension N. Trauma O. Vascular entrapment and extrinsic compression P. Vascular malformations Q. Vasculitis R. Vasospastic disorders S. Venous thromboembolism T. Venous valvular disorders V. Venous imaging A. Common congenital anomalies B. Protocols C. Signal interpretation D. Measurements E. Demonstration of scanning protocols VI. Abnormal venous imaging A. Anatomic variants B. Disease states C. Protocols D. Signal interpretations E. Measurements F. Other findings VII. Cerebrovascular imaging A. Anatomy B. Protocol C. Scanning techniques D. Applications E. Measurements VIII. Abnormal cerebrovascular imaging A. Mechanisms of disease 1. Atherosclerosis 2. Plaque 3. Aneurysm 4. Bruits 5. Tumors 6. Fistulas 7. Post-surgical 8. Stroke B. Traumas C. Anatomic variants D. Neonates E. Other findings F. Risk factors IX. Vascular imaging equipment A. Real-time B. Color flow C. Doppler D. Multi-purpose equipment E. Comparing types of equipment with exam results X. Vascular testing principles and techniques A. Duplex sonography 1. Normal/abnormal characteristics 2. Measurements 3. Diameter vs. area B. Spectral Doppler interpretation 1. Normal/abnormal characteristics 2. Peak systolic velocity 3. End diastolic velocity C. Color Doppler interpretation 1. Presence/absence of flow 2. Direction of flow 3. Characteristics D. Intraoperative duplex sonography 1. Indications 2. Monitoring 3. Limitations E. Direct testing 1. Choice of transducer 2. Imaging and spectral Doppler techniques F. Continuous Wave (CW) Doppler XI. Conventional arteriography A. Interpretation B. Limitations C. Digital subtraction arteriography D. Computed tomography arteriography E. Magnetic resonance arteriography XII. Treatment A. Indications B. Medical control and reduction of risk factors C. Endovascular D. Surgical E. Acute thrombolytic therapy F. Anticoagulation therapy G. Thrombolytic therapy H. Vena caval filters I. Compression stockings K. Endovascular L. Compression/thrombin injection XIII. Mechanisms of vascular disease, pathophysiology, and hemodynamic effects A. Principles of pressure, flow, and resistance B. Pulsatile flow C. Laminar and non-laminar flow patterns D. Poiseuille’s law E. Bernoulli’s principle F. Reynold’s number G. Cardiac influence on flow H. Occlusive diseases I. Collateral circulation J. Exercise and hyperemia K. Systemic diseases and other conditions L. Venous physiology, valve function, calf pump XIV. Vascular exam and protocols A. Aorta and branches B. Cerebrovascular C. Abdominal vessels D. Peripheral arteries and veins E. Vena cava and iliac veins XV. Quantitative principles in vascular testing A. Acceleration time B. Aorta/renal ratios C. Area and diameter reduction measurements D. Velocity change across stenosis for grading arterial lesions E. Pulsatility index F. Resistive index G. Velocity ratios XVI. Ultrasound guided procedures A. Angioplasty B. Atherectomy C. Coil embolization D. Embolectomy E. Endarterectomy F. Inferior vena cava filter G. Patch angioplasty H. Stents I. Synthetic grafts J. Thrombolysis and thrombectomy K. Transjugular intrahepatic

MCCCD Governing Board Approval Date: February 27, 2024

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.