MCCCD Program Description

Advanced Medical Ultrasound Procedures

Course: DMS290

First Term: 2010 Fall

Lecture 4 Credit(s) 4 Period(s) 4 Load
Subject Type: Occupational
Load Formula: S

Description: Presentation of advanced topics in sonography including state of the art equipment. Superficial organs, heart and vessels, neurosonography, musculoskeletal, intraoperative, and interventional procedures. Aseptic technique, medical-legal and patient record keeping and image acquisition for performance of advanced sonographic examinations.

MCCCD Official Course Competencies
1. Describe patient preparation, equipment, and scan protocols used for performance of sonographic examinations. (I, IX) 2. Describe the anatomy and pathology of the neck, scrotum, testes, penis, prostate, breast, gastrointestinal tract and abdominal wall. (II, VI, 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 sonographic technique in recognizing normal and abnormal anatomy in neurological and musculoskeletal sonography. (IV, VI, VII) 5. Define the role of sonography in interventional and intraoperative procedures, including the use of contrast agents, aseptic technique and surgical application (V, IX) 6. Discuss the role of sonography 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 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. Equipment A. Terminology B. Physical Principles 1. Transducers 2. Presets 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 Sonography 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. Obstetrics/Gynecology (OB/GYN) D. Pelvis 1. Male 2. Female E. Vascular F. Cardiac G. Extremities H. Contrast Agents I. Portable Sonography 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. Health Insurance Portability and Accountability Act (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. Occupational Safety and Health Administration (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. American College of Radiology (ACR), American Institute of Ultrasound in Medicine (AIUM) and American College of Obstetrics and Gynecology (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. Medical Radiograhic Imaging (MRI) D. Telemedicine E. Web Based 1. Internet 2. Intranet F. Three-dimensional (3-D)/four-dimensional (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 base

MCCCD Governing Board Approval Date: 12/8/2009

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.