Ultrasound Training to Assist DMS Programs

Ultrasound Training to Assist DMS Programs

Implemented in over 150 DMS programs, the SonoSim Ultrasound Training Solution transforms computers into on-demand ultrasound training platforms with 70+ peer-reviewed courses, knowledge assessments, and hands-on scanning of real-patient cases and pathologies.

Scan Real-Patients Anytime, Anywhere

Each Module provides a didactic course, performance tracking, and scanning with the SonoSimulator. Scan hundreds of normal and pathologic real-patient cases, including 75 transvaginal scanning cases.

With a virtual tutor to assist with image acquisition and interpretation, scan a variety of pathologies, including acute appendicitis, severe valvular regurgitation, simple & complex ovarian cysts, twin gestations, and more.

Scan Real-Patients Anytime, Anywhere

A Curriculum Roadmap to Help Meet CAAHEP's Standards

The patented SonoSim Ultrasound Training Solution assists DMS programs in meeting CAAHEP’s Standards & Guidelines for the General Learning Concentration (Abdomen, OB/GYN, Superficial Parts, & MSK) and Adult Cardiac Learning Concentration. With 70+ Modules, SonoSim assists DMS programs in offering training for all levels of learners and helps prepare students for ARDMS specialty exams.

Abdomen (AB) Examination

Fundamentals of Ultrasound: Core Clinical Module Fundamentals of Ultrasound: Core Clinical Module
Adrenal Glands: Anatomy & Physiology Module Adrenal Glands: Anatomy & Physiology Module
Aorta/IVC: Anatomy & Physiology Module Aorta/IVC: Anatomy & Physiology Module
Aorta/IVC: Core Clinical Module Aorta/IVC: Core Clinical Module
Biliary Tree: Anatomy & Physiology Module Biliary Tree: Anatomy & Physiology Module
Intestinal/Biliary: Core Clinical Module Intestinal/Biliary: Core Clinical Module
Bladder: Anatomy & Physiology Module Bladder: Anatomy & Physiology Module
Bladder: Core Clinical Module Bladder: Core Clinical Module
GI Tract: Anatomy & Physiology Module GI Tract: Anatomy & Physiology Module
Liver: Anatomy & Physiology Module Liver: Anatomy & Physiology Module
Pancreas: Anatomy & Physiology Module Pancreas: Anatomy & Physiology Module
Prostate: Anatomy & Physiology Module Prostate: Anatomy & Physiology Module
Renal: Anatomy & Physiology Module Renal: Anatomy & Physiology Module
Renal: Core Clinical Module Renal: Core Clinical Module
Scrotum: Anatomy & Physiology Module Scrotum: Anatomy & Physiology Module
Soft Tissue: Anatomy & Physiology Module Soft Tissue: Anatomy & Physiology Module
Soft Tissue: Core Clinical Module Soft Tissue: Core Clinical Module
Spleen: Anatomy & Physiology Module Spleen: Anatomy & Physiology Module
Thyroid: Anatomy & Physiology Module Thyroid: Anatomy & Physiology Module

Obstetrics & Gynecology (OB/GYN) Examination

Fundamentals of Ultrasound: Core Clinical Module Fundamentals of Ultrasound: Core Clinical Module
Female Pelvis: Anatomy & Physiology Module Female Pelvis: Anatomy & Physiology Module
OB/GYN: Core Clinical Module OB/GYN: Core Clinical Module
First-Trimester Pregnancy: Advanced Clinical Module First-Trimester Pregnancy: Advanced Clinical Module
Second- and Third-Trimester Pregnancy – Part I: Advanced Clinical Module Second- and Third-Trimester Pregnancy – Part I: Advanced Clinical Module
Second- and Third-Trimester Pregnancy – Part II: Advanced Clinical Module Second- and Third-Trimester Pregnancy – Part II: Advanced Clinical Module
GYN Ultrasound of Nonpregnant Normal Uterus: Advanced Clinical Module GYN Ultrasound of Nonpregnant Normal Uterus: Advanced Clinical Module
GYN Ultrasound of Nonpregnant Abnormal Uterus – Part I: Advanced Clinical Module GYN Ultrasound of Nonpregnant Abnormal Uterus – Part I: Advanced Clinical Module
GYN Ultrasound of Nonpregnant Abnormal Uterus – Part II: Advanced Clinical Module GYN Ultrasound of Nonpregnant Abnormal Uterus – Part II: Advanced Clinical Module
GYN Ultrasound Normal Adnexa: Advanced Clinical Module GYN Ultrasound Normal Adnexa: Advanced Clinical Module
GYN Ultrasound Nonmalignant Adnexal Conditions: Advanced Clinical Module GYN Ultrasound Nonmalignant Adnexal Conditions: Advanced Clinical Module
GYN Ultrasound Malignant Adnexal Conditions: Advanced Clinical Module GYN Ultrasound Malignant Adnexal Conditions: Advanced Clinical Module

Musculoskeletal Sonographer (MSKS) Examination

Fundamentals of Ultrasound: Core Clinical Module Fundamentals of Ultrasound: Core Clinical Module
Introduction to MSK: Anatomy & Physiology Module Introduction to MSK: Anatomy & Physiology Module
Ankle: Anatomy & Physiology Module Ankle: Anatomy & Physiology Module
Elbow: Anatomy & Physiology Module Elbow: Anatomy & Physiology Module
Foot: Anatomy & Physiology Module Foot: Anatomy & Physiology Module
Glenohumeral Joint Injection & Aspiration: Procedure Module Glenohumeral Joint Injection & Aspiration: Procedure Module
Hand & Finger: Anatomy & Physiology Module Hand & Finger: Anatomy & Physiology Module
Hip: Anatomy & Physiology Module Hip: Anatomy & Physiology Module
Knee: Anatomy & Physiology Module Knee: Anatomy & Physiology Module
Musculoskeletal: Core Clinical Module Musculoskeletal: Core Clinical Module
Shoulder: Anatomy & Physiology Module Shoulder: Anatomy & Physiology Module
Soft Tissue: Anatomy & Physiology Module Soft Tissue: Anatomy & Physiology Module
Soft Tissue: Core Clinical Module Soft Tissue: Core Clinical Module
Spine: Anatomy & Physiology Module Spine: Anatomy & Physiology Module
Subacromial-Subdeltoid Bursa Injection & Aspiration: Procedure Module Subacromial-Subdeltoid Bursa Injection & Aspiration: Procedure Module
Wrist: Anatomy & Physiology Module Wrist: Anatomy & Physiology Module

Vascular Technology (VT) Examination

Fundamentals of Ultrasound: Core Clinical Module Fundamentals of Ultrasound: Core Clinical Module
Aorta/IVC: Anatomy & Physiology Module Aorta/IVC: Anatomy & Physiology Module
Aorta/IVC: Core Clinical Module Aorta/IVC: Core Clinical Module
Arm-Arterial: Anatomy & Physiology Module Arm-Arterial: Anatomy & Physiology Module
Arm-Venous: Anatomy & Physiology Module Arm-Venous: Anatomy & Physiology Module
Cerebrovascular: Anatomy & Physiology Module Cerebrovascular: Anatomy & Physiology Module
DVT – Lower Extremity: Core Clinical Module DVT – Lower Extremity: Core Clinical Module
Leg-Arterial: Anatomy & Physiology Module Leg-Arterial: Anatomy & Physiology Module
Leg-Venous: Anatomy & Physiology Module Leg-Venous: Anatomy & Physiology Module
Vascular Mapping for Preoperative Planning of Dialysis Access: Advanced Clinical Module Vascular Mapping for Preoperative Planning of Dialysis Access: Advanced Clinical Module

Adult Echocardiography (AE) Examination

Fundamentals of Ultrasound: Core Clinical Module Fundamentals of Ultrasound: Core Clinical Module
Aorta/IVC: Anatomy & Physiology Module Aorta/IVC: Anatomy & Physiology Module
Aorta/IVC: Core Clinical Module Aorta/IVC: Core Clinical Module
Heart: Anatomy & Physiology Module Heart: Anatomy & Physiology Module
Cardiology: Core Clinical Module Cardiology: Core Clinical Module
Focused Cardiac Ultrasound (FoCUS) – Part I: Advanced Clinical Module Focused Cardiac Ultrasound (FoCUS) – Part I: Advanced Clinical Module
Focused Cardiac Ultrasound (FoCUS) – Part II: Advanced Clinical Module Focused Cardiac Ultrasound (FoCUS) – Part II: Advanced Clinical Module

Pediatric Sonography (PS) Examination

Fundamentals of Ultrasound: Core Clinical Module Fundamentals of Ultrasound: Core Clinical Module
Neonatal and Infant Neurosonography: Advanced Clinical Module Neonatal and Infant Neurosonography: Advanced Clinical Module

Breast (BR) Examination

Fundamentals of Ultrasound: Core Clinical Module Fundamentals of Ultrasound: Core Clinical Module
Breast: Anatomy & Physiology Module Breast: Anatomy & Physiology Module

Sample Course Outlines

Breast: Anatomy & Physiology Module

Breast: Anatomy & Physiology

  • Lesson: Introduction
    • Disclosure to Learners
    • Breast Ultrasound
    • Course Objectives
  • Lesson: Anatomy
    • Functional Anatomy
    • Anatomic Layers
    • Vasculature & Lymphatics
  • Lesson: Breast Physiology
    • Breast Physiology
    • Lactation Physiology
  • Lesson: Sonographic Anatomy
    • Sonographic Characteristics
    • Skin Layer
    • Subcutaneous Layer
    • Mammary Layer
    • Retromammary Layer
    • Age-Related Breast Changes
    • Normal Anatomical Variants
  • Lesson: Sonographic Technique
    • Transducer Selection & Settings
    • Patient Positioning
    • Scanning Patterns & Documentation
    • Quadrant Scanning Technique
    • Nipple-Alveolar Complex Scanning Technique
    • Axillary Tail Scanning Technique
    • Ultrasound Imaging Technique
    • Pearls & Pitfalls
  • Lesson: Summary
    • Course Summary
Focused Cardiac Ultrasound (FoCUS) – Part I: Advanced Clinical Module

Focused Cardiac Ultrasound (FoCUS) - Part II: Advanced Clinical Module

  • Lesson: Introduction
    • Introduction to Focused Cardiac Ultrasound
    • Course Objectives
    • Nomenclature
    • Focused Cardiac Ultrasound Indications
    • Comprehensive Echocardiographic Examination
    • Indications for Comprehensive Echocardiography
  • Lesson: Anatomy & Physiology
    • Ventricular Systole
    • Cardiac Diastole
    • Cardiac Valves
    • Left Heart vs. Right Heart
    • Aortic-Valve Anatomy
    • Mitral-Valve Anatomy
    • Tricuspid-Valve Anatomy
  • Lesson: Transducer Selection & Machine Settings
    • Transducer Selection
    • Doppler Controls
    • Flow-Velocity Measurement & ECG Gating
  • Lesson: Echocardiographic Technique
    • Echocardiographic Imaging Views
    • Aortic Valve: Parasternal Window
    • Apical Five-Chamber View
    • Aortic Valve: Apical Five-Chamber View
    • Apical Five-Chamber View: Imaging Technique
    • Apical Two-Chamber View
    • Apical Two-Chamber View: Imaging Technique
    • Apical Three-Chamber View
    • Aortic Valve: Apical Three-Chamber View
    • Apical Three-Chamber View: Imaging Technique
    • Apical Three-Chamber View: Flow Measurement
    • Right Ventricular Inflow View
    • Right Ventricular Inflow View: Imaging Technique
    • Right Ventricular Inflow View: Tricuspid Regurgitation
    • Right Ventricular Outflow View
    • Suprasternal-Notch Window
    • Suprasternal-Notch Window: Long-Axis View
    • Suprasternal-Notch Window: Long-Axis View Imaging Technique
    • Suprasternal-Notch Window: Imaging Tips
    • Assessment of Cardiac Chamber Size & Function
    • Left-Ventricular Volume & Ejection-Fraction Assessment
  • Lesson: Doppler Imaging
    • Color Doppler
    • Color Doppler Physics
    • Spectral Doppler Instruments
    • Spectral Doppler Time-Velocity Graph
    • Spectral Waveform
    • Spectral Doppler Time-Velocity Curve Morphology
    • Pulsed-Wave vs. Continuous-Wave Doppler
    • Spectral Doppler: Left Ventricular Outflow
    • Spectral Doppler: Left Ventricular Inflow
    • Spectral Doppler: Right Ventricular Outflow
    • Spectral Doppler: Right Ventricular Inflow
    • Color-Flow Doppler: Introduction
    • Color-Flow Doppler: Variance
    • Color-Flow Doppler: Imaging Recommendations
    • Color-Flow Doppler: Left and Right Ventricular Outflow
    • Color-Flow Doppler: Left and Right Ventricular Inflow
  • Lesson: Valvular Regurgitation
    • Background
    • Fluid Dynamics
    • Pathophysiology
    • Echocardiographic Examination
    • Color-Flow & Spectral Doppler Imaging
    • Color-Flow Doppler Imaging
    • Vena Contracta Width
    • Flow-Convergence Zone
    • Color Doppler Imaging Optimization
    • Pitfalls of Color-Flow Doppler Assessment
    • Planimetry
    • Chamber Size & Function
    • Cardiac-Chamber Analysis
    • Physiologic Valvular Regurgitation
    • Management
  • Lesson: Aortic Regurgitation
    • Background
    • Aortic Regurgitation: Pathophysiology
    • Aortic Regurgitation: Anatomic Inspection
    • Aortic Regurgitation: Doppler Examination
    • Aortic Regurgitation: Left-Ventricular Chamber Examination
    • Severity Classification: Mild Aortic Regurgitation
    • Severity Classification: Moderate-to-Severe Aortic Regurgitation
    • Holodiastolic Flow Reversal & Reverse Doming of the Mitral-Valve Leaflet
    • Severity Classification: M-Mode Imaging
    • Severity Classification of Aortic Regurgitation: Spectral Doppler Graph
    • Aortic Valve Replacement Criteria
  • Lesson: Mitral Regurgitation:
    • Background
    • Mitral Regurgitation: Classification
    • Mitral Regurgitation: Hemodynamics
    • Mitral-Valve Prolapse
    • Mitral Regurgitation: Role of Echocardiography
    • Mitral Regurgitation: Echocardiographic Examination
    • Mitral Regurgitation: Severity Classification
    • Severity Classification of Mitral Regurgitation: Vena Contracta Measurement
    • Mitral Regurgitation: Alternative Quantitative Techniques
    • Mitral Regurgitation: Management
  • Lesson: Tricuspid Regurgitation:
    • Background
    • Tricuspid Regurgitation: Etiology
    • Tricuspid Regurgitation: Echocardiographic Examination
    • Tricuspid Regurgitation: Imaging Windows
    • Tricuspid Regurgitation: Severity Classification
    • Physiologic Tricuspid Regurgitation
    • Tricuspid Regurgitation: Severity Classification
    • Tricuspid Regurgitation: Alternative Diagnostic Techniques
    • Tricuspid Regurgitation: Peak Pulmonary-Pressure Determination
    • Tricuspid Regurgitation: Right Atrial Pressure Estimation
    • Tricuspid Regurgitation: Inferior Vena Cava Imaging
    • Tricuspid Regurgitation: Management
  • Lesson: Pulmonic Regurgitation:
    • Background
    • Pulmonic Regurgitation: Echocardiographic Assessment
  • Lesson: Valvular Stenosis
    • Background
    • Fluid Dynamics
    • Normal Physiologic Findings
    • Management
  • Lesson: Aortic Stenosis:
    • Background
    • Aortic Stenosis: Etiology
    • Bicuspid Aortic Valve
    • Aortic Stenosis: Physiology
    • Aortic Stenosis: Role of Echocardiography
    • Aortic Stenosis: Transthoracic Echocardiographic Examination
    • Aortic Stenosis: Imaging & Measurement Techniques
    • Aortic Stenosis: Jet-Velocity Curve
    • Aortic Stenosis: Mean Transaortic Pressure Gradient
    • Aortic Stenosis: Valve Area
    • Aortic Stenosis: Chamber Size & Function
    • Aortic Stenosis: Imaging Tips & Pitfalls
    • Aortic Stenosis: Differential Diagnosis
    • Aortic Stenosis: Severity Classification
    • Aortic Stenosis: Clinical Implications
  • Lesson: Mitral Stenosis:
    • Background
    • Mitral Stenosis: Classification
    • Mitral Stenosis: Echocardiographic Examination
    • Mitral Stenosis: Severity Classification
    • Mitral Stenosis: Chamber Size & Function
    • Mitral Stenosis: Management
  • Lesson: Tricuspid Stenosis:
    • Background
    • Tricuspid Stenosis: Evaluation & Management
  • Lesson: Pulmonic Stenosis
    • Pulmonic Stenosis
  • Lesson: Summary
    • Summary
GYN Ultrasound of Nonpregnant Normal Uterus: Advanced Clinical Module

GYN Ultrasound Normal Adnexa: Advanced Clinical Module

  • Lesson: Introduction
    • Introduction to Gynecologic Ultrasound of Normal Adnexa
    • Advantages of Ultrasound
  • Lesson: Adnexal Anatomy
    • Female Pelvis Anatomy: Coronal View
    • Female Pelvis Anatomy: Axial View
    • Ovary Histology
    • Ovary Dimensions
    • Fallopian Tubes
    • Reproductive-Tract Ligaments
    • Reproductive-Tract Vasculature
  • Lesson: Female Pelvis Physiology
    • Uterus Histophysiology
    • Histophysiology: Menstrual Cycle
    • Histophysiology: Ovarian Cycle
    • Nomenclature
    • Physiologic Free Fluid
  • Lesson: General Considerations
    • Overview
  • Lesson: Sonographic Imaging Techniques
    • Introduction to Adnexal Ultrasound
    • Imaging Techniques
    • Transabdominal Technique
    • Transvaginal Technique
  • Lesson: Sonographic Anatomy
    • Normal Ovary
    • Normal Ovary: Follicular Phase
    • Normal Ovary: Luteal Phase
    • Corpus Luteum
    • Ovary with Adjacent Free Fluid
    • Ovary & Internal Iliac (Hypogastric) Vein
    • Fallopian Tube
    • Broad Ligament
  • Lesson: Sonographic Examination
    • Evaluating the Ovary
    • Echogenic Foci within the Ovary
    • Ovary: Size & Location
    • Ovary: Power & Color-Flow Doppler Inspection
    • Ovary: Pulsed-Wave Doppler
    • Evaluating the Fallopian Tubes
    • Sonographic Examination of the Adnexa: Localization
    • Sonographic Examination of the Adnexa: Right Ovary
    • Sonographic Examination of the Adnexa: Left Ovary
    • Postmenopausal Ovary
  • Lesson: Case Studies
    • Common Adnexa Masses
    • Case Study: Normal Follicle
    • Case Study: Simple Ovarian Cyst
    • Case Study: Hemorrhagic Cyst
  • Lesson: Summary
    • Course Summary
Musculoskeletal: Core Clinical Module

Musculoskeletal: Core Clinical

  • Lesson: Introduction
    • Getting Started
    • Disclosure to Learners
    • Musculoskeletal Ultrasound
    • Course Objectives
    • General Principles
    • Ultrasound Terminology
    • Angle of Incidence
    • Anisotropic Artifact
  • Lesson: Anatomy
    • Anatomy Review
    • Soft Tissues
    • Skeletal Muscle
    • Ligaments & Tendons
    • Hard Tissues
    • Bone
    • Cartilage
  • Lesson: Sonographic Anatomy
    • Superficial Soft Tissues
    • Muscle: Long Axis
    • Muscle: Short Axis
    • Calf Muscles
    • Muscle Pathology: Muscle Rupture
    • Tendons
    • Anisotropy
    • Tendons
    • Dynamic Tendon Imaging
    • Tendon Pathology Nomenclature
    • Tendinosis
    • Tenosynovitis
    • Tendon Tear
    • Normal Bone
    • Bone: Cortical Fracture
    • Bone Fracture: Literature Review
    • Joints
    • Joints: Literature Review
  • Lesson: Sonographic Technique
    • Transducer Selection
    • Transducer Shape
    • Transducer Length
    • Transducer Orientation
    • Orthogonal Scanning Plane
    • Bone Imaging
    • Muscle Imaging: Short Axis
    • Muscle Imaging: Long Axis
    • Tendon Imaging
    • Partial Tendon Tear
    • Complete Tendon Rupture
    • Joint Imaging
    • Shoulder Dislocation Evaluation
    • Hip Joint Imaging
    • Hip Joint Effusion Imaging
    • Arthrocentesis: Elbow
    • Arthrocentesis: Knee
  • Lesson: Imaging Tips & Pitfalls
    • Waterbath & Standoff Pad
    • Waterbath
    • Imaging Tips
  • Lesson: Case Studies
    • Thigh Hematoma
    • Prominent Psoas
    • Psoas Hematoma
    • Calf Hematoma
    • Calf Foreign Body
    • Achilles Rupture
    • Wrist Tenosynovitis
    • Normal Left Shoulder
    • Right Shoulder Dislocation
    • Hip Effusion
    • Hemarthrosis of Hip
    • Olecranon Bursitis
    • Knee Effusion
    • Baker’s Cyst
    • Intertrochanteric Fracture
    • Hip Pain Status Post Fall
    • Right Femur Deformity Status Post MCA
    • Distal Radius Fracture
    • Fractured Ulna
    • Radial Shaft Fracture
    • Rib Fracture
    • Sternal Fracture
    • Fracture Reduction
    • Fracture Post-Reduction
  • Lesson: Summary
    • Course Summary
Renal: Core Clinical Module

Renal: Core Clinical Module

  • Lesson: Introduction
    • Disclosure to Learners
    • Renal Ultrasound
    • Course Objectives
  • Anatomy
    • Normal Renal Anatomy
    • Renal Parenchyma
    • Renal Hilum
    • Ureters
    • Bladder Anatomy
    • Anterior & Posterior Potential Spaces
  • Sonographic Anatomy
    • Sonographic Renal Anatomy
    • Sonographic Bladder Anatomy
  • Transducer Selection
    • Transducer Selection
  • Renal Imaging
    • Imaging the Right Kidney
    • Long-Axis imaging Technique
    • Short-Axis Imaging Technique
    • Imaging the Left Kidney
  • Bladder Imaging
    • Bladder Imaging
    • Imaging Technique
    • Ureteral Jet Imaging
  • Obstructive Uropathy
    • Obstructive Uropathy
    • Mild Hydronephrosis
    • Moderate Hydronephrosis
    • Severe Hydronephrosis
  • Case Studies
    • Case Study One: Flank Pain & Nephrostomy Tube
    • False-Positive Hydronephrosis
    • Case Study Two: False Positive Hydronephrosis
    • Obstructive Uropathy Imaging
    • Degree of Hydronephrosis in Relation to Renal Stone Size
    • Detecting Hydronephrosis: A Comparison of Ultrasound with CT and IVP
    • Renal Calculus Sonography
    • Ureteral Calculus Sonography
    • Case Study Three: Recurrent Ureteral Colic
    • Renal Masses
    • Simple Renal Cysts
    • Multiple Renal Cysts
    • Renal Cysts
    • Case Study Four: Unexpected Pathology
    • Polycystic Renal Disease
    • Case Study Five: Fatigue and Flank Pain
    • Case Study Six: Flank Pain and Coumadin
    • Renal Tumors
    • Case Study Seven: Suspected Renal Colic
  • Summary
    • Pearls and Pitfalls
    • Course Summary

Sample Module Scanning Assignments

Suggested Module Assignments bridge the gap between didactic learning and hands-on scanning instruction by turning each learning concept into an assessable scanning task while providing learners with standardized ultrasound training.

Breast: Anatomy & Physiology Module
The following protocol assignment is based on AIUM practice parameters. However, it is important to note that different facilities/institutions may have facility-specific protocols that diverge from the procedural guidelines outlined below

    Upper Uterine Segment
  • Step 1: Select the Upper Uterine Segment window. Scan through the uterus in both sagittal and transverse planes.
  • Step 2: Acquire an image of the uterus in the mid-sagittal plane. Annotate “Uterus Mid-Sagittal” and save.
  • Step 3: Measure the length of the uterus. Annotate “Uterus Mid-Sagittal Length” and save.
  • Step 4: Measure the anteroposterior portion of the uterus. Annotate “Uterus Mid-Sagittal Height” and save.
  • Step 5: Measure the anteroposterior portion of the endometrial stripe. Annotate “Endometrial Echo” and save.
  • Step 6: Acquire an image of the uterus in the transverse plane. Annotate “Uterus Transverse” and save.
  • Step 7: Measure the width of the uterus at the widest diameter. Annotate “Uterus Transverse Width” and save.
    Right Adnexa - Transabdominal
  • Step 1: Select the Right Adnexa window. Scan through the right adnexa in both sagittal and transverse planes.
  • Step 2: Acquire an image of the right iliac vessels in the mid-sagittal plane. Annotate “RT Adnexa Mid-Sagittal” and save.
  • Step 3: Evaluate the right adnexa in the mid-sagittal plane with color Doppler.
  • Step 4: Acquire an image of the right iliac vessels in the transverse plane. Annotate “RT Adnexa Transverse” and save.
  • Step 5: Evaluate the right adnexa in the transverse plane with color Doppler.
  • Step 6: Evaluate the right adnexa for cystic or solid masses.
  • Step 7: Evaluate the right adnexa for free fluid.
  • Step 8: Measure the length, width, and height of identified abnormalities.

(continued)

Focused Cardiac Ultrasound (FoCUS) – Part I: Advanced Clinical Module
The following protocol assignment is based on AIUM practice parameters. However, it is important to note that different facilities/institutions may have facility-specific protocols that diverge from the procedural guidelines outlined below

    Right Proximal Common Carotid Artery
  • Step 1: Select the Right Proximal Common Carotid Artery window. Scan through in both sagittal and transverse planes.
  • Step 2: Along a sagittal plane, obtain a single best greyscale image of the right proximal common carotid artery capturing the full length of the vessel. Annotate “Sagittal Rt Prox Comm Carotid” and save.
  • Step 3: Along a transverse plane, obtain a single best greyscale image of the right proximal common carotid artery. Annotate “Transverse Rt Prox Comm Carotid” and save.
  • Step 4: Along a sagittal plane, obtain a single best image of the right proximal common carotid artery with color Doppler demonstrating wall-to-wall color flow. Annotate “Sagittal Rt Prox Comm Carotid with Color Doppler” and save.
  • Step 5: Along a sagittal plane, obtain a single best image of the right proximal common carotid artery with pulsed-wave Doppler. Annotate “Sagittal Rt Prox Comm Carotid, PSV = [enter measurement] cm/s, EDV = [enter measurement] cm/s” and save.
    Right Mid Common Carotid Artery
  • Step 1: Select the Right Mid Common Carotid Artery window. Scan through in both sagittal and transverse planes.
  • Step 2: Along a sagittal plane, obtain a single best greyscale image of the right mid common carotid artery capturing the full length of the vessel. Annotate “Sagittal Rt Mid Comm Carotid” and save.
  • Step 3: Along a transverse plane, obtain a single best greyscale image of the right mid common carotid artery. Annotate “Transverse Rt Mid Comm Carotid” and save.
  • Step 4: Along a sagittal plane, obtain a single best image of the right mid common carotid artery with color Doppler demonstrating wall-to-wall color flow. Annotate “Sagittal Rt Mid Comm Carotid with Color Doppler” and save.
  • Step 5: Along a sagittal plane, obtain a single best image of the right mid common carotid artery with pulsed-wave Doppler. Annotate “Sagittal Rt Mid Comm Carotid, PSV = [enter measurement] cm/s, EDV = [enter measurement] cm/s” and save.
  • Step 6: Along a sagittal plane, obtain a single best image of the right mid common carotid artery capturing the intima-media thickness. Annotate “Sagittal Rt Mid Comm Carotid, IMT = [enter measurement] cm” and save.

(continued)

GYN Ultrasound of Nonpregnant Normal Uterus: Advanced Clinical Module
The following protocol assignment is based on AIUM practice parameters. However, it is important to note that different facilities/institutions may have facility-specific protocols that diverge from the procedural guidelines outlined below

    Mid Subclavian Artery
  • Step 1: Select the Mid subclavian artery window. Scan through in both sagittal and transverse planes.
  • Step 2: Along a sagittal plane, obtain a single best greyscale image of the mid subclavian artery capturing the full length of the vessel. Annotate “Sagittal Rt Mid Subclavian” and save.
  • Step 3: Along a transverse plane, obtain a single best greyscale image of the mid subclavian artery. Annotate “Transverse Rt Mid Subclavian” and save.
  • Step 4: Along a sagittal plane, obtain a single best image of the mid subclavian artery with color Doppler demonstrating wallto-wall color flow. Annotate “Sagittal Rt Mid Subclavian with Color Doppler” and save.
  • Step 5: Along a sagittal plane, obtain a single best image of the mid subclavian artery with pulsed-wave Doppler taking note of the velocity measurements and waveform characteristics. Annotate “Sagittal Rt Mid Subclavian, PSV = [enter measurement] cm/s, EDV = [enter measurement] cm/s, [Tri/Bi/Mono] Waveform” and save
    Mid Axillary Artery
  • Step 1: Select the Mid axillary artery window. Scan through in both sagittal and transverse planes.
  • Step 2: Along a sagittal plane, obtain a single best greyscale image of the mid axillary artery capturing the full length of the vessel. Annotate “Sagittal Rt Mid Axillary” and save.
  • Step 3: Along a transverse plane, obtain a single best greyscale image of the mid axillary artery. Annotate “Transverse Rt Mid Axillary” and save.
  • Step 4: Along a sagittal plane, obtain a single best image of the mid axillary artery with color Doppler demonstrating wall-towall color flow. Annotate “Sagittal Rt Mid Axillary with Color Doppler” and save.
  • Step 5: Along a sagittal plane, obtain a single best image of the mid axillary artery with pulsed-wave Doppler taking note of the velocity measurements and waveform characteristics. Annotate “Sagittal Rt Mid Axillary, PSV = [enter measurement] cm/s, EDV = [enter measurement] cm/s, [Tri/Bi/Mono] Waveform” and save.

(continued)

Musculoskeletal: Core Clinical Module
    Radial Artery at Distal Wrist
  • Step 1: Select the Radial artery at distal wrist window. Scan through in both short- and long-axis views. Screen for physiologic findings supportive of sclerosis or calcification in the arterial system.
  • Step 2: Along a long-axis view, obtain a single best greyscale image of the radial artery at the distal wrist capturing the full length of the vessel. Annotate “Long Axis Lt Radial at Dist Wrist” and save.
  • Step 3: Along a short-axis view, obtain a single best greyscale image of the radial artery at the distal wrist. Annotate “Short Axis Lt Radial at Dist Wrist” and save.
  • Step 4: Along a long-axis view, obtain a single best image of the radial artery at the distal wrist with color Doppler demonstrating wall-to-wall color flow. Annotate “Long Axis Lt Radial at Dist Wrist with Color Doppler” and save.
  • Step 5: Along a long-axis view, obtain a single best image of the radial artery at the distal wrist with pulsed-wave Doppler taking note of the velocity measurements and waveform characteristics. Annotate “Long Axis Lt Radial at Dist Wrist, PSV = [enter measurement] cm/s, EDV = [enter measurement] cm/s, [Tri/Bi/Mono] Waveform” and save.
  • Step 6: Along a short-axis view, obtain a single best image of the radial artery at the distal wrist and utilize the ‘Caliper’ feature to measure the skin to vessel distance. Annotate “Short Axis Lt Radial at Dist Wrist Depth = [enter measurement] cm” and save.
  • Step 7: Along a short-axis view, obtain a single best image of the radial artery at the distal wrist and utilize the ‘Caliper’ feature to measure the maximal arterial diameter. Annotate “Short Axis Lt Radial at Dist Wrist = [enter measurement] cm” and save.
    Radial Artery at Proximal Wrist
  • Step 1: Select the Radial artery at proximal wrist window. Scan through in both short- and long-axis views. Screen for physiologic findings supportive of sclerosis or calcification in the arterial system.
  • Step 2: Along a long-axis view, obtain a single best greyscale image of the radial artery at the proximal wrist capturing the full length of the vessel. Annotate “Long Axis Lt Radial at Prox Wrist” and save.
  • Step 3: Along a short-axis view, obtain a single best greyscale image of the radial artery at the proximal wrist. Annotate “Short Axis Lt Radial at Prox Wrist” and save.
  • Step 4: Along a long-axis view, obtain a single best image of the radial artery at the proximal wrist with color Doppler demonstrating wall-to-wall color flow. Annotate “Long Axis Lt Radial at Prox Wrist with Color Doppler” and save.
  • Step 5: Along a long-axis view, obtain a single best image of the radial artery at the proximal wrist with pulsed-wave Doppler taking note of the velocity measurements and waveform characteristics. Annotate “Long Axis Lt Radial at Prox Wrist, PSV = [enter measurement] cm/s, EDV = [enter measurement] cm/s, [Tri/Bi/Mono] Waveform” and save.
  • Step 6: Along a short-axis view, obtain a single best image of the radial artery at the proximal wrist and utilize the ‘Caliper’ feature to measure the skin to vessel distance. Annotate “Short Axis Lt Radial at Prox Wrist Depth = [enter measurement] cm” and save.
  • Step 7: Along a short-axis view, obtain a single best image of the radial artery at the proximal wrist and utilize the ‘Caliper’ feature to measure the maximal arterial diameter. Annotate “Short Axis Lt Radial at Prox Wrist = [enter measurement] cm” and save

(continued)

Renal: Core Clinical Module
    Anterior Fontanelle - Coronal
  • Step 1: Scan through the anterior fontanelle in the coronal plane. Acquire an image of the frontal lobes anterior to the frontal horns of the lateral ventricles with the orbits visualized deep to the skull base. Annotate “Coronal Frontal Lobes” and save.
  • Step 2: In the coronal plane, acquire an image of the frontal horns or the bodies of the lateral ventricles and the interhemispheric fissure. Annotate “Coronal Frontal Horns” and save.
  • Step 3: In the coronal plane, acquire an image of the lateral ventricles at the level of the foramina of Monro (outlining the course of the choroid plexus from the lateral ventricle into the third ventricle), interhemispheric fissure, cingulate sulcus (if developed), corpus callosum, septum pellucidum or cavum septi pellucidi, caudate nuclei, putamina, globi pallidi, and Sylvian fissures. Annotate “Coronal Third Ventricles” and save.
  • Step 4: In the coronal plane, acquire an image of the lateral ventricles slightly posterior to the foramina of Monro (the point at which the lateral and third ventricles communicate). Include the pons and medulla, thalami, and choroid plexus in the roof of the third ventricle and in the caudothalamic grooves. Annotate “Coronal Lateral Ventricles” and save.
  • Step 5: Measure the ventricular index bilaterally. Annotate “Ventricular Index” and save.
  • Step 6: In the coronal plane, acquire an image at the level of the quadrigeminal plate cistern and cerebellum. Include the cerebellar vermis and cisterna magna. Annotate “Coronal Cerebellum and Quadrigeminal Plate” and save.
  • Step 7: In the coronal plane, acquire an image of the echogenic glomi of choroid plexuses at the posterior aspect of the lateral ventricles at the level of trigones. Include the splenium of the corpus callosum at the divergence of the lateral ventricle and periventricular white matter lateral to the posterior horns of the lateral ventricles. Annotate “Coronal Choroid Plexus at Lateral Ventricle Atrium” and save.
  • Step 8: In the coronal plane, acquire an image posterior to the occipital horns of the lateral ventricles. Include parietal and occipital lobes and the posterior interhemispheric fissure. Annotate “Coronal Parietal and Occipital Lobes” and save.
    Anterior Fontanelle - Sagittal
  • Step 1: Scan through the anterior fontanelle in the sagittal midline plane. Acquire an image in a midline sagittal view to include the corpus callosum, cavum septi pellucidi, cavum vergae, third and fourth ventricles (if present), aqueduct of Sylvius, brainstem, cerebellar vermis, cisterna magna, and sulci (if present). Annotate “Sagittal Midline” and save.
  • Step 2: In the parasagittal plane, acquire an image of the right lateral ventricle, including the caudothalamic groove and the choroid plexus. Annotate “Parasagittal Right Caudothalamic Groove” and save.
  • Step 3: In the parasagittal plane, acquire an image of the right Sylvian fissure and the periventricular region. Annotate “Parasagittal Right Sylvian Fissure and Temporal Lobe” and save.
  • Step 4: In the parasagittal plane, acquire an image of the left lateral ventricle, including the caudothalamic groove and the choroid plexus. Annotate “Parasagittal Left Caudothalamic Groove” and save.
  • Step 5: Scan through the anterior fontanelle in the parasagittal plane. Acquire an image of the left Sylvian fissure and the periventricular region. Annotate “Parasagittal Left Sylvian Fissure and Temporal Lobe” and save.

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*SonoSim Modules fulfill the requirements of the ARDMS Accepted Continuing Education Evaluation Model System (AACEEMS) Checklist and are recognized by ARDMS towards CME credit.