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RDMS-AB test Format | RDMS-AB Course Contents | RDMS-AB Course Outline | RDMS-AB test Syllabus | RDMS-AB test Objectives

Anatomy, Perfusion, and Function

- Assess physical characteristics of anatomic structures (normal anatomy, anatomic variants, congenital anomalies)

- Biliary system

- Breast

- Chest

- Liver

- Neck (including: thyroid, parathyroid, salivary glands, lymph nodes)

- Pancreas

- Penis

- Peritoneal cavity (including: stomach, bowel, appendix)

- Prostate

- Retroperitoneum (including: great vessels & branches)

- Scrotum

- Spleen

- Superficial structures (for example: abdominal wall & subcutaneous tissue)

- Urinary system

- Knowledge of normal anatomy, anatomic regions, and anatomic variants

- Knowledge of sonographic appearance of anatomic structures

- Ability to recognize and utilize anatomic landmarks in obtaining and documenting diagnostic images

- Ability to recognize and apply proper scan technique in obtaining and documenting diagnostic images

- Ability to recognize, evaluate and document congenital anomalies

- Assess physical characteristics of anatomic structures

- Assess perfusion and function of anatomic structures

- Assess anatomic structures for pathology

- Assess anatomic structures for vascular abnormalities

- Assess anatomic structures for traumarelated abnormalities

- Assess aspects related to postoperative anatomy

- Apply concepts of equipment/image optimization

- Apply concepts of imaging artifacts

- Incorporate clinical data with performed study

- Incorporate clinical standard/guidelines with performed study

- Obtain accurate measurements

- Assist/support during procedures

- Assess perfusion and function of anatomic structures

- Biliary system

- Chest

- Liver

- Neck (including: thyroid, parathyroid, salivary glands, lymph nodes)

- Penis

- Peritoneal cavity (including: stomach, bowel, appendix)

- Prostate

- Retroperitoneum (including: great vessels & branches)

- Scrotum

- Spleen

- Superficial structures (for example: abdominal wall & subcutaneous tissue)

- Urinary system

- Ability to recognize appearance of normal vascular flow patterns

- Ability to recognize and utilize anatomic landmarks in evaluating and documenting perfusion and function

- Ability to recognize and apply proper scan technique in evaluating and documenting perfusion and function

- Knowledge of normal vascular anatomy and hemodynamics

Pathology, Vascular Abnormalities, Trauma, and Postoperative Anatomy

- Assess anatomic structures for pathology

- Abdominal wall for hernia (for example: ventral, inguinal, incisional)

- Adrenal glands for masses, hemorrhage, etc.

- Biliary system for infection, masses, metastatic disease, obstructions, etc.

- Breast for infection, abscess, masses, etc.

- Chest for fluid, masses, etc.

- Gastrointestinal system for masses, obstruction, pyloric stenosis, intussusception, etc.

- Joints for abnormalities (for example: fluid)

- Liver for hepatitis, fatty infiltration, cirrhosis, neoplasm, abscess, cyst, etc.

- Neck (including: thyroid, parathyroid, salivary glands, lymph nodes) for diffuse parenchymal disease, inflammation, masses, etc.

- Pancreas for infection, masses, obstruction, etc.

- Penis for abnormalities

- Peritoneal cavity (including: stomach, bowel, appendix) for fluid

- Popliteal fossa for abnormalities (for example: masses, fluid)

- Prostate for parenchymal disease or masses (for example: benign prostatic hypertrophy)

- Retroperitoneum (including: great vessels & branches) for fibrosis, lymphadenopathy, etc.

- Scrotum for fluid, hernia, masses, infection, parenchymal disease, etc.

- Spleen for splenomegaly, parenchymal changes, masses, etc.

- Superficial structures (for example: abdominal wall, subcutaneous tissue) for foreign bodies, infection, fluid, masses, etc.

- Urinary system for masses, obstruction, parenchymal disease, infection, etc

- Knowledge of etiology/pathophysiology of abnormal perfusion and function

- Ability to recognize ultrasound findings related to abnormalities of anatomy, perfusion, and function in obtaining and documenting diagnostic images

- Ability to recognize and apply proper scan technique in evaluating and documenting pathology

- Ability to recognize foreign bodies, infection, fluid, masses, etc.

- Knowledge of hernia types and their sonographic appearance

- Assess anatomic structures for vascular abnormalities

- Liver for Budd-Chiari syndrome, arteriovenous fistula, portal vein thrombosis, collateralization, etc.

- Knowledge of anatomic and vascular changes associated with vascular abnormities

- Knowledge of sonographic findings associated with vascular abnormalities

- Ability to recognize and apply proper scan technique in evaluating and documenting vascular abnormalities

- Retroperitoneum (including: great vessels and branches) for aneurysm, dissection, thrombus, etc.

- Scrotum for torsion, varicocele, etc.

- Spleen for infarction, hemangiomas, etc.

- Urinary system for renal artery stenosis, arteriovenous fistulas, etc

- Assess anatomic structures for trauma-related abnormalities

- Hepatic system • Knowledge of sonographic appearance as a result of trauma

- Ability to rapidly prioritize and evaluate sonographic findings due to trauma

- Ability to perform focused test for free fluid following a traumatic event

- Ability to recognize and apply proper scan technique in evaluating and documenting trauma

- Penis

- Scrotum

- Spleen

- Superficial structures (for example: abdominal wall, subcutaneous tissue)

- Urinary system

- Focused test for free fluid related to traumatic events

- Assess aspects related to postoperative anatomy

- Anatomy of transplanted organs

- Knowledge of hemodynamics of transplanted organs

- Knowledge of common causes of transplant failure

- Ability to recognize signs of rejection

- Perfusion and function of transplanted organs

- Complications related to organ transplants

- Abnormalities in postsurgical anatomy

- Ability to adjust scan technique based on patient condition and surgical history

- Ability to distinguish characteristics of common anastomosis sites

- Ability to recognize fluid collections

- Ability to interpret and integrate surgical history with sonographic findings

- Knowledge of surgical procedures used in organ transplant

- Knowledge of surgical zones of the neck

- Ability to evaluate and document findings within surgical zones of the neck

- Knowledge of patterns and sonographic appearance of disease recurrence

- Ability to evaluate transjugular intrahepatic portosystemic shunts (TIPS)

- Ability to recognize and apply proper scan technique in evaluating and documenting postsurgical findings

- Abnormalities in postsurgical breast

- Abnormalities (for example: recurrent disease, lymphadenopathy) in postsurgical neck

- Implanted medical devices (for example: transjugular intrahepatic portosystemic shunt [TIPS])

Abdominal Physics

- Apply concepts of equipment/image optimization

- Use appropriate transducer (for example: curvilinear, linear, phased array)

- Ability to select the appropriate transducer and machine presets based on body habitus

- Ability to use acoustic windows creatively to optimize visualization

- Ability to adjust machine settings to maximize penetration while minimizing resolution loss

- Knowledge of appropriate application of Doppler techniques

- Ability to manipulate color, power, and pulsed wave settings to accurately display and measure blood flow

- Use two-dimensional, real-time, gray-scale imaging (for example: B-mode, compound, harmonic)

- Use Doppler (for example: color, power, pulsed wave)

- Apply concepts of imaging artifacts

- Assess artifacts of gray-scale imaging (for example: shadowing, resonance, comet tail)

- Ability to recognize artifacts and correlate them with anatomy and pathology

- Ability to manipulate machine settings to enhance or minimize artifacts

- Assess artifacts of Doppler imaging (for example: twinkle, spectral broadening)

Clinical Care, Practice, and Quality Assurance

- Incorporate clinical data with performed study

- Assess indications for examination requested

- Knowledge of appropriate indications and contraindications for a specific test and/or procedure

- Knowledge of potential effects of patient medications on an test or procedure

- Knowledge of lab values relevant to specific examinations

- Assess relevant clinical lab values for examination being performed

- Assess relevant family history and patient signs/symptoms for examination being performed

- Correlate ultrasound findings with previous imaging results

- Ability to obtain and evaluate patient history relevant to the exam

- Ability to assimilate patients signs and symptoms and modify the exam/or describe the findings

- Ability to modify the test based on information from other modalities

- Ability to localize pathology for sonographic correlation

- Ability to modify the test based on real-time findings

- Knowledge of modalities associated with the test being performed

- Ability to utilize resources, such as physicians, literature, or peers

- Evaluate images from other imaging modalities (for example: computed tomography, magnetic resonance imaging, nuclear medicine, x-ray)

- Incorporate clinical standard/guidelines with performed study

- Communicate effectively with the patient, physician, and others, including communication of findings that require immediate action

- Ability to communicate with patient in a professional and appropriate manner to effectively explain procedures, deal with inappropriate behavior, and engage patient cooperation

- Ability to communicate using appropriate medical terminology

- Ability to modify test preparation, patient position, and/or image acquisition based on patient condition and/or sonographic findings

- Ability to recognize findings and/or situations that require immediate action and respond effectively

- Knowledge of appropriate patient preparation for an test and knowledge of factors that may affect patient preparation (for example: patient history, patient condition, sequencing requirements of multiple modality exams)

- Knowledge of sonographer scope of practice and regulations regarding patient information and interactions

- Inform patient or referring practitioner of examination preparations (for example: fasting for biliary imaging)

- Maintain and protect patient confidentiality/privacy

- Modify the examination based on patient condition and/or sonographic findings

- Use multiple patient positions and scan planes to evaluate anatomic structures

- Obtain accurate measurements

- Obtain measurements of anatomic structures • Knowledge of normal measurement ranges

- Knowledge of proper techniques for measuring anatomic structures

- Knowledge of hemodynamics

- Knowledge of normal and abnormal Doppler waveforms

- Ability to analyze Doppler measurements

- Ability to distinguish artifacts from real blood flow

- Ability to apply knowledge of measurement techniques (for example: Doppler and gray-scale)

- Obtain measurements of Doppler waveforms

- Assist/support during procedures

- Obtain consent form and patient lab results prior to the procedure

- Knowledge of sonographer's role in obtaining consent

- Ability to verify and document patient consent

- Ability to verify correct patient, side (laterality), and site

- Knowledge of contraindications for specific procedures

- Knowledge of proper safety precautions in interventional procedures

- Knowledge of equipment and materials used for a specific procedure

- Knowledge of interventional procedures and sonographer's role

- Knowledge of protocols during surgical procedures, related to the sonographer's role

- Ability to adapt protocol due to different circumstances

- Ability to optimally display the needle path and tip

- Ability to recognize implanted medical devices

- Knowledge of potential post-procedural complications

- Provide ultrasound guidance for procedures

- Evaluate for post-procedural changes/complications

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