Current Trends in Abdominal Sonography - Society of Diagnostic ...

SDMS News Wave March 2010 1 

SDMS News Wave is published to inform 

SDMS members of meetings, events and 

policies as well as trends and issues in 

the sonography profession. Comments, 

questions or concerns about the articles 

appearing in SDMS News Wave, should be 

directed to newswave@sdms.org. 

Current Trends in Abdominal Sonography 

New fusion technology and other advances improve abdominal, breast, 

musculoskeletal, and small parts imaging 

By Beth W. Orenstein 

Two years ago, when Robert DeJong, RDMS, 

RDCS, RVT, FSDMS, returned from the annual 

meeting of the Radiological Society of North 

America (RSNA) in Chicago, fellow radiology 

managers at Johns Hopkins Hospital in Baltimore 

came running over. At the meeting, they had 

been introduced to technology that fuses images 

from sonography with images from other imaging 

modalities such as computed tomography (CT) 

and magnetic resonance (MR) “They came 

rushing up to me and said, ‘Wow! Did you see 

the GE machine that did the fusion?’ They saw 

the potential that fusion imaging could have on 

patient care and were really excited about it,” 

says DeJong, radiology technical manager at 

Hopkins. For once, he says, “sonography was 

the bright star of RSNA rather than the latest CT 

advance. This truly is cool stuff.” 

The benefits of being able to synchronize 

sonographic studies with those done on other 

imaging modalities are enormous, says DeJong, 

who will talk about fusion imaging at the annual 

SDMS conference in Denver in Oct. 14-17. 

Can’t make it to Denver for the SDMS Annual Conference? Look for 

the SDMS Webinar Series recorded webinar, Fusion Imaging in 

Ultrasound–What is it? Why you should know about it! at 

http://www.sdms.org/members/webinars.asp 

For example, he says, “if you see a liver mass 

on a CT that requires further characterization 

with ultrasound, you can import the patient’s 

CT scan where it was originally detected. Then 

you register the CT volume with the patient and 

do the ultrasound scan. The CT images appear 

on the screen so you can find the lesion as you 

are scanning. With the CT as correlation, you 

know you are looking in the exact same area on 

your sonographic image. It’s better than using 

landmarks, which we do now, and trying to line 

them up best you can.” 

Fusion imaging is but one of many exciting 

trends for sonographers who specialize in 

In this issue 

cover story: Current Trends in Abdominal Sonography • 5 SDMS Member Appointed to the 

New Mexico Medical Imaging and Radiation Therapy Advisory Council • 6 Health Professions 

Network (HPN) Meets in Washington, DC • 7 SDMS Insurance - Are You Protected? • 8 S D M S 

Product Spotlight • February iTouch Winner • 9 Ready America • 10 SDMS Sonography Mentor 

• 11 

Upcoming Webinars • 12 SDMS Fellow Spotlight • 13 SDMS Welcomes New Members 

Society of Diagnostic Medical Sonography 

www.sdms.org

abdomen, breast and small parts. Others include the 

introduction of elastography, which measures tissue 

stiffness or elasticity to identify and classify tumors, 

greater use of musculoskeletal ultrasound imaging, 

and the use of contrast, especially to detect lesions 

on the liver, kidney and pancreas. Volume imaging 

is also coming to abdominal sonography as it has to 

echocardiography. Here’s a look at these trends and 

what abdominal sonographers may soon need to 

know to practice their specialty. 

Fusion Imaging 

Fusion imaging melds two independent imaging 

modalities—typically one that demonstrates function 

with one that depicts anatomy—to produce a single 

study that is diagnostically and clinically superior. 

Mention fusion imaging and most people think 

PET-CT, which was the first fusion technology to be 

commercially available. Introduced in the late 1990s, 

PET-CT is in wide use today, largely to detect and treat 

cancer. 

In the fall of 2008, GE Healthcare introduced 

technology that can fuse ultrasound images with the 

patient’s CT or MR of the same area. Hitachi Medical 

Systems also offers imaging equipment that allows 

caregivers to fuse sonograms with MR or CT. “Other 

companies have it in the works so it’s coming,” 

DeJong says. 

DeJong says fusion imaging promises to not only 

make patient care safer but also less costly. He 

predicts fusion imaging will be “very big” as the 

technology is perfected and more facilities acquire 

the equipment. “One area where it can be very 

beneficial is with biopsies,” he says, “because with 

fusion imaging, you’re able to biopsy lesions that you 

may not see with sonography but you know are in 

the area because you can see them on the CT or MR 

image and the registration and correlation tells you 

that you’re biopsying in the right area.” 

In this day of cost consciousness, DeJong says, “it’s 

a wonderful advantage if we can biopsy lesions that 

can be seen only on a contrast CT. Otherwise, the 

patient would have to have an open surgical biopsy. 

This way the patient doesn’t have to have anesthesia 

or use the OR.” 

Performing biopsies with fusion imaging also makes 

the procedure safer because it not only avoids 

radiation but it also allows the caregivers to see what 

other vessels and organs may be in the way and to 

determine the best approach, DeJong says. “With MR 

and CT, you have the whole abdomen in view and not 


just where the ultrasound beam is transecting.” 

DeJong, whose lab does 90 percent of its radiologyguided 

biopsies with ultrasound, says fusion imaging 

also should prove useful with detecting and biopsing 

pleura-based lung lesions and neck and thyroid 

lesions. “Pleura-based lung lesions are small and 

you’re fighting your two worst enemies when scanning 

– lung and bone. This technology can help us find 

these lesions a lot quicker. For neck nodes, we can 

mark where the lesion is so when the patient returns 

for a follow-up scan you can be sure you’re scanning 

the same region to see whether the lesion changed 

any. Some of these lesions can be extremely small – 

millimeters and you could scan right past them and 

never find them again,” he says. 

It’s particularly hard to follow lesions in the neck 

because the neck doesn’t have a lot of landmarks 

that can serve as a guide, DeJong says. “We do the 

best we can, but with this technology, we can be 

more certain this is the node we saw the last time. 

Or perhaps after treatment it disappeared, we can 

be more certain of that and not that we just couldn’t 

find it again. Also, if there are two or more nodes you 

can mark them so you’re sure you’re not scanning the 

same one twice.” 

For sonographers, DeJong says, the challenge will be 

to understand what a CT and MR scan look like and 

the differences between MR or CT and ultrasound. 

“As the sonographer, you will have to learn to 

correlate what a mass looks like on an MRI or a CT.” 

However, he says, for most sonographers, it should 

be a quick learning curve as they are already familiar 

with the anatomy. 

Fusion imaging also has the benefit of reducing scan 

time – as the sonographer can go directly to the 

lesion. Reducing scan time can help alleviate some of 

the repetitive work-related musculoskeletal injuries to 

which sonographers are so prone, DeJong says. 

“Our future looks very bright,” DeJong says. “Fusion 

has really excited a lot of people, especially in the 

radiology world.” 

Elastography 

It is a well-established principle that malignant 

tissue is harder than benign tissue. Elastography is 

an imaging technique that takes advantage of this 

principle – it measures the elastic properties of 

tissue. Most elastography is done with ultrasound, 

but some research using MRI also is underway. 

Elastography uses raw ultrasound obtained before

and after a slight compression of tissue. Compression 

is typically achieved with a transducer. Compression 

also may be performed using vibrations in a 

technique known as sonoelastography. Elastography 

measures and displays strain or the change in the 

dimension of tissue elements at various locations in 

the region of interest. 

The hope is that elastography can be used to 

differentiate malignant from benign lesions and 

thus eliminate the need for biopsies. Currently, 

elastography, which made a splash at the 2006 

European Congress of Radiology, is used mostly in 

breast imaging. “One of our adjunct faculty recently 

left here to work at a breast center in Seattle and 

she was excited about the opportunity to be using 

this newer technique,” says Catherine Rienzo, MS, 

RT(R), RDMS, assistant professor and manager 

of the diagnostic medical sonography program at 

Northampton Community College in Bethlehem, Pa. 

“It’s going to take a while for physicians to gain the 

confidence that elastography ultrasound proves what 

we can do with biopsy,” says Sheryl Goss, MS, RT(R), 

RDMS, RDCS, RVT, chair of the sonography program 

at Misericorida University in Dallas, Pa. and editor of 

the SDMS’ National Certification Exam Review study 

guides. “It’s going to take time for that confidence to 

build, but over time with correlations of elastography 

findings to biopsy results, I believe, elastography will 

prove its value.” 

Elastography sonography also has shown potential 

in scanning other body parts including the thyroid, 

prostate, pancreas and liver, says Janette Wybo, 

BS, RDMS, RDCS, RVT, program coordinator for the 

Providence Hospital School of Diagnostic Medical 

Sonography in Southfield, Mich. 

Musculoskeletal Ultrasound Imaging 

Musculoskeletal (MSK) ultrasound imaging is very big 

in Europe, Rienzo says. It may be because Europeans 

don’t have the same access to CT and MR that 

Americans do, she says. “In this country, orthopedic 

residents are a lot more educated in the areas of MR 

and CT when it comes to musculoskeletal injuries.” 

But as Americans look to contain health-care costs 

and grow increasingly concerned about the safety of 

radiation, sonography is likely to play a bigger role in 

detecting and treating musculoskeletal injuries. 

The fact that the American Registry for Diagnostic 

Medical Sonography (ARDMS) has announced 

it is developing a credentialing examination in 

musculoskeletal ultrasound is a clear sign that it is 


gaining momentum in the U.S., Rienzo says. To create 

a credential, ARDMS goes through an 11-step process, 

and it’s in step 4 with its MSK credential. “That’s going 

to be a real take-off for people who are interested in 

doing it and getting credentialed,” Rienzo says. 

Sonographers who earn the credential could work 

in the field full-time at a hospital or imaging facility. 

“Rheumatologists also would have a big interest in 

having sonographers credentialed in musculoskeletal 

sonography in their offices,” Rienzo says. 

MSK sonography can be used for imaging shoulders 

(rotator cuff), feet, ankles and knees. 

The advantage to using ultrasound over X-ray, CT or 

MRI for musculoskeletal injuries is that the patient 

can move and replicate the injury, Goss says. “The 

ultrasound allows for dynamic movement where with 

MRI, the patient is very fixated” during the exam. 

“The challenge is going to be the learning curve for 

sonographers as well as the interpreting physicians,” 

Goss adds. Interest is there, she says: “All the 

MSK sonography seminars I’m seeing are being 

well received. Many are selling out even with the 

registration cost being significantly higher than other 

sonography seminars.” 

Currently, MSK sonography is mostly practiced in big 

research centers, Rienzo says, but she believes that 

eventually it will be the standard of care for many 

facilities of all sizes. 

The Use of Contrast 

Like MSK sonography, the use of contrast in 

abdominal sonography is much bigger in Europe than 

it is in the U.S. 

“A lot of other countries are using it for everything in 

abdominal sonography, but in the U.S. right now it’s all 

research,” says Ann Willis, MS, RDMS, RVT, assistant 

professor of diagnostic medical sonography at Baptist 

College of Health Sciences, in Memphis, Tenn. “The 

FDA has not approved contrast for anything other than 

echocardiography.” 

Willis expects the FDA will approve contrast for 

abdominal and other studies because it helps 

physicians to delineate between malignant and benign 

lesions. Cancerous tissues require more blood to grow 

and tumors tend to be more vascular. When contrast 

is injected intravenously at the time of the study, it 

enables the vascularity of the tissue to stand out. 

Contrast agents were introduced to sonography in the 

late 1990s. Their use grew to where about one in five

patients undergoing echocardiography were given 

contrast. But in October 2007, after the FDA received 

reports of a number of deaths and adverse reactions, 

it issued a black-box warning and the use of contrast 

agents quickly plummeted. Studies have since shown 

the use contrast in echocardiography to be safe, and 

the FDA has relaxed its restrictions. 

Willis expects liver to be one of the first additional 

areas where contrast will be approved because a 

growing number of studies are showing that contrastenhanced 

ultrasound imaging is highly accurate 

in characterizing malignant and benign focal liver 

lesions. 

“It could be within the next three to four years,” Willis 

says. “But I don’t think anyone’s put out a timetable 

on it. It would be nice to see.” 

Contrast-enhanced studies also are likely for the 

kidney and pancreas. 

Volumetric Imaging 

The future of all sonography is going to be volume 

imaging, Willis says. “That’s slowly the way we’re 

headed with sonography. It’s not just for abdomen, 

it’s for everything… breast, small parts, vascular.” 

Volume imaging is similar to CT in that much of the 

work is done on the computer post-scanning. 

Willis says it’s an exciting development because it 

cuts scan time dramatically. “With volume imaging,” 

Willis says, “you find a good window, scan from lateral 

to medial and you’re done. The computer can turn 

your image into a three-dimensional rendering or 

individual 2-D images.” 


Volume imaging requires the same sonography skills, 

Willis says. “You’re still doing the scanning like you’re 

trained. You’re just not saving the individual images. 

It’s not up to you which ones you save. The decisions 

are made by the computer. It’s like CT, in that it knows 

how many slices to take in the timeframe you scan.” 

Volume imaging is also reproducible and could help 

address the longstanding issue in sonography of 

it a being a very operator-dependent modality, the 

sonographers agree. 

The acquisition of 3D and 4D images is with the 

transducer and special software on the ultrasound 

machine. 

Wybo, of Providence Hospital, says her breast center 

has had a new 16 megahertz 4D probe for a little 

more than four months. “When we went from a 12 

megahertz 2D probe to the 16 megahertz, it was: 

‘Wow!’ We’ve had at least three cases where we 

thought we might have seen something and the 

volumetric probe helped clarify the diagnosis,” she 

says. 

The probe is a little cumbersome because it has a 

wide base. Also, the penetration is a little less, so the 

sonographers only use it for more superficial lesions 

in the breast, Wybo says. Generally, her sonographers 

will use it if they feel it’s necessary toward the end of 

a breast ultrasound. 

Really, Wybo says: “We’re sold on the advantages of 

it. We’ve seen how it’s made a difference.” 

Beth W. Orenstein is a writer for SDMS. 

SDMS News Wave is archived online at: 

http://www.sdms.org/members/NewsWave.asp

SDMS Member Appointed 

to the New Mexico Medical 

Imaging and Radiation 

Therapy Advisory Council 

On April 6, 2009, New Mexico Governor Bill 

Richardson signed the historic bill that, for the first 

time in the United States, required licensure of 

sonographers. The New Mexico Governor appointed 

fellow SDMS member, Darla Matthew, RT(R), RDMS, 

to the newly formed New Mexico Medical Imaging 

and Radiation Therapy Advisory Council for a five-year 

term to represent diagnostic medical sonography. 

Darla first became involved in sonography in the late 

80’s working as a radiographer and CT technologist. 

She was employed at an outpatient facility when 

one of the radiologists asked if she would be willing 

to cross-train. A short time later, the office that 

Darla worked for closed and a local hospital that 

desperately needed a full-time sonographer was 

anxious to hire her. Darla knew that if she were going 

to be employed as a full-time sonographer, she had 

to get serious about sonography and study for the 

ARDMS certification exams. 

“I didn’t have access to a formal training 

program so I set forth with a copy of Hagan- 

Ansert’s book and all the courage I could muster 

to learn as much as I could about sonography”. 

Later in Darla’s career, she decided to change career 

paths and try out sonography education. Darla 

approached a local college who was looking for a 

full-time program director at the time. The college 

agreed to a ‘no-commitment’ offer, which allowed 

Darla to decide if this was something she wanted to 

do. Needless to say, she is still working at Dona Ana 

Community College in Las Cruces today. 

“It felt eerily similar to those early days of 

learning sonography, but with lots of courage, 

encouragement, and support of persons 

within the community college, professional 

sonographers, educators and organizations such 

as the SDMS, the challenge has been exciting 

and rewarding”. 

So what motivated Darla to contact her state 

representative regarding licensure? Darla had been 

concerned about the level of training of people 

performing sonograms in the profession for years. The 


sonographers that Darla initially worked and trained 

with had not gone through formal programs but had 

evolved from training as radiologic technologists 

and had readily embraced guidelines and standards 

established by the ARDMS and the SDMS. 

Now and then Darla would come across a case 

or learn of a patient that had a poor outcome as 

a direct result of someone who was inadequately 

trained in sonography or of persons who perform 

ultrasound outside of the Scope of Practice or Code 

of Ethics. The final straw was when she learned of 

a person who was presenting himself as a trained 

sonographer when in fact he had been dismissed 

from her program after only a few weeks into the 

first semester. Darla realized there was no regulatory 

agency to report such a person to and worse, no one 

could do anything to prevent this person from gaining 

employment as a sonographer or from establishing 

his own sonography business with equipment 

purchased online. 

“In fact, I got on the Internet and placed a call 

to the first site I could find that advertised the 

sale of ultrasound equipment. I asked if there 

were any restrictions preventing me from owning 

ultrasound equipment even if I didn’t know how 

to operate it and the reply was that I only needed 

to provide a credit card. This is when I got the 

attention of my state representative”. 

During Darla’s five-year term on the New Mexico 

Medical Imaging and Radiation Therapy Advisory 

Council, she hopes to ensure the adoption of 

reasonable but high standards for persons 

performing ultrasound examinations that would 

not be an undue burden on sonographers or other

providers. The most important thing is to ensure that 

persons performing ultrasound exams are qualified to 

do so for the protection of patients. 

New Mexico is the first state to adopt sonographer 

licensure so there is not much information to draw 

upon other than Oregon who also recently passed 

sonographer licensure. It will be important to take 

special consideration for the large number of rural 

hospitals in the state. The Council will need to be 

sensitive to their ability to comply with licensing by 

setting reasonable timetables and identifying ways 

to support the rural area hospitals. The Council 


has been pleasantly surprised with how willing the 

hospital administrators have been to come on board 

with licensure. 

Darla and the Council hope to create a path for the 

future to make sure patients are receiving the highest 

care possible from sonographers. 

“The New Mexico licensure bill was passed 

because we had a lot of cooperation and hard 

work from key persons. I only got the ball rolling.” 

Health Professions Network (HPN) 

Meets in Washington, DC 

Highlights include Capitol Hill march, presentation by HRSA 

During its spring 2010 meeting in the nation’s capitol, March 3-6, the Health 

Professions Network (HPN) went to Congress to advocate for increased funding 

for and awareness of the allied health professions. 

The meeting also featured presentations by Marcia K. Brand, PhD, Deputy 

Administrator, Health Resources and Services Administration (HRSA), and 

Thomas Elwood, DrPH, Executive Director, Association of Schools of Allied 

Health Professions (ASAHP). In addition, Miriam O’Day, Legislative Affairs, 

American Association for Respiratory Care (AARC), prepared attendees for the 

Capitol Hill visit. 

HPN advocates for allied health in Congress 

On March 4, approximately 30 HPN meeting attendees visited key Senate and House representatives and their 

staff. Stephanie Ellingson, SDMS Liaison to HPN visited the offices of Senator Grassley, Corker, and Inouye and 

Representative Cohen. In total HPN attendees visited the offices of 21 Senators and 15 Representatives. 

In these meetings, HPN attendees had three requests: 

• Funding for a comprehensive health workforce study 

• Funding to increase awareness of career opportunities in the health professions 

• A Congressional statement recognizing the allied health professions 

“This was an invaluable experience,” said Stephanie Ellingson. “The allied health professions, including my 

field of Sonography, are essential to ensuring access to quality care for patients nationwide. I believe our 

message of cost control, increased access, and improved quality was one that resonated with Congress. 

“In addition, the allied health field has a great economic impact on the health care sector overall, based on 

sheer numbers, as we represent 60% of health professionals. Allied health fields also offer excellent career 

opportunities for racial/ethnic minorities and displaced workers.” 

The HPN meeting was sponsored by the Gaylord Hotel in National Harbor, MD. 

About the Health Professions Network: 

SDMS is represented on the 

HPN by Stephanie Ellingson, 

MS, RDMS, RDCS, RVT, RT(R) 

The HPN represents 80 member associations and works to promote collaboration and serve the interests of allied health 

professionals from 200 different health professions as well as educators, regulators, accrediting agencies, and government 

agencies. Since its founding in 1995, HPN has worked to advance and explore current issues relevant to health professions.


SDMS Member Benefit Spotlight - 

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Are you protected? 

Whether you want to protect your 

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Protect your career with SDMS Professional 

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To learn more about Professional Liability 

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The majority of us have life insurance but are 

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It’s been a long winter. Show your sonography 

pride in these short-sleeved tees boasting 

some of SDMS’ most popular logos. 

Tees are 100% cotton. \Sizes S, M, L, 

XL, and XXL. 

United We Scan short-sleeve tee: 

Item 4525 

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Safe & Sound short-sleeve tee 

Item 4526 

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MUAM Clearance Sale! 

Last year’s Medical Ultrasound Awareness 

Month merchandise has been priced to move. 

Get it before it’s gone. 

http://www.sdms.org/store/Search. 

aspx?text=muam 

Member prices 

T-shirts: $5 

Mugs: $3.50 

Totes: $3 

SDMS Product Spotlight - 

Spring Has Sprung! 

Congratulations to the 

February iPod Touch Winner! 

Congratulations to William Hayden of Grand Junction, CO. William 

is the winner for our Membership Renewal Campaign for March 

2010! His name was picked randomly from all March members 

that renewed membership online from February 1 to February 28. 

Any member that renews their membership ONLINE within 

30 days of receiving their FIRST renewal notice email will be 

automatically entered into a drawing to win an Apple ® iPod Touch. 

• Members must renew online to eligible for drawing 

• Drawings will occur on the first of each month 

• Promotion valid January 1 through December 31, 2010

Ready America 

Whether due to natural cause such as tornado, 

earthquake, hurricane, etc. or human causes such 

as industrial accident or terrorists, it’s always a good 

idea have preparedness plans in place. Emergency 

preparedness is no longer the sole concern of 

earthquake prone Californians and those who live in 

the part of the country known as “Tornado Alley.” For 

Americans, preparedness must now account for manmade 

disasters as well as natural ones. Knowing what 

to do during an emergency is an important part of 

being prepared and may make all the difference when 

seconds count. And, taking these simple steps can 

make a big difference in ensuring your safety and wellbeing 

and that of your loved ones. 

Get a Kit 

You may need to survive on your own after an 

emergency. This means having your own food, water, 

and other supplies in sufficient quantity to last for 

at least three days. Local officials and relief workers 

will be on the scene after a disaster, but they cannot 

reach everyone immediately. You could get help in 

hours, or it might take days. In addition, basic services 

such as electricity, gas, water, sewage treatment, and 

telephones may be cut off for days, or even a week or 

longer. 

Make a Plan 

Your family may not be together when disaster strikes, 

so it is important to plan in advance: how you will 

contact one another; how you will get back together; 

and what you will do in different situations. 

Be Informed 

Some of the things you can do to prepare for the 

unexpected, such as making an emergency supply 

kit and developing a family communications plan, are 

the same for both a natural or man-made emergency. 

However, there are important differences among 

potential emergencies that will impact the decisions 

you make and the actions you take. Learn more about 

the potential emergencies that could happen where 

you live and the appropriate way to respond to them. 

In addition, learn about the emergency plans that have 

been established in your area by your state and local 

government. 

For more information about being prepared for 

emergencies, visit: http://www.ready.gov/ 

And here’s a website where you can purchase 

emergency supplies including food/water with a shelflife 

of up to 30 years: http://www.thereadystore.com/ 


Here Are Some Things To Think About... 

• Ask your child’s school for a copy of their 

emergency plan for you to keep at home or 

work. 

• Create a small emergency card and carry 

your family’s physician/pharmacy contacts, 

medical history (blood type, allergies, 

medical conditions, medication list, eye 

glass prescriptions, etc.), family telephone 

numbers, etc. 

• Drive your planned evacuation route and plot 

alternate routes on a map in case main roads 

are blocked or gridlocked. 

• Remember to review your plan regularly, 

update contact information and check the 

supplies in your kit to be sure nothing has 

expired, spoiled or changed. 

• You should have at least one traditionally 

wired landline phone, as cordless, cellular 

or Internet phones may not work in an 

emergency. 

• Be sure to include your child’s favorite stuffed 

animals, board games, books or CD player 

and CDs in your emergency supply kit. 

• Be sure to store at least a three-day supply 

of food and water for pets in your family’s 

emergency supply kit. 

• Be sure to conduct fire drills and practice 

evacuating your home twice a year. 

• Find out in advance where you can take your 

pets when an emergency happens in your 

community. 

• Remember to make a list of vets or veterinary 

hospitals in other cities where you might need 

to temporarily shelter your pet if evacuating 

the area. 

• Remember to teach your children how and 

when to call 9-1-1 or your local Emergency 

Medical Services number for help.

SDMS Sonography 


This section fo SDMS News Wave is dedicated to life-long learning 

and career development within the sonography profession. 

Program Directors – Need 20 More Readymade Lesson Plans? 

Did you know there are 20 onehour 

webinars available online for 

you to help educate your students? 

Past webinars are recorded and 

archived on the SDMS website. As 

an SDMS member, you can show it 

to your students free. Topics include: Evaluation of 

the Fetal Heart, Fusion Imaging in Ultrasound, Renal 

Transplant, First Trimester Risk Assessment for Down 

Syndrome, The Anatomy of the Anatomy Scan and 

many more. 

2010 SDMS Annual Conference 

Educators’ Tutorial 

Be sure to join us for the 2010 SDMS Annual 

Conference Educators’ Tutorial on Thursday October 

14 at the Colorado Convention Center. The Educators’ 

Tutorial offers educational sessions on a variety 

of topics including How to Design a Lab Program, 

The Art of Teaching, and Legal Risks in Academic 

Decisions. Additionally, there will be an update with 

Q&A from the American Registry for Diagnostic 

Medical Sonography (ARDMS) and JRC-DMS staff. 

Our new program design will allow you to attend a 

full day of the Educators’ Tutorial or you may choose 

to attend the morning or afternoon sessions and 

spend the other part of your day in a specialty tutorial. 

Our specialty tutorials include Cardiac and Ob/Gyn 

in the morning and Abdominal and Vascular in the 

afternoon. 

The SDMS Webinar Series is a great learning tool for 

your students and to supplement to your curriculum. 

Once the class has viewed the webinar, follow up with 

a group discussion or have the students write a short 

paper on the topic for extra credit. If your students are 

SDMS members, they can take the post-test for CME 

credit. 

New webinars are added each month, so the variety 

of topics expands constantly. SDMS offers educators 

a great resource library and it’s just a click away! 

http://www.sdms.org/members/webinars/default.asp 

Educators’ Tutorial Presentations 

The Art of Teaching - Do You Believe in Magic? 

Presented by Katie Kuntz M.Ed, RDMS, RVT, RT(R), FSDMS 

From Student to Teacher: What It Takes To Be A Mentor 

Presented by Carol Mitchell PhD, RDMS, RDCS, RVT, RT(R), FASE 

What Should We Be Doing In Lab? 

Presented by Jill Trotter BS, RDMS, RT(R) 

ARDMS Update 

Presented by ARDMS Staff 

The Fetal Heart: A Guide for Your Students 

Presented by Pam Foy BS, RDMS, FSDMS 

Tough Academic Decisions and Legal Issues 

Presented by Ann Obergfell JD 

Location, Location, Location: Sonographic Program 

Accreditation 

Presented by Katie Kuntz M.Ed, RDMS, RVT, RT(R), FSDMS 

and Carol Mitchell PhD, RDMS, RDCS, RVT, RT(R), FASE 

Registration will open May 1, 2010. 

Stay tuned for more details!

2010 SDMS Annual Conference 

Student Conclave 

“The Sky is the Limit” at this year’s SDMS Annual 

Conference Student Conclave. Students who register 

at the discounted student rate for the 3-day SDMS 

Annual Conference can also attend the Student 

Conclave (or any tutorial) for FREE! The Student 

Conclave is designed for first or second year students 

in sonography programs. Students can choose to 

attend the morning or afternoon sessions of the 

Student Conclave and then spend the other part of 

their day in a specialty tutorial. Our specialty tutorials 

include Cardiac and Ob/Gyn in the morning and 

Abdominal and Vascular in the afternoon. 

This year’s Student Conclave morning schedule 

includes a live scanning session to help students 

improve their scan technique, a comparison of 

ultrasound with other imaging modalities, and Math 

& Everyday Life. The afternoon includes the always 

popular Test-Taking Strategies by Frank Miele, 


MSEE, an American Registry for Diagnostic Medical 

Sonography (ARDMS) Update and the Second Annual 

Jeopardy® Competition! 

Student Conclave Presentations 

Improving the Quality of the Sonogram (Hands-On) 

Presented by Sue Ovel RDMS, RT(R), RVT 

Math & Everyday Life: The Mathematical Perspective 

Presented by Frank Miele MSEE 

Understanding Other Imaging Modalities 

Presented by Sal LaRusso M.Ed, RDMS, RT(R) 

Oh, My Aching Neck..Elbow..Wrist 

Presented by Shannon Redmon RDMS, RVT 

Know It All Jeopardy® 

Presented by Marianna Desmond BS, RDMS, RT(R) and 

Catherine Rienzo MS, RT(R), RDMS 

ARDMS Update 

Presented by ARDMS Staff 

Test-Taking Strategies 

Presented by Frank Miele MSEE 

Registration will open May 1, 2010. Stay 

tuned for more details! 

Upcoming SDMS Webinars 

Participate in live presentations 

or watch the recordings at your 

convenience. Then take the test for 

instant CME credit, absolutely free 

for SDMS members. 

If you are unable to participate in these live webinars, 

visit http://www.sdms.org/members/webinars.asp 

for information on viewing a recording of the webinar. 

Registration: The SDMS Webinar Series is FREE to 

current SDMS members and is not available to nonmembers 

(For information on joining SDMS, visit 

http://www.sdms.org/membership/ ) 

All SDMS Webinars are tracked by SDMS CME Tracker. 

http://www.sdms.org/members/webinars.asp 

Contrast in the Echo Lab 

Date: Thursday, April 8, 2010 

Time: 8:00 pm (Eastern); 7:00 pm (Central); 

6:00 pm (Mountain); 5:00 pm (Pacific) 

CME Credits: 1.0 SDMS CME Credit (AE) 

FEATURED SPEAKER: Allen Borowski, RDCS, FASE 

Interesting Abnormal OB Cases 

Date: Thursday, May 13, 2010 

Time: 8:00 pm (Eastern); 7:00 pm (Central); 

6:00 pm (Mountain); 5:00 pm (Pacific) 

CME Credits: 1.0 SDMS CME Credit (OB) 

FEATURED SPEAKER: Jill Trotter, BS, RT(R), RDMS, RVT 

Want the latest information in the palm of your hand? Want to know what’s 

new right away? If so, then become a fan of SDMS on Facebook. 

http://www.facebook.com/#!/pages/SDMS/116343306962?ref=ts

SDMS Fellow 

Spotlight 


This is a continuing series of interviews of 

our distinguished SDMS Fellow members. 

Carolyn Coffin, MPH, RT, 

RDMS, RDCS, RVT 

Current position: 

Chair of the Diagnostic 

Ultrasound Program and 

an associate professor at 

Seattle University. 

Year awarded fellow 

status: 2000 

What inspired you to make a career of 

sonography? 

My interest in sonography grew from my work 

as a radiographer. I enjoy medical imaging and 

was especially intrigued with both the creative 

and investigative nature of sonography. I found 

the critical thinking component and the problemsolving 

aspects of sonography to be especially 

appealing. I have worked in radiology since 1981 

and in ultrasound since 1987. I was a clinical 

sonographer at the University of Colorado Medical 

Center in Denver and the program coordinator for 

the ultrasound program there. In 2001, I relocated 

to New Mexico and implemented the sonography 

program at Doña Ana Community College. 

Currently, I am the chair of the diagnostic ultrasound 

program and an associate professor at Seattle 

University. I am also an ergonomic consultant with 

Sound Ergonomics, LLC in Woodinville, WA. 

Did you have a memorable role model/teacher? 

Who was it? 

It would be difficult for me to single out one 

individual as a role model or teacher. I worked with 

some phenomenal sonologists and sonographers 

during my ultrasound training and at the University 

of Colorado Health Sciences Center, and because 

of that opportunity, I was able to continuously add 

to my knowledge and skills. If I were to single out 

one person as a memorable teacher, it would be Dr. 

A. Thomas Stavros who was the medical director of 

the ultrasound department in which I did my clinical 

internship as a student. His knowledge of and 

passion for sonography were my first experience in 

the profession and that made a lasting impression. 

What was the most significant advance in the 

technology that you directly experienced? 

During my years of clinical practice, the most 

significant advance in the technology was the 

introduction of endocavitary transducers. 

Were there any memorable developments, cases 

or events that changed the way you practiced 

sonography? 

The most memorable development that changed how 

all of us practiced sonography was the conversion 

from film to PACs systems for documenting our 

exams. PACs systems allowed for more efficient 

workflow, remote access to images and better quality 

images. However, along with this new technology 

came an increase in the risk of occupational injury 

among sonographers and sonologists. 

What changes do you predict in the near future? 

I predict an increase in the number of non-traditional 

users of ultrasound and the growth of educational 

programs for sonography programs in developing 

nations. With the miniaturization ultrasound technology, 

we are already seeing the beginning of this trend. 

What advice would you give to students/ future 

sonographers? 

My advice is: Learn as much as you can about the 

risk for occupational injury in our profession and 

use comfortable and neutral body postures as much 

as possible throughout each exam. Unfortunately, 

several graduates of my sonography programs 

through the years have become injured, sometimes 

with career-ending disorders, and often after less than 

10 years in the profession. I also would encourage 

sonographers to continue their education throughout 

their professional lives. As new technologies and new 

applications for ultrasound emerge, they will have 

opportunities to grow in this profession. 

What’s your favorite part of your job? 

My favorite part of my job is program and curriculum 

development. I enjoy designing educational tracks 

that keep pace with all the changes in our profession, 

as well as developing non-traditional educational 

programs that meet the needs of those individuals 

who come from a variety of medical and academic 

backgrounds.


SDMS Welcomes New Members 

February 2010 

Angela Adair, RDMS 

Frances Adams, RT(R) 

Begum Afrose Shaik 

Kathleen Albritton, RDMS 

Tara Alfiero, BS 

Karena Allen 

Jesus Alvarez, RDMS 

Lynn Ama, RT(R), RDMS 

Gaye Andersen, RT(N), RDCS, RVT, CNMT 

Aric Anderson 

Katie Andrews, RDMS 

Linda Androff, RCS 

Lady Arboleda 

Javier Armenta 

Doris Ashbaugh, RT(R), RDMS 

Marine Ataryan 

Gerda Awender 

Brandie Bach, BS, RT(R), RDMS 

Whitney Baker 

Margaret Ballard 

Gina Ballerini 

Sarah Balos 

Alyssa Bandy, RT(R), RDMS 

Dianne Barnes 

Brittney Bear, RT(R), RDMS 

Chris Belden 

Anna Belk 

Jennifer Benson 

Diana Berman 

Linda Blair, RT(R) 

Charlotte Boyd 

Sheldon Bray, BS 

Jason Briggs, BS, RT(R), RDCS 

Sarah Brown, RT(R), RDMS 

Zachery Brown, BS, RDMS 

Linda Bryant, BS, RDMS 

Sarah Burford 

Jewel Burgess, RDMS 

Angela Burnham 

Deborah Butler 

Mohammad Bux, RDMS 

Martha Campbell, RDCS 

Kristy Caraway 

Tracy Carpenter, RDMS, RVT 

Jenna Carter 

Bobby Carver, RT(R), RDMS 

Marisol Castillo 

Hali Caylor 

Larissa Cederquist 

Pete Chatelain, BS, RDCS 

Ke Chen, BS 

Hetal Chorshi 

David Clark, BS 

Lorraine Clark 

Joy Clay, RDMS 

Amanda Close 

Dale Coffee, RDMS 

Breanne Cohen, BS 

April Cole, RT(R), RDMS 

Kimberly Cole, RVT, RCS 

Annabelle Cone 

Laura Conrad, RDMS 

Maureen Cosgrove, RDMS 

Jill Cournoyer 

Terri Cox 

Tamra Cramer 

Erin Crandell, RDMS 

Bea Cule 

Melody Cunnington, BS, RDCS 

Pat Curtis, RT(R)(M)(CT), RDMS 

Cheryl D’Addato 

Amy Daggett, MS, RN, ANP 

Stephanie Dalby 

Rachel David, BS, RDMS, RDCS 

Harley Davidson, BS, RT(R) 

Amanda Davis 

Retha Dawes, RDMS 

Federico De Gante 

Alison De Los Reyes 

Ashley Deason 

Daralyn Denison, RDMS, RVT 

Jack Denton, BS, RDMS, RDCS, RVT 

Danielle Dern 

Erika Dimitrijevic, RDMS 

Kimberly DiPietro, RDMS 

Deborah Dolente, RT(R), RDMS 

Angela Dorgan, RDMS 

Pamela Dowden 

Matt Drugan 

Nancy Duggan, RDMS, RDCS, RVT 

LaVern Dunbar, RDCS 

Debra Dykun, RDMS, RDCS, RVT 

Michaela Erskin 

Katrina Evans, RDMS 

Adriana Farber 

Jessica Fitch, RDMS, CMA 

Laurie Fitzgerald, RN, RDMS 

Kara Flores, BS, RDMS, RVT 

Laurie Fogle, RT(R), RDMS, RVT 

Rosemary Fox, BS, RDMS 

Margo Fraley 

Jeri Frazier, BS, RT(R), RDMS 

Bernice Freeman, RN, RCS 

Elaine Freeman, RDMS 

Jennifer French 

Natalie Fuqua 

Melanie Garcia 

Ashok Garg 

Amanda Garner 

Barbara Gastelum, RT(R), RDCS 

Jennifer Gatewood, RT(R), RDMS, RVT 

Robert Gentile, BS, RDMS 

Sonya George 

Sue George, RDCS 

Tamara Giesmann 

Chandra Gigatti, BS, RDMS 

Kimberly Gilbert 

Julie Gill, BS, RDMS, RVT 

Kathryn Gill, RT(R), RDMS 

Gregory Gleyzer, BS, RDMS, RVT 

Stephanie Gooch 

Mahnaz Goodarzi, RDMS 

Kandi Gooden 

Heidi Gordon 

Sasha Gordon, BS, RDMS, RVT 

Paulette Govert, RT(R)(M), RDMS 

Mary Green, BS 

Dennis Grosulak, RT(R), RDMS, RDCS, 

RVT 

Brandon Gulley, BS, RT(R), RDMS 

Lauren Gusinow 

Traci Gustafson, RT(R), RDMS 

Marie Hall, RDMS, RVT 

Tracee Harding, BS, RDMS 

Brooke Harland, MEd, RDCS, RVT 

Rebecca Harper, RDCS 

Mary Ann Harris, RDMS 

Michelle Harris, RDMS 

Brooke Haskell, RT(R), RDMS 

Amber Hatfield, RT(R), RDMS 

Dee Headman 

Luz Hercules 

Yenny Herrera 

Sally Heyer, BS, RN 

Jessica Hill 

Tracy Hill, RDCS 

Brian Hillburn, RDMS 

Trang Hoang, BS, RDMS 

Sara Hoberman 

Brandi Holladay 

Tina Honea 

Rebecca Hooper 

Amy Huffman, RT(R), RDMS, RVT 

David Hurst 

Aiphuong Huynh, BS, RDCS 

Lindsey Johannes 

Jean Johnson, RDMS, RVT 

Samantha Johnson 

Pamela Jones, RT(R) 

Nausicaa Jules, RDMS 

Elizabeth Jurewicz, RDMS 

Lorraine Kalenda, BS 

Michelle Kalfas 

Karen Kaps, RT(R), RDMS, RVT 

Lindy Karlen, RDMS 

Michelle Kellison, RDMS 

Ivy Kelly 

Katie Kemp, RT(R) 

Tiffani Kirkley 

Jennifer Klipful, BS 

Teri Knights, RT(R), RDMS, RVT 

Karen Koebert, BS, RDMS, RVT 

Agnieszka Kostro, RT(R) 

Carrie Krell, RDCS, RVT 

Linda Kusko, RT(R), RVT 

Nicole LaFleur 

Denni Laird, RT(R), RDMS 

Michael Lajewski, BS 

Debra Lambert, RN 

John Landi, RPVI 

Clarence Lane, RT(R), RDMS 

Cynthia Langeliers, BS, RDMS 

Robert Langley, BS 

Nicholas Lastarza 

Kerry Lavery, BS, RDMS 

Daina Lawrence, RT(R), RDMS 

Helina Le, BS 

Linda Leamy 

Debbie Lee, RDMS 

Jill Lemoine, RT(R), RDMS, RVS 

Alisa Leverett 

Jill Lincoln, RT(R), RDMS


Joann Lohr, MD, RVT, FACS 

Andres Lopez 

Sharon Lotts, RT(R), RDMS 

Susan Lowe, RDMS 

Tonya Lubin, RDMS 

Alma Luna, RT(R), RDMS 

Shayna Lund 

Shannon Lyons, BS, RVT 

Padmalatha Madireddy, RT(R), RDMS 

Jamie Majors 

Alison Maloney, RDMS 

Mary Ellen Manderson, RT(R), RDMS 

Rocio Manzano 

Sarah Marshall 

Annette Marsico 

Sofia Martin 

Anakaren Martinez 

Enid Martinez 

Samantha Martinez 

Stephanie Mattern 

Stephanie Mattingly 

Cynthia Mauceri 

Sean McCall, RDCS, RVT 

Michael McCarthy, RDMS 

Stacy McDaniel, RVT 

Valerie McDermott 

Heather Medeiros 

Charlotte Meeks, RT(R)(M), RDMS 

Grace Mell 

Andrea Mensah, BS 

David Mercado 

Teresa Meredith, RDMS 

Manon Mesa, RT(R), RDMS 

Brian Meyers 

Michael Michalko, RDMS, RDCS 

Jennifer Miley, BS 

Simka Miljkovic, RDMS 

Jennifer Millington, BS 

Cheryl Mills, RT(R), RDMS, RDCS 

Tracy Minor 

Sofya Mnatsakanova 

Stacy Moniz, RDMS 

Anna Moore, RT(R), RDMS 

Kelly Moser 

Lisa Mounts 

Marla Mowery, RVT 

Mindy Munroe, RDMS 

Eliza Muradyan 

Kathy Murphy 

Joan Musto 

Kathy Naderipour 

Chasity Nealy 

Patrick Neel, BS, RT(R), RDMS, RVT 

Guy Nguyen 

Lindsey Nichols 

Jing Ning 

Delaina Nipper-Smith 

Ryan Nowell, RDMS 

Constance Null 

Cindy Ohlman, BS 

Noelle Ohrt 

Kristy Oliver, RT(R) 

Alyssa Onaga, BS 

Emi Onozawa, BS, RDMS, RDCS 

Jahan Orazova, MD, RDMS, RVT 

Michael Orcutt, MD, RVT 

Marissa Orihuela, BS, RT(R), RDMS, RVS 

Donna Ottenstroer, RT(R)(N), RDMS, RVT 

Amanda Owens 

Jeryl Owens, RT(R), RDMS 

Roxana Palacios, BS 

Hannah Palmer 

Ling Pan, RDMS 

Melissa Paradise, RT(S) 

Hailey Parrish 

Mitalee Patel 

Sandhya Patel, BS 

Sharon Patterson, RDCS, RVT 

Ruby Patton-Adkins, MS, RVT 

Besmira Pepaj 

Brenda Perkins, RDMS 

Launa Pieksma 

Callie Pollock, RT(R) 

Ashden Poole 

Pamela Poole, BS, RDMS, RVT 

Mallory Pouncey 

Patricia Rausch 

Tina Raville, RT(R), RDMS 

Deborah Reiter, RDMS 

Tiffany Rhodes 

Sonya Riesen, RDMS 

Gloria Rivera 

Jane Rivers, RDMS 

Vicki Robinson 

Amanda Rodgers 

Geisel Rodriguez 

Kristin Romano, RT(R) 

Deborah Rosenstein 

Jaquelyn Sanabria 

Patricia Sanchez, RT(R), RDMS 

Jackie Saylor, RDCS, RVT 

Sara Schill, RT(R), RDMS, RVT 

Amber Schmidt 

Karen Schmidt, RDCS, RVT 

Angela Schnars, RDMS 

Charlene Schroder, RDCS 

Jodie Schroeder 

Leigh Schwandt 

Michael Schwebler, MBA, RVT, FSVU 

Rachel Scruggs 

Barbara Seagraves, RT(R), RDMS 

Janie Seaver, RT(R), RDMS 

Jill Selzle, RVT, PA-C 

Monica Sestilio, BS 

Jennifer Shaffer, RVT 

Karan Shapiro, RDMS 

Robert Sharon, RDMS 

Lacey Sharp 

William Sharpe 

Anzhela Shulyk, RDMS, RDCS 

Katie Simpson, BA, RDMS 

Mollie Skinner 

Devonne Slaton 

Mary Jo Smallwood, RT(R), RDMS, RDCS 

Mikayla Smith, BS, RT(R) 

Rosemarie Smith 

Tara Snelson, RDMS, RVT 

Kathryn Sorrell, BS, RN, RVT 

Peter Soukas, MD, RPVI 

Katheryne Stevenson 

Cynthia Stone, RT(R)(M), RDMS 

Michelle Stroh, RDMS 

Brandi Sutley, RT(R), RDMS 

Kara Swarbrick 

Tina Tahiliani, RVT 

Laura Taylor, BS, RDMS 

Amara Tea, RDCS 

Biruk Teklehaymanot 

Joaneth Terry, RT(R)(M), RDMS, RVT 

Charnette Thompson, MS 

Michael Thomson, MS 

Sierra Thorn 

Jody Tingus, RCS 

Dorothy Trayes, RDMS, RVT 

Tam Trang Trinh 

Patricia Turman, RDMS 

Jayme Uboldi, RDMS 

Stephanie Ursomarso 

Nancy Ushler 

Karen Vaadi, RCS 

Elizabeth VanCura, RDMS, RVT 

Maria Vandernoot 

Holly Vernon, BS, RDMS 

Velleda VerNooy, BS, RDMS, RDCS, RVT 

Amy Verst, RT(R), RDMS 

Tyson Vinsant, BS, RT(R)(CT), RDCS, RVT 

Kathi Vondera, RT(R), RDMS, RDCS, RVT 

Maria Vullo, BS, RDMS 

Sheri Wallen, RT(R), RDMS, RVT 

Victoria Ward, RDMS 

Shannon Ware, BS, CS 

Melinda Warman, RT(R), RDMS 

Jennifer Watkins, RDMS, RVT 

Wendy Watson 

Kimberly Watts, BS, RDMS, RVS 

Amy Weinberg, BS 

Mirra Wesneski 

Susan Wetherbee, RDCS 

Marsha Wherry, BS, RDMS 

Elizabeth Whetstone, RT(R), RDMS 

Kristin Whitcomb 

Kathy Whitefoot, RVT 

Lisa Williams, RT(R) 

Tasha Wills 

Heidi Wilson 

Sabrina Wilson, RDMS 

Heather Woodrow, RDMS 

Billie Wright, RDCS, RVT 

Agnieszka Yarbrough 

Bobbie Young, RDMS 

Jenny Yu, BS, RDMS 

Sheetal Zalawadia 

Kellyn Zimmerlin 

News Wave (ISSN 1541-7581) is published 

to inform SDMS members of meetings, 

events and policies as well as trends and 

issues in the sonography profession. Please 

send comments and suggestions to: 

SDMS Headquarters 

2745 N Dallas Pkwy Ste 350 

Plano, TX 75093-8730 

Phone: (214) 473-8057 

FAX: (214) 473-8563 

CEO and 

Executive Director 

Donald F. Haydon, CAE 

Production Editor 

Chris Alcott 

All contents Copyright © 2010. All rights reserved by the Society of Diagnostic Medical Sonography, Plano, Texas.

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