Course Descriptions - Society of Diagnostic Medical Sonography

2 0 1 2 S D M S A n n u a l C o n f e r e n c e 

9/20 - 9/23 2012 

www.sdms.org/meetings 

800-229-9506 

Scanning 

SEATTLE 

September 20 - 23, 2012 

Washington State 

Convention and Trade Center 

Seattle, Washington 

COURSE 

DESCRIPTIONS

Thursday Tutorials 

September 20, 2012 

8:00 am - 9:30 am 

Registry Review 

Registry Review: Physics (TH-7) 

SDMS CME Credits: 1.5 (SPI) 

Tammy Stearns, MS, RDMS, RVT, RT(R) 

Physics concepts will be simplified combining theory 

with application to current clinical practice. Key topics 

will include sound wave, pulsed sonography, artifacts 

and image resolution variables, transducers, and 

instrumentation. Models and experiments will be utilized 

to allow an active learning experience. Questions will 

be posed throughout the presentation to allow the 

participant to test themselves. 

9:45 am - 11:15 am 

Registry Review: Doppler, Hemodynamics & Quality 

Assurance (TH-14) 

SDMS CME Credits: 1.5 (SPI) 

Sheryl Goss, MS, RDMS, RDCS, RVT, RT(R)(S) 

This presentation will emphasize the relationship 

between circulatory hemodynamics, spectral waveforms, 

and color Doppler characteristics. Image optimization 

techniques and pitfalls will be illustrated to enhance 

clinical practice, and build confidence to take a national 

certification exam. Quality assurance phantom testing 

and implementing best practices to minimize potential 

bioeffects will also be discussed. 

Breakout: General Registry Review 

12:45 pm - 2:15 pm 

General Registry Review: Gynecology (TH-21) 

SDMS CME Credits: 1.5 (OB) 

Jill Trotter, BS, RDMS, RVT, RT(R) 

This review session will utilize an image-based 

approach to provide an overview of gynecological 

findings in sonography. In addition to the sonographic 

characteristics, the review will include risk factors, clinical 

signs and symptoms, basic pathophysiology and protocol 

modifications for facilitating diagnosis. 

2:30 pm - 4:00 pm 

General Registry Review: Obstetrics (TH-28) 


Joie Burns, MS, RDMS, RVT , RT (R)(S) 

This review will utilize an image-based approach to 

provide an overview of fetal abnormalities. In addition 

to the sonographic characteristics, the review will 

include risk factors, clinical signs and symptoms, 

basic embryologic and genetic considerations, 

pathophysiology and protocol modifications for 

facilitating diagnosis. 

4:15 pm - 5:45 pm 

General Registry Review: Abdominal (TH-29) 

SDMS CME Credits: 1.5 (AB) 

Kathryn Kuntz, MEd, RDMS, RVT, RT(R), FSDMS 

This review will utilize an image-based approach to 

the pathophysiology of the major abdominal organs 

(hepatobiliary system, kidneys, spleen) and great vessels. 

Participants will be challenged to identify risk factors, 

clinical signs and symptoms, lab values, and to recognize 

sonographic characteristics for the topics presented. 

Breakout: Vascular Registry Review 

12:45 pm - 2:15 pm 

Vascular Registry Review: Cerebrovascular (TH-31) 

SDMS CME Credits: 1.5 (VT) 

Sheryl Goss, MS, RDMS, RDCS, RVT, RT(R)(S) 

This presentation will detail extracranial and intracranial 

circulatory assessment and associated pathological 

findings. Risk factors, signs and symptoms, sonographic 

techniques, and diagnostic criteria will be shared. Images 

demonstrating the various pathologic findings will be 

utilized to enhance the participant’s knowledge. 

2:30 pm - 4:00 pm 

Vascular Registry Review: Arterial (TH-32) 


Marsha Neumyer, BS, RVT, FSDMS, FSVU, FAIUM 

This discussion of noninvasive peripheral arterial 

evaluations will address indirect physiologic testing and 

duplex sonographic assessment of native arteries and 

arterial bypass grafts. Specific attention will be given to 

technical applications, waveform analysis, and current 

interpretive criteria. Images will be utilized to illustrate 

risk factors, mechanisms of disease, signs and symptoms, 

treatment methods and the correlative studies that 

are most commonly associated with peripheral arterial 

disorders. 

4:15 pm - 5:45 pm 

Vascular Registry Review: Venous and Abdominal 

Vasculature (TH-33) 


Joie Burns, MS, RDMS, RVT , RT (R)(S) 

This presentation will provide an overview of venous 

testing for thrombosis and insufficiency. Vascular 

assessment of the abdomen is also presented in 

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this session. Clinical indications, scan techniques, 

and pathological conditions with their correlating 

sonographic appearances will be demonstrated through 

use of images. 

8:00 am - 9:30 am 

Student Conclave 

ARDMS Mock Discipline Hearing (TH-1) 

SDMS CME Credits: 1.5 (OT) 

Gwen Henderson 

Hilary Wilson 

Three mock discipline hearings will be held, each 

lasting about 15 minutes. The first hearing will involve 

a sonographer alleged to have cheated during an 

examination. The second hearing will involve a 

sonographer alleged to have misrepresented themselves 

as ARDMS certified (when in fact they were not), and 

the third hearing will involve a sonographer who has 

reported several criminal convictions related to substance 

abuse (alcohol, drugs). 

9:45 am - 11:15 am 

Signs in Sonography (TH-8) 


Catherine Rienzo, MS, RDMS, RT(R) 

Marianna Desmond, MEd, RDMS, RT (R) 

What does Mickey Mouse, Yin-Yang and a lemon have 

in common? Certain diseases show classic sonographic 

signs that resemble various types of food items and 

inanimate objects. In this presentation various signs are 

discussed and correlated with in a pictorial way. These 

signs” are highly memorable. 

12:45 pm - 2:15 pm 

Mind Body & Soul, Transition from Academic to 

Clinical World (TH-15) 


Patty Braga, MSEd, RT(R), RDMS, RDCS, RVT 

Stephanie Wilson, BS, RDMS, RVT 

This lecture will be an interactive session with students 

to help them transition from the academic world into 

the clinical world. We will begin with an interview of 

professionalism and how it impacts patient outcomes. 

The focus is to become aware of the whole picture 

when they present themselves to anyone in the facility 

from patients to physicians. Adequate communication 

is an essential aspect of healthcare and is the key 

to exceptional patient care. Determining how to 

communicate from the patients points of view and 

learning some good communication skill techniques can 

make not only the patients but your day a more pleasant 

experience. 

2:30 pm - 4:00 pm 

Q & A: Where Do We Go From Here? (TH-22) 


Catherine Rienzo, MS, RDMS, RT(R), 

Alia Grattan, RDMS, RVT, 

Joy Guthrie, PhD, RDMS, RDCS, RVT, RCS, RCCS, RVS, FSDMS, 

and Patty Braga, MSEd, RT(R), RDMS, RDCS, RVT 

A panel of experienced educators will explore topics of 

interest to students. This question and answer session 

will help students prepare for an exciting career in 

diagnostic medical sonography. The panel will discuss 

the students’ career path in the ever-changing medical 

environment. 

4:15 pm - 5:45 pm 

Interesting Cases (TH-30) 


Phillip Bendick, PhD, RVT, FSDMS 

Margaret Park, BS, RDCS, RVT, FASE 

Robert DeJong, RDMS, RDCS, RVT, FSDMS 


This presentation will include interesting cases 

presented by SDMS Faculty and Board Members. 

Cases will be presented in multiple specialties 

including: Abdominal, Cardiac, Ob/Gyn, and Vascular 

sonography. 

Note: This course will include attendees from all 

Thursday Tutorials except those attending the 

Registry Review Tutorial. 

8:00 am - 9:30 am 

Educators Tutorial 

Legal Issues Involved in Tough Academic Decisions 

about Students - Part I (TH-2) 


Steve Milam, JD 

Educators at many levels are charged with the 

responsibility for the evaluation of student performance 

in clinical and professional experiences. Decisions 

regarding satisfactory or unsatisfactory performance, 

especially when it results in academic dismissal, must be 

based on the faculty’s professional judgment. Students 

must he apprised of their progress or lack thereof. 

This program is designed to give participants a better 

understanding of how the courts view such decisions in 

clinical and professional experience programs. Using a 

case study, the program will address the importance, use 

and role of “essential qualifications/ competencies” when 

using subjective professional and academic judgment 

to assess students in each of the following difficult and 

tough academic decision making areas. 

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9:45 am - 11:15 am 

Legal Issues Involved in Tough Academic Decisions 

about Students - Part II (TH-9) 



Educators at many levels are charged with the 

responsibility for the evaluation of student performance 

in clinical and professional experiences. Decisions 

regarding satisfactory or unsatisfactory performance, 

especially when it results in academic dismissal, must be 

based on the faculty’s professional judgment. Students 

must he apprised of their progress or lack thereof. 

This program is designed to give participants a better 

understanding of how the courts view such decisions in 

clinical and professional experience programs. Using a 

case study, the program will address the importance, use 

and role of “essential qualifications/ competencies” when 

using subjective professional and academic judgment 

to assess students in each of the following difficult and 

tough academic decision making areas. 

12:45 pm - 2:15 pm 

Hot Topics in Education (TH-16) 


Catherine Rienzo, MS, RDMS, RT(R) 


Marianna Desmond, EdM, RDMS, RT(R) 

Carol Mitchell, PhD, RDMS, RDCS, RT, RVT, FSDMS, FASE 

A panel of experienced educators will answer questions 

from the audience. This interactive question and answer 

session will address issues raised by the audience 

members.. 

2:30 pm - 4:00 pm 

Advanced Item Types on the ARDMS Exam (TH-23) 


Pat Grier, BS, RT, RDMS 

Ellen Julian, PhD 

This presentation will include an interactive discussion of 

the applications and advantages of items and test forms 

that utilize them. Demonstrations of the development 

of ‘interactive dashboard’ and ‘hotspot’ items will be 

presented. Examples of script concordance items will be 

discussed. The practical application of statistical analysis 

and psychometrics appropriate to these testing strategies 

will be discussed. 

4:15 pm - 5:45 pm 



See description on page 3. 

8:00 am - 9:30 am 

Abdominal Sonography 

Optimizing Breast Imaging (TH-3) 

SDMS CME Credits: 1.5 (BR) 

Cindy Rapp, BS, RDMS, RDCS, FSDMS, FAIUM 

Sonography of the breast is extremely technique and 

operator dependent. We will discuss proper equipment, 

system optimization and proper scanning techniques. 

This session will also provide in-depth information on 

which women can benefit most from breast ultrasound, 

as an adjunct to mammography; illustrate the 

complementary roles of mammography and ultrasound; 

and discuss the latest developments in breast ultrasound 

technology and their applications. 

9:45 am - 11:15 am 

Sonography of the Shoulder (TH-10) 


Veronica Rodriguez, RDMS 

This presentation will demonstrate basic hands-on 

scanning techniques of the shoulder. Attendees will learn 

to correctly identify normal musculoskeletal anatomy 

including: tendons, muscles, and ligaments of the 

shoulder. 

12:45 pm - 2:15 pm 

Sonography of Extremities (TH-17) 


Veronica Rodriguez, RDMS 

This presentation will cover basic hands-on scanning 

techniques for the elbow, wrist, knee and ankle. 

Attendees will learn to correctly identify normal 

musculoskeletal anatomy of tendons, muscles, ligaments, 

within selected extremities. 

2:30 pm - 4:00 pm 

Inflammatory Conditions (TH-24) 


Cindy Rapp, BS, RDMS, RDCS, FSDMS, FAIUM 

Inflammation can manifest itself in similar sonographic 

findings regardless of which organ is inflamed. We will 

discuss these findings in a wide spectrum of different 

inflammatory conditions such as appendicitis, Crohn’s 

disease, diverticulitis, acute cholecystitis, acute hepatitis, 

acute pyelonephritis, salpingitis, and acute epididymoorchitis. 

4:15 pm - 5:45 pm 




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8:00 am - 9:30 am 

Cardiac Sonography 

Recommendations for Acquisition & Display Using 3-D 

Echocardiography (TH-4) 

SDMS CME Credits: 1.5 (AE) 

David Adams, RDCS, RCS, FSDMS 

This lecture and live scanning session will include how 

to assess and integrate 3-D/4-D imaging into clinical 

practice. 

9:45 am - 11:15 am 

Guidelines & Recommendations for the Assessment of 

Right Heart Function (TH-11) 


Kenneth Horton, RDCS, RCS, FASE 

This lecture and live scanning session will include how 

to integrate conventional and advanced measurements 

for right heart function. There will also be a discussion of 

current guidelines. 

12:45 pm - 2:15 pm 


Diastolic Function (TH-18) 


Jeffrey Hill, BS, RDCS, FASE 

This lecture and live scanning session will include 

a comprehensive overview of diastolic function. A 

discussion of current guidelines and standards will also 

be part of this presentation. 

2:30 pm - 4:00 pm 


Valvular Regurgitation (TH-25) 


Carol Mitchell, PhD, RDMS, RDCS, RT, RVT, FSDMS, FASE 

This presentation will review the current accepted 

standards for evaluating and grading the severity of semilunar 

and atrioventricular valvular heart disease for both 

stenotic and regurgitant lesions. 

4:15 pm - 5:45 pm 




8:00 am - 9:30 am 

Ob/Gyn Sonography 

Interesting GYN Cases Solved with 3-D Imaging (TH-5) 



With the recent advances and increased utilization of 

3-D sonographic technology, the scope of gynecological 

imaging is evolving. This presentation will present the use 

of this technology through interesting cases. From lost 

IUDs to uterine malformations and some unimaginable 

scenarios in between, the information presented will 

assist the sonographer in embracing this new technology 

as part of a routine GYN protocol. 

9:45 am - 11:15 am 

1-13 + 6 Weeks Scan: Nuchal Translucency, Nasal Bone 

Assessment & Beyond (TH-12) 


Ben Buentipo, BS, RDMS 

This presentation will emphasize the importance of first 

trimester screening for chromosomal abnormalities. 

Maternal serum markers, diagnosis of major fetal 

abnormalities and other sonographic markers for 

aneuploidy and preeclampsia will also be discussed 

within the presentation. 

12:45 pm - 2:15 pm 

Advanced Fetal Abnormalities (TH-18) 

SDMS Credits: 1.5 (OB) 

Julia Solomon, MD 

This presentation will describe a more detailed evaluation 

of selected aspects of fetal anatomy with emphasis on 

common yet subtle abnormalities. The thought process 

behind further evaluation of these abnormalities is 

reviewed, along with the mechanism of arriving at a 

differential diagnosis. Finally, select case examples of 

major malformation sequences that were missed on 

initial examinations are shown, along with images 

depicting the more detailed referral examination and 

ultimate diagnosis. 

2:30 pm - 4:00 pm 

Assessing Fetal Anatomy with 3-D/4-D (TH-26) 


Cheryl Vance, MA, RT(R)(M), RDMS, RVT 

3-D technology has been around since 1989…23+ years! 

Volume imaging is finally being embraced into the 

routine imaging protocols of most departments. This 

presentation will review the latest 3-D/4-D technologies 

and what anatomy is most applicable for each feature. 

Additionally, attendees will learn how to simplify 

dataset manipulation to help ensure their success when 

interrogating volume datasets. 

4:15 pm - 5:45 pm 




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8:00 am - 9:30 am 

Vascular Sonography 

Transcranial Doppler: Imaging Fundamentals (TH-6) 



This presentation will be an overview of what is required 

to perform a transcranial Doppler imaging examination. 

During the presentation, short segments of live scanning 

will be used to demonstrate the concepts presented such 

as patient positioning, transducer manipulation, realtime 

views of B-mode, color and spectral Doppler. The 

four transcranial imaging windows will be demonstrated 

along with the intracranial anatomy and presentation 

of pathology. A validated scanning protocol and 

applications for transcranial imaging will be presented. 

9:45 am - 11:15 am 

Duplex Ultrasound Abdominal Vascular Evaluation 

(TH-13) 



This presentation will combine didactic lecture with a 

live demonstration of the techniques for a complete 

abdominal vascular examination. Emphasis will be placed 

on the aorto-iliac system and proper technique for 

aneurysmal evaluation. The lecture and demonstration 

will also address techniques for the mesenteric (celiac, 

SMA and IMA) vessels and the renal arteries using color 

Doppler and pulsed spectral Doppler evaluation. Normal 

characteristics and waveform morphology will be 

discussed followed by presentation of abnormal anatomy 

and waveforms as well as the possible causes for the 

abnormalities. 

12:45 pm - 2:15 pm 

Vascular Laboratory Markers of Cardiovascular Risk 

(TH-20) 

SDMS Credits: 1.5 (VT) 


Historically, noninvasive vascular testing has been used 

to detect, localize and define the severity of arterial 

and venous disorders. In recent years, investigators 

have demonstrated that a number of these tests have 

predictive value for cardiovascular risk. This presentation 

will address the technical applications and use of intimalmedia 

thickness measurements, brachial reactivity 

studies and a calculated ankle-brachial index as markers 

for cardiovascular risk assessment. 

2:30 pm - 4:00 pm 

Duplex Arterial Evaluation for Lower Extremities 

(TH-27) 


Kari Olmstead Campbell, BS, RVT 

This presentation will focus on sonographic techniques, 

interpretive criteria and the specific role of ultrasound 

for evaluating patients for suspected arterial 

occlusive disease prior to arterial intervention and 

revascularization. 

4:15 pm - 5:45 pm 




Friday Course Descriptions 


7:45 am – 8:00 am 

President’s Address 

Plenary Sessions 

Joy Guthrie, PhD, RDMS, RDCS, RVT, RCS, RCCS, RVS, FSDMS 

8:00 am – 8:50 am 

Keynote Presentation: 

Turn Your Passion into Action! (FR-36) 

SDMS CME Credits: 1 (OT) 

Greg Bennick 

Greg Bennick speaks about Ideas, Impact and Innovation. 

He makes people laugh while inviting them to think. He 

speaks about getting involved in ideas, leadership, and 

creativity. Greg does more than just make people laugh: 

he empowers and inspires. He has been called upon to 

be a guest speaker before an enormous range of clients 

from all walks of life, including TEDxPugetSound (an idea 

conference devoted to sharing innovation), Fortune 500 

companies, major universities, and public audiences 

worldwide. 

9:00 am – 9:50 am 

McLaughlin Memorial Lecture: 

Where Have We Been? Where Are We Now? 

Where Are We Going? (FR-37) 



Together we will take a fun journey through the past 

and into the present and catch a glimpse of the future 

for the Society of Diagnostic Medical Sonography and 

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ecall the people who have played key roles in our history. 

During the journey, we’ll explore the hills, the valleys and 

some of the rocky roads that brought our organization 

to its current place of leadership in the field of medical 

ultrasound. Along the way, we’ll capture a vision of what 

the future might have in store and the professional 

colleagues who will take us there. 

10:40 am – 11:30 am 

General Session: Sonographer & Physicians Relations 

– A Working Partnership for Patient Care (FR-38) 


Beverly Hashimoto, MD 

Winslow “Ted” Whitten, BA, RDMS, RVT 

This session will address the unique relationship between 

clinically practicing sonographers and the physicians 

with whom they work. Sonographers apply independent 

professional judgment to adapt the diagnostic medical 

examination to optimize examination results. Results 

of the ultrasound examination are then provided to the 

physician in either written or oral form as preliminary 

findings. The physician is then responsible for making the 

medical diagnosis and initiating the plan of treatment. 

Sonographers provide their services working under the 

supervision of a referring or interpreting physician. Both 

parties, physician and sonographer, are dependent on 

each other performing their clinical responsibilities in 

a competent and thorough manner to insure the best 

possible care for their patients. Additionally, given the 

evolving nature of the American healthcare system, and 

in particular medical imaging, some physician specialty 

groups are now beginning to utilize some sonographers 

with advanced clinical skills in a physician extender role. 

These “Advance Practice Sonographers” or “Ultrasound 

Practitioners” are establishing a new and expanded 

relationship with their physician partners. 

1:30 pm - 2:20 pm 

Breakout Sessions 

Abdominal Sonography Track 

Abdominal Vascular Pathology (FR-39) 

SDMS CME Credits: 1 (AB) 

Edward Grant, MD 

Upon completion of this educational activity, the 

participant will demonstrate understanding of common 

and uncommon vascular pathology which occurs in the 

abdomen. 

Cardiac Sonography Track 

Methods Used in the Evaluation of Systolic Function 

(FR-40) 

SDMS CME Credits: 1 (AE) 

Kenneth Horton, RDCS, RCS, FASE 

This lecture will include basic and advanced methods of 

assessing ventricular systolic function. 

Ob/Gyn Sonography Track 

Case Studies in High Risk Obstetrics (FR-41) 

SDMS CME Credits: 1 (OB) 

Charlotte Henningsen, MS, RDMS, RVT, RT(R), FSDMS, FAIUM 

This presentation will introduce a collection of unusual, 

rare, and/or complicated obstetrical anomalies involving 

the central nervous, cardiopulmonary, gastrointestinal, 

genitourinary, and/or skeletal systems. Each anomaly 

will be discussed within a case presentation format. 

Associated risk factors, pertinent laboratory data, and 

prognosis will also be explored. 

Vascular Sonography Track 

AAA - The Role of Duplex Ultrasound (FR-42) 

SDMS CME Credits: 1 (VT) 

R. Eugene Zierler, MD 

This session will review the clinical features of abdominal 

aortic aneurysms and the role of the vascular laboratory 

in diagnosis, treatment, and follow-up after open surgical 

or endovascular intervention. Case examples will be used 

to illustrate the key duplex findings after endovascular 

aortic aneurysm repair. 

2:30 pm - 3:20 pm 


3-D Sonography in Pediatrics (FR-43) 


Jennifer McDowell, MM, RDMS, RVT, RT(R) 

Audience will learn to articulate 3-D fundamentals. They 

will also learn how and when to apply 3-D to their current 

imaging protocol. We will also cover when to use 3-D 

imaging to help decrease their transducer time and ease 

of patient comfort.. 


Understanding Cardiac Embryology & Congenital 

Heart Disease (FR-44) 


Carol Mitchell, PhD,RDMS, RDCS, RT, RVT, FSDMS, FASE 

This presentation will review the basic cardiac 

embryology events of looping, septation and aortic 

arch formation and discuss anomalies that occur due to 

abnormal development. 


First Trimester Fetal Echocardiography (FR-45) 

SDMS CME Credits: 1 (FE) 

Julia Solomon, MD 

With the earlier identification of at-risk fetuses, the need 

to accurately evaluate cardiac anatomy becomes more 

pressing at younger gestational ages. This presentation 

will outline the first trimester features associated with 

increased risks of congenital heart disease, describe 

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how to accurately assess these parameters, and will 

demonstrate the evaluation of structural and functional 

cardiac parameters in the 12-14 week gestational age 

range. Attendees will learn to recognize which fetuses 

require further evaluation for congenital heart disease. 

Finally, the presentation will showcase some of the 

advantages of offline volume dataset manipulation for 

the evaluation of first trimester cardiac anatomy. 


Strategic Use of Duplex Scanning for Patients with 

Suspected Arterial Occlusive Disease (FR-46) 


R. Eugene Zierler, MD 

This session will cover current vascular laboratory 

approaches to the evaluation of peripheral arterial 

disease, with emphasis on the patient who may 

be a candidate for open surgical or catheter-based 

intervention. Use of vascular testing for surveillance after 

arterial interventions will also be discussed. 

4:10 pm - 5:00 pm 


Case Studies in Abdominal Sonography (FR-47) 


Charlotte Henningsen, MS, RDMS, RVT, RT(R), FSDMS, FAIUM 

Imaging of the adult abdomen can be very complex, as 

patient symptoms can be misleading which can lead 

to an unexpected diagnosis or unique presentation 

of a particular disease or pathology. This presentation 

will introduce a collection of unusual, rare, and/or 

complicated anomalies of the abdomen. Each anomaly 

will be discussed in a case presentation format. 

Correlative imaging, pertinent laboratory date, and 

prognosis will also be explored. 


3 of a Kind Interactive Game (FR-48) 


David Adams, RDCS, RCS, FSDMS 

This interactive game will allow sonographer to apply 

their critical thinking skills in specific cases. The game 

will be used as a learning tool to showcase a variety of 

cardiovascular diseases. 


3-D Imaging in Gynecology (FR-49) 


Ben Buentipo, BS, RDMS 

This presentation will emphasize the potential benefit of 

the 3-D approach in gynecology. The attendee will learn 

a segmental approach to applying the 3-D technique and 

learn to assess normal gynecologic anatomy, common 

pelvic abnormalities, and normal variants with this 

method. 


Cerebrovascular Sonography: Beyond the Bifurcation 

(FR-50) 



Attendees will develop understanding of common and 

uncommon pathologic conditions and imaging features 

which occur in the carotid and vertebral arteries that are 

not related to internal carotid artery stenosis. 

Saturday Course Descriptions 


8:00 am - 8:50 am 



Elastography of the Breast: The Basics (SA-51) 

SDMS CME Credits: 1 (BR) 

Dennis McDonald, MD 

Elastography is a new sonographic adjuvant 

to conventional breast sonography that aids in 

characterizing a variety of breast conditions. This 

presentation will review the basic principles and types 

of elastography commercially available. Information will 

be provided on how your breast center can utilize this 

technique in each breast sonography examination. 


Fetal Echocardiography: Physiologic Complications in 

the Womb (SA-52) 

SDMS CME Credits: 1 (FE) 

Joy Guthrie, PhD, RDMS, RDCS, RVT, RCS, RCCS, RVS, FSDMS 

This presentation will take a unique look at circulation 

starting from the maternal uterus through the fetal 

circulation. Both normal and abnormal physiology in the 

fetal echocardiogram will be described using this lens. 

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Look Alikes in the Pelvis (SA-53) 


Sandra Allison, MD 

A variety of benign conditions that occur in the pelvis 

can mimic malignant pathology and vice versa. Pointers 

on distinguishing between these benign and malignant 

entities will be presented. 


Diagnosis of Venous Valvular Incompetence (SA-54) 


Jennifer McDowell, MM, RDMS, RVT, RT(R) 

This presentation will help participants understand 

treatment options for the patient. Attendees will learn 

what the physician will need to treat the venous disease 

(depending upon treatment option being utilized). 

Evaluation of clinical signs of Venous reflux disease will 

also be covered. 

9:00 am - 9:50 am 


3-D Breast Sonography: What Have We Been Missing? 

(SA-55) 

SDMS CME Credits: 1 (BR) 


Historically breast sonography has had a limited role 

in the evaluation of mammographic and clinical breast 

abnormalities. This presentation will review breast 

sonography anatomy and will describe the technique of 

3-D acquisition and display. We will demonstrate how 3-D 

breast sonography will not only improve malignant lesion 

characterization and staging, but also how it will improve 

breast sonography workflow and department efficiency. 


What’s New in Contrast Imaging? Beyond the LV 

(SA-56) 


J. Todd Belcik, BS, RDCS, RCS, FASE 

This lecture will feature a review of new research of 

perfusion imaging using contrast-enhanced sonography.. 


Sonography in Assisted Reproductive Technologies: 

It’s More Than Counting Follicles (SA-57) 


Paul Zarutskie, MD 

This presentation will review both the diagnostic 

and therapeutic use of ultrasound technologies 

necessary to achieve a pregnancy. Additionally, the 

latest advancements in ultrasound technology will be 

presented to motivate the attendee to go beyond the 

basics to assess the potential of color flow modalities and 

state-of-the-art technologies to improve embryo transfer 

technologies. The attendees will be asked to share 

their visions of an idealistic/futuristic role of ultrasound 

technologies in reproductive medicine. 


Sonographic Evaluation of Liver & Kidney Transplants 

(SA-58) 



The attendee will develop an understanding of 

sonographic techniques as they are applied to pathologic 

processes affecting the transplanted liver and kidney. 

The will also learn to image their findings. 

10:40 am - 11:30 am 


Musculoskeletal Sonography: Applications for Upper 

Extremities (SA-59) 



The use of ultrasound in evaluating common pathologic 

conditions affecting the upper extremity will be 

presented. This includes rotator cuff tears, ligamentous 

pathology about the elbow, and traumatic and 

inflammatory conditions that afflict the wrist and hands. 


Catheterization 101: What Are We Measuring & Why 

Are We Measuring it? (SA-60) 


Gerard Aurigemma, MD, FASE 

This lecture will provide insight to procedures and 

measurements performed in the catheterization lab. 


Fetal Anomalies Associated with Maternal Disease 

(SA-61) 


Armando Fuentes, MD, MBA 

This presentation will cover maternal diseases which 

have an impact on pregnancy and fetal development. 

The diseases covered include, maternal diabetes, 

hypertension, thyroid disorders, hematologic disorders 

and infections. The assessment of these high-risk fetuses 

will be discussed to provide the sonographer with tips 

and techniques to properly evaluate the pregnancy. 

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Hemodialysis Access: Pre and Post-Placement 

Assessment (SA-62) 



This presentation is designed to introduce the main 

concepts used for evaluation of patients in need of 

hemodialysis. Research has proven that a thorough 

established program to evaluate patients both pre and 

post operatively increases the probability of a successful 

dialysis access and improved patient outcomes. The 

session will demonstrate the fundamentals for a preoperative 

patient assessment with ultrasound including a 

description of the various types of access conduits. Then 

the post-operative evaluation and common pathologies 

affecting hemodialysis dysfunction will be described 

including some sample cases. 

1:30 pm - 2:20 pm 


Musculoskeletal Sonography: Applications for Lower 

Extremities (SA-63) 



The use of ultrasound in evaluating common 

pathologic conditions affecting the lower extremity 

will be presented. This includes hip and knee effusions, 

tendinous and ligamentous pathology about the knee 

and ankle, and traumatic and inflammatory conditions 

that afflict the ankles and feet. 


What Measurements Are Needed to Diagnose 

Pericardial Disease? (SA-64) 


J. Todd Belcik, BS, RDCS, RCS, FASE 

This lecture will include basic and advanced methods of 

assessing and diagnosing pericardial disease. 


Bioethics of Reproductive Medicine: From Stem Cells 

to Babies (SA-65) 


Paul Zarutskie, MD 

Reproductive medicine is associated with much ethical 

controversy. This presentation will educate and inform 

attendees of the medical, political, and religious cross 

road we are facing. This presentation will review the 

pros and cons while not making political or emotional 

opinions. It will review what it means, as a professional, 

to be a moral agent and maintain our roles as educators, 

whether we are physicians, instructors, or medical 

students. 


De-Mystifying Physiologic Arterial Testing (SA-66) 


Robert Daigle, BA, RVT, FSVU 

Traditional, indirect physiologic arterial testing can 

determine the presence of peripheral arterial disease, 

and its severity. Although color duplex ultrasound, in the 

hands of an experienced operator, can detect occlusive 

disease and provide anatomic information, this method 

cannot assess the hemodynamic impact of the disease on 

distal limb perfusion. The objective of this presentation is 

to explain test methods, instrumentation and benefits of 

indirect arterial testing. 

2:30 pm - 3:10 pm 


Thyroid Sonography (SA-67) 



Patients are often referred for evaluation of a variety of 

clinical presentations relating to the thyroid gland. This 

presentation will review normal thyroid sonographic 

anatomy and the common sonographic features of 

malignant and benign nodules. We will review how 

optimizing the image and using the latest advancements 

in sonographic technology we can more accurately 

demonstrate, characterize, and display the pathology that 

is present. 


Speckle Tracking Echocardiography for the 

Sonographer (SA-68) 


Daniel Bourque, MS, RCS 

Speckle tracking is an advanced tool sonographers 

utilize to assess myocardial mechanics. Advances in 

the use of speckle tracking in both the atrium and 

ventricle are being researched and implemented in many 

echocardiography laboratories. This presentation will 

include an introduction to speckle tracking cincepts, case 

presentations, and technical tips. 


Fetal Gastrointestinal Anomalies (SA-69) 



This presentation will cover anomalies associated with 

the fetal gastrointestinal tract. Images will be used to 

demonstrate the sonographic appearance. Attendees 

will learn the abnormalities that are often seen in 

association with gastrointestinal anomalies. Information 

on the anticipated outcomes for the affected fetuses 

will be discussed to assist the attendee in assessing the 

severity of the abnormality identified. 

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Duplex Evaluation of Arterial Stents (SA-70) 



This presentation will focus on sonographic techniques, 

latest interpretive criteria and key elements in scanning 

patients with and without stents in the various areas of 

the vascular system. 

4:00 pm - 4:50 pm 


Sonographic Imaging for Pediatric Abdominal 

Emergencies (SA-71) 


Teresa Chapman, MD 

This presentation on pediatric abdominal emergencies 

will cover commonly seen diseases in the emergency 

setting affecting children and the appropriate 

sonographic evaluation for these processes. 


Evaluation of Cardiac Masses, Thrombus & Other 

Things That Wiggle (SA-72) 



This presentation will demonstrate a hodgepodge of 

masses, tumors, thrombus, extra cardiac structures, 

artifact and normal anatomical variations using a casebased 

approach. Clinical symptoms and history paired 

with the echocardiographic characteristics and location 

will be discussed in determining the possible etiology or 

diagnosis. 


Newest Technologies & the Impact on the Ob/Gyn 

Sonographer (SA-73) 


Arthur Fleischer, MD 

This presentation will discuss the newest technologies 

readily available to sonography departments including 

multiplanar imaging, volumetric imaging and matrix 

array technology. The application of these technologies 

to daily Ob/Gyn sonography exams will be demonstrated 

to offer sonographers ways to enhance the exam by using 

them appropriately. 


Upper and Lower Extremity Vein Testing (SA-74) 


Robert Daigle, BA, RVT, FSVU 

Venous duplex imaging has become the gold standard 

for the detection of deep venous thrombosis (DVT) in 

the upper and lower extremities. In addition to detecting 

venous thrombosis, the ability of duplex imaging to 

identify other causes of leg and arm pain and swelling 

is an important test modality. The purpose of this 

presentation is to demonstrate techniques and protocols 

for venous duplex imaging with emphasis on how to 

resolve difficult studies and make differential diagnoses. 

Sunday Course Descriptions 


8:00 am - 8:50 am 



Interesting Pediatric Sonography Cases (SU-75) 


Ramesh Iyer, MD 

The purpose of this presentation is to present challenging 

sonographic cases of varied diagnoses. There will be 

an emphasis on the pediatric population. Differential 

considerations and a brief discussion about the condition 

in question will be presented for each case. Learning 

points will be offered for selected cases from both 

radiologist and sonographer perspectives. 


Interesting Cases in Cardiac Sonography (SU-76) 


Daniel Bourque, MS, RCS 

Rarely seen pathology can often be overlooked and 

difficult to assess. Taking the correct steps in recognizing 

rare and often life threatening pathologies is vital to 

patient care. This lecture will include case presentations, 

question and answer with a practicing panel, and 

audience participation. 


A Recent Advance in Gynecologic Sonography: 

Transperineal Imaging of the Pelvic Floor (SU-77) 


Arthur Fleischer, MD 

This presentation will demonstrate the abnormalities 

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commonly experienced in the female pelvic floor and the 

newest imaging methods utilized to evaluate the pelvic 

floor. The use of sonography in evaluating the anterior 

and posterior compartments of the female pelvis will be 

discussed, including the anal sphincter and rectovaginal 

septum. Imaging of the urogenital hiatus and the 

puborectalis muscle will be presented to demonstrate 

the role of sonography in evaluating and treating the 

abnormal conditions of the pelvic floor. 


Vascular Mapping Prior to Cardiac & Extremity Bypass 

Procedures (SU-78) 


Alia Grattan, RDMS, RVT 

This presentation will address the examination of venous 

and arterial mapping for cardiac and vascular surgery 

including the state-of-the art percutaneous aortic valve 

replacement and robotic mitral valve repair. Venous 

mapping of the legs and arms for lower extremity 

bypass, mammary artery mapping, radial artery mapping 

for cardiac surgery, and arterial and venous mapping 

procedures for percutaneous AVR and robotic MV repair 

will be discussed. 

9:00 am - 9:50 am 


Chronic Mesenteric Ischemia (SU-79) 



This presentation will focus on the indications, techniques 

and diagnostic criteria for a complete mesenteric 

vascular examination, arterial and venous, as it relates to 

symptoms of chronic ischemia. Underlying etiologies to 

be presented will include both atherosclerotic and nonatherosclerotic 

disease, venous obstruction, and vascular 

compression syndromes, as well as touching on other less 

common pathologies. 


Cross Modality Comparison in Patients with Heart 

Disease (SU-80) 


Gerard Aurigemma, MD, FASE 

This lecture will include how different imaging modalities 

are used to determine cardiac disease. 


Sonography of the Cervix in Pre-Term Labor (SU-81) 



This presentation will introduce basic sonographic 

techniques for imaging the cervix in pregnancy while 

focusing on the changes that will be seen sonographically 

in pre-term labor. The role of sonography in diagnosing 

and monitoring the pre-term labor patient’s cervix will 

also be presented. 


Non-Vascular Pathology for RVT (SU-82) 



While scanning the carotid, renal, or other vessels, the 

vascular sonographer may notice pathology near the 

vessel being examined. The purpose of this presentation 

is to help the sonography unfamiliar with non-vascular 

pathology to develop a protocol to document the 

pathology as well as to learn to recognize pathologies 

that are suspicious for malignancy. 

10:10 am - 11:00 am 


CSI: Clinical Sonographic Indications for Abdominal 

Imaging (SU-83) 


Janette Wybo, BAS, RDMS, RDCS, RVT 

Attendees will learn to demonstrate understanding 

of common and uncommon abdominal pathologic 

conditions by correlating clinical indications with their 

sonographic appearances. 


Cases from Outside the Echo Lab (SU-84) 



Echocardiography has become an important tool in 

many specialized cardiac and surgical procedures taking 

the sonography team outside of the confined walls of 

the echo laboratory areas. This case based presentation 

will demonstrate some innovative and interesting uses 

of echocardiography including transthoracic (TTE), 

transesophageal (TEE), and intracardiac (ICE) imaging. 


Is It Fetal Bronchopulmonary Sequestration or 

Congenital Cystic Adenomatoid Malformation? (SU- 

85) 


Jennifer Durant, BS, RDMS, RDCS, RVT 

This presentation covers the basic pathology and 

scanning protocols for distinguishing between 

brohchopulmonary sequestration and congenital cystic 

adenomatoid malformation. Terminology specific to both 

pathology processes will be introduced. The sonographer 

will gain information and imaging techniques through 

fetal images. 

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Lets Get Connected: Sonography of Peripheral 

Arterial Bypass Grafts (SU-86) 



This presentation will focus on ultrasound techniques 

and protocols, interpretive criteria and key elements 

to include during a vascular ultrasound examination of 

peripheral arterial bypass grafts. 

11:10 am - 12:00 pm 


Biopsy Techniques for the Sonographer (SU-87) 



Sonography is still underutilized as an imaging 

modality to guide various types of pathologies. Sadly, 

sonographers are also not routinely part of the biopsy 

team or process. The purpose of this presentation is 

to discuss the strengths of performing biopsies under 

sonography guidance, and the benefits of having a 

sonographer involved. Also to be discussed is the role of 

new technologies, such as fusion imaging, and how they 

can be beneficial to improve biopsy outcomes. 


My Most Challenging Diastolic Dysfunction Cases 

(SU-88) 


Jeffrey Hill, BS, RDCS, FASE 

Challenging diastolic function cases will be presented 

with analysis on how to navigate through discrepant 

data. 


Basic Neonatal Head (SU-89) 

SDMS CME Credits: 1 (NE) 

Tammy Stearns, MS, RDMS, RVT, RT(R) 

Basic neonatal care along with an explanation of 

commonly encountered equipment will assist in 

familiarizing the sonographer with the Neonatal Intensive 

Care Unit. Anatomy and scanning techniques will be 

presented along with commonly identified images. 

(No more trying to find the Batwings and Pac-man 

sign!) Commonly encountered pathologies will also be 

presented and discussed. 


Emerging Technologies (SU-90) 


Cheryl Vance, MA, RT(R)(M), RDMS, RVT 

This presentation will review the technologies 

commonly over-looked and/or under-utilized. The 

latest advancements in ultrasound technology will 

be presented to motivate the attendee to go beyond 

the basics to assess potential pathology by using 

multi-modalities and state-of-the-art technologies. 

Additionally, emerging technologies will be investigated 

to give the attendee a glimpse in to the future of 

sonography. 

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Course Descriptions - Society of Diagnostic Medical Sonography

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