Sonographers Playing an Expanding Role in Diagnosis - Society of ...

SDMS News Wave June 2010 1
SDMS News Wave is published to inform
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policies as well as trends and issues in
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directed to newswave@sdms.org.
Sonographers Playing an Expanding Role in
Diagnosis and Treatment of Vascular Disease
Demand can only increase as population ages
By Beth W. Orenstein
Jean White, RVT, RPhS, president and coowner
of Quality Vascular Imaging in Venice,
FL, is among the first vascular sonographers
to add the Registered Phlebology Sonographer
(RPhS) credential to her name. In March, she
was among the first to take and successfully
pass the new credentialing exam offered by
Cardiovascular Credentialing International (CCI.)
White believes the new credential is indicative
of the growing role of vascular sonographers
today. “We don’t just do exams to rule out
deep vein thrombosis (DVT) anymore,” she
says. “These days, vascular sonographers are
finding themselves working with radiologists,
cardiologists and vascular surgeons on a
number of interventional procedures and
screening exams for diseases of the veins.”
White and her colleagues also expect the
demand for credentialed vascular sonographers
and their services to continue to increase as
the population ages and as, unfortunately,
obesity and diabetes become epidemics in this
country.
Laurence Needleman, MD, a radiologist and
associate professor at Thomas Jefferson
University Hospital in Philadelphia, says the
growing concerns about radiation safety and
cost containment also will continue to shift more
vascular diagnostic and treatment procedures
away from CT and MRI scanners and more
toward sonography. “We’re going to see some
diminution in the amount of CTs and MRIs
performed and some of that [work] transfer to
In this issue
cover story: Sonographers Playing an Expanding Role in Diagnosis and Treatment of Vascular
Disease • 5 License to Scan: Oregon Board of Medical Imaging Announces Licensing Requirements •
6 SDMS Foundation Scholarship and Grant Recipients • 8 Upcoming SDMS Webinars • 9 SDMS Product
Spotlight: Vascular Sonography • 10 SDMS Fellow Spotlight • 11 ARDMS Podcasts and Videos • J u n e
iPod Touch Winner • 12 SDMS Benefit Spotlight • 13 Celebrate Sonography 2010 • 14 New Member
Scan • 2010 SDMS Annual Conference Registration Now Open • 15 SDMS Welcomes New Members
Society of Diagnostic Medical Sonography
www.sdms.org

sonography,” says, Needleman, who was a presenter
at the Society of Vascular Ultrasound (SVU) annual
meeting in Boston in June.
Today, ultrasound equipment has become so
technically advanced that it’s possible to clearly see
not only the vessels and everything around them,
but even to characterize the disease, says Phil
Bendick, PhD, director of surgical research at William
Beaumont Hospital in Detroit. As a result, he says,
vascular ultrasound is no longer just a preliminary
tool to see if further imaging studies (X-ray, CT, MR,
PET) are needed but in many cases being used in
place of them.
For example, “it used to be that vascular sonography
was used to make a preliminary diagnosis of stenosis
(narrowing) of the carotid arteries (the main arteries
in the neck that supply blood to the brain,)” Bendick
says. “A sonogram would be the triage tool to decide
whether to have an additional imaging study done.”
Today, Bendick says, ultrasound equipment is so
advanced that people in the vascular laboratory trust
it as a primary diagnostic tool. “In this country today,
the majority of carotid interventions are done based
on a diagnostic sonogram without further imaging.
If there is a question, then yes, you always have
angiography. But we’re able to use sonography – to
combine the percentage of stenosis and characterize
the lesions in terms of likely stability – to determine
whether the patient needs treatment or watchful
waiting. You’re going to do angiography to rule out
unfavorable anatomy and to help with placement of
the stent, but the angiogram is part of the treatment,
it’s not part of the diagnosis because vascular
sonography is now much more a primary diagnostic
tool than it ever has been.”
3D, 4D Vascular Sonograms Hold Much Promise
Three-dimensional (3D) and 4D still are relative
newcomers to the vascular world, Bendick says.
But he suspects that as the technology continues
to advance, it will mean an even bigger role for
sonography in the vascular lab. “We have some
studies in my own lab looking at using 3D and 4D to
characterize plaque surface looking for ulcerations.
The applications have not been proven yet,” he says,
“but it’s certainly worth investigating and opens
vascular sonography to whole new applications if
we can use it to better characterize plaque.” The
research is exciting, he says, and in part what makes
vascular sonography fun. “Never discount the fun
factor in sonography,” he says.
SDMS News Wave June 2010 2
“Color Doppler imaging is
now miles and miles ahead
of where it was only four,
five years ago.”
Phil Bendick, PhD
Bendick also sees potential for 3D and 4D vascular
sonograms to play an even greater role in detecting
peripheral artery disease (PAD) and for looking for
aneurismal disease. “All of this is in its infancy in
terms of sonography,” he says, “but it’s on its way.
The ultrasound machine has just gotten so good –
the computer technology is faster, the image quality
is incredible, and the probes are better … so you
get to see objects that are deeper in the body and
with more clarity,” he says. Doppler, which is the
technology for imaging blood flow, also continues to
improve. “Color Doppler imaging is now miles and
miles ahead of where it was only four, five years ago.
The images it provides are much brighter and more
brilliant, giving us a much better definition of the
lumen (the central opening of the vein through which
the blood flows.)”
Bendick says that when contrast is approved for
vascular applications as it is now for cardiac,
vascular sonograms will play an even bigger role in
the diagnosis and treatment of peripheral vascular
disease. “A little bit of contrast enables you to
visualize the origin of renal arteries in virtually
everyone, and allows you to very clearly delineate the
lumen from lesion and wall. There’s a lot that contrast
will enable us to do in a still strictly non-invasive
way and increase our accuracy for many diagnostic
procedures,” he says.
Vascular sonography benefits from fusion technology
In fall 2008, one of the ultrasound equipment
manufacturers introduced an ultrasound system for
radiology and vascular applications that allows the
clinician to fuse sonographic images with those from
other imaging modalities such as CT and MR. “To
be able to fuse a sonogram with a CT scan is a big
deal,” says George H. Meier, MD, RVT, FACS, professor
and chief of vascular surgery at the University of
Cincinnati College of Medicine. The technology has
many applications but it’s proving to be extremely
valuable in looking at abdominal aortic aneurysms

and endovascular aneurysms (abdominal aortic and
thoracic aortic) that have been repaired. “This allows
us to look at things with sonography that before were
relegated to CT scanners,” he says. Being able to use
sonography rather than CT to follow endovascular
repairs, for example, is a huge advantage to the
patient because the patient is not exposed to all that
radiation from the CT scanner.
Vascular sonography’s role in treating varicose veins,
patients with kidney failure increasing
Two other areas where improvements in technology
have increased the role of the vascular sonographer
are in the treatment of varicose veins and arterial
venous fistulas for patients undergoing dialysis.
For many years, the standard procedure for treating
large veins was vein stripping – a surgical procedure
that involves removing a long vein (the great or
the small saphenous vein) through small incisions
at the groin, knee and ankle. Patients had to be
hospitalized, required anesthesia, and could take
two weeks or more to heal. In most cases today,
vein stripping has been replaced by endovenous
thermal ablation – a minimally invasive procedure
that is often performed in the suite of a phlebologist,
vascular surgeon, cardiologist or radiologist. The
ablation can be done with radiofrequency, lasers
or chemicals. The demand for the procedure is
increasing and vascular sonographers are in the
forefront as they assist the physicians before, during
and after the procedure, Jean White says. “Two days
later, the patient comes back and you do a follow-up
exam, which is more like the exam to rule out DVT.
You’re looking to make sure the vein that you treated
is occluded as well as whether or not they develop a
heat induced thrombosis (clot.) It’s a pretty new thing
and pretty awesome in the vascular world,” White
says.
Natalie Marks, MD, RVT, RDMS, technical director
of the vascular lab at Maimonides Medical Center in
Brooklyn, N.Y., says vascular sonographers also are
playing a greater role in treating patients with kidney
failure who must undergo dialysis. Dialysis requires
access to the bloodstream. The majority of patients
undergo creation of an arterio-venous fistula on
the forearm or arm which requires a minor surgical
procedure in which an artery and vein are joined
under the skin. “Arterio-venous fistulas often take
several months to mature and to be made ready for
dialysis,” Marks says.
At Maimonides, Marks says, their surgeons and
SDMS News Wave June 2010 3
sonographers work together to help accelerate
maturation of newly created fistulas under
sonographic guidance rather than X-ray or
angiograms. “Unfortunately, after dialysis start,
these fistulas often develop scar tissue creating
narrowings, which need to be treated to continue
successful use. These failing fistulas are treated with
balloon angioplasties guided by sonography as well.
Because they are done with sonography rather than
X-ray, it becomes a quick office procedure rather
than a hospitalization. Marks says. “As an outpatient
procedure, it’s not only less costly but it’s also safer
because many of the patients who have failing
kidneys are fighting for every dialysis-free day and
couldn’t tolerate the contrast agent that is needed to
perform the procedure with X-ray.”
Maimonides vascular department pioneers
procedure for peripheral artery disease
Vascular surgeons and technologists at Maimonides
have pioneered another exceptional sonography
application to guide endovascular procedures for
blocked arteries in the legs. Traditionally, these
procedures are performed via a puncture in the
groin under local anesthesia and require the use
of fluoroscopy (radiation exposure) and contrast
material. In many patients the contrast material
necessary to visualize the arteries on X-ray may
cause severe allergic reactions or even kidney failure.
The risk of kidney damage is increased in diabetic
patients, Marks says. Additionally, as vascular
surgeons prefer these minimally invasive procedures
and perform them more often, the patients become
increasingly susceptible to the complications of
radiation exposure among which are impaired vision,
skin damage and infertility, Marks says.
In multiple publications, Enrico Ascher, MD,
Marks and colleagues have shown the safety and
durability of performing balloon angioplasties
under sonographic guidance alone without the
use of contrast material or radiation exposure.
The Maimonides group has successfully utilized
sonography to guide balloon angioplasties with or
without stenting in hundreds of patients, she says.
“This unique experience is very exciting and promising
because it offers another alternative to patients who
are at increased risk of developing kidney failure
or severe allergic reactions from contrast material.
It also offers vascular surgeons with a means to
minimize radiation exposure with obvious benefits to
their health.”

Vascular procedure for MS also shows promise
Ann Marie Kupinski, PhD, RVT, RDMS president and
co-owner of North Country Vascular Diagnostics in
Glen Falls, N.Y., and clinical associate professor of
radiology at Albany Medical College, says another new
area for vascular sonography that’s promising – yet
somewhat controversial – is imaging of the veins that
drain blood from the brain. “Some people believe a
condition known as chronic cerebral spinal venous
insufficiency seems to be present in patients with
multiple sclerosis,” she explains.
Researchers in Italy have found that some of the
veins in the brain don’t seem to be as open as they
should and so the blood doesn’t flow from the brain
as quickly as it should. “We can do a sonogram
and evaluate these veins. Then the surgeon or
interventional radiologist will go into the vein and
dilate it with angioplasty if necessary. This procedure
seems to lessen the patient’s symptoms,” Kupinski
says. The procedure is off-label and insurance won’t
cover it. “But patients who are finding out about it are
calling by the hundreds to get veins evaluated and
to see if they can be helped by the procedure,” she
says. “One of the radiologists I work with is booked
through the summer with four to five patients a day
demanding these procedures.” Hopefully, Kupinski
says, further research will validate the procedure and
“the government will get on board and pay for it.”
Downsizing equipment, credentialing hot topics for
vascular sonographers
Another welcome trend in vascular sonography,
Kupinski says, is the downsizing of ultrasound
equipment. “Some companies have been really
attentive to portability and ergonomics in a big,
big way. Pretty much everyone is manufacturing
SDMS News Wave June 2010 4
equipment now that is much more adjustable
and lighter – all in an attempt to reduce workrelated
injuries – and that’s a good thing for all
sonographers, not just those who work in vascular,”
she says. Because the equipment is portable, it’s also
allowing vascular sonographers to provide services
in rural areas that they couldn’t previously.” Patients
no longer have to travel to the major cities for the
diagnosis and treatment of their vascular issues,
Kupinski says.
Credentialing and accreditation of labs are yet
another big concern these days of vascular
sonography world. Needleman says credentialing,
accreditation and education were hot topics at the
SUV meeting he attended in June. “Basically,” he
says, “it is hoped that by 2012, all those entering
the field will be graduates of accredited schools.”
Certification requirements could become a fact, he
says, if a bill pending in Congress, the CARE bill, were
to become law.
However, Needleman says, it’s a concern because
the need for vascular sonographers is outstripping
the schools’ ability to produce enough graduates.
The demand for all sonographers including vascular
is on the rise because of the demographics of the
population – not only are patients getting older
and needing more medical services, he says, but
sonographers themselves are aging and retiring. No
one at the SVU meeting could accurately estimate the
number of sonographers who are retiring, Needleman
says, but everyone agreed that the need for vascular
sonographers is strong and will continue to be for
years to come especially as the number of procedures
they’re involved in expands.
Beth W. Orenstein is a writer for SDMS.
SDMS News Wave is archived online at:
http://www.sdms.org/members/NewsWave.asp

SDMS News Wave June 2010 5
License to Scan:
Oregon Board of Medical Imaging Announces
Licensing Requirements Effective July 1, 2010
The following notice is currently posted on the Oregon
Board of Medical Imaging web site.
(retrieved 6/29/2010 from www.oregon.gov/OBMI)
Source:
Oregon Board of Medical Imaging (OBMI)
www.oregon.gov/OBMI
New Oregon Licensure July 1, 2010
The following new medical imaging modalities must
be licensed as of July 1, 2010:
Nuclear Medicine:
Any person who operates nuclear medicine
equipment or uses radiopharmaceuticals on a live
human body must have a license.
Magnetic Resonance Imaging (MRI):
Any person who operates MRI equipment or
places a live human body within the magnetic field
generated by the MRI equipment must be licensed.
Sonography:
Any person who operates sonographic equipment
or passes energy through a live human body must
be licensed.
All medical Imaging licensees must be credentialed
by a credentialing organization in a medical imaging
modality recognized by the Board.
Notice To Hospitals And Imaging Facilities
The Board needs your help and understanding. It is not
the intent or expectation of the Board to have all new
modalities; MRI, Nuclear Medicine and Sonography
licensed on July 1, 2010, when the new law takes effect.
The Board considers this a transitional period and will
be working with new modality applicants and current
licensees adding MRI, Nuclear Medicine or Sonography
to their licensure.
The Board needs your cooperation to make sure patient
care is not compromised by joining them in this good
faith effort to license these new modalities. Please ask
your employees to send in their applications as close
to the July 1 implementation date as possible. We will
begin processing them in date order in accordance with
our statutes and rules.
During this transitional period, the Board will not
take disciplinary action against the new applicant or
licensee adding MRI, Nuclear Medicine or Sonography
for practicing without a license. Our soon to be new
licensees and existing licensees should be allowed
to practice their profession(s) during this transitional
period.
This notice will be removed from the website and the
transitional period will end at the discretion of the
Board, however only after adequate time is given to our
new licensing modalities to bring them in compliance
with the new law. Thank you for joining our good faith
licensing implementation. If you have questions please
contact Linda Russell, Executive Director for the Board
at 971-673-0216.
Respectfully,
Thomas R. King, BSRS RT (R)
Board Chair
Oregon Board of Medical Imaging

SDMS News Wave June 2010 6
The SDMS Foundation
has officially completed
its first year. ‘Thank
you’ to our sponsors for
helping make the SDMS
Foundation a success.
Joan and
Don Baker
Kirkland, WA
Scholarship and Grant Recipients
SDMS Foundation
Scholarship Program
Judene Manger
2009 Student Recipient
Tammy Stearns
2009 Sonographer Recipient
Constance Besaw
2010 Student Recipient
Ronda Keller
2010 Sonographer Recipient
Elizabeth Payne, 2009
Stacie Poon, 2009
Pamela Przygocki, 2009
Kristin Quartararo, 2009
Amanda Reed, 2009
Maari Reed, 2009
Rachelle Rose, 2009
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Judy Perry, 2010
Lizet Rodriguez, 2010
Elizabeth Roman, 2010
Rachelle Rose, 2010
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Caitlin Sculley, 2010
Jenna Shepard, 2010
SDMS Foundation
Certification
Examination Grant
Program
Ashley Amerson, 2009
Christina Arms, 2009
Megan Bahl, 2009
Lauren Beussink, 2009
Rachel Blumstein, 2009
Emery Brenner, 2009
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April Eikmeier, 2009
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2009 Annual
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SDMS News Wave June 2010 7
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Dear Board Members,
I wanted to write and personally thank each of you for selecting me as the 2009 scholarship recipient.
The scholarship allowed me to complete my Masters in Administrative Studies with an emphasis in
Communications at Missouri State University. With your support, I graduated on May 12, 2010. The
scholarship allowed me to complete my Masters ahead of schedule which in turn has allowed our DMS
program to apply to the Higher Learning Commission to turn our hospital-based sonography program into a
bachelor’s degree program. This is a very exciting time for our faculty and students.
In addition, I would like to thank each of you for your continued persistence, vision and passion toward our
profession which was demonstrated in the past year.
Thank you,
Tammy Stearns
Springfield, MO

SDMS News Wave June 2010 8
Upcoming
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Participate in live presentations or watch the recordings
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SDMS News Wave June 2010 9
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For novice scanners and
for sonographers and
echocardiographers cross-training in vascular
ultrasound, here is the new and improved version of
Don Ridgway’s very popular, unabashedly practical,
and famously unique guide to performing vascular
studies—now with Uncle Don’s Bonus Image Section,
new chapters on The Doppler Principle, Those Darn
Doppler Angles, and Other Vascular Diagnostic
Modalities, plus new illustrations, new scanning
exercises, and expanded coverage of carotid
scanning, abdominal Doppler, upper and lower
extremity scanning, and color flow imaging.
304 pages, 372 figures, 28 color plates, 15 tables,
and 10 scanning exercises and quizzes with 163
individual problems.

SDMS Fellow
Spotlight
SDMS News Wave June 2010 10
This is a continuing series of interviews of
our distinguished SDMS Fellow members.
Cindy Rapp, BS, RDMS,
FAIUM, FSDMS
Current position:
Clinical Education
Director, SonoCiné
Year awarded fellow
status: 2001
What inspired you
to make a career in
sonography?
Actually, I kind of fell into sonography. I was in my
first-year as an X-ray student and realized that
there was no way I wanted to make a career as an
X-ray tech. However, I am not one that gives up on
something I start. There was a second-year X-ray
student who was at the same clinical site as me and
she was going into sonography. So, I figured I would
give it a try, too. I really did not know much about
sonography. I had not even had a rotation through
it during my X-ray training. To be honest, once I
started the sonography program, I thought I had
made the biggest mistake of my life. How on earth
could someone make anything out of those dots on
the screen? I started sonography doing some static
scanning....(OK, I ‘m not that old...we also had realtime.)
However, the image quality back then was
nothing like it is today.
Did you have a memorable role model/teacher?
Who was it?
In the early ’80s, there were not a lot of sonography
programs from which to choose. I was fortunate to
have my training at one of the best. My instructor
was Marie DeLange from Loma Linda University.
She is a great teacher and friend. There is a
sonographer from Loma Linda whom I observed a
lot during my training: Curtis Serikaku, who was (and
I am sure still is) a perfectionist. Every femur was
straight across the image, BPDs were perfect, CBDs
were lined up to include the hepatic artery (HA) and
portal vein (PV). He was not one that just went in
and whipped out his study, he took the time to create
a masterpiece with every case he did. I learned a lot
from Curtis. The other person whom I need to give
credit to is Dr. Tom Stavros. I was fortunate to work
with a brilliant sonologist (although I would never
tell him that) for 15 years. We did a lot of research
and work in breast sonography, sonography of the
appendix and hernias. I worked in an advanced
role as a sonographer practitioner. Part of my
job description was to get involved with different
sonography organizations and to start lecturing.
What was the most significant advance in
technology that you have directly experienced?
I have been through many advances in sonography;
cineloop – yes in the old days we use to have to
keep freezing and unfreezing to get the correct
image. Color and power Doppler, Elastography and
all kinds of image improvements. I would say that the
most significant advance has been the improvement
of the 2D image quality. In the old days, the dot size
was about the same size as an Oreo cookie. We
now have such good resolution that we see things
we have never seen before.
Were there any memorable developments,
cases or events that changed the way you
practiced sonography?
With the improvements to image quality, I have had
to look up a lot of normal anatomy structures. One
of the best reference books to have in a sonography
department is Netter’s Atlas of Human Anatomy.
I would say that breast sonography has had one
of the biggest impacts with the improvements to
image quality. We now have super high-frequency
transducers, broad-band technology, harmonics,
compound imaging, color and power Doppler and
elastography. About 10 years ago, all breast cysts
seemed to be simple, now we see debris and
echoes in a lot of breast cysts. This is not artifact; it
is true information and we seeing it because of all
the improvements to image quality.
What changes do you predict in the immediate
future?
That is a good question. I think that the biggest
change in the immediate future will be how healthcare
reform will affect all of us? I believe that we
will see an increase in our volume. Other modalities
such as MRI and CT will have a greater impact. As

far as sonography equipment, we are already seeing
systems getting smaller and smaller. There is now a
system about the same size of an iPod. Sonography
will truly be the “stethoscope of the future.”
What advice would you give to students/ future
sonographers?
My advice to students is make sonography a career
not just a job. Take the time to learn all you can,
SDMS News Wave June 2010 11
attend conferences (like SDMS in Denver this year),
read journals and get involved.
What’s your favorite part of your job?
Currently, I work for an automated breast
sonography company. The favorite part of my job
is giving lectures and helping others learn how to
improve their breast sonography images.
ARDMS Podcasts & Videos
ARDMS now offers online informational podcasts and
videos for Registrants and the sonography community.
Each podcast or video provides the user with:
• Current information on ARDMS policies or programs;
• Streamlined data that is easily accessible; and
• Serves as an additional application and/or examination
resource
Available Podcasts and Videos:
• ARDMS Online Application Tutorial Video
• CAAHEP vs. Non-CAAHEP Program Accreditation
Podcast
• ARDMS CME Audit Podcast
• ARDMS Volunteer Podcast
• Student SPI Podcast
Visit http://www.ardms.org/default.asp?ContentID=986 to access the podcasts and videos.
Congratulations to the June iPod Touch Winner!
Congratulations to Michelle Overby of Franklin, VA.
Michelle is the winner for our 2010 Membership
Renewal Campaign for June! Her name was picked
randomly from all June members that renewed their
membership online between May 1 and May 31.
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 – December 31, 2010

SDMS News Wave June 2010 12
SDMS Benefit Spotlight
Professional Risk Management for Sonographers
CME Article
Did you know there are two major types of professional liability insurance?
Do you want to know how much insurance is enough and how to manage
your insurance coverage?
Gary M. McCammon, President of Professional Risk Advisors, Inc.
can give you all of these answers and more. After reading this
article you will be able to:
• Define negligence as it relates to the practice of sonography
• Describe vicarious liability and how it affects your liability
• Identify elements of a typical malpractice lawsuit
• Define claims-made professional liability coverage
• Define occurrence professional liability coverage
• Explain the need for an Extending Reporting Period endorsement
• Describe policy limits associated with professional liability coverage
You can access the article at http://www.sdms.org/members/3353/default.asp.
Don’t have professional liability insurance yet?
Visit http://www.sdms.org/membership/liability.asp to find out how you can obtain
SDMS Professional Liability Insurance today.
SDMS Membership Number Reminder
Forgotten your SDMS Membership number?
Visit http://www.sdms.org/members/remindme.asp, complete the
form, and your membership number will be sent to you via email.

SDMS News Wave June 2010 13
Celebrate
Sonography!
Every October, SDMS and other sonography organizations
join together to promote Medical Ultrasound Awareness
Month to increase sonographer pride and the public’s
knowledge about sonography. Let everyone know about
sonography’s “waves of possibility” in your workplace and
community with these exciting new products!
T-shirt
This year’s slogan, Sonography - waves of possibility, is silkscreened
on a preshrunk, 100% cotton, short-sleeved, black
t-shirt. Available in sizes S to XXL.
Item #: 4731
$15 SDMS members $20 Non-members
Poster
Display this 22” x 17” poster to
brighten your office or waiting room!
Item #: 4729
$4 SDMS members
$6 Non-members
Tote Bag
This handy canvas tote bag is
great for work, shopping, and of
course, promoting sonography
awareness. It is constructed
of sturdy “natural color” cotton
canvas.
Item #: 4732
$10 SDMS members
$13.50 Non-members
Pen-on-a-rope
This 2-color pen features thumb-slide
retractable tips and a break-away
neck cord for safety.
Item #: 4728
$2.50 SDMS members
$3.50 Non-members
Mug
This black coffee mug is “green” at
heart! It features the “waves of possibility” design
in white and silver and is constructed of renewable,
recyclable 100% USA corn plastic.*
Item #: 4727
$9.00 SDMS members
$13.50 Non-members
Buttons
Spread the word by giving one to coworkers, patients, and
media contacts.
Item #: 4725
$1.50 SDMS members $2.50 Non-members
* Mug should be hand washed to protect its glossy finish. This
year’s corn plastic mug is 100% recyclable and biodegradable!
Ordering is easy!
• Order online at the SDMS online store
at http://www.sdms.org/store
• Call toll free 1-800-229-9506
Monday - Friday, 8 am - 5 pm (CDT)

New Member
SCAN
Wieslawa Szkiladz
is currently a senior
sonography student at
New York University
(NYU). She began
NYU’s Medical
Diagnostic Program
in the spring of 2006
and is scheduled to
graduate this May.
Wieslawa came to
the US from Poland
in 1993 in hopes of
improving her professional opportunities. She has
two daughters, Karana (14 years old) and Natalia
(10 years old).
SDMS News Wave June 2010 14
When asked what inspired Wieslawa to choose
a career in sonography, she replied that she
became interested in sonography during her two
pregnancies, and when her mother was diagnosed
with ovarian cancer. She was amazed and
fascinated by the details, and images which were
obtained through the ultrasound.
Wieslawa’s favorite benefit so far has been the
Journal of Diagnostic Medical Sonography (JDMS).
The journal has been a tremendous asset with
class assignments, is a great learning tool and
keeps members up to date with new and upcoming
information in the sonography profession.
Wieslawa enjoys reading the journal on the
train traveling to NYU and her clinical rotations.
Wieslawa said she intends to utilize additional
SDMS benefits when preparing for her certification
exams.
Wieslawa, welcome to the SDMS.
Registration NOW OPEN! www.sdms.org/meetings
Save $100 now by registering for the 2010 SDMS Annual Conference before August 10!
Make your plans now to attend the 2010 SDMS Annual Conference, Oct 14–17, 2010 in
beautiful Denver, Colorado. The SDMS will have a special room rate of $189 for SDMS
attendees with the Denver Hyatt Regency, located directly across the street from the
Denver Convention Center.
Don’t miss this opportunity to earn more than 20 CME credits while learning about the
newest advances in the field of sonography! When it comes to the 2010 SDMS Annual
Conference, the sky’s the limit!
For complete details and course descriptions, view the 2010 Annual Conference
Registration Brochure at: http://www.sdms.org/pdf/AC_2010.pdf

SDMS News Wave June 2010 15
SDMS Welcomes New Members
May 2010
Khristine Albarico, RDMS
Crystal Brock
Coral Davis, RT(R)
David Farina, BS, RVS, RCS
Rosie Alva
Kelly Brockway, RDMS, RVT
Debra Davis, RDMS
Robin Farnan, RN, RDMS, RVT
Elizabeth Anderson, RT(R), RDMS
Crystal Brown
Natosha Davis, RDMS
Sana Farooq
Manuel Arello, RDMS
Jamie Brown, RDMS, RVS
Lisa Deiranieh, BS, RDMS
Lynn Feldman, JD, RT(R), RDMS
Victoria Ashley-Manning
Ryan Brown
Rachel Demaio, BS
Christy Fisher, RDCS
Heather Austin, RCS, CPT
Lisa Burrington, RDMS
Brittany Demanche, RT(R)
William Fisher, RDMS
Christina Avalos
Carter Bush, BS, RDCS
Ana DeMelo
Tamara Fokina, RDMS
Vivienne Aversa
Amy Bushard, RT(R), RDMS
Barbara Desrochers, RN, RVT
Janice Fontaine, RT(R), RDMS
Dale Avery, RT(R), RDMS
Kimberly Bussell, RCS, RVS
Rachael Destafrey
Dona Foster, RT(R)(M), RDMS
Charles Baker, RDCS, RVT
Kristina Cabello, BS, RDMS, RVT
Dianira Diaz, BS
Karena Fowler
Elizabeth Baker, RDMS, RDCS
Elizabeth Calderon, BS, RT(R), RDMS
Lyndsay Dickson
Colleen Francis, RDMS
Ronald Balagot
Lindsey Carpenter
Daniele Dillard
Jennifer Francisco, RDMS, RVT
Laura Ball, RT(R)(M)(S), RDMS, RVT
Chastity Case, BS, RT(R), RDMS, RVT
Tim Dillon, RDMS
Cynthia Franklin, RDMS
Cheryl Bandoo, RDMS
Christina Chaconas, BS
Wendy Dinkins, RDMS, RVT
Lora Fridline, RDMS
Elizabeth Banks, RDMS, RDCS
Roxanne Ciccone-Johns, RT(R)
Kathleen Dorrick, RDMS
Bridget Gardner, RT(R)(M), RDMS
Dana Bauer, RT(R), RDMS
Amanda Clark
Erin Dougherty
Tracey Gardner
Danika Beard
Megan Clark
Elizabeth Dozier
Danielle Gaudian
Karen Belta, RDMS, RDCS
Dean Coburn, MS, RDCS, RVT
Richard Dreyer, BS, RVT
Corina Gavra, RDCS, RVT, CCT
Evelyn Bermudez, RDMS
Alexander Cohen, RDCS, RVT
Marilyn Dropik, RT(R)(M), RDMS, RVT
Roseanne Gerringer, RDCS
Michelle Betthauser, RDMS
Mary Cole, RT(R), RDMS
Mary Dunn, RVT
Gerard Giuricich, DC
Karin Denise Betts, RT(R), RDMS, CRT
Therese Compton
Wanda Dunn, RT(R), RDMS
Keri Glazier, RDMS
Sanjay Bhendwal, MD, RPVI
Robin Cone, RT(R)(M), RDMS, RDCS
Heather Duval-Foote, RDMS
Tracy Glyde, RDMS
Lisa Binkowski, BS, RDMS
Kris Conner, RDMS, CMA
Janna Eason, RT(R)
Marie Godsell, BS, RDMS
Lisa Blakley, RDMS
Jessica Cook, RDMS
Elizabeth Edelmann
Victoria Gonzalez, RDMS
Marsha Blankenship, BS, RDMS, RVT
Phoebe Cook, RDMS
Susan Edgerton, BS
Kelly Graham, RT(R), RDMS, RVT
Heidi Boulay
Manelive Corzo
Teresa Edison, RDCS
Jennifer Graveline
Lindsey Bourassa
Amber Croft, BS
Evelyn Eiselstein
Kaycee Griner
Jeremy Bracken, RDMS
Teresa Croft, RDMS
Kelly Elder, RT(R), RDMS
Shawn Grubbs, RDMS, RDCS, RVT
Mary Bradfield-Smith, RDMS
Viktoria Csenki
Debby Elliott, RDCS
Tina Guidicipietro, RDCS
Kim Bradford, RDMS, RVT
Gisel Cuadros, RDMS
Beth Ellis, BS, RT(R), RDMS, RVT
Felix Guzman, BA, RDMS, RDCS, RVT
Yulieth Bran
Rakhsha Dahesh, RDMS
Jenine Ellis, RDMS
Tatyana Hachieva, RDMS, RVT
Jamie Breaux, RT(R), RDMS
Suzanne D’Andrea, RDMS
Kirstin Embree
Megan Halberstadt, RDMS
Margaret Brengel, RDMS
Carolyn Dandridge Bacon, RT(R), RDMS, RDCS
Erika Enevoldsen
Debra Hancock, RT(R), RDMS
Paula Brennan
Sarah Daniel, RDMS
Kristi Ennis, RT(VS), RDMS
Kari Harbison, RDMS
Janet Brewer, RDMS
Barbara Daniels, RDMS
Gina Espinoza
Kara Hardin, RCS
Dianna Brightly
Jonelle Daniels, RT(R), RDMS, RDCS, RVT
Rhodalee Estanislao
Virginia Harezlak
Karen Brinkley, RDMS
Jacqueline Darling, RDMS
Diane Facinelli, RT(R), RDMS
Kathy Haroldson, RT(R), RDCS

SDMS News Wave June 2010 16
Adina Harris
Cheri Kwakkestein, RT(R), RDMS
Sheila Melson-Alsip, BS, RDCS, RVT
Kamini Patel, RDMS
Lindsay Harris, BS, RT(R), RDMS, RVT
Jennifer Kwapniewski, RDMS
Diana Menefee, RDCS, RVS
Lori Patterson
Jack Hauser, MD
Linda Lakinski, RDMS
Jessica Meyer
Michael Patton, RDMS, RDCS, RVT
Nancy Hawley, RT(R), RDMS
George Lang, MS, RDMS, RVT
Jeanne Miklos, RDMS
Amy Pfaller, RN, RDMS
Jennifer Hayden, BS, RDCS, RVT
Sarah Laucamp, RDMS, RVT
Nan Mills, RDMS, RVT
Loan Pham
Anne Haynes, RDMS
Erin Lautieri, BS
Nina Mitsky, RDMS
Laura Phillips, RDMS, RVT
Maria Henley
Patricia Lavelle, RDMS
Robert Mizell
Dawn Pladna, RDMS
Kyle Hennessey, BS
Ortal Lavian
Farhia Mohamed, RDMS
Bardo Polanco, RDMS
Alberto Hernandez, RVT
Ashley Lawrence
Jadwiga Mokrzycka, RCS
Leigh Porter, BS, RDMS, RVT
William Hernandez
Catherine LeBeau, RN, RDMS
Jeff Monck, RDMS, RVT
Rachel Potucek
Debra Hissong, RDMS
Patrick Lee
Paul Monge, BS, RT(R), RDMS, RDCS, CRA
Rebecca Pou, BS, RDMS
Jennilee Hockmeyer
Cheryl Lenhart
Michael Monroe, BA
Beth Powell, RT(R)(CV), RDMS, RVT
Lori Holden, BS, RT(R), RDMS, RVT
Beverly Lenz, RT(R), RDMS
Rickey Monroe
Sharon Powers, RDMS
Jan Carla Holman
Carole Lessard, DC, FIAMA, BES
Angela Moon, BS, RDMS, RDCS, RVT
Matthew Pozun, RDMS
Karen Hopkins, RDMS
Linda Lev, BS, RT(M), RDMS
Karen Moore, RDMS, RVT
Carolyn Prior, RDMS, RVT
Jessica Howell
Sharon Lilley, BS, RDCS, RVT, RCS, RVS
Donald Morales, RT(R), RDMS, RDCS, RVT
Travis Pryor
Mary Hughes, RT(R)(M), RDMS
Jennifer Loayza
Masahiro Morikawa, MD
Kimberly Przybysz, RDMS
Nohelani Humphrey, BS, RDMS, RVT
Michelle Longnecker, RT(R), RDMS, RVT
Carmen Moscoso
Wendy Quiner, RT(R), RDMS
Belinda Hunter, BS, RDMS, RVT
Sheri Lyles, RVT
Reka Nagy
Ann Raczynski-Schmidt, RDMS
Shirly Hunter, RDMS
Heather MacMillen, BS
Sara Nankivell, RDMS
Sheryl Radowick, RDMS
Elizabeth Irwin, RT(R), RDMS, RDCS, RVT
Stacy Madigan, RCS, CCT
Iqbal Naqvi, RDMS
KG Ramesh, MD, RDMS
Elizabeth Jacob, RT(R), RDMS
Stephanie Madonia
Carl Nelson, RDMS, RVT
Chandrakant Rana, BS, RDMS
Sylvia Jacobo-Noone
Kristy Main, RDMS
Danielle Nelson, RT(R), RDMS
Patricia Ransom, RDCS
Monica Jacques
Michelle Maley, RDCS, RCS
Harley Della Nimely-Alexander, BS
Srihari Ravi, MD
Lisa Jarvie
Sehab Malik, RDCS, RCS
Bev Nisson, BS, RDMS
Carrie Reagan, RT(R), RDMS
Cynthia Jenkins, RT(R), RDMS
Kathleen Mardis, RT(R)(M), RDMS
Michelle Nixon
Victor Reddick, RT(R), RDMS, RDCS, FAIUM
Jamila Johnson, RDMS
Laura Marino, MS
Timothy Norris, RDMS
Sandra Regnier, RDMS
Winsome Jones
Hilary Marstella, RDMS
Jamie Novak
Amanda Reid, RDMS
Amy Karl
Christin Martin, BS
Deborah Noyes, RDMS, RVT
Kyong Remsen, RDCS, RVT
Ronald Karlsberg
Alba Martinez
Heather O’Brien, BS, RDMS
Kathryn Renick, RN, RDMS
Lisa Keeble, RDMS
Mario Martinez
Dalia Orentas, RDMS
Cheryl Rera, RDMS, RDCS
Ahmed Khalil, MD, RPVI
Monica Mata, RDMS
Janet Otton, BS, RDMS
Katina Rhodes, RT(R)(M), RDMS
Eileen Khazamipour, RDMS
Mary Ann Mataconis, RDCS
Tiffany Outlaw, RDMS, RVT
Kathryn Riesenberg
Christina Kimpton, RDMS
Christina Matos, RVT
Kristal Overturf, RT(R)(M)(BS), RDMS
Sonja Riffle, MBA, RDCS
Brian King, RT(R), RDMS, RVT
Betty McClimans, RVT, RCS
Richard Padilla, RVT
Laura Rios, RVS
Melissa Kish, RDMS
Cathy McCready, RDMS
Annette Pahl
Susan Rish, RDCS, RVT
Beth Knox, RDMS
Kathleen McCue, RT(R)(CV), RDMS
Diane Palmer, BS, RDMS
Chris Robustelli
Mark Koester
Kathy McGerty, BS, RDMS
Dawn Palter, RDMS, RDCS, RVT
Mayra Rodriguez, BS, RDMS, RDCS
Mandy Konetsco, RT(R), RDMS
Haley McGlaughlin, RVT
Lindsey Papan, RDMS
Mercedes Rodriguez, RDMS
Lori Koornneef, RDMS
Michael McLaughlin, RDMS
Christine Pardo, RVT
Valerie Rogers, RT(R)
Cara Kuhn
Kathleen McNair, RDMS
Vernon Parkinson, RDMS, RDCS
Stephanie Rolla
Rachel Kunz
Laura Mekar
Jeannine Pascarella, RDMS
Dennis Roquemore, RT(R)

SDMS News Wave June 2010 17
Robert Rose, MD
Christine Spade, RDMS
Paul Theoharis, RDCS
Roda Wais, RDMS
Migdalia Rosillo, RT(R)
Jennifer Sparks, RT(R), RDMS
Krishondria Thomas
Lori Waliczek, RDMS
Becky Roth, MD
Amy Speenburgh, RDMS
Tracey Thompson, RDMS
Jodie Walker
Erica Rothermel, BS, RT(R), RDMS
Eric Spicer
Marta Thorup, RDMS, RVT
Yu Wang
Lisa Rudd
Mary St Denis
Kristina Tindall, RDMS, RVT
Judith Warmack, RT(R)(M), RDMS, RVT
Carmen Ruiz
Stacy St. Louis, BS
Michael Tognotti, RDCS
Elizabeth Warner, BS
Nuris Ruiz
Ava Stalnaker
Jennifer Tompkins, RN
Amalia Warren
Lee Ann Russell, RT(R), RDMS
Davina Starling, BS, RT(R), RDMS
Cristina Topete, RT(R), RDMS
Melanie Warren, RT(R), RDMS
Melissa Ruzowicz, BA, RDMS
Judith Steen, RT(R), RVS
Carletha Torres
John Warth, RCS, RVS
Consuela Ryu, RT(R), RDMS
Rechelle Stern, RDMS, RDCS
John Torsok, RDMS
Kristin Watkins, RDMS, RVT
Jo Anne Salter, RT(R)(M), RDMS, RDCS
Cheryl Stewart, RT(R), RDMS
Courtney Towles
R Marlene Watkins
Jamila Sanders
Donna Stewart, RT(R), RDMS, RVT
Lori Troup, BS
Connie Weber, RDCS
Holly Sanford, RDMS
Lynda Stoney, RDMS
Christy True, RT(R), RDMS
Cheri Weisheit, RN, RDCS
Margaret Sauer, RDMS, RVT
Janell Stormo
Hilina Tsegai, RDMS
Mila Welch, RDMS
Megan Scheufele
Connie Stover, RDMS
Jean Tsouris, RDMS, RVT
Paula Wickham, RDMS
Lisa Schmutz, RDCS
Alicia Streit
Roberta Turner, RVT
Suzanne Wiese, RDMS
Gloria Sclafani
Andrea Stribling
Samantha Uch, BS
Amy Wilkinson, MS, RDMS
Jessica Seda, RDMS
Lisa Strickoff, RDMS, RDCS
Jolie Underwood
Gina Williams, RDCS
Jeffrey Selby
Julie Striegl, BS, RDMS
Elizabeth Vadassery
Jenna Williams
Lynne Seto, RDMS, RDCS
Craig Stumpf, RDCS
Mala Vaish
Tara Williams, RT(R), RDMS
David Seurynck, BS, RDMS, RVT
Elvira Suarez
Frederika Vajlikova
Jason Wilson, RN, RDCS, RVT
Jyothi Shah, RDMS
Shannon Sullivan, RDMS
German Valdez, RDCS
Rebecca Wilson, RDMS
Deborah Shucart, RT(R), RDMS
Margaret Suqi, RDMS, RVT
Richard Vallely, RDCS
Tricia Wolf, BS, RDMS
Phani Simhadri, RDMS
Brittany Swan
Elisha Van Horn, RVT
Elizabeth Wood, RDCS
Sandra Simpson, RDMS
Taline Tahmazian, MS, RDMS, RVT
Shannon Vargas, RDMS
Laura Wozniak
Tonya Skwira-Guyette, RDMS, RVT
Naomi Tainsky, RDCS
Zaheda Vargas, RDMS, RVT
Leashia Wyant, RT(R), RDMS
Jason Slovin, BA
Tracy Talucci, RDMS
Lori Vaughn, RT(R), RDMS
Sara Yerger
Sheri Smallwood
Yehudit Tamqiev, BS
Juan Vazquez, RDCS
Allison Yoder, RDMS
Nicole Smith
Lynn Taylor, RDMS
Carol Treloar Virelles, BS, RDMS
Lenida Zene, RDMS
Laurie Smithmowry
Steven Taylor
Michelle Vo
Joseph Zygmunt, RVT, RPhS
Troy Snead
Lindsey Tegeler
May Vokaty, RT(M), RDMS, RVT
Samantha Snipes
Alicia Tellis
Barbara Wade, RDCS, RVT
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.