Revision History


A total of 2 exams are required:

  • If upper abdominal ultrasound is performed, a complete upper abdominal ultrasound is required, along with one different exam. Please select one of the following exams for your second submission: renal, scrotal, thyroid, transrectal prostate or shoulder.

  • If upper abdominal ultrasound is NOT performed, a total of 2 exams must be selected from the remaining exam options: renal, scrotal, thyroid, transrectal prostate or shoulder.

Complete documentation/survey means a series of several images throughout the entire organ in two planes. For example, from one side of the organ to the other in the longitudinal plane and from superior to inferior in the transverse plane. 


Anatomy should be intentionally imaged in an organized fashion and correctly labeled for clarity. 



Exam Requirements: General Ultrasound Accreditation

Complete Upper Abdominal

Liver

  • Complete documentation in longitudinal

    • At least three gray scale images of the left lobe to include lateral, mid, medial
    • At least three gray scale images of the right lobe to include lateral, mid, medial

  • Complete documentation in transverse

    • At least three gray scale images of the left lobe to include superior, mid, inferior
    • At least three gray scale images of the right lobe to include superior, mid, inferior

  • Vascular anatomy

Gallbladder

  • Complete documentation in longitudinal and transverse, may require more than one patient position

Biliary Duct

  • Measurement of the extrahepatic duct

Pancreas

  • Complete transverse  (long axis of organ) documentation to include head, body, tail

Kidneys

  • Complete documentation in longitudinal

    • At least three gray scale images to include lateral, mid without measurement, medial

  • Complete documentation in transverse

    • At least three gray scale images to include upper pole, mid without measurement, lower pole

  • Renal length

Spleen

  • Complete documentation in longitudinal and transverse

Aorta

  • Longitudinal gray scale documentation – proximal, mid, distal

IVC

  • Longitudinal gray scale documentation - proximal

Renal

Complete documentation in longitudinal 

  • At least three gray scale images to include lateral, mid without measurement, medial

Complete documentation in transverse 

  • At least three gray scale images to include upper pole, mid without measurement, lower pole

Renal length

Scrotum

Complete documentation in longitudinal 

  • At least three gray scale images to include lateral, mid without measurements, medial

OR

  • Cine clip of each testicle in longitudinal from medial to lateral

  • At least one static gray scale image of each testicle in longitudinal without measurements

Complete documentation in transverse 

  • At least three gray scale images to include superior, mid without measurements, inferior

OR

  • Cine clip of each testicle in transverse from superior to inferior

  • At least one static gray scale image of each testicle in transverse without measurements

Measurement of testes - length, height (AP), width

Documentation of epididymis and other peritesticular structures

Evaluation with color and/or spectral Doppler imaging

Thyroid

Complete documentation of both lobes in longitudinal 

  • At least three gray scale images to include lateral, mid without measurements, medial

OR

  • Cine clip of each lobe in longitudinal from medial to lateral

  • At least one static gray scale image of each lobe in longitudinal without measurements

Complete documentation of both lobes in transverse 

  • At least three gray scale images to include superior, mid without measurements, inferior

OR

  • Cine clips of each lobe in transverse from superior to inferior

  • At least one static gray scale image of each lobe in transverse without measurements

Measurement of both lobes – length, height (AP), width

Transverse gray scale isthmus without and with AP measurement

Transrectal Prostate

Complete documentation in longitudinal 

  • At least three gray scale images to include right lateral, mid without measurements, left lateral

Complete documentation in transverse/coronal 

  • At least three gray scale images to include apex, mid without measurements, base

Size – obtain three measurements from two orthogonal planes

Documentation of periprostatic structures

Shoulder

Complete gray scale documentation in two planes

  • Bicep tendon

  • Subscapularis tendon

  • Supraspinatus tendon

  • Infraspinatus tendon

  • Teres minor tendon, if visualized



Revision History for this Article

Date

Section

Description of Revision(s)

12-12-19

All

Article created; FAQs incorporated; No criteria changes

1-27-2020
Clarified required exams and separated exam requirements for gallbladder and biliary duct.
2-26-2020ScrotumChanged "Doppler utilized when indicated" to "Evaluation with color and/or spectral Doppler Imaging"
6-2-2020
Added complete documentation description
8-3-2020
Added additional complete documentation descriptions in complete upper abdominal exam (liver and kidneys), renal exam, scrotum exam, thyroid exam and transrectal prostate exam.
4-21-2021Complete Upper AbdominalRemoved "and ductal" from liver anatomy
4-21-21ScrotumAdded "Size of testes" evaluation requirement
1-21-2022
Updated exam requirements
5-10-2022Complete Upper AbdominalMoved "renal length" bullet to be in-line with complete documentation



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