Exam Requirements: Pediatric Ultrasound (Revised 1-21-2022)
Modified on: Fri, 21 Jan, 2022 at 1:52 PM
Two exams must be submitted.
If two or more exam types listed below are performed, then two different exam types must be submitted
If only one exam type is performed, then two exams of that same exam type must be submitted.
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: Pediatric Ultrasound Accreditation
Coronal gray scale images to include:
Frontal lobes anterior to the frontal horns of the lateral ventricles
Frontal horns or bodies of lateral ventricles and interhemispheric fissure
Lateral ventricles at level of lateral and third ventricles
Lateral ventricles slightly posterior to the foramina of Monro, where the lateral and third ventricles communicate
Level of quadrigeminal plate, quadrigeminal cistern and cerebellum
Echogenic glomi of choroid plexuses at posterior aspect of the lateral ventricles at level of trigones
Posterior to occipital horns
Sagittal gray scale images to include:
Midline sagittal images to include corpus callosum, cavum septi pellucidi, and cavum verge if present
Right and left parasagittal images of lateral ventricles including caudothalamic groove
Right and left parasagittal images of lateral ventricles documenting choroid plexus
Right and left parasagittal images of the insula
Right and left parasagittal images of the Sylvian fissure and temporal lobe
Complete documentation in longitudinal
Gray scale images of the antrum and duodenal bulb in longitudinal
Exams should be correctly labeled to include organ/anatomy of interest, transducer orientation plane, side, and stress maneuvers
- Flexed coronal imaging outlining anatomic structures, including evaluation of femoral head coverage. The imaging should outline the ilium, transverse Y cartilage, ischium, labrum, and gluteal muscles, as well as the femoral head
- Flexed transverse images with and without stress. The images should show the ossified femoral shaft, the femoral head and underlying ischium.
- Without stress: at least one flexed transverse gray scale image of each hip
- With stress: at least one static flexed transverse gray scale image with stress OR cine clip demonstrating flexed transverse with stress maneuver.
Note: Abduction/adduction maneuvers do not satisfy the stress requirement
Evaluation should include the entire abdomen, right, left, and centrally, beginning in the epigastric region and extending into the pelvis
Documentation of bowel loops, ascites and lymph nodes if present
Positive examinations should document location where the intussusception is encountered
Positive examinations should attempt to follow the intussusception to its termination, identifying lead points, such as ileal duplication cysts in infants, or lymphoma in older children, if present
Positive examinations should identify and document ascites, if present, and fluid-filled dilated loops of bowel, indicating bowel obstruction, if present
Color Doppler of the intussusception can be used to supplement the examination and assess degree of flow to the intussusceptum complex
Revision History for this Article
Description of Revision(s)
Article created; FAQs incorporated; No criteria changes
|2-26-2020||Pyloric Stenosis||Edited required measurements|
|6-2-2020||Added complete documentation description|
|4-20-2021||Pediatric Hip||Added bullet recommending measurements be included on the submitted image set|
|1-21-2022||Updated exam requirements|
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