Revision History


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

Pediatric Neurosonology

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

Pyloric Stenosis

  • Complete documentation in longitudinal

    • Gray scale images of the antrum and duodenal bulb in longitudinal

OR

  • Cine clip of the antrum and duodenal bulb in longitudinal

  • At least one static gray scale image of the antrum and duodenal bulb in longitudinal without measurement

  • Documentation in transverse
    • Gray scale images of the pylorus in transverse  
                                                OR
    • Cine clip of the pylorus in transverse
    • At least one static gray scale image of the pylorus in transverse without measurement

  • Measurement of muscle thickness in both longitudinal and transverse planes

  • Measurements of the length of the pyloric canal

Pediatric Hip

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

Intussusception

  • 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

Date

Section

Description of Revision(s)

12-12-19

All

Article created; FAQs incorporated; No criteria changes

2-26-2020Pyloric StenosisEdited required measurements
6-2-2020
Added complete documentation description
4-20-2021Pediatric HipAdded bullet recommending measurements be included on the submitted image set
1-21-2022
Updated exam requirements



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