Accreditation Support

Exam Requirements: Pediatric Ultrasound Accreditation

Pediatric Neurosonology

Coronal views

• 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 views

• Midline sagittal views to include corpus callosum, cavum septi pellucidi, and cavum verge, if present

• Right and left parasagittal views of lateral ventricles including caudothalamic groove

• Right and left parasagittal views of lateral ventricles documenting choroid plexus

• Right and left parasagittal views of the insula

• Right and left parasagittal views of the Sylvian fissure and temporal lobe

Pyloric Stenosis

• Documentation of the pylorus with antrum and duodenal bulb in longitudinal

• Documentation of the pylorus in transverse

• Measurement of the muscle thickness in both longitudinal and transverse planes

• Measurements of the length of the pyloric canal

Pediatric Hip

• Flexed coronal view outlining anatomic structures, including evaluation of acetabular morphology by acetabular angles and femoral head coverage. The image should outline the ilium, transverse Y cartilage, ischium, labrum and gluteal muscles, as well as the femoral head

• Flexed transverse views with and without stress. The view should show the ossified femoral shaft, the femoral head and underlying ischium. Stress views should not be done when the hip is abnormal (i.e., subluxed or dislocated, or already in a Pavlik harness)

• Flexed coronal view of the posterior lip of the acetabulum and transverse views of the hip in extension may supplement the examination

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

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Article created; FAQs incorporated; No criteria changes