Standard set
Vascular Sonography
Standards
Showing 149 of 149 standards.
a
Demonstrate knowledge of anatomy and anatomic variants of the cardiovascular system.
b
Demonstrate knowledge of normal and abnormal peripheral vascular physiology and hemodynamics.
c
Demonstrate knowledge of mechanisms of vascular diseases, vascular pathophysiology, and hemodynamic effects.
d
Demonstrate knowledge of sonographic appearances, sonographic techniques, measurements, and Doppler flow characteristics in both normal and abnormal vascular structures.
e
Demonstrate knowledge of physiologic vascular testing principles and techniques.
f
Demonstrate knowledge and application in the use of quantitative principles applied to vascular testing.
g
Demonstrate knowledge in ultrasound-guided procedures.
h
Demonstrate knowledge of the role of ultrasound for evaluation of vascular surgical procedures or interventions, including a role in planning, intra-procedural guidance/technical evaluation, and/or post-procedure assessment.
i
Evaluate scanning protocol and modification(s) based on patient-specific factors.
j
Demonstrate knowledge and application of quality assurance and statistical tests used in a vascular laboratory.
k
Demonstrate proficiency in the technique of:
l
Demonstrate achievement of clinical competency through the performance of sonographic examinations of the vascular system according to practice parameters established by national professional organizations and the protocol of the clinical affiliates. Clinical competencies must include evaluation and documentation of:
a.1
Heart
a.2
Pulmonary circulation
a.3
Vessel structure
a.4
Aorta and branches
a.5
Cerebrovascular
a.6
Hepatoportal venous
a.7
Mesenteric arterial system
a.8
Peripheral arterial
a.9
Peripheral venous
a.10
Renal vessels
a.11
Vena cava and iliac veins
b.1
Principles of pressure, flow, and resistance
b.2
Pulsatile flow
b.3
Laminar and non-laminar flow patterns
b.4
Poiseuille’s law
b.5
Bernoulli’s principle
b.6
Reynold’s number
b.7
Cardiac influence on flow
b.8
Occlusive diseases
b.9
Collateral circulation
b.10
Exercise and hyperemia
b.11
Systemic diseases and other conditions
b.12
Venous physiology, valve function, calf pump
c.1
Aneurysm and pseudoaneurysm
c.2
Arterial embolism
c.3
Arteriovenous fistulae and shunts
c.4
Atherosclerosis
c.5
Congenital anomalies
c.6
Fibromuscular dysplasia
c.7
Genetic disorders
c.8
Iatrogenic injury
c.9
Infection
c.10
Intimal hyperplasia
c.11
Ischemia
c.12
Neoplasia
c.13
Organ transplantation
c.14
Pharmacologic alterations
c.15
Portal hypertension
c.16
Systemic hypertension
c.17
Trauma
c.18
Vascular entrapment and extrinsic compression
c.19
Vascular malformations
c.20
Vasculitis
c.21
Vasospastic disorders
c.22
Venous thromboembolism
c.23
Venous valvular disorders
d.1
Aorta and branches
d.2
Cerebrovascular
d.3
Hepatoportal venous
d.4
Mesenteric arterial system
d.5
Peripheral arterial
d.6
Peripheral venous
d.7
Renal vessels
d.8
Vena cava and iliac veins
e.1
Continuous-wave and pulse Doppler
e.2
Pressure measurements, including ankle/brachial index
e.3
Pneumoplethysmography (pulse volume recording)
e.4
Segmental pressure and waveform analysis
e.5
Exercise treadmill testing
e.6
Photoplethysmography (PPG), arterial and venous
e.7
Air plethysmography, venous
e.8
Laser Doppler, including skin perfusion pressure measurements
f.1
Acceleration time
f.2
Ankle/brachial pressure ratios
f.3
Aorta/renal ratios
f.4
Area and diameter reduction measurements
f.5
Digit/brachial indices
f.6
Velocity change across stenosis for grading arterial lesions
f.7
Pulsatility index
f.8
Resistive index
f.9
Segmental pressures, including digits
f.10
Velocity ratios
f.11
Venous reflux time
f.12
Volume flow
g.1
Role of sonographer
g.2
Clinical information
g.3
Informed consent
g.4
Procedural time out
g.5
Sterile technique
g.6
Pre- and post-procedure documentation
g.7
Superficial vein ablation
g.8
Use of thrombin injection for pseudoaneurysm treatment
h.1
Angioplasty
h.2
Atherectomy
h.3
Coil embolization
h.4
Dialysis fistula/graft
h.5
Embolectomy
h.6
Endarterectomy
h.7
Endovascular aortic aneurysm repair (EVAR)
h.8
Endovenous ablation
h.9
Inferior vena cava filter
h.10
Patch angioplasty
h.11
Stents
h.12
Synthetic grafts
h.13
Thrombolysis and thrombectomy
h.14
Trans-jugular intrahepatic porto-systemic shunt
h.15
Vein bypass grafts
i.1
History, including indication, prior vascular procedures
i.2
Physical examination and assessment of patient-specific factors
i.3
Contraindications
i.4
Related imaging, laboratory, and functional testing procedures
i.5
Clinical differential diagnosis
i.6
Role of ultrasound in patient management
i.7
Pharmacology
j.1
Correlations of clinical findings and other imaging examinations
j.2
Accuracy
j.3
Sensitivity
j.4
Specificity
j.5
Positive predictive value
j.6
Negative predictive value
j.7
Quality improvement program components, including test appropriateness, evaluation of the technical quality and compliance with protocols
k.1
Intracranial cerebrovascular
k.2
Upper extremity and digital arterial physiologic testing
k.3
Upper extremity arterial duplex
k.4
Palmar arch
k.5
Lower extremity and digital arterial physiologic testing
k.6
Lower extremity exercise testing
k.7
Vessel mapping
k.8
Visceral vascular
l.1
Identification of anatomical and relational structures
l.2
Differentiation of normal from pathological/disease process
l.3
Image optimization in grayscale, color Doppler and spectral Doppler
l.4
Measurement techniques
l.5
Vascular competencies
a.1.a
Chambers
a.1.b
Valves
a.1.c
Vessels
a.3.a
Arteries
a.3.b
Veins
a.3.c
Capillaries
l.5.a
Extracranial cerebrovascular including vertebral vessels
l.5.b
Aortoiliac duplex
l.5.c
Ankle and brachial pressures/ABI
l.5.d
Lower extremity arterial duplex
l.5.e
Lower extremity venous duplex
l.5.f
Lower extremity venous insufficiency testing
l.5.g
Upper extremity venous duplex