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Complete abdominal ultrasound scanning protocol Copyright © 2010 The Academy of Veterinary Imaging.

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Presentation on theme: "Complete abdominal ultrasound scanning protocol Copyright © 2010 The Academy of Veterinary Imaging."— Presentation transcript:

1 Complete abdominal ultrasound scanning protocol Copyright © 2010 The Academy of Veterinary Imaging

2 The Academy of Veterinary Imaging 2409 Avenue J, Suite C Arlington, TX (800) opt 4

3 Introduction This program demonstrates the scanning planes to perform and the still images to collect to archive a complete abdominal ultrasound exam. Video clips can be saved to supplement the still images. Additional images would be indicated to document any pathology encountered. Please see the Basic Abdominal Scanning Protocol CD if you are just starting to learn abdominal ultrasound. The basic exam focuses on the liver, spleen, kidneys and urinary bladder.

4 Directions In this program you may view the entire complete abdominal ultrasound exam from start to finish, with or without superimposed ultrasound images, or you may navigate to each organ or each individual image from the corresponding pages. You may view abdominal anatomy, probe orientation, screen orientation and image optimization by selecting the appropriate buttons. During the entire complete exam with images, the presentation will pause when an ultrasound image appears. When you are finished viewing the image, select the forward arrow button or left click the mouse to continue the exam. The ‘home’ key takes you to the table of contents. The ‘i’ key on the table of contents takes you to the title page.

5 Entire complete exam with images Entire complete exam without images Individual image list Organs Table of contents Abdominal anatomy Probe orientation Screen orientation Image optimization Images only

6 ORGANS IMAGE LIST Page: 1, 2 Right Left VD abdomen from the ventral aspect Liver Stomach Spleen Left kidney Urinary bladder Intestines GB Adrenals Right kidney Pancreas

7 Probe orientation Sagittal plane Reference marker points cranially Transverse plane Reference marker points to the right

8 Reference marker Near field Far field Screen orientation

9 Image optimization LOGIQ P5 LOGIQ 5 LOGIQ Book Go to: Transitions General info Depth Frequency Auto-optimize Focal points Gain Overall gain TGC LOGIQ e LOGIQ 200

10 General info page 1 During an abdominal ultrasound exam, the ultrasound machine settings should be changed as needed to optimize the image. However, please note, when comparing the echogenicity of different organs, all machine settings must be kept the same!!! Image optimization P5 L5 LB Le L200

11 General info page 2 Machine settings are most often adjusted when transitioning from one organ to another. Transitions encountered during the basic exam are listed on the ‘Transitions’ page. Within the abdominal scan, the ‘Optimize’ button will show how to typically adjust the machine when transitioning to the view in question. Transitions Image optimization P5 L5 LB Le L200

12 Depth Starting guidelines: Large dog: cm Medium dog: 8-10 cm Small dogs and cats: 6-7 cm Adjust as needed throughout scan Transitions Image optimization P5 L5 LB Le L200

13 Frequency High frequency Better resolution Less depth Lower frequency Lower resolution Better for depth Starting points: Large dog liver: 6 MHz Small dog/cat liver: 8 MHz Transitions Image optimization P5 L5 LB Le L200

14 Auto optimize ‘Personal preference’ button. Adds more contrast. Try on or off. Chose the setting that looks better to you. Auto optimize must be deselected then reselected for every new structure imaged. Transitions Image optimization P5 L5 LB Le L200

15 Focal points Improved resolution is seen where the focal points are. Place focal points at the region of interest. Typically use: –1 focal point with cardiac scanning. –2 with abdominal scanning. Transitions Image optimization P5 L5 LB Le L200

16 Gain Overall gain May only adjust in beginning of exam. Perhaps may decrease when imaging the urinary bladder. TGC Compensates for beam attenuation (loss of energy as it passes through tissue). Transitions Image optimization P5 L5 LB Le L200

17 LOGIQ P5 Auto optimize Gain Depth TGC Focal points Frequency Image optimization Transitions

18 LOGIQ e Auto optimize Gain Depth TGC Focal points Frequency Image optimization Transitions

19 LOGIQ 5 TGC Auto optimize Gain Depth Focal points Frequency (press to toggle) Image optimization Transitions

20 LOGIQ Book Auto optimize Gain Depth TGC Focal points Frequency (toggle) Image optimization Transitions

21 LOGIQ 200 TGC Depth Gain Focal points Auto optimize Frequency Image optimization Transitions

22 Transitions Start liver Liver to splenic head (sagittal) Splenic head to body/tail of spleen Body of spleen to splenic head (tx) Splenic head (tx) to LK LK to left adrenal Left adrenal to UB UB to RK RK to right adrenal/pancreas/GI Image optimization

23 Start liver Image optimization Depth increase or decrease Frequency usually decrease Auto-optimize on or off Focal points (2) Gain Overall gain adjust TGC in middle or bottom levers to right Transitions Scan

24 Liver to splenic head (sagittal) Depth increase Frequency increase Auto-optimize on or off Focal points Gain Overall gain TGC bottom levers same or to middle Scan Image optimization Transitions

25 Splenic head to body/tail of spleen Depth decrease Frequency same Auto-optimize on or off Focal points move up Gain Overall gain TGC same or top levers to right Scan Image optimization Transitions

26 Body of spleen to splenic head (tx) Depth increase Frequency same Auto-optimize on or off Focal points move down Gain Overall gain TGC same or top levers to center Scan Image optimization Transitions

27 Splenic head (tx) to LK Depth decrease Frequency same or decrease Auto-optimize on or off Focal points move down Gain Overall gain TGC same Scan Image optimization Transitions

28 LK to left adrenal Depth decrease Frequency same or increase Auto-optimize on or off Focal points move up Gain Overall gain TGC same Scan Image optimization Transitions

29 Left adrenal to UB Depth varies Frequency same Auto-optimize on or off Focal points same Gain Overall gain maybe decrease TGC top levers to left Scan Image optimization Transitions

30 UB to RK Depth varies Frequency decrease Auto-optimize on or off Focal points same Gain Overall gain maybe increase TGC top levers to center Scan Image optimization Transitions

31 RK to right adrenal/pancreas/GI Depth decrease Frequency increase Auto-optimize on or off Focal points move up or down Gain Overall gain TGC same or top levers to right Scan Image optimization Transitions

32 Organs Liver Spleen Kidneys (Left, Right)LeftRight Adrenal glands (Left, Right)LeftRight Urinary bladder Pancreas Stomach Intestines Ovaries (Left, Right), UterusLeftRightUterus Prostate, TesticlesProstateTesticles

33 Individual images, page 1

34 Individual images, page 2

35 ORGANS IMAGE LIST Page: 1, 2

36 ORGANS IMAGE LIST Page: 1, 2

37 ORGANS IMAGE LIST Page: 1, 2

38 ORGANS IMAGE LIST Page: 1, 2

39 ORGANS IMAGE LIST Page: 1, 2

40 ORGANS IMAGE LIST Page: 1, 2 Right lateral, cranial (Right liver, diaphragm) Optimize

41 ORGANS IMAGE LIST Page: 1, 2

42 ORGANS IMAGE LIST Page: 1, 2

43 ORGANS IMAGE LIST Page: 1, 2

44 ORGANS IMAGE LIST Page: 1, 2

45 ORGANS IMAGE LIST Page: 1, 2 Right lateral, toward midline (GB, diaphragm)

46 ORGANS IMAGE LIST Page: 1, 2

47 ORGANS IMAGE LIST Page: 1, 2

48 ORGANS IMAGE LIST Page: 1, 2

49 ORGANS IMAGE LIST Page: 1, 2Midline (CVC, PV, CBD)

50 ORGANS IMAGE LIST Page: 1, 2

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55 ORGANS IMAGE LIST Page: 1, 2

56 ORGANS IMAGE LIST Page: 1, 2

57 ORGANS IMAGE LIST Page: 1, 2 Right lateral, caudal (Caudate lobe, RK)

58 ORGANS IMAGE LIST Page: 1, 2

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67 ORGANS IMAGE LIST Page: 1, 2

68 ORGANS IMAGE LIST Page: 1, 2 Midline to left lateral (AO, left HV, left PV, stomach)

69 ORGANS IMAGE LIST Page: 1, 2

70 ORGANS IMAGE LIST Page: 1, 2

71 ORGANS IMAGE LIST Page: 1, 2

72 ORGANS IMAGE LIST Page: 1, 2 Left lateral

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78 ORGANS IMAGE LIST Page: 1, 2

79 ORGANS IMAGE LIST Page: 1, 2

80 ORGANS IMAGE LIST Page: 1, 2 Cranial (liver, diaphragm)

81 ORGANS IMAGE LIST Page: 1, 2

82 ORGANS IMAGE LIST Page: 1, 2

83 ORGANS IMAGE LIST Page: 1, 2 Mid (GB, PVs)

84 ORGANS IMAGE LIST Page: 1, 2

85 ORGANS IMAGE LIST Page: 1, 2

86 ORGANS IMAGE LIST Page: 1, 2 Caudal (CVC, HV, PV, GB)

87 ORGANS IMAGE LIST Page: 1, 2

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92 ORGANS IMAGE LIST Page: 1, 2

93 ORGANS IMAGE LIST Page: 1, 2

94 ORGANS IMAGE LIST Page: 1, 2 IC TX LIVER

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109 ORGANS IMAGE LIST Page: 1, 2 Optimize

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111 ORGANS IMAGE LIST Page: 1, 2

112 ORGANS IMAGE LIST Page: 1, 2 Cranial body Optimize

113 ORGANS IMAGE LIST Page: 1, 2

114 ORGANS IMAGE LIST Page: 1, 2

115 ORGANS IMAGE LIST Page: 1, 2

116 ORGANS IMAGE LIST Page: 1, 2 Midbody (hilus)

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119 ORGANS IMAGE LIST Page: 1, 2

120 ORGANS IMAGE LIST Page: 1, 2 Tail

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124 ORGANS IMAGE LIST Page: 1, 2 Tail

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132 ORGANS IMAGE LIST Page: 1, 2

133 ORGANS IMAGE LIST Page: 1, 2 Midbody (hilus)

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136 ORGANS IMAGE LIST Page: 1, 2

137 ORGANS IMAGE LIST Page: 1, 2 Cranial body

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140 ORGANS IMAGE LIST Page: 1, 2 Optimize

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150 ORGANS IMAGE LIST Page: 1, 2 Medial (poles symmetrical) LK

151 ORGANS IMAGE LIST Page: 1, 2

152 ORGANS IMAGE LIST Page: 1, 2

153 ORGANS IMAGE LIST Page: 1, 2Medial (renal sinus/pelvis) Optimize

154 ORGANS IMAGE LIST Page: 1, 2

155 ORGANS IMAGE LIST Page: 1, 2

156 ORGANS IMAGE LIST Page: 1, 2 Mid sagittal LK

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160 ORGANS IMAGE LIST Page: 1, 2 Lateral LK

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165 ORGANS IMAGE LIST Page: 1, 2 Mid (renal sinus/pelvis LK

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168 ORGANS IMAGE LIST Page: 1, 2 Cranial pole LK

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176 ORGANS IMAGE LIST Page: 1, 2 Caudal pole LK

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191 ORGANS IMAGE LIST Page: 1, 2 Optimize

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199 ORGANS IMAGE LIST Page: 1, 2 To L ovary Skip

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205 ORGANS IMAGE LIST Page: 1, 2 Mid (apex) UB Optimize

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208 ORGANS IMAGE LIST Page: 1, 2 Mid (trigone) UB

209 ORGANS IMAGE LIST Page: 1, 2

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212 ORGANS IMAGE LIST Page: 1, 2 Lateral to the right UB

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218 ORGANS IMAGE LIST Page: 1, 2 Lateral to the left UB

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223 ORGANS IMAGE LIST Page: 1, 2 Cranial UB

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227 ORGANS IMAGE LIST Page: 1, 2 Mid UB

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231 ORGANS IMAGE LIST Page: 1, 2 Caudal UB

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237 ORGANS IMAGE LIST Page: 1, 2 To Uterus To Prostate To RK

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246 ORGANS IMAGE LIST Page: 1, 2Medial(polessymmetrical) RK

247 ORGANS IMAGE LIST Page: 1, 2

248 ORGANS IMAGE LIST Page: 1, 2

249 ORGANS IMAGE LIST Page: 1, 2Medial (renal sinus/pelvis) Optimize RK

250 ORGANS IMAGE LIST Page: 1, 2

251 ORGANS IMAGE LIST Page: 1, 2

252 ORGANS IMAGE LIST Page: 1, 2 Mid sagittal RK

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255 ORGANS IMAGE LIST Page: 1, 2Lateral RK

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260 ORGANS IMAGE LIST Page: 1, 2 Mid (renal sinus/pelvis)

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264 ORGANS IMAGE LIST Page: 1, 2 Cranial pole RK

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269 ORGANS IMAGE LIST Page: 1, 2 Caudal pole RK

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281 ORGANS IMAGE LIST Page: 1, 2 Optimize

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289 ORGANS IMAGE LIST Page: 1, 2 Skip To R ovary

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291 ORGANS IMAGE LIST Page: 1, 2DUOD RK

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300 ORGANS IMAGE LIST Page: 1, 2 GB

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307 ORGANS IMAGE LIST Page: 1, 2 Stomach L limb panc

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311 ORGANS IMAGE LIST Page: 1, 2 L limb panc

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324 ORGANS IMAGE LIST Page: 1, 2Duodenum

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329 ORGANS IMAGE LIST Page: 1, 2 GB Pylorus

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339 ORGANS IMAGE LIST Page: 1, 2 Stomach (fundus)

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351 ORGANS IMAGE LIST Page: 1, 2 To Ileum (cats only) Skip

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363 ORGANS IMAGE LIST Page: 1, 2 Sagittal bowel

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367 ORGANS IMAGE LIST Page: 1, 2Stomach Colon

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379 ORGANS IMAGE LIST Page: 1, 2 Transverse bowel

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385 End of scan

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392 ORGANS IMAGE LIST Page: 1, 2 UB

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398 ORGANS IMAGE LIST Page: 1, 2 To Testicles To RK

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401 ORGANS IMAGE LIST Page: 1, 2 Testicles

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412 ORGANS IMAGE LIST Page: 1, 2 Transverse feline ileum Colon

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415 ORGANS IMAGE LIST Page: 1, 2 Sagittal feline ileum Colon

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658 End of scan

659 Right lateral, cranial

660 Right lateral, toward midline

661 Midline

662 Right lateral, caudal RK

663 Midline to left lateral

664 Left lateral

665 Cranial

666 Mid

667 Caudal

668 liver

669 Sagittal

670 Sagittal cranial body

671 Sagittal midbody (hilus)

672 Sagittal tail

673 Transverse tail

674 Transverse midbody (hilus)

675 Transverse cranial body

676 Transverse

677 Medial (poles symmetrical) LK

678 Medial (renal sinus/pelvis)

679 Mid sagittal LK

680 Lateral

681 Mid (renal sinus/pelvis LK

682 Cranial pole LK

683 Caudal pole LK

684

685 Mid (apex) and vessels UB

686 Mid (trigone) UB

687 Lateral to the right UB

688 Lateral to the left UB

689 Cranial transverse UB

690 Mid transverse UB

691 Caudal transverse UB

692 Medial(polessymmetrical) RK

693 Medial (renal sinus/pelvis)

694 Mid sagittal

695 Lateral RK

696 Mid (renal sinus/pelvis)

697 Cranial pole RK

698 Caudal pole RK

699

700 DUOD RK R limb pancreas

701 GB Pancreatic body

702 Stomach L limb pancreas

703 L PANC

704 Duodenum

705 GB Pylorus

706

707 Stomach (fundus)

708 Tx feline ileum Colon

709 Sagittal feline ileum Colon

710 Sagittal bowel

711 Transverse bowel

712 Stomach Colon

713

714

715 UB

716

717

718 Testicles


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