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

Complete abdominal Complete abdominal ultrasound scanning protocolultrasound scanning protocol

The Academy of Veterinary ImagingThe Academy of Veterinary Imaging2409 Avenue J, Suite C

Arlington, TX 76006(800) 268-5354 opt 4

www.soundeklin.com/academy-of-imaging

IntroductionIntroduction

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.

DirectionsDirections• 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.

Entire complete exam with images

Entire complete exam without images

Individual image list

Organs

Table of contentsTable of contents

Abdominal anatomy

Probe orientation

Screen orientation

Image optimizationImages only

ORGANS

IMAGE LISTPage: 1, 2

Right LeftVD abdomenfrom the ventral aspect Liver

Stomach

Spleen

Left kidney

Urinarybladder

Intestines

Adrenals

Rightkidney

Pancreas

Probe orientationProbe orientation

Sagittal plane

Reference marker points

cranially

Transverse plane

Reference marker points to the right

Reference marker

Near field

Far field

Screen orientationScreen orientation

ImageImage optimizationoptimization

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

General info page 1General 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

General info page 2General 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

DepthDepth

• Starting guidelines:• Large dog: 12-14 cm• Medium dog: 8-10 cm• Small dogs and cats: 6-7 cm

• Adjust as needed throughout scan

Transitions

Image optimization

FrequencyFrequency• 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

Auto optimizeAuto 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

Focal pointsFocal 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

GainGain

• 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

LOGIQ P5

Auto optimizeGain

DepthTGC

Focal points

Frequency

Image optimization

Transitions

LOGIQ e

Auto optimize

Focal points

Frequency

Image optimization

Transitions

LOGIQ 5LOGIQ 5

TGCAuto

optimize

Focal points

Frequency(press to toggle)

Image optimization

Transitions

LOGIQ BookLOGIQ Book

Auto optimizeGain

Focal points

Frequency

(toggle)

Image optimization

Transitions

LOGIQ 200LOGIQ 200

Focal points

Auto optimize

Frequency

Image optimization

Transitions

TransitionsTransitions

• 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

Start liverStart 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

Liver to splenic head (sagittal)Liver to splenic head (sagittal)

• Depth increase

• Frequency increase

• Focal points • Gain•Overall gain•TGC bottom levers same or to middle

ScanImage optimization Transitions

Splenic head to body/tail of spleenSplenic head to body/tail of spleen

• Depth decrease

• Frequency same

• Focal points move up

• Gain•Overall gain•TGC same or top levers to right

Body of spleen to splenic head (tx)Body of spleen to splenic head (tx)

• Depth increase

• Frequency same

• Focal points move down

• Gain•Overall gain•TGC same or top levers to center

Splenic head (tx) to LKSplenic head (tx) to LK

• Depth decrease

• Frequency same or decrease

• Focal points move down

• Gain•Overall gain•TGC same

LK to left adrenalLK to left adrenal

• Depth decrease

• Frequency same or increase

• Focal points move up

• Gain•Overall gain•TGC same

Left adrenal to UBLeft adrenal to UB

• Depth varies

• Frequency same

• Focal points same

• Gain• Overall gain maybe decrease

• TGC top levers to left

UB to RKUB to RK

• Depth varies

• Frequency decrease

• Focal points same

• Gain•Overall gain maybe increase

•TGC top levers to center

RK to right adrenal/pancreas/GIRK to right adrenal/pancreas/GI

• Depth decrease

• Frequency increase

• Focal points move up or down

• Gain•Overall gain•TGC same or top levers to right

OrgansOrgans• Liver• Spleen• Kidneys (Left, Right)• Adrenal glands (Left, Right)• Urinary bladder• Pancreas• Stomach• Intestines• Ovaries (Left, Right), Uterus• Prostate, Testicles

LIVER:Sagittal views

Right lateral, cranial (right liver, diaphragm) Right lateral, caudal (caudate lobe, RK) Right lateral, more toward midline (GB, diaphragm) Midline (common bile duct, PV, CVC) Midline to left lateral (long axis aorta, left HV, left PV, stomach) Left lateral (left liver, head of spleen)

Transverse views Cranial: single view or separate right and left views (liver, diaphragm) Mid: single view or separate right and left views (GB, PVs) Caudal: single view or separate right and left views (CVC, HV, maybe GB) Right lateral from intercostal space

STOMACH: Ventral right (antrum/pylorus) Midline (midbody) Dorsal left (fundus)

SPLEEN:Sagittal views Transverse views Splenic head Splenic head Cranial body Cranial body Mid body (hilus) Mid body (hilus) Tail Tail

LEFT KIDNEY:Sagittal views Transverse views Medial Cranial pole Renal sinus/pelvis Mid (renal sinus/pelvis) Mid Caudal pole Lateral

LEFT ADRENAL GLAND

LEFT OVARY

Individual images, page 1Individual images, page 1

URINARY BLADDER:Sagittal views

Lateral to the right Mid apex Mid trigone Lateral to the left

Transverse views Cranial Mid Caudal (trigone)

SUBLUMBAR REGION: Blood vessels/lymph nodes

UTERUS OR PROSTATE/TESTICLES

RIGHT OVARY

RIGHT KIDNEY:Sagittal views Transverse views Medial Cranial pole Renal sinus/pelvis Mid (renal sinus/pelvis) Mid Caudal pole Lateral

RIGHT ADRENAL GLAND

PANCREAS: Right limb Body Left limb

DUODENUM

MIDABDOMEN: Jejunum Ileum (cats only) Colon

Individual images, page 2Individual images, page 2

ORGANS

Right lateral, cranialRight lateral, cranial(Right liver, diaphragm)(Right liver, diaphragm)

Optimize

ORGANS

Right lateral, toward midlineRight lateral, toward midline(GB, diaphragm)(GB, diaphragm)

ORGANS

Midline Midline (CVC, PV, CBD)(CVC, PV, CBD)

ORGANS

Right lateral, caudalRight lateral, caudal(Caudate lobe, RK)(Caudate lobe, RK)

ORGANS

Midline to left lateral (AO, left HV, left Midline to left lateral (AO, left HV, left PV, stomach)PV, stomach)

ORGANS

Left lateralLeft lateral

ORGANS

Cranial (liver, diaphragm)Cranial (liver, diaphragm)

ORGANS

Mid (GB, PVs)Mid (GB, PVs)

ORGANS

Caudal (CVC, HV, PV, GB)Caudal (CVC, HV, PV, GB)

ORGANS

IC TX LIVER

ORGANS

Optimize

ORGANS

Cranial bodyCranial body

Optimize

ORGANS

Midbody (hilus)Midbody (hilus)

ORGANS

TailTail

ORGANS

TailTail

ORGANS

Midbody (hilus)Midbody (hilus)

ORGANS

Cranial bodyCranial body

ORGANS

Optimize

ORGANS

Medial Medial (poles symmetrical)(poles symmetrical)

ORGANS

MedialMedial(renal sinus/pelvis)(renal sinus/pelvis)

Optimize

ORGANS

Mid sagittal

ORGANS

Lateral

ORGANS

Mid (renal sinus/pelvisMid (renal sinus/pelvis

ORGANS

Cranial poleCranial pole

ORGANS

Caudal poleCaudal pole

ORGANS

Optimize

ORGANS

To L ovary

ORGANS

Mid (apex)Mid (apex)

Optimize

ORGANS

Mid (trigone)Mid (trigone)

ORGANS

Lateral to the rightLateral to the right

ORGANS

Lateral to the leftLateral to the left

ORGANS

CranialCranial

ORGANS

MidMid

ORGANS

CaudalCaudal

ORGANS

To Uterus

To Prostate

ORGANS

Medial Medial (poles(polessymmetrical)symmetrical)

ORGANS

Optimize

ORGANS

Mid sagittalMid sagittal

ORGANS

LateralLateral

ORGANS

Mid (renal sinus/pelvis)Mid (renal sinus/pelvis)

ORGANS

Optimize

ORGANS

To R ovary

ORGANS

DUODDUOD

ORGANS

Stomach

L limb pancL limb panc

ORGANS

L limb pancL limb panc

ORGANS

DuodenumDuodenum

ORGANS

PylorusPylorus

ORGANS

Stomach (fundus)Stomach (fundus)

ORGANS

To Ileum (cats only)

ORGANS

Sagittal bowelSagittal bowel

ORGANS

StomachStomach

ColonColon

ORGANS

Transverse bowelTransverse bowel

ORGANS

End of scan

ORGANS

To Testicles

ORGANS

Testicles

ORGANS

Transverse feline ileum Transverse feline ileum

ColonColon

ORGANS

Sagittal feline ileumSagittal feline ileumColonColon

ORGANS

End of scanEnd of scan

Right lateral, cranialRight lateral, cranial

Right lateral, toward midlineRight lateral, toward midline

Midline Midline

Right lateral, caudalRight lateral, caudal

Midline to left lateralMidline to left lateral

Left lateralLeft lateral

CranialCranial

MidMid

CaudalCaudal

Sagittal

Sagittal cranial bodySagittal cranial body

Sagittal midbody (hilus)Sagittal midbody (hilus)

Sagittal tailSagittal tail

Transverse tailTransverse tail

Transverse midbody (hilus)Transverse midbody (hilus)

Transverse cranial bodyTransverse cranial body

Transverse

Medial Medial (poles symmetrical)(poles symmetrical)

LateralLateral

Mid (renal sinus/pelvisMid (renal sinus/pelvis

Mid (apex) and Mid (apex) and vesselsvessels

Mid (trigone)Mid (trigone)

Lateral to the rightLateral to the right

Lateral to the leftLateral to the left

Cranial Cranial transversetransverse

Mid transverseMid transverse

Caudal transverseCaudal transverse

Medial Medial (poles(polessymmetrical)symmetrical)

LateralLateral

Mid (renal sinus/pelvis)Mid (renal sinus/pelvis)

R limb pancreasR limb pancreas

Pancreatic bodyPancreatic body

Stomach

L limb pancreasL limb pancreas

L PANCL PANC

DuodenumDuodenum

PylorusPylorus

Stomach (fundus)Stomach (fundus)

Tx feline Tx feline ileumileumColonColon

Sagittal felineSagittal felineileumileum

ColonColon

Sagittal bowelSagittal bowel

Transverse bowelTransverse bowel

StomachStomach

ColonColon

Testicles

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

Documents

Abdominal Surgery: Advances in the Use of Ultrasound-Guided

FOCUSED EMERGENCY ULTRASOUND: EVALUATION OF THE ABDOMINAL AORTA

Upper abdominal and renal ultrasound - InSight … abdominal and Renal ultrasound PATIENT INFORMATION SHEET !1 What is an abdominal ultrasound scan? What preparation is required? What

Abdominal Ultrasound Findings in Aids Patients in Sokoto

Abdominal Surgery: Advances in the Use of Ultrasound-Guided

Abdominal Ultrasound Chapter 2 - freemedtube.net

Abdominal ultrasound

Chronic Abdominal Pain v1 · 2020. 10. 7. · Imaging: Abdominal ultrasound. Enhanced Primary Care Pathway: Chronic Abdominal Pain . Focused summary of chronic abdominal pain relevant

Fusion Ultrasound: Characterization of Abdominal Masses with … · 2018-04-03 · Fusion Ultrasound: Characterization of Abdominal Masses with MR, CT, PET, and Contrast Ultrasound

Two Day Small Animal Abdominal Ultrasound Course · Two Day Small Animal Abdominal Ultrasound Course DVM, MVS, MS Clinical Professor, Diagnostic Imaging (Purdue University) And the

Veterinary Ultrasound System

CHEST RADIOGRAPHY AND ABDOMINAL ULTRASOUND IN GENERAL PRACTICE · Chest radiography and abdominal ultrasound in general practice ... Frequency of chest radiography and abdominal ultrasound

Patient Education Ultrasound - WellSpan Health · Imaging Patient Education What you should know about your Abdominal Ultrasound. Purpose: An abdominal ultrasound is performed …

Ultrasound in abdominal trauma: an alternative to peritoneal lavage

رديف - Isfahan University of Medical Sciences€¦ · Web view3-Cardiac Ultrasound. 4-Frist trimester Ultrasound. 5-Abdominal aorta Ultrasound. 6-Renal Ultrasound . 7-Gallbladder

CMS Manual System...abdominal aortic aneurysm (AAA) ultrasound screening : B. WAIVED : Ultrasound Screening aorta, real for Abdominal Aortic Aneurysm (AAA) services furnished on or

DR/ Manal Elmahdy. Abdominal ultrasound Ultrasound is the dominant first –line of investigation for a variety of abdominal symptoms. Preparation :-

Abdominal applications of ultrasound fusion imaging

abdominal ultrasound new 1

Abdominal Ultrasound, Dr. Kristina Wilson, 4/5/14