Category Archives: Basic Science and Instrumentation

AI as a Clinical Assistant: Enhancing MSK Ultrasound Interpretation and Reporting

Posted on by
Reply

If you haven’t yet tried using an AI assistant in your clinical practice, now is the time to start.

We are standing at the threshold of a shift in how we work. The rise of large language models (LLMs)—text-based AI systems like Chat GPT that can interpret, generate, and summarize content—offers clinicians a remarkable opportunity: to work faster, think broader, and document smarter. I want to be clear that these tools are still evolving, but their usefulness in the day-to-day reality of musculoskeletal ultrasound is already tangible, even resulting in substantial changes.

An AI-generated image of Dr Wilcox scanning a patient with an AI avatar in the background

In my own sports medicine practice, AI has become a quiet but powerful assistant. It’s not replacing clinical expertise; it’s extending it. Over time, I’ve found a sweet spot—not in making decisions for me, but in helping me think more clearly. One of the most practical ways I use LLMs is for differential generation. I paste in my ultrasound findings and impression and ask for a possible differential diagnosis list. The results are consistently thought-provoking. Typically, it reflects five or six diagnoses I already had in mind; throws in a couple I disagree with outright; and adds two or three that surprise me, and deserve a closer look. Especially in complex or uncertain cases that prompt a pause and consideration of something new that can be invaluable.

Some mainstream AI platforms even promise image interpretation. My experience? These are not yet ready for prime time. Results can be inconsistent; accuracy is still highly variable. But for text-based assistance—where language, not pixels, is the primary input—LLMs can make the difference.

One area where AI shines is in reducing the friction of tedious or repetitive tasks. Prior authorizations, for example, used to eat up valuable time and mental bandwidth. Now, I can copy a de-identified clinical summary and the insurance denial into an LLM and request a short appeal letter. It generates a polished draft that often needs only light editing. Occasionally, I’ll even ask the AI why it thinks the request was denied—it often gives helpful insight I can use in peer-to-peer calls.

The same applies to documentation templates. I’ve built standard templates for common joints, but what about when a patient presents with something less routine, such as a region I haven’t scanned often enough to have a template, like the sternoclavicular joint? I give the model an existing template and ask it to adapt it to the new joint. The results? Fast, accurate, and easy to refine. Here’s a quick look at how I use AI in daily practice:

  • Differential support: Expands my diagnostic horizons, especially in unusual or complex cases.
  • Template generation: Converts existing structures into less common regions or patient types with minimal effort.
  • Prior auths & letters: Speeds up appeal writing; reduces emotional exhaustion from repetitive documentation.
  • Note polishing: Transforms shorthand findings into clean, communicative notes for specialists or patients.

But let’s be clear: none of this replaces the responsibility we carry as clinicians. AI is a powerful tool, but it must be used wisely. A recent study from MIT (Your Brain on ChatGPT) found that users writing essays with AI support showed lower brainwave activity, suggesting a reduction in active cognitive processing. The lesson here is sharp: when we outsource too much thinking, our ability to reason, synthesize, and create diminishes.

We cannot allow that to happen in medicine. What we document, what we diagnose—these remain our responsibility. AI can offer suggestions, but only we can make decisions. Every recommendation must be filtered through our personal, sound clinical judgment.

So yes—use AI to sharpen your workflow, expand your thinking, and save time. But use it with intention. Let it challenge your thinking, not do your thinking. Let it shape your creativity, not replace it. When used well, AI doesn’t flatten our clinical voice; it amplifies it. It helps us become more precise, more efficient, and, most importantly, more present with the people we serve.

References: Kosmyna N, Hauptmann E, Yuan YT, et al. Your brain on ChatGPT: accumulation of cognitive debt when using an AI assistant for essay writing task. Preprint. Submitted June 10, 2025. Accessed 7/8/2025. Available from: https://arxiv.org/abs/2506.08872

James Wilcox, MD, RMSK, is a family medicine and sports medicine physician in the United Arab Emirates, where he is the Director of the ProMotion Sports Medicine Clinic at Specialized Rehabilitation Hospital in Abu Dhabi, and Assistant Professor of Family Medicine at UAE University..

This posting has been edited for length and clarity. The opinions expressed in this posting are the author’s own and do not necessarily reflect the view of their employer or the American Institute of Ultrasound in Medicine.

Safely Using Diagnostic Ultrasound

Posted on by
Reply

The clinical applications for diagnostic ultrasound have expanded tremendously since its introduction in the late 1950s thanks to technological advancements in both hardware and software, enabling rapid diagnoses at the patient bedside. With this expansion, the medical specialties employing ultrasound as a diagnostic tool have also increased substantially, resulting in a consistently growing group of new users across all levels of medical training and practice.

Ultrasound has long been understood as a low-cost, portable, and ionizing radiation-free imaging method, which has, in part, fueled this rapid expansion. However, ultrasound is ultimately a type of mechanical energy that is able to penetrate tissue, yielding the potential for bioeffects. Practically, the potential for bioeffects is measured through the thermal index (TI) and mechanical index (MI), which provide indicators of the temperature elevation and likelihood of cavitation, respectively, at a particular scan setting. While there have been no independently confirmed adverse effects in humans caused by current diagnostic instruments without contrast agents, biological effects have been reported in pre-clinical mammalian systems, emphasizing the importance of proper clinical use. As diagnostic ultrasound expands to new users and clinical applications, it is imperative that we continue to understand and assess these potential bioeffects and educate new ultrasound users to continue to use ultrasound safely.

The AIUM bioeffects committee has long undertaken this task, examining emerging technologies and making recommendations based on findings. Recently, the bioeffects committee updated its statement on the “Prudent Clinical Use and Safety of Diagnostic Ultrasound”. This statement reaffirms the promise of ultrasound as a safe and effective tool for diagnostic imaging when used properly by qualified health professionals.

Specifically, we emphasize three main ways to ensure diagnostic ultrasound is used safely:

  1. Monitor acoustic outputs—The likelihood of bioeffects can increase by increasing acoustic outputs, indicated by the thermal and mechanical indices. Exposure time should also be monitored, as increased exposure time can also increase the likelihood of bioeffects.
  2. Follow the ALARA principle—The as low as reasonably achievable (ALARA) principle maintains that users employ the lowest acoustic output and shortest scanning time to reasonably achieve diagnostic-quality images.
  3. Only allow qualified professionals to use ultrasound—Ultrasound should be used only by qualified health professionals to provide medical benefit to the patient.

As new diagnostic ultrasound technologies are developed and evaluated, it will continue to be critical to ensure new users understand the proper use of diagnostic ultrasound and the potential for bioeffects, particularly as the use of ultrasound expands beyond traditional use cases and into the future—perhaps even one day into the home!

Alycen Wiacek, PhD, is an engineer, ultrasound researcher, and educator, working to develop new ultrasound-based imaging technologies and improve the quality and diagnostic accuracy of ultrasound. She is a member of the AIUM Bioeffects Committee and is passionate about developing technology to increase access to high quality ultrasound.

The Dawn of Large Language Models (LLMs) in Ultrasound

Posted on by
Reply

With the advent of large language models (LLMs), such as the well-known ChatGPT, there has been a surge of interest in how to leverage these technologies in healthcare. These queries are far from baseless, as LLMs have already demonstrated significant value in various non-clinical fields. It is entirely reasonable to explore their potential in medical imaging. The biomedical industry has begun to innovate and propose solutions based on the perceived needs of physicians and the medical imaging workforce, often from an engineering standpoint. However, LLMs offer a unique opportunity to develop solutions through a collaborative approach that includes both physicians and industry professionals.

In other words, only by integrating insights from clinicians can we ensure that the benefits of LLMs are realized in ways that genuinely enhance clinical practice. This collaborative approach is particularly relevant in the field of ultrasound imaging, where the unique real-time nature of the modality, combined with operator-dependent variability, presents both opportunities and challenges. This blog post explores the exciting possibilities of LLMs in ultrasound imaging through two specific approaches: scan-time AI assistance and review-time AI assistance.

The Dream: Scan-Time AI by Real-Time Integration of LLMs

Imagine having a smart assistant right by your side during an ultrasound exam, processing data in real time and offering insights instantaneously. This “scan-time AI” is not a distant dream but an emerging reality. By integrating LLMs into ultrasound machines, clinicians can receive immediate feedback on the screen. This AI-powered assistance can highlight areas of interest, suggest potential diagnoses, and recommend additional views or techniques to optimize image quality, making the diagnostic process more accurate and efficient.

However, the journey to seamless real-time AI integration comes with its own set of challenges. The primary hurdle is ensuring that the AI operates with split-second precision, as any lag could disrupt the examination flow. Additionally, the integration must be intuitive, ensuring that AI suggestions complement the clinician’s expertise without causing distraction. The ultimate goal is to create a harmonious partnership where AI augments the clinician’s skills and enhances patient care.

As their name implies, LLMs are designed to communicate with language at the center. Early examples include chat-like communication with the user, which, at first glance, may not seem viable for medical imaging workflows. However, LLM literature is advancing very rapidly, and with the invention of multi-modal LLMs, communication with ultrasound systems will no longer be limited to text but also extend to other modalities such as voice and images. Voice commands can streamline the process, allowing clinicians to focus on the patient and the probe without needing to manipulate controls manually. For instance, a clinician could say, “Compare the thickness of the renal cortex with the medulla” and the ultrasound machine would reason through the command, detect the said anatomical structures, perform the measurement, and display the results, thus improving efficiency and ergonomics. However, voice interaction in a clinical environment brings its own set of complexities. The bustling background noise, the need for precise and unambiguous commands, and the potential for AI misinterpretation are significant factors to consider. Furthermore, voice interaction must be evaluated for its impact on privacy within the clinical setting. When these issues with voice communication in clinical settings are addressed, using LLMs through voice commands for ultrasound examinations will become much smoother and more efficient.

We’re There: Review-Time AI for Post-Examination Analysis

While real-time AI offers immediate benefits during the scan, “review-time AI” focuses on the critical post-scan phase. LLMs can meticulously review ultrasound images and generate detailed reports, highlighting key findings and suggesting differential diagnoses. This application can significantly alleviate the documentation burden on clinicians, allowing them to dedicate more time to patient care.

The necessity for LLMs in review-time AI stems from the sheer volume and complexity of data clinicians must analyze. By automating the initial review and providing structured reports, LLMs enhance the consistency and quality of ultrasound interpretations. This approach also facilitates collaborative care, as AI-generated reports can be easily shared and reviewed by other specialists, ensuring a comprehensive evaluation of the patient’s condition.

A Call to Action for Physicians

Physicians play a pivotal role in shaping the future of AI technologies. While engineers and data scientists provide the technical backbone, clinicians’ insights and feedback are crucial in developing AI systems that truly address healthcare needs. Physicians are encouraged to experiment with these new-age AI tools in their daily routines, providing critical feedback that will steer the evolution of AI in a direction that genuinely enhances clinical practice.

Integrating LLMs into ultrasound imaging is not merely a technological advancement but a paradigm shift that requires active collaboration between clinicians and technologists. By exploring the exciting possibilities of scan-time and review-time AI and addressing the challenges of voice interaction, we can pave the way for a more efficient and accurate diagnostic process. Physicians, your involvement and insights are crucial. Together, we can shape a future where AI not only complements but also elevates the art and science of ultrasound imaging. Let’s embrace this transformative journey and lead the way to a new era of medical innovation.

Utku Kaya is a Co-founder and Chief Executive Officer of SmartAlpha.

You Won’t Be Left in the Dark at UltraCon (except during the total eclipse!)

Posted on by
Reply

Have you considered how you will spend April 8 (well, April 6–10, 2024, actually)? The place to be on the 8th is somewhere you can be in the path of totality during the total solar eclipse, and what better place to be than Austin, TX, where you can see the eclipse and get your fill of everything ultrasound?

(and probably the cheapest way to get a hotel room is to register for UltraCon 2024 and grab a room while we still have affordable rooms in our block).

The AIUM brings our annual meeting to Austin, TX, for the first time, and there will be lots to take in. We are bringing back Educational Tracks. No matter where your interests lie, MSK or Fetal Echo or General US or OB or GYN, there is a track for you! There is something for you, whether you are early in your career or an experienced sonographer/sonologist. You will hear presentations from experts that will keep you up to date on changes in the field and tell you what is coming down the pike. For our members who are deep into the basic sciences, some presentations will stimulate new thinking and show you what other colleagues are up to. One of the best parts of the program is that you aren’t stuck in one track—you can mix and match to customize your experience. Check out the tracks here.

UltraCon brings you more than just the educational tracks. Is there a product that you have always wanted to develop and commercialize? Perhaps an invention, a training program, or another idea you are sure could be monetized? If so, the AIUM’s Shark Tank is for you! Put together your best proposal and present it to our panel of experts from industry, venture capital, and academia. $1,000 is up for grabs, but win or lose, you will gain valuable insights and critical appraisal of your concept, along with suggestions for what you need to do to take your proposal to the next step.

Scientific sessions run throughout the meeting, allowing you to hear cutting-edge research that will help answer some of the questions you might be having or possibly give you ideas to pursue on your own. You will hear from young researchers just starting out their careers as well as experienced scientists who have gotten us where we are today but aren’t done leading us yet.

One of the best aspects of the annual meeting is the chance to hear from luminaries and others with cutting-edge ideas, whether in ultrasound directly or in fields that will impact ultrasound, such as artificial intelligence and other new technologies. This year’s plenary sessions will be captivating as we hear from Dr Omar Ishrak on the future of ultrasound technology and from Dr Gil Weinberg on an amazing application of ultrasound to offer amputees the opportunity to play musical instruments.

Other talks will cover how CPT codes are developed, how to efficiently complete your application for accreditation, and so much more that will round out your experience in Austin.

UltraCon 2024 promises to be a Top Shelf event that you really don’t want to miss—and yes, we have scheduled a break to go outside to see the eclipse, so you won’t be asked to decide between these 2 once-in-a-lifetime events! Note that our hotel block is probably the least expensive deal in town, as our rates were negotiated years ago before many were paying attention to this eclipse. It is entirely possible we will sell out our block of rooms, so make your plans and register as soon as possible!

David C. Jones, MD, FACOG, FAIUM, the AIUM’s President Elect, is a Professor at the University of Vermont and the Director of the Fetal Diagnostic Center at the University of Vermont Medical Center.

Ultrasound: How to respond to questions about its safety

Posted on by
Reply

“Is ultrasound safe for my baby?” and “I know someone whose baby was born too small because of all the ultrasound she received during her pregnancy”. These are two sentences that you might hear during your busy day in the ultrasound unit. The AIUM Official Statement “Conclusions Regarding Epidemiology for Obstetric Ultrasound” states: “Based on the available epidemiologic data, there is insufficient justification to warrant conclusion of a causal relationship between diagnostic ultrasound and recognized adverse effects in humans. The epidemiologic evidence is based primarily on exposure conditions existing prior to 1992, the year in which maximum recommended levels of acoustic output for ultrasound machines were substantially increased for fetal/obstetric applications. Some older studies have reported effects of exposure to diagnostic ultrasound during pregnancy, such as low birth weight, delayed speech, dyslexia, and non-right-handedness. Other more recent studies have not demonstrated such effects. The absence of definitive epidemiologic evidence does not preclude the possibility of adverse effects of ultrasound in humans.”

Why is this statement important to all practitioners of ObGyn ultrasound?

Because knowing the information will enable you to answer patient questions and comments mentioned at the beginning of this post. What the AIUM statement explains is that studies performed on specific large human populations, with defined methods did not show that diagnostic ultrasound is responsible for harm in humans. (Studies such as this are what epidemiology does: examine how often diseases occur in different groups of people and why.)

While in the past, there were some publications that suggested some effects, such as low birth weight, more controlled studies have not been able to demonstrate such effects in humans. An important point is that many studies are relatively old and were performed before maximum recommended output of ultrasound machines meant for OB use was increased from 94mW/cm2 to 720mW/cm2.  This increase was intended to obtain more detailed images. The US Food and Drug Administration (USFDA) agreed with ultrasound instrument manufacturers’ requests to allow this increase, on the condition that two numbers were displayed in real-time on the monitor of the ultrasound system:

  • The thermal index (TI) to show the possibility of increased temperature, secondary to energy absorption by the tissues, and
  • The mechanical index (MI) to convey the risk of direct effects of the sound waves.

If these are kept low, no noxious effects are demonstrable, as expressed in the Epidemiology statement. This includes physical as well as mental effects. What are low indices? If the TI is <1 (the scientific number is 0.7, but 1 is easier to remember), there appears to be no risk of thermal effects for exposure under 1 hour. Regarding non-thermal or mechanical effects, based on the absence of gas bubbles in the fetal lungs and bowels (the two organs where effects were shown in animals after birth), no effects are expected in human fetuses. Demonstrating long-term effects or lack thereof, particularly if subtle, is much more complicated.

The statements issued by the AIUM’s Bioeffects Committee are intended as baseline considerations in practice. As ultrasound continues to be adopted into clinical use, the Bioeffects Committee will continue to monitor outcomes in order to inform and educate the community.

Jacques S. Abramowicz, MD, is a professor in the Department of Obstetrics and Gynecology at the University of Chicago.

Interested in learning more about the bioeffects of ultrasound? Check out the following AIUM Official Statements:

Also:

Abramowicz JS, Fowlkes JB, Stratmeyer ME, Ziskin MC. Bioeffects and Safety of Fetal Ultrasound Exposure: Why do we Need Epidemiology? In: Sheiner E, (ed.): Textbook of Epidemiology in Perinatology. New York: Nova Science Publishers, Inc.; 2010.

Ultrasound: The Therapy of the Future Coming to a Clinic Near You!

Posted on by
Reply

Ultrasound is most commonly known for diagnostic imaging and image-guided interventions, but there is also the potential to harness its power for therapeutic benefits. The use of ultrasound as a therapy is growing, with more than 1,900 active clinical investigations underway. There are also avenues to get insurance reimbursement for the treatment of certain ailments with ultrasound therapy, including bone metastases, essential tremor, and prostate.

In order to help guide physicians that may become involved in the use of ultrasound therapies, the Bioeffects Committee of the American Institute of Ultrasound in Medicine (AIUM) has issued new and updated statements on the AIUM website. These statements help to identify what to consider when using ultrasound therapies, including what happens to the targeted tissue and safety. Some highlights from these statements include:

  • Although safe when used properly for imaging, ultrasound can cause biological effects associated with therapeutic benefits when administered at sufficient exposure levels. Ultrasound therapeutic biological effects occur through two known mechanisms: thermal and mechanical. Thermal effects occur as the result of absorption of ultrasound waves within tissue, resulting in heating. Mechanical effects, such as fluid streaming and radiation force, are initiated by the transfer of energy/momentum from the incident pulse to tissue or nearby biofluids. Indirect mechanical effects can also occur through interaction of the ultrasound pulse with microbubbles such as ultrasound contrast agents. Importantly, thermal and mechanical mechanisms can trigger biological responses that result in desired therapeutic endpoints.
  • The type of bioeffects generated by ultrasound depend on many factors, including the ultrasound source, exposure conditions, presence of cavitation nuclei, and tissue type. Different bioeffects will require different amounts of ultrasound, and thermal and mechanical mechanisms can occur simultaneously for some exposure conditions.
  • There is the possibility of adverse effects in therapeutic ultrasound for targeted and untargeted tissue. Practitioners using these modalities must be well trained on the safe and effective use of therapeutic devices, knowledgeable about potential adverse events, aware of contraindications, and diligent in performing safe procedures. Image guidance should be used to ensure accurate targeting and dosing to maximize the outcomes for patients.

The statements issued by the AIUM’s Bioeffects Committee are intended as baseline considerations when a new therapy device is being put into practice. As ultrasound therapies continue to be adopted into clinical use, the Bioeffects Committee will continue to monitor outcomes in order to inform and educate the community.

Interested in learning more about the bioeffects of ultrasound? Check out the following Official Statements from the American Institute of Ultrasound in Medicine (AIUM):

Why Have UltraCon FOMO When You Can Be a Part of the Transformation of Medical Ultrasound?

Posted on by
Reply

Are you still on the fence about deciding whether or not to attend UltraCon, a reimagined take on the American Institute of Ultrasound in Medicine’s annual meeting? The transformation of the AIUM’s annual ultrasound meeting into UltraCon is an exciting step forward for the field. It will provide a platform to connect professionals, share ideas, and learn from each other. 

Previously, we’ve highlighted the benefits of attending Day 1 and Day 2 of UltraCon, but what about Day 3? Just one look at the UltraCon schedule, and you can tell that this is going to be its busiest day yet! Despite the jam-packed program, there are a ton of amazing professional development opportunities ready for you to explore. On Tuesday, four new symposia will kick off, covering topics from 3D/4D imaging to musculoskeletal sonography. There’s also a shark tank competition, an e-poster kiosk hall, the annual AIUM Awards session, and don’t forget about the William J. Fry Memorial Lecture. 

Let’s dive into the first new symposia, Early Pregnancy Ultrasound: Implications and Impacts on Care. This TED-talk-style forum is a great resource for learning about critical issues in the first trimester, such as providing equitable care in the emergency department and managing life-threatening situations. It has not only valuable information for medical professionals but also provides important insight into how to support patients after Dobbs. Participants can earn up to 1.5 CMEs.

Next, we have Optimizing Outcomes in Prenatal Imaging. During this symposia, participants can increase the quality and patient experience in obstetric imaging with a multidisciplinary approach. A group of specialists will present TED talks on topics such as early trimester issues, health inequities, and maternal/fetal life-threatening situations. Improve imaging outcomes via a perception bias workshop, challenging cases, and using the 3D world to understand ultrasound. Plus, roundtables with industry on image optimization and a special session on understanding the lifecycle of prenatal imaging. Participants can earn up to 3.0 CMEs.

POCUS: Cutting-Edge Uses and Controversies is the third symposium of Day 3. Point-of-care ultrasound (POCUS) is revolutionizing the way clinicians diagnose and treat patients. By providing real-time insights, POCUS offers quick, accurate, and cost-effective diagnosis of clinical problems. From development to bedside, POCUS has changed the game for clinicians worldwide. Are you seeking an engaging and informative symposium to discuss current POCUS advancements in medical ultrasound? Look no further than POCUS: Cutting-Edge Uses and Controversies symposium, which discusses topics such as global health, first-trimester concerns, scan ownership, POCUS workflow, and more. With an array of activities, including lectures, panel discussions, and workshops, this is sure to be a stimulating symposium that will leave you informed and inspired.

Breaking the Sound Barrier: Shaping the Future of Ultrasound is the last symposium of the day. The highly interactive symposium on ultrasound technologies is a great opportunity for clinicians, technologists, researchers, industry, and other stakeholders to learn about the latest advancements in ultrasound technology. This symposium will provide an invaluable platform for experts to share their knowledge and insights on how to utilize ultrasound techniques in clinical settings effectively. Attendees will have a chance to interact with leading professionals from around the world and discuss potential solutions for existing challenges within this field.

Outside of attending the symposia, there are several other interactive activities for participants to engage in. Firstly, the AIUM supports an ePoster program every year where attendees can explore and learn at their own pace through self-guided exploration. Secondly, attendees who have a great ultrasound idea and want to pitch it to industry can submit an application to pitch their ideas to venture capitalists, leaders from the industry, and an IP attorney, for the chance to win a cash prize of $1,000. Lastly, don’t forget to attend the 2023 William J. Fry Lecture given by pioneer in gynecologic ultrasound, Dr. Steven R. Goldstein, entitled “Do You Do POCUS: Why reinvent the wheel?”.  

UltraCon will be the must-attend event of the year for medical professionals who want to stay up-to-date on the latest advancements in ultrasound technology. With a wide variety of engaging sessions and workshops, there’s something for everyone, so avoid getting caught with FOMO. All of this is just what is available on the third day of symposia at UltraCon. Check out the Full Schedule to start planning out your UltraCon journey.

Arian Tyler, BS, is the Digital Media and Communications Coordinator for the American Institute of Ultrasound in Medicine (AIUM).

Ultrasound: A Diagnostic Tool and for Treating Injuries and Diseases

Posted on by
Reply

Now, more than ever, staying up to date on the latest trends and innovations in ultrasound is essential for physicians. This year, the annual meeting of the American Institute of Ultrasound in Medicine (AIUM) is being transformed into UltraCon! This new conference puts you at the center of the conversation where expertise meets interaction and debate. So how can you ensure that you are prepared to take full advantage of this transformative opportunity? 

In a previous post, we highlighted how you could explore new, exciting, and current technologies in ultrasound; identify the different approaches to diagnostic ultrasound; and determine which ultrasound techniques can help you advance your practice at “Can You Do That With Ultrasound?” on day one at UltraCon (March 25–29, 2023). Day two at UltraCon offers attendees more opportunities to deepen their understanding of ultrasound—both as a diagnostic tool and in treating injuries and diseases—through two additional symposiums: “Optimizing Ultrasound Image Quality” and “Ultrasound Diagnoses You Can’t Miss.”

Optimizing Ultrasound Image Quality

Optimizing ultrasound image quality and, ultimately, patient care is at the heart of this symposium. As a healthcare professional, you will be well-equipped to succeed at this task with knowledge gained through key topics such as physics, knobology, and Doppler, as well as improving patient/probe position. You will benefit from roundtable discussions that cover image reviews and quality assurance—useful topics that can help move one step closer to improving patient outcomes. Earn 5 CMEs for learning about ultrasound technology advancements, advancing your image acquisition techniques, and finding ways to improve image quality. This symposium is sure to contribute to providing better patient care!

This symposium will feature a total of 8 engaging and interactive sessions for attendees to participate through in groups:

  • “Physics: So Easy it Hertz,” led by Frederick Kremkau, PhD, FAIUM. How does ultrasound work? It’s all about physics. Knowing the role physics plays will help you avoid artifacts.
  • “Know Your Knobs,” led by Elena S. Sinkovskaya, MD, PhD. To even get an ultrasound image, you must know how your machine works, how to make fundamental adjustments, and how to make optimal use of B-mode. Glossary handout included.
  • “Elements of Scanning,” led by Margaret R. Lewis, MD. Improve your ultrasound diagnostics by understanding optimal patient and transducer positioning techniques, equipment quality assurance, and more.
  • “Demystifying Doppler,” led by Tracy Anton, MD. What is Doppler ultrasound? How does it work? How do I select the correct equipment? How do I interpret the results? Learn all this and more by attending.
  • “Just Images Roundtable,” led by Mishella Perez, BS, RDMS, RDCS, FAIUM, and Yvette S. Groszmann, MD, MPH. Learn what you can do to improve image quality across specialties, including OB, GYN, MSK, POCUS, and Vascular.
  • “Echoes of the Past to the Voices of the Future,” led by Frederick Kremkau, PhD, FAIUM. Attend this session to understand how prior advancements in ultrasound technology have established the scaffold for the possibilities of the use of diagnostic ultrasound in the present and the future.
  • “Ultrasound Quality Assurance Roundtable,” led by Timothy Canavan, MD, MSc, FAIUM, Therese Cooper, BS, RDMS, David Jones, MD, FAIUM, Anita Moon-Grady, MD, and Aubrey Rybyinski, MD. Understanding the role of accreditation and continuous QA is essential to ensuring the best outcomes for patients. Hear from a panel of experts to better guide your practice and get answers to your questions.
  • Image Quality Trivia: Test your ultrasound knowledge during this fun, quiz-style game where the entire audience participates. Topics include OB, fetal echo, GYN, physics, MSK, and general imaging.

Ultrasound Diagnoses You Can’t Miss

Ultrasound diagnoses are a crucial part of maintaining top-level medical care. Ultrasound experts from various disciplines meet in this symposium to share their expert knowledge and experience, allowing participants to stay on top of the imaging findings and avoid any form of misdiagnosis. During the symposium, a multispecialty expert panel will create an interactive discussion for the attendees to apply their learning to real clinical scenarios. And what’s more? You can earn up to 5.75 CMEs just by attending this “Ultrasound Diagnoses You Can’t Miss” symposium!

This symposium will feature a total of 17 engaging and interactive sessions for attendees to participate in where subspecialty discussion, breakout opportunities, and rapid case reviews will take place.

UltraCon is an incredible opportunity for medical ultrasound practitioners who want to stay up-to-date on all things related to medical ultrasound technology. From interactive debates to resource handouts, exhibitor sandboxes, and focus groups—this event has something for everyone! Come prepared with an open mind and get ready to connect with experts from around the world while learning about the exciting new possibilities that are transforming the field of medical ultrasound today! Don’t miss out—All of this is just what is available on the second day of symposia at UltraCon. Check out the Full Schedule to get a sneak peek at everything you could learn.

Arian Tyler, BS, is the Digital Media and Communications Coordinator for the American Institute of Ultrasound in Medicine (AIUM).

Where to Find What’s New in Ultrasound and Education

Posted on by
1

As the use of ultrasound is expanding at a greater rate than ever, both as a diagnostic tool and in treating injuries and diseases, keeping up-to-date on all of the changes can be a struggle. In an upcoming symposium, however, you can explore new, exciting, and current technologies in ultrasound. Identify the different approaches to diagnostic ultrasound and determine which ultrasound techniques can help you advance your practice at “Can You Do That With Ultrasound?” on March 26, 2023, at UltraCon.

This symposium is an exciting new approach to discovering the technical advancement of ultrasound and applications across all subspecialties with collaborative interactions and networking opportunities to enhance the experience. It will begin with a discussion with John Pellerito, MD, Luis O. Tierradentro-Garcia, MD, Emile Redwood, MD, and John K. Hill of three abstracts with cutting-edge content regarding assessing cerebral blood flow in neonatal hydrocephalus, analyzing gene expression, and robotics-assisted transabdominal cerclage in pregnancy.

Next, with images and clinical histories, you will be able to review cases and discuss how each specialty group would approach the systems using different ultrasound techniques and instrumentation. Jon Jacobson, MD, Humberto Rosas, MD, Margarita Revzin, MD, MS, FSRU, FAIUM, Misty Blanchette Porter, and Stephanie Gisele Midgley, MD, will facilitate the discussion on state-of-the-art scanning techniques and innovative technology. Following that, John Pellerito, MD, will assist you with networking and crowdsourcing the answers to your questions. Then, industry representatives, expert clinicians, and expert researchers will also take questions.

Another symposium, “Everyone Can Be an Effective Ultrasound Educator” will also be happening that same day. Filled with practical and effective strategies and techniques to improve your teaching skills, Todd D. Zakrajsek, PhD, the keynote speaker, will share his thoughts on the foundational aspects of learning and relatively easy ways to teach while considering the diversity of learners today, as well as dispel learning myths and traps that hinder the learning process.

This symposium will feature a total of 8 engaging and interactive sessions for attendees to rotate through in groups:

  • “Active Learning, Learning by Doing,” led by Charlotte Henningsen, MS, RT(R), RDMS, RVT, FSDMS, FAIUM, Rebecca J. Etheridge, EdD, RDMS, and Sara Durfee, MD, will show you how to apply creative and meaningful activities designed to enhance the teaching and learning environment.
  • “Case-based Teaching: Let’s Have a Shared Learning Experience,” led by Iryna Struk, MS, RDMS, RDCS, RVT, and Jennifer Cotton, MD, will offer strategies for using case-based learning (CBL), an established approach used across disciplines where learners apply their knowledge to real-world scenarios, promoting higher levels of cognition.
  • “Good Job. Keep It Up. Effective and Ineffective Feedback Strategies in Ultrasound Education,” led by Creagh Boulger, MD, Lauren D. Branditz, MD, and Christine M. Schutzer, RT, BS, RDMS, will review the literature and techniques for effective feedback and assessment.
  • “Designing Virtual Lectures: A Necessary Challenge,” led by Kevin J. Haworth, PhD, Petra Duran Gehring, MD, RDMS, and Jacob Avila, MD, will review concepts in lecture design to increase student learning.
  • “Gaming: Trendy Buzz Word or Effective Educational Tool?” led by Creagh Boulger, MD, and Rachel Liu, MD, will be a hands-on activity to solve your needs in education and how you can apply gaming as an effective, evidenced-based strategy for assessment, learning, and engagement.
  • “Old School, New School, Best School,” led by Linda Zanin, Jennifer Cotton, MD, Lee Shryock, and Michelle Haines, will help you determine which new and exciting technologies are worth the investment and how you can integrate them into your curriculum.
  • “Social Media and Education,” led by Kevin J. Haworth, PhD, and Chris Fox, MD, discusses ways in which social media can be used to improve teaching and learning.
  • “The Impact of Emotional Intelligence in Education,” led by Charlotte Henningsen, MS, RT(R), RDMS, RVT, FSDMS, FAIUM, David Bahner, MD, and Hilary L. Davenport, DO, will provide tools that can help strengthen students’ emotional intelligence, which can positively impact relationships, academic success, and work performance.

In addition, this symposium includes “Learn From Our Learners,” in which former and current students (Creagh Boulger, MD, and Jennifer Cotton, MD) will share things that have worked well, experiences that have not worked well, and ideas they have for ways ultrasound can be better utilized in education.

All of this is just what is available on the first day of symposia at UltraCon. Check out the Full Schedule to get a sneak peek at everything you could learn.

Cynthia Owens, BA, is the Publications Coordinator for the American Institute of Ultrasound in Medicine (AIUM).

Can We Mix Some “Natural” Intelligence With the Artificial?

Posted on by
Reply

As vascular surgeons involved with reading vascular ultrasound, we are no strangers to innovation in our clinical practice. Endovascular innovations have revolutionized this specialty and allowed our patients to recognize longer, more enjoyable lives as a result. I would say that as a specialty, vascular surgeons are generally embracing of new technology with the required amount of skepticism to ensure what we are doing actually helps our patients.

In recent years, there has been a boom in the use of artificial intelligence (AI) in many areas of practice. This includes surveillance of aneurysms, cannulation of vessels, as well as vascular ultrasound. Like many innovations, I think that as kinks get worked out the innovation and speed that AI brings will benefit our patients. I support the move forward.

However, we need some caution as we move forward. At our busy institution, we run our sonographers and radiologists off their feet with ultrasound studies of patients who have had increasingly complex open and endovascular treatments, often bilateral and often following other procedures. When my phone rings with one of our vascular radiologists on the phone, I can be assured of 3 things. The first is they are more than likely calling about one of the patients with a case similar to what I have mentioned above. The second assurance is that we will have a very fruitful conversation, while viewing pictures, about exactly what the sonographic findings are, what they mean for the patient, and how they may be worked up further, if necessary. I am also sure that I will engage with details of the procedure and the rationale for why it was done. This free-flow discussion will result in the third assurance, our patients will receive better care.

I am quite sure these conversations are happening all over the world. They bring two specialties together; they meld the art with the science, resulting in better patient care. My concern is that with the increasing use of AI, especially in the complicated cases, we will lose this connection and the ability to exchange information. We see this to some extent already; “In basket me!”, “text it over”, “check your email”. (Please don’t view this as an anti-technology rant, it really isn’t. Please view it as a pro-discussion rant!)

My concern is that the natural extension of AI use will be the elimination of experienced specialists who can engage in discourse about challenging problems and the specialists’ innate ability to leverage each other’s natural intelligence and experience. The very nature of widespread AI use in vascular ultrasound discounts this important exchange and actually rewards it for not occurring. It’s a system designed for speed and throughput, and its natural extension will be less conversation as the images are not passing the eyes of an experienced clinician but rather a microchip.

As I stated, I am not anti-technology, but I am pro-discussion! It behooves our specialties to celebrate this unique relationship we have had over decades. Call each other; support and explain things to each other. Be an example to others of true collaboration between “competitive” specialties. Embrace the technology as a means to showcase the true value of our different, yet complementary skills: excellent patient care. Besides, a cheerful phone call beats an “in-basket” any day.

Jonathan Cardella, MD, FRCS, is an Associate Professor of Surgery (Vascular) and Program Director of the Vascular Surgery residency at Yale School of Medicine.

Interested in reading more about the importance of communication? Check out these posts from the Scan: