Top 5 Posts of the Year: Insights and Innovations

As the field of sonography continues to evolve, staying informed about the latest trends, challenges, and advancements is crucial for professionals and students alike. This year, we’ve seen remarkable developments in technology, education, and clinical practices that are shaping the future of diagnostic imaging. From groundbreaking innovations in neurosonography to the urgent call for more student training opportunities, these posts reflect the most impactful discussions and insights of the year.

Here are the top five blog posts on the Scan that captured attention and sparked conversations across the community this year.

Ultrasound to Differentiate Benign From Malignant Ovarian Tumors—Are We There Yet?
In this post, Jacques Abramowicz, MD, FACOG, FAIUM, discusses the role of ultrasound in distinguishing benign from malignant ovarian tumors, emphasizing the importance of accurate diagnostic criteria due to the high mortality associated with ovarian cancer. It reviews key ultrasound features, such as size, appearance, and blood flow characteristics, alongside advanced scoring systems like the IOTA Simple Rules, ADNEX model, and O-RADS framework, designed to assist non-experts in diagnosis. The post highlights the effectiveness of these methods in improving diagnostic accuracy while stressing the importance of expert evaluation in inconclusive cases.

Exploring the Future of Ultrasound: 5 Trends to Watch
Therese Cooper, BS, RDMS, highlights in this post five key trends shaping the future of ultrasound technology: portable and handheld devices, artificial intelligence integration, advancements in 3D and 4D imaging, increased use of point-of-care ultrasound (POCUS), and therapeutic applications like noninvasive surgeries and targeted treatments. These innovations promise to make ultrasound more accessible, efficient, and versatile across diverse medical settings, further solidifying its role in modern healthcare. The future holds exciting possibilities for enhanced imaging and expanded diagnostic and therapeutic uses.

Fetal Neurosonography
This post by Eran Bornstein, MD, emphasizes the importance of fetal neurosonography, a specialized ultrasound technique for detailed assessment of fetal brain anatomy, offering superior diagnostic capacity compared to routine screenings. While effective in diagnosing various brain malformations and reassuring patients, its practice in the U.S. is limited due to a lack of training and awareness, and the absence of a dedicated procedural code. The post advocates for increased education, standardized guidelines, and broader access to this critical diagnostic tool.

Introduction to the Emerging Field of Post Cranioplasty Neurosonography
Another post by Eran Bornstein, MD, FACOG, FAIUM, along with Netanel Ben-Shalom MD, FNPS, and David Langer, MD, FNPS, introduces post-cranioplasty neurosonography, a cutting-edge field enabled by sonolucent cranial implants that provide an acoustic window for ultrasound imaging of the adult brain. These implants allow for detailed, real-time brain assessments in various planes, aiding in postoperative monitoring for complications such as hemorrhage, midline shift, and shunt evaluation. As the technology evolves, its integration into patient care holds potential to reduce reliance on radiation-heavy imaging modalities, improve point-of-care diagnostics, and lower healthcare costs, though questions remain about optimal implementation and clinician roles.

Getting Sonography Students Hands-on Experience
In this post from 2022, Kathryn A. Gill, MS, RTR, RDMS, highlights the urgent need for OB/GYN practices to provide hands-on training opportunities for sonography students to ensure a steady pipeline of skilled professionals in the field. Overcrowded schedules and burnout among current sonographers are limiting student rotations, potentially jeopardizing the future workforce. The author calls for creative solutions and collaboration within the sonography community to integrate students into clinical environments, stressing that this effort is critical to maintaining high standards of OB sonography care.

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SonoBowl: A Game, A Challenge, An Education

SonoBowlOn July 12, 2018, 4 teams of 4 sonography students each competed in the inaugural SonoBowl, a game pitting the students’ ultrasound knowledge and skills against each other. Howard Community College (HCC) hosted the event, which the American Institute of Ultrasound in Medicine (AIUM) sponsored, and teams from Howard Community College; Montgomery College; Pennsylvania College of Health Sciences; and the University of Maryland, Baltimore County participated. Although only 4 students from each team could participate, many more attended to observe.

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SonoBowl teams: HCC Sound Dragons are in red (as is their dragon), UMBC Dopplergangers are in black, PA Penguins are in white (4 in front), and MC Ultrasonic are in white (middle and back rows). AIUM staff are in blue.

If you are interested in hosting your own SonoBowl, you’re in luck. AIUM will be sharing instructions on recreating it, enabling schools around the country and abroad to create their own SonoBowl, where sonography students can come together to compete in ultrasound with question-and-answer sessions, scanning, and case challenges. The following is a review of the inaugural  SonoBowl. If you want all of the details, you’ll need a copy of the SonoBowl Playbook. If you are interested in receiving a copy of the SonoBowl Playbook, please let us know (learn@aium.org). AIUM members can access it here: https://www.aium.org/loginrequired/membersonly/sonobowl.aspx.

HCC and AIUM worked together to quickly pull this event together in just 2 months, including 6 conference calls and meetings—planning the itinerary, developing questions and case challenges, inviting teams and registering them, and setting up the event. Development began in May and concluded with the event, which included:

    • Round 1, Who Gives a Kahoot?: 30 multiple-choice questions and 1 bonus multiple-choice question on Kahoots;20180712_094549
    • Round 2, Mission I’m Possible: 3 rounds of scanning testing vascular, obstetric, and abdominal knowledge; and
  • Round 3, Have You Hertz About My Case Study?: A case challenge.

Round 1 was a question-and-answer session. Each team was supplied (by HCC) with a tablet to use for answering the questions as quickly as they could, as wins were based on speed as well as accuracy. The questions were developed by AIUM with input from Directors and faculty from the schools.

IMG_0591Round 2, which can be seen in this video, was a hands-on demonstration of the students’ skills. The teams were given 15 minutes at each station, equipped with an ultrasound machine and a model, to complete their task and answer the questions, which were provided on a form in an envelope and could be completed on a provided clipboard. A proctor at each station reviewed the image obtained for the task and indicated on the form whether it was correct and whether the answers to the question were each correct. After 15 minutes, the teams would rotate stations until all teams had competed at each station.

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For those students who attended but were not participating, a scavenger hunt was developed to fill this time. The students were randomly divided into 4 teams, each of which included students from each of the schools. Each team was given a campus map and a list hinting at 15 things to find around the campus. They were tasked with answering questions for some and taking a selfie at each to prove they found them. For example, one such hint was “Orange is definitely your color! Take a selfie with your face in the circle,” referring to a sculpture outside one of the buildings. Once Round 2 was complete, a lunch was provided.

Round 3 began with an announcement of where each team stood in the competition; HCC DMS Sound Dragons were in 4th place with 58 points, MC Ultrasonic was in 3rd with 66 points, and
UMBC Dopplergangers and PA Penguins were tied with 74 points each. Knowing how many points they had and the topic of the case study (gynecologic ultrasound), each team then indicated how many points they were willing to wager for the final round. All teams wagered their full points balance.

The teams were given a brief history for a case and shown the ultrasound images associated with it, then were given 1 minute to indicate which of 4 diagnoses was the correct one. After time was up, each team was asked to show their wager, beginning with the last place team, and the scores were adjusted based on their wager and whether they answered correctly. For this inaugural SonoBowl, MC Ultrasonic won the day with 132 points and was awarded the trophy to hold onto until next year’s SonoBowl, when it will be back up for grabs. Each of the winning team’s members also won a free AIUM student membership for a year and an insulated lunch bag containing AIUM gifts.

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If you are interested in receiving a copy of the SonoBowl Playbook, please let us know (learn@aium.org). AIUM members can access it here: https://www.aium.org/loginrequired/membersonly/sonobowl.aspx.

The American Institute of Ultrasound in Medicine is a multidisciplinary medical association of more than 9000 physicians, sonographers, scientists, students, and other health care providers. Established in the early 1950s, the AIUM is dedicated to advancing the safe and effective use of ultrasound in medicine through professional and public education, research, development of guidelines, and accreditation.