Member Spotlight: A Celebration of AIUM Membership With Peter Doubilet, MD, PhD

Posted on January 20, 2026 by aium1952

For decades, AIUM members have driven innovation, education, and collaboration in medical ultrasound. Peter M. Doubilet, MD, PhD, FAIUM, is an example of how sustained engagement with the AIUM can shape both an individual career and the field as a whole. His long history with the AIUM reflects why the organization values its members—and why its members, in turn, value the AIUM.

Dr. Doubilet joined the AIUM in 1985, at a formative point in his career and in the organization’s history. From the beginning, the AIUM offered him more than membership; it provided a professional home grounded in academic rigor, shared purpose, and multidisciplinary exchange.

Below, Dr. Doubilet shares his perspective on what the AIUM has meant to him over the years.

Why did you choose to join the AIUM?
When I joined AIUM in 1985, it was primarily composed of radiologists, obstetrician/gynecologists, and ultrasound physicists. At that time, most academic radiologists with a subspecialty focus in ultrasound were active AIUM members. As an aspiring academic radiologist, joining AIUM was a natural and important step for me, providing opportunities to connect with leaders in the field and to become part of the broader academic ultrasound community.

Dr. Doubilet’s experience reflects a common thread among long-standing members: the AIUM has long served as a gathering place for leaders, mentors, and emerging voices in ultrasound.

What is your favorite AIUM benefit?
While I am a member of the Society of Radiologists in Ultrasound and other Radiology organizations, AIUM is unique in bringing together ultrasound practitioners from a wide range of medical specialties. As the organization has grown and diversified, I have especially valued the opportunity to interact with and learn from OB/Gyn’s, emergency medicine physicians, sonographers, and colleagues from other disciplines. This multidisciplinary environment is one of AIUM’s greatest strengths.

This emphasis on multidisciplinary collaboration is central to the AIUM’s mission, and a key reason members continue to find value as the field evolves.

What does the AIUM mean to you?
AIUM is the only organization that truly welcomes everyone involved in the practice, teaching, research, and technological advancement of ultrasound. Its diverse membership spans multiple specialties, educational backgrounds, and professional roles. Through its annual convention, journal, educational courses, and practice parameters, AIUM fosters collaboration, shared learning, and high standards that enhance the quality of ultrasound practice and improve patient care.

Dr. Doubilet’s words underscore how the AIUM serves as both a standard-bearer and a connector across the ultrasound community.

Has being in the AIUM helped you in your career? If so, how?
AIUM has had a very positive impact on my career. Opportunities to lecture at its annual conventions and courses, as well as to publish in the Journal of Ultrasound in Medicine, have strengthened my professional credentials. These experiences have had a multiplicative effect, leading to additional invitations to lecture at a variety of meetings and courses, collaborate on research, and participate in guideline development. Being named an AIUM Fellow in 1988 and receiving the Joseph H. Holmes Clinical Pioneer Award in 2020 have further enhanced my professional standing within the field.

The AIUM’s commitment to education, scholarship, and recognition helps members amplify their expertise and extend their influence well beyond the organization.

Is there anything else you’d like to share?
In addition to the many benefits I have received from AIUM membership, I have greatly valued the opportunity to give back to the organization. I have served on the Board of Governors (1995–1998 and 2013–2016), the Editorial Board of the Journal of Ultrasound in Medicine, and multiple AIUM committees, including the Education Committee, which I chaired from 1991–1993. I have also contributed by directing or co-directing AIUM courses, moderating film panels at the Annual Convention, and developing educational videotapes. These roles have allowed me to support AIUM’s mission and contribute to the continued advancement of ultrasound education and practice.

Dr. Doubilet’s career illustrates the reciprocal nature of AIUM membership: members gain knowledge, community, and opportunity, and in turn, help advance the field for future generations.

The AIUM is grateful for Dr. Peter M. Doubilet’s decades of leadership, service, and dedication. His story is a reminder that the strength of the AIUM lies in its members and their shared commitment to excellence in ultrasound.

Peter M. Doubilet, MD, PhD, is a Radiologist at Brigham and Women’s Hospital and is a Professor at Harvard Medical School in Boston, MA.

State of the AIUM: Reflections and Looking Ahead to 2026

Posted on January 6, 2026 by aium1952

As we start the new year, I want to share where the AIUM stands today and what’s ahead. Last year was a year of progress, collaboration, and renewed focus on our mission to advance the safe and effective use of ultrasound in medicine.

Financial Progress
After several years of operating at a sizeable deficit, we’ve worked diligently to close the gap. I am delighted to report that the Board has received a report that, for 2026, we are forecasting a budget with our first operating surplus in years. This is especially important as, without strong financials and operating surpluses, the AIUM cannot continue to serve our members and our mission as well as we do today. This is a significant milestone that positions us for long-term stability.

Advocacy Efforts
Due to the nature of the current national landscape, the AIUM is slowly moving into bipartisan advocacy work. The AIUM has been a signatory on a congressional letter supporting NIH funding, and we’re planning on participating in a small Advocacy Day in March in Washington, DC, to champion medical research and science broadly.

AIUM Annual Convention
Looking ahead, we are excited to host the 2026 Annual Convention in Philadelphia, one of the nation’s leading medical and scientific hubs. In celebration of that setting and with an eye toward the future of the field, I am proud to share that I have authorized a new In-Training registration rate, designed to expand access for students, residents, and fellows and encourage early engagement with all that the AIUM has to offer. Early indicators are positive, with increases in abstract and session submissions compared to prior years. I look forward to seeing many of you there.

AIUM Educational Initiatives
In early 2025, with input from the Board and a decision by the Executive Committee, education was elevated as the organization’s primary strategic initiative. Key highlights of the 2026 Course Calendar are below:

A West Coast Advanced OB/GYN Seminar in San Diego in October

Potentially, a POCUS Course in Portland in July

A new Vascular course launch in November, driven by member interest

A continued mix of in-person hands-on learning and virtual learning throughout the year

Board Initiatives and Technical Work
The AIUM Board of Governors met early in 2025 and discussed our governance ecosystem, how it functions, how it’s structured, and most importantly, how it serves the needs of our members. From those discussions, I have chartered 4 working groups that have a remit to review key areas of governance and return with recommendations on how to streamline and rejuvenate our functioning. Those four areas are: the Committees, the Board of Governors, the Communities of Practice, and the Membership and Recognition system.

Future Fund Projects
I am delighted to report that, in 2025, we also reviewed our Future Fund operations and reviewed membership interests to find the absolute best use of AIUM resources. From that, we authorized projects like funding POCUS equipment in The Gambia and supporting practice parameter development, all efforts that reflect our commitment to global impact and innovation.

We couldn’t do this without you. Please consider the impact you can make on the AIUM with a generous donation to the Future Fund. Every amount helps. You can donate by bank ACH transfer, by including a contribution with your membership renewal, or through the AIUM’s giving site. For a bank ACH transfer, please send funds to Truist Bank, Account # 000463973, ABA Routing # 055002707. To give online (note: a processing fee applies), visit https://secure.givelively.org/donate/american-institute-of-ultrasound-in-medicine.

Practice Parameters & Official Statements
The AIUM continues to set the standard in ultrasound in medicine, and I am delighted to report that in 2025, the organization updated 5 AIUM Practice Parameters this year, with a few in the process of being published, including the AIUM Practice Parameter for the Performance of Diagnostic and Screening Ultrasound of the Abdominal Aorta in Adults (2025 Revision). The AIUM also issued an update to an Official Statement this year, Guidelines for Cleaning and Preparing External- and Internal-Use Ultrasound Transducers and Equipment Between Patients as Well as Safe Handling and Use of Ultrasound Coupling Gel (2025 Revision). Updates to various other guidelines, standards, and statements also occurred thanks to the hard work and subject matter expertise of our tireless leaders.

Accreditation
AIUM Accreditation continues to be an important service that demonstrates our commitment to high-quality ultrasound practice. The number of accredited practices remained stable in 2025. Last year, we implemented several projects aimed at enhancing the customer experience, while also strengthening security measures and protecting patient privacy.

Publishing
Submissions to the Journal of Ultrasound in Medicine (JUM) were up 35% in 2025 over 2024, reaching the highest volume to date. Our editors have been working diligently to maintain the high standards and quality of the Journal, and as a result, the number of articles published remains consistent with the last four years. We are also actively exploring the possibility of launching new journals to expand the AIUM’s scholarly footprint.

Membership
Membership is at the heart of the AIUM, forming the foundation of our community and mission. In 2025, overall membership remained flat, reflecting stability as we continue to engage, support, and grow the value of being part of the organization.

Looking Ahead
I am proud to lead the AIUM in 2026, and I am proud of the members, staff, volunteers, and strong community that we’ve built. To continue to foster our community, I invite you to join us at the 2026 AIUM Convention in Philadelphia. It will be an opportunity to experience our renewed focus, connect with colleagues, and engage in meaningful discussions about the future of ultrasound. Stay tuned for more details on programming and special events—we can’t wait to see you there.

Thank you for being part of the AIUM’s journey. Together, we’re building momentum for an exciting future.

David C. Jones, President, AIUM

Advancing Your Career in Ultrasound: Opportunities for Sonographers and Physicians

Posted on November 25, 2025 by aium1952

Ultrasound technology continues to evolve at an incredible pace, expanding far beyond its traditional role in obstetrics and gynecology. From emergency medicine and cardiology to musculoskeletal and critical care applications, the field of diagnostic ultrasound offers a wealth of professional growth opportunities for both sonographers and physicians. Whether you’re just beginning your career or looking to take it to the next level, there are many paths to expand your expertise, enhance patient care, and stay at the forefront of this dynamic profession.

Deepening Clinical Expertise

One of the most effective ways to advance in ultrasound is through specialization. For sonographers, focusing on a subspecialty, such as vascular, musculoskeletal, or cardiac, can set you apart and open doors to leadership or advanced practice roles. Certification through organizations like the American Registry for Diagnostic Medical Sonography (ARDMS) or Cardiovascular Credentialing International (CCI) signals your commitment to excellence and can lead to increased responsibility and compensation.

Physicians who use ultrasound as part of their practice can also benefit from additional training. Many professional societies now offer structured educational pathways and credentialing opportunities. For example, clinicians in emergency medicine, critical care, internal, and family medicine, and other healthcare providers can pursue POCUS certifications that demonstrate proficiency in specific applications such as vascular access, trauma assessment, or cardiac evaluation. Continuous education ensures clinicians maintain high diagnostic accuracy and stay current with best practices and evolving technology.

Embracing Technological Innovation

Advancements in ultrasound equipment, such as portable and handheld devices, artificial intelligence (AI) integration, and enhanced image resolution, have expanded how and where imaging can be performed. Staying ahead of these changes not only improves clinical capabilities but also helps professionals remain adaptable as the industry evolves.

Attending professional conferences, workshops, and online training sessions allows sonographers, physicians, and other healthcare providers to gain hands-on experience with emerging technologies. Participating in research or collaborating on quality improvement initiatives can also deepen understanding of how these tools improve diagnostic accuracy and patient outcomes. Those who embrace innovation often find themselves in leadership roles, guiding colleagues through the adoption of new techniques and tools.

Developing Leadership and Teaching Skills

Career development isn’t limited to clinical expertise. Many professionals find fulfillment by moving into education, management, or research roles. For example, experienced sonographers can become clinical educators, training the next generation of imaging professionals or leading quality assurance programs within their departments. Similarly, physicians skilled in ultrasound often become mentors, departmental champions, or leaders in developing institutional protocols and training programs.

Strong communication and teaching skills are key in these roles. Consider pursuing opportunities to present at conferences, contribute to educational publications, or lead workshops within your institution. These activities not only strengthen your professional reputation but also advance the field as a whole by sharing knowledge and promoting best practices.

Building a Professional Network

Networking is another powerful component of career growth. Joining professional organizations such as the American Institute of Ultrasound in Medicine (AIUM) or specialty-specific societies offers access to a supportive community of peers, mentors, and experts. Through committees, webinars, and continuing education programs, professionals can stay connected to industry trends and gain exposure to new career paths.

Online communities and professional social media platforms can also serve as valuable networking tools. Sharing insights, discussing case studies, or participating in virtual learning opportunities can build your visibility and connect you with like-minded professionals across the globe.

Shaping the Future of Ultrasound

Ultrasound is one of the most dynamic and accessible imaging modalities in medicine. As technology continues to evolve, the demand for skilled, knowledgeable professionals will only grow. By investing in lifelong learning, embracing innovation, and contributing to the professional community, sonographers, physicians, and other healthcare providers can shape not only their own careers but also the future of patient-centered imaging.

Every scan offers a chance to learn something new, and every professional development step helps ensure that ultrasound remains a cornerstone of safe, effective, and compassionate care.

Therese Cooper, MS, RDMS, is a sonographer and the Chief Learning Officer at the American Institute of Ultrasound in Medicine.

AIUM Joins 400+ Organizations in a National Effort to Support Robust NIH Funding for FY 2026

Posted on November 11, 2025 by aium1952

The American Institute of Ultrasound in Medicine (AIUM) is proud to join a nonpartisan coalition of national organizations in signing a letter to Congressional leaders urging well-funded, sustained federal investment in medical research through the National Institutes of Health (NIH).

The letter, circulated by the Ad Hoc Group for Medical Research and endorsed by a broad range of patient, clinician, scientific, academic, and industry organizations, calls on Congress to prioritize finalizing the fiscal year (FY) 2026 Labor, Health and Human Services, Education, and Related Agencies (Labor-HHS) appropriations bill with no less than $47.2 billion for the NIH, in addition to funding for the Advanced Research Projects Agency for Health (ARPA-H). At the time of signing on, 455 other organizations also signed on to support this letter, supporting a bipartisan commitment to predictable and sustained growth in medical research funding. 

The Ad Hoc Group’s message is clear: consistent and predictable NIH funding is vital to advancing medical innovation, supporting the next generation of researchers, and improving health outcomes for patients nationwide. NIH-supported research has been central to breakthroughs that address cancer, Alzheimer’s disease, diabetes, medical imaging, autoimmune conditions, and countless other medical challenges that affect our communities and members. To continue this outstanding research, and by extension fuel innovation in the United States’ centers of higher learning, medical schools, and research institutions, NIH must receive a robust investment for 2026.

As an organization committed to advancing the safe and effective use of ultrasound in medicine, the AIUM recognizes that innovation in imaging and diagnostics depends on the continued strength of our nation’s research infrastructure. As AIUM President, I am proud to add our voice to this united call for sustained, bipartisan investment in medical research.

The AIUM will continue to advocate for policies that support the research community, promote advancements in ultrasound, and improve patient care through evidence-based medicine. I welcome our members to message me with your thoughts at president@aium.org.

To read the full letter and see the list of signatories, visit https://www.fundnih.org/media/10096/download.

About the Author

David Jones, MD, is President of the American Institute of Ultrasound in Medicine (AIUM) and Professor and Director of the Fetal Diagnostic Center in the Department of Obstetrics, Gynecology and Reproductive Sciences at the University of Vermont Medical Center in Burlington. He is committed to advancing excellence in medical ultrasound through innovation, education, and collaboration.

Shear Wave Elastography Shows Reliable Consistency in Breast Imaging

Posted on October 28, 2025 by aium1952

Shear wave elastography (SWE), a technique that maps tissue stiffness in ultrasound imaging, continues to gain clinical interest, especially when evaluating lesions classified as BI-RADS 3 or 4. A recent multicenter investigation assessed how consistently SWE delivers reliable measurements, both when the same operator examines a lesion multiple times and when different operators perform the evaluation.

Key Insights: Reliability Across Scenarios

The study found strong agreement both within individual operators and between different operators. In practical terms, this means that SWE produces dependable, consistent results whether one sonographer repeats the scan or if multiple clinicians assess the same lesion separately. That kind of stability is particularly valuable when clinical decisions hinge on minor changes in stiffness measurements.

Why Consistency Matters for Practice

Enhanced Diagnostic Confidence: Reliable SWE readings help clinicians interpret subtle differences in lesion characteristics more confidently. This consistency could improve the decision-making process when ultrasound images don’t clearly show whether a lesion is benign or malignant.
Reduced Re-exams and Variability: High repeatability minimizes the need for unnecessary retests, cuts down on variability, and reduces patient anxiety about potentially inconsistent results across scans.
Better Standardization in Clinical Workflows: For departments aiming to standardize assessment protocols—whether for quality assurance or multicenter trials—knowing that SWE holds up regardless of the operator is a clear advantage.

Clinical Benefits for Patients and Practitioners

For patients, reliable SWE can mean fewer follow-up scans, more consistent recommendations, and potentially less invasive follow-up. For ultrasound professionals, it supports smoother integration of SWE into routine workflows without worrying that interpretation will vary based on who’s scanning.

In Summary

This study confirms that SWE offers dependable and reproducible measurements in breast imaging, regardless of who performs the scan or whether it’s repeated by the same operator. These findings strengthen SWE’s role as a trustworthy imaging adjunct. By reinforcing consistency, SWE supports clearer clinical pathways and may ultimately reduce unnecessary procedures, benefiting both providers and patients.

For a more detailed look at the study’s findings and statistical analysis, you can read the full article on the Journal of Ultrasound in Medicine (JUM): https://onlinelibrary.wiley.com/doi/10.1002/jum.16344

Interested in learning more about breast imaging? Check out the AIUM’s on-demand webinar: Personalized Screening for Breast Cancer.

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

Ultrasound’s Hidden Superpowers and Why We Celebrate Them Every October

Posted on October 14, 2025 by aium1952

Every October, the medical imaging community comes together to observe Medical Ultrasound Awareness Month (MUAM), a period dedicated to raising public understanding of the ultrasound’s vital role in healthcare. Sponsored by organizations such as the American Institute of Ultrasound in Medicine (AIUM), the American Registry of Diagnostic Medical Sonographers (ARDMS), the American Society of Echocardiography (ASE), Cardiovascular Credentialing International (CCI), the Society of Diagnostic Medical Sonography (SDMS), and the Society for Vascular Ultrasound (SVU), MUAM seeks to dispel the common misconception that ultrasound is mainly for pregnancy and to shine a light on its many other life-changing uses.

While many people immediately think of fetal imaging when they hear “ultrasound,” that’s only one of many applications. In fact, ultrasound helps patients at every stage of life, from newborns to seniors, across numerous medical fields. MUAM is a perfect time to celebrate the often-unseen breadth of ultrasound and the professionals who use it.

Why a Special Month for Ultrasound?

Ultrasound is safe, widely available, and cost-effective. Because it doesn’t rely on ionizing radiation (as with X-rays or CT scans), it offers a gentler imaging option, particularly for soft tissues.

The purpose of MUAM is to encourage professionals to educate patients, colleagues, and the public about how ultrasound supports diagnosis, monitoring, and treatment across a diversity of conditions.

Beyond Babies: Diverse Applications of Medical Ultrasound

Here’s a look at just a few of the many ways ultrasound is used outside obstetrics:

1. Cardiac / Echocardiography

Ultrasound is widely used to visualize the heart’s structure and function, assess valve integrity, detect fluid around the heart (pericardial effusion), and monitor things like left ventricular ejection fraction.
Doppler ultrasound can also show blood flow velocities, helping to detect stenosis or regurgitation in valves.

2. Vascular and Circulatory Imaging

Doppler vascular ultrasound can assess veins and arteries, detecting blockages, clots (eg, deep vein thrombosis), or stenosis.
It’s used to examine carotid arteries (for stroke risk), peripheral arteries (leg circulation), and vascular grafts.

3. Abdominal and Pelvic Imaging

Ultrasound is often used to evaluate organs like the liver, gallbladder, spleen, kidneys, pancreas, and bladder.
It can detect gallstones, kidney stones, hydronephrosis, liver masses, or fluid collections (eg, ascites).
In the pelvis outside pregnancy, it helps assess uterine/ovarian pathology, fibroids, pelvic fluid, or masses.

4. Musculoskeletal (MSK) Imaging

Ultrasound is used to image muscles, tendons, ligaments, joints, and nerves.
It helps in diagnosing tendon tears, bursitis, muscle strain, nerve entrapment (eg, carpal tunnel), and joint inflammation.
It also guides injections or aspirations.

5. Pediatric Imaging

In infants and children, ultrasound is often the first-line imaging for soft tissues, head/neck, hips (developmental dysplasia), and neonatal brain (via fontanelles).
Because it’s radiation-free, it’s especially favorable for young patients.

6. Point-of-Care Ultrasound (POCUS)

In emergency, critical care, and bedside settings, physicians use handheld or portable ultrasound to rapidly evaluate ailments such as fluid around the lungs (pleural effusion), free fluid in the abdomen, cardiac tamponade, or guidance during central line placement.
This real-time use can expedite diagnosis and treatment.

7. Interventional / Intraoperative Ultrasound

Surgeons sometimes use ultrasound during procedures to locate lesions, guide resections, or assist in biopsies or ablations.
Interventional radiologists may use ultrasound guidance for needle placements (biopsy, drainage) and local therapies.

8. Therapeutic Ultrasound & Special Applications

Beyond imaging, ultrasound has therapeutic uses (eg, high-intensity focused ultrasound, ultrasound-assisted drug delivery).
In neurology and neuroscience, for example, therapeutic ultrasound is being explored in treating conditions like Alzheimer’s disease or other brain disorders.
In space medicine, ultrasound is one of the few imaging options available aboard the International Space Station (ISS). As part of the Advanced Diagnostic Ultrasound in Microgravity project, astronauts use ultrasound to assess various organ systems in microgravity.

How You Can Support Ultrasound Awareness
(Especially This October)

Share knowledge: If you’re a clinician or educator, talk with colleagues or patients about the many roles of ultrasound.
Use social media: Companies and organizations often use hashtags like #MUAM2025 to share educational images, infographics, or stories.
Celebrate sonographers and ultrasound technologists: Recognize the skill, dedication, and meticulous work of these professionals.
Invite engagement: Host a webinar, post Q&A content, or distribute simple “Did you know?” facts about ultrasound to patients.

Final Thoughts

Medical Ultrasound Awareness Month is more than a promotional event. It’s an opportunity to correct a common misconception: ultrasound is not just for pregnancy. From the heart to the knees to the kidneys, even to outer space, ultrasound plays a vital, versatile role in modern medicine.

Let’s use October’s spotlight to help people see inside, not just for babies but for better health at every age.

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

Ovarian Cancer Awareness: Risk Factors and Screening Techniques

Posted on September 2, 2025 by aium1952

There’s nothing lighthearted about ovarian cancer.

Ovarian cancer is often referred to as a ‘silent killer’ because it is usually diagnosed at an advanced stage, when treatment is less likely to result in a complete cure and full recovery.

Why is a reproductive endocrinology and infertility (REI) specialist discussing ovarian cancer? While this disease most commonly affects postmenopausal women over the age of 60 who have completed childbearing, about 10% of cases occur in women under 45, during their reproductive years. This makes ovarian cancer a highly relevant concern within my field.

Although the exact causes of ovarian cancer remain unclear, in women of reproductive age, it is often linked to genetic mutations such as BRCA1, BRCA2, or Lynch syndrome. Other contributing factors may include conditions like endometriosis (particularly endometriomas, where endometrial tissue grows within the ovary), or a family history of ovarian, breast, or colorectal cancer, even in the absence of a confirmed genetic mutation.

There is a common misconception that fertility treatments cause ovarian cancer; however, this is not supported by evidence. It’s important to clarify that women undergoing fertility treatments often have underlying conditions such as endometriosis, which are independently associated with an increased risk of ovarian cancer. The link is one of association, not causation. In fact, ovarian cancer is occasionally first detected by reproductive endocrinology and infertility (REI) specialists during the course of evaluating or treating infertility.

If you have a strong family history of cancer, talk to your doctor about genetic counseling and start early surveillance.

So, how should we approach surveillance for ovarian cancer? Pelvic exams alone are limited in sensitivity and often cannot detect ovarian masses smaller than 5 cm, even in experienced hands. While serum markers such as CA-125, CA 19-9, CA 72-4, CA 15-3, HE4 (human epididymis protein 4), and CEA (carcinoembryonic antigen) are more specific to malignancy, they are not all specific to ovarian cancer and are typically only ordered after a mass has already been identified. These markers are not routinely used in serial testing for early detection.

In contrast, imaging, particularly transvaginal ultrasound with Doppler flow analysis, can detect even small ovarian abnormalities and raise early suspicion for malignancy. When performed regularly in reproductive-age women at risk, ultrasound may aid in detecting ovarian cancer in its earliest stages, when it remains confined to the ovary and before local or distant spread occurs.

Why, then, are physicians hesitant to adopt ultrasound for early ovarian cancer detection? First, from a financial standpoint, performing annual ultrasounds on all women of reproductive age is not cost-effective. Second, because ovarian cancer is relatively rare in this population, the low incidence reduces the test’s sensitivity and positive predictive value, ultimately limiting its effectiveness as a widespread screening tool.

Still, it is essential for physicians to recognize when an ovarian lesion displays features suggestive of malignancy. Two diagnostic tools have significantly advanced the role of ultrasound in evaluating ovarian conditions: the International Ovarian Tumor Analysis (IOTA) group, established in 1999, and the Ovarian-Adnexal Reporting and Data System (O-RADS), introduced in 2021. Both systems provide structured frameworks for assessing and scoring ultrasound characteristics of ovarian lesions, offering a more objective and standardized interpretation.

When an ultrasound-detected lesion raises suspicion for malignancy, further imaging, such as CT or MRI, can offer additional detail, help identify local or distant spread, and support initial staging to guide surgical planning.

As a reproductive endocrinologist, I feel a strong responsibility to support early detection during initial ultrasounds. Ongoing ultrasound surveillance empowers women to take an active role in advocating for their health.

September is Ovarian Cancer Awareness Month, but awareness should be year-round. Speak up about symptoms, intensify surveillance, support research, donate, or simply share this post, as every action counts.

Ovarian cancer may be elusive, but knowledge empowers, and imaging provides proof. Advocate for your health. Support the women in your life. Early detection saves lives, and awareness is the first step.

Laura Detti, MD, is a Professor of Obstetrics and Gynecology, the Division and Fellowship Director of Reproductive Endocrinology and Infertility at Baylor College of Medicine, and Chief of Reproductive Endocrinology Services at the Pavilion for Women at Texas Children’s Hospital. She is also a leader of the AIUM’s Gynecologic Ultrasound Community.

Portrait of Laura Detti, MD, a reproductive endocrinologist, wearing a white lab coat with badges from Baylor College of Medicine and Texas Children's Hospital.

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

Posted on August 19, 2025 by aium1952

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.

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.

Ensuring High Standards in Ultrasound Practice: Building a Strong Personnel QA Program

Posted on August 5, 2025 by aium1952

Quality ultrasound imaging begins with the people behind the probe. Whether you’re a small clinic or a large multi-specialty practice, developing and maintaining a strong Personnel Quality Assurance (QA) program is vital to ensuring safe, consistent, and accurate ultrasound exams.

A comprehensive QA program evaluates the performance of all ultrasound personnel, including sonographers, interpreting physicians, and other involved staff, through regular, structured peer reviews. These evaluations go beyond technical ability to include documentation accuracy, adherence to protocols, and diagnostic performance.

At the heart of any successful QA initiative is leadership. Oversight is typically provided by an Ultrasound Director (often a physician or advanced practitioner, depending on the setting) alongside a Lead Sonographer or technologist. This team is responsible for managing assessments, tracking competency, and guiding staff development.

Reviews should be conducted at least annually, with many practices opting for quarterly or semi-annual check-ins. These reviews may also be triggered by events such as new staff onboarding, changes in equipment or protocols, or the identification of performance issues. During evaluations, practices should assess metrics such as image quality, labeling, anatomical coverage, report accuracy, and compliance with established guidelines.

But what happens when gaps or deficiencies are identified? A strong QA program doesn’t just identify problems; it addresses them constructively. Feedback, targeted training, and follow-up evaluations are all essential components of continuous improvement. Training might include one-on-one mentorship, workshops, or online modules, and should be tailored to specific performance concerns.

To maintain momentum, practices should reinforce learning through periodic reviews, mentorship, and easy access to updated educational materials. When QA becomes a regular part of performance discussions and professional development, it creates a culture of accountability and excellence.

Ultimately, a well-structured Personnel QA program not only ensures compliance with accreditation requirements, such as those from the American Institute of Ultrasound in Medicine (AIUM), but also enhances patient care and safety. Through thoughtful leadership, structured reviews, and a commitment to ongoing education, ultrasound practices can raise the bar for quality and deliver better outcomes for every patient they serve.

Catherine Knight, BS, RDMS, is the Senior Accreditation Manager for the American Institute of Ultrasound in Medicine (AIUM).

Enhancing Diagnostic Accuracy With Musculoskeletal Ultrasound

Posted on July 22, 2025 by aium1952

Imagine this: a new patient, Sarah, walks into my clinic. She’s a weekend warrior, an avid tennis player, and for the past month, persistent right shoulder pain has kept her off the court. She’s frustrated and a little scared, worried about a serious tear.

During my initial examination, several possibilities jump out—rotator cuff tendinopathy? Subacromial bursitis? Maybe even a partial tear of her supraspinatus? Traditionally, my next step would involve a series of special tests, which can be helpful but sometimes ambiguous.

Now, however, I have a powerful ally: diagnostic musculoskeletal ultrasound. As I gently guide the transducer over Sarah’s shoulder, the structures beneath her skin come alive on the screen. We can see her rotator cuff tendons in real-time. Is there thickening? Fluid? A visible tear?

In Sarah’s case, the ultrasound quickly helped me rule out a significant rotator cuff tear – a huge relief for her! Instead, we observed inflammation around her biceps tendon and a thickened bursa. This clarity was invaluable. Not only did it allow me to formulate a precise plan of care targeting her specific issues, but Sarah was right there, watching the screen with me. Seeing the actual images of her shoulder, with my explanations, transformed her understanding and fostered immediate buy-in for the rehabilitation plan. That “Aha!” moment, for both patient and therapist, is priceless.

My journey incorporating diagnostic musculoskeletal ultrasound into both my sports physical therapy and outpatient settings has been a game-changer, extending far beyond that initial diagnostic puzzle. Its impact on my diagnostic capacity is profound. While our hands and clinical reasoning skills are paramount, ultrasound offers a direct visual confirmation (or refutation) of our hypotheses. It allows me to pinpoint the exact location and extent of soft tissue injuries – a tendinopathy versus a tear, the degree of inflammation in a bursa, or even subtle nerve entrapments.

This isn’t about replacing our clinical skills; it’s about augmenting them, adding a layer of precision that was previously unattainable without more expensive or invasive imaging.

This enhanced diagnostic accuracy directly translates into a greater capacity to carry out effective treatments. Knowing precisely what structure is involved, and to what extent, allows for highly targeted interventions. For instance, if ultrasound identifies a specific area of neovascularization within a tendon (a sign of tendinopathy), I can more accurately guide interventions like eccentric exercises or instrument-assisted soft tissue mobilization to that precise area.

Perhaps one of the most rewarding aspects of using musculoskeletal ultrasound is the significant improvement in patient rapport and trust. Like Sarah, patients are no longer just passive recipients of my diagnostic opinion. They become active participants in their own understanding. When they can see the image of their injured tendon or inflamed bursa on the screen, and I can point out exactly what’s happening and how our treatment plan will address it, their comprehension and confidence in the plan soars.

This visual evidence demystifies their pain and empowers them. It transforms the conversation from “I think this is what’s wrong” to “Let me show you what’s going on.” This shared understanding builds a stronger therapeutic alliance, leading to better adherence to home exercise programs and a more collaborative approach to rehabilitation.

Musculoskeletal ultrasound has become an indispensable tool in my practice. It sharpens my diagnostic skills, refines my treatment strategies, and, most importantly, empowers my patients by allowing them to truly see and understand their path to recovery. It’s an investment that pays daily dividends in clinical certainty and patient trust.

Pablo Borceguin Jr., PT, DPT, is a doctor of physical therapy with an emphasis on orthopedics and sports.

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 views of their employer or the American Institute of Ultrasound in Medicine.

The Scan

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