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International Radiology Outreach:   Implementation of Web-based Training Modules for Teaching Imaging Features of Various Emergency Medical Conditions Supriya Gupta, MD Sung Kim, MD Raul N Uppot, MD Sanjay Saini, MD Keith J Dreyer, DO, PhD, FSIIM Garry Choy, MD 
Goal of this Educational Exhibit ,[object Object],[object Object],[object Object]
Background ,[object Object],[object Object],[object Object],[object Object]
Background ,[object Object],[object Object],[object Object]
Background ,[object Object],[object Object],[object Object]
Initiatives in Global Outreach ,[object Object],[object Object],[object Object],[object Object]
Pictured: Ratanakiri Provincial Hospital, Cambodia and x-ray reading room Images via  “Operation Village Health”
Cases from Rwanda via Teleradiology (iRadX.org) Autoimmune Hepatitis TB resulting in chronic ureteral stricture/obstruction and marked cortical atrophy Neonatal Pulmonary TB
Cases from Haiti via Teleradiology (iRadX.org) TB TB VSD Hirschsprung’s HIV Cholangiopathy Neurocysticercosis
Beyond Teleradiology: Onsite @ Haiti ,[object Object]
Grant Funding ,[object Object]
MGH Imaging Global Health Programs ,[object Object]
Program in Education and Training ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Program in Education and Training
[object Object],[object Object],[object Object],[object Object],[object Object],Program in Education and Training
[object Object],[object Object],[object Object],[object Object],Program in Education and Training
The Training Strategy  ,[object Object],[object Object]
The Training Strategy  ,[object Object],[object Object],[object Object],[object Object]
Interpreting Chest Films |  Courses ,[object Object],[object Object],Web Portal for Open Access Courseware
Sample Module in Ultrasound Module 1 Fundamentals of Ultrasound Imaging – Basic Principles & Techniques
Introduction ,[object Object]
Basic Principles ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Basic Principles
In Figure 1, a linear probe can be used to see a superficial abscess of the skin with good quality images. Conversely, a curved probe of lower frequency (Figure 2) can visualize deep structures, such as the aorta. The decision of which probe to use for a particular ultrasound exam is based which frequency is most appropriate. Figure 1 – Linear  Probe Figure 2 – Curved Transducer
[object Object],[object Object],[object Object],[object Object],Basic Principles
Example illustrating difference in echogenicity based on body structures Figure 3 – Free fluid in hepato-renal pouch appears black (arrowheads). The hyperechoic diaphragm appears bright white (arrow), and the moderately echogenic liver appears gray.
Basic Instrumentation - Transducer Use ,[object Object],[object Object],[object Object],4a- Probe with gel  4b- Probe with water bath submersion
Basic Instrumentation - Transducer Use ,[object Object],[object Object],[object Object],5- The probe marker (a) corresponds to the screen marker (b)
Improving Image Quality ,[object Object],[object Object],6- Depth markings on the ultrasound screen correspond to actual tissue depth
Improving Image Quality ,[object Object],[object Object],In  7a, the gain is too low or hypoechoic while in 7b, the gain is too high or hyperechoic
Modes of Scanning ,[object Object],[object Object],[object Object],[object Object]
Modes of Scanning ,[object Object],[object Object],8- M mode allows measurement of fetal heart rate
Modes of Scanning ,[object Object],[object Object],[object Object],9 – Color Doppler demonstrates the active blood flow in vessels
Modes of Scanning ,[object Object],[object Object],10 – Pulse wave Doppler on a vessel shows pulsatile arterial flow
Artifacts ,[object Object],[object Object],[object Object],11 – Gallstones (arrows) create shadow artifact (*)
Types of Artifacts ,[object Object],[object Object],12 – Posterior acoustic enhancement causes the area deep to the bladder (arrow) appear hyperechoic
Teaching Goals ,[object Object],[object Object],[object Object],[object Object]
Assessment and Evaluation of Competency ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Format of Course Materials
Future Directions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions  ,[object Object],[object Object],[object Object]
Conclusions  ,[object Object],[object Object]
For more information ,[object Object],[object Object],[object Object],[object Object]
For more information ,[object Object],[object Object],[object Object],[object Object]

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International Radiology Outreach - Implementation of Web-based Training Modules for Teaching Ultrasound

  • 1. International Radiology Outreach: Implementation of Web-based Training Modules for Teaching Imaging Features of Various Emergency Medical Conditions Supriya Gupta, MD Sung Kim, MD Raul N Uppot, MD Sanjay Saini, MD Keith J Dreyer, DO, PhD, FSIIM Garry Choy, MD 
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  • 7. Pictured: Ratanakiri Provincial Hospital, Cambodia and x-ray reading room Images via “Operation Village Health”
  • 8. Cases from Rwanda via Teleradiology (iRadX.org) Autoimmune Hepatitis TB resulting in chronic ureteral stricture/obstruction and marked cortical atrophy Neonatal Pulmonary TB
  • 9. Cases from Haiti via Teleradiology (iRadX.org) TB TB VSD Hirschsprung’s HIV Cholangiopathy Neurocysticercosis
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  • 20. Sample Module in Ultrasound Module 1 Fundamentals of Ultrasound Imaging – Basic Principles & Techniques
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  • 24. In Figure 1, a linear probe can be used to see a superficial abscess of the skin with good quality images. Conversely, a curved probe of lower frequency (Figure 2) can visualize deep structures, such as the aorta. The decision of which probe to use for a particular ultrasound exam is based which frequency is most appropriate. Figure 1 – Linear Probe Figure 2 – Curved Transducer
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  • 26. Example illustrating difference in echogenicity based on body structures Figure 3 – Free fluid in hepato-renal pouch appears black (arrowheads). The hyperechoic diaphragm appears bright white (arrow), and the moderately echogenic liver appears gray.
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