All sonographic images are real images acquired on a professional ultrasound machine.

Basic Learning Principles

There are fundamental foundational learning principles those of us who have studied to become teachers have been taught. Once you understand how the brain gathers and retains information, you can then utilize specific strategies to put information into the brain in a systematic, effective, and efficient manner. While these following ten learning principles are well-understood and common knowledge in the education and neuroscience communities, this list is synthesized from Collins (2023) and All and Bendheim (2021) for your review:

  1. Dopamine improves concentration and memory.
  2. The brain gains new information through the senses.
  3. The brain stores that information in the corresponding areas.
  4. Therefore, you can store the same information in multiple locations in the brain by studying through multiple senses.
  5. The brain stores information through repetition (the more the merrier; the minimum, 20 times).
  6. The brain likes pictures, videos, and numbered lists (did you remember everything you need to know—easier to know for sure if you remember how many things you need to know).
  7. The brain stores new information more readily when the new is connected to old information.
  8. The brain moves information into long term memory during sleep.
  9. Exercise increases oxygen to the brain, brain tissue, concentration, and memory.
  10. The brain likes to output information under the same circumstances that it has done so previously.

Ultrasound Study Strategies

  1. One of the best tips is to record yourself reading the chapter out loud! This helps motivate you to get through the entire chapter once in one sitting. Now you have a recording to listen to over and over: during chores, drives, showers, exercise, as you fall asleep, etc.
  2. Boost dopamine while you study by making up funny mnemonics and studying with friends (friends will also push your understanding by bringing in different perspectives).
  3. Make detailed outlines of the chapter, then make a list outline by condensing concepts, using as small font as you can read, minimum margins, and two to four columns (examples ahead).
  4. From your outline, make a list of the core concepts you will need to know and memorize the list (example ahead).
  5. Make a notecard that has all the core information you want for the test and memorize the card: keep this card on you at all times, study in line, before you fall asleep, practice writing the card.
  6. Connect new information to old information by looking up etymology of new words and finding patterns across multiple resources (SDMS, YouTube, Quizlet sets already made, online images, study products for the related board exam, etc.).
  7. Move your body while you study. Touch your body for anatomy, act out different concepts, use gestures to describe sonographic findings (example ahead).
  8. Exercise while you study: walk on a treadmill while you watch instructional videos, listen to lectures while you lift weights.
  9. Talk to yourself out loud while you do any of these tips!
  10. Train as you fight: practice writing out what you know, teach your friends (you will find the gaps in your understanding when you try to explain something to someone else), make and share study guides in the same format as your tests, study in the same room where you take your exams if possible.

Study Resources

Radiopaedia.org (This is the site that your future radiologists will use to look up information they do not know. I recommend setting up your free account so you can start adding your favorite articles right away).

ACR.org, AIUM.org, and Intersocietal.org have practice parameters and possibly image galleries.  If you work in an accredited lab, these will be your manuals.

SDMS.org (This site has great board exam study materials).

ESP-inc.com (This is Sidney Edelman’s company that provides study materials and conferences for board exam reviews).

DaviesPublishing.com (This site has great board exam study materials).

UltrasoundRegistryReview.com (This site has great board exam study materials).

Ultrasoundcases.info (This site has a plethora of pathology cases).

SonographicTendencies.com (Henry Suarez is a sonographer who has made beautiful video and written tutorials).

Radiologyassistant.nl (This site has great instructional pages).

SonoNerds on YouTube (This creator has physics and protocols broken down and made simple).

SonographyMinutes on YouTube (Michelle Macauley has physics, protocols, and registry review videos).

Ultrasound-images.com (This site has a plethora of pathology cases).

Radiologykey.com (This site has great instructional pages).

Cross Sectional Anatomy: Pelvis detailed outline (1 of 8 pages); they can help you organize and synthesize all of the information. Do you see the pattern of highlighted information?
Cross Sectional Anatomy: Pelvis outline list: 8 pages of information condensed to just 1 page for the brain to be able to memorize!
Sonography physics notecard: easy ways to carry and study all my notes on the go!
Sonography physics formulas
Numbered list: my “code” to create my multiple choice answer bank for any test!

Memorize “5: 5, 6, 2, 5, 4.” It’s like a code for your exam. At the start of your test, write out the list of 5 categories, then list 1-5 in the first category, 1-6 in the next, & so on. Use mnemonics to remember the first letter in each area, for example, “Diffuse, Infections, Focal, Benign, Malignant” becomes, “Doctors Inspect Fat Bright Masses.”
Then fill in your list.
Now you have an outline for your answers to choose from!

The Vertebral arteries are the 1st branches off the subclaVian arteries!

The vertebral arteries are the first branches off the subclavian arteries. Make a “V” (for Vertebrals and SubclaVians) with your first two fingers on each hand. Cross your arms over your chest, placing the Vs of your fingers over your clavicles, under which are the subclavian arteries. Now point the Vs upward along each side of your neck, where the vertebral arteries are. 

Repeat this movement a few times.

Show your friends your new sonography sign. Now you are all laughing, and everyone is going to remember that the vertebrals are the first branches off the subclavians.

IRADS: Imaging Reporting and Data System

Each organ has an IRADS algorithm that has been established by research: correlating various lesion characteristics with their statistical likelihood of indicating the lesion is benign versus malignant.

These grading charts have corresponding lexicons to instruct the sonographer to show specific characteristics in specific ways.

The characteristics typically include measurements, orientation, borders, solid versus cystic, blood flow patterns, and more.

Included in the system is follow-up recommendations based off the final grade of a lesion.

TI-RADS (Thyroid Imaging Reporting and Data System) is a good example to review online!

Show me the Source!

Different sonographers scan differently, and that is okay.

However, to know how to do something accurately when there is discrepancy, ask for the source.

Every measurement we make comes from at least one study, if not more, that validates the measurement.

When you check through your accrediting body’s practice parameter and Radiopaedia.org, references will be annotated and listed.

Find that listed reference’s original article to answer the question of how to do your job correctly.

Or, if your reading physician wants you to do something a particular way, respectfully ask for the source that explains why that way is the better way for their lab.

• Different facilities, especially schools, have different protocols for different scans.  In fact, many protocols in this text are subdivided into organs, but exams are not divided in this way. An abdomen limited exam may include pancreas, liver, gallbladder, and right kidney. An abdomen complete may include all abdominal organs: aorta, inferior vena cava (IVC), pancreas, liver, gallbladder, kidneys, spleen, and bladder.

• Requirements and specifications for exams are determined by the accrediting body, usually ACR or AIUM. These two organizations typically have joint parameters.

• I recommend typing up a protocol card with color coding for your reference while you are practicing. Also, the protocol card will be a good thing to memorize prior to a scan checkoff! I typed my cards, printed, and laminated them (some colleges have free lamination services on campus)!

• As you learn new protocols, pay attention to the anatomical landmarks. Scan through each structure in two planes, paying attention to the structure’s relationship to other landmarks. This knowledge will become especially helpful in more challenging scans.

Study Guides

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