American Society of Neuroimaging 44th Annual Meeting 2021

Review current practices of utilizing transcranial Doppler ultrasound in pediatric neurocritical care.
Discuss how transcranial Doppler ultrasound can be applied in a variety states of children with critical illness.
Discuss controversies in management when applying transcranial Doppler ultrasound to guide clinical management in critically ill

children.

• Evaluate key neuroimaging features of MS
• Review the role of conventional MRI in MS diagnosis
• Discuss neuroimaging of NMOSD, ADEM & other common MS mimics.
• Describe accepted applications of transcranial
• Doppler ultrasound for cerebrovascular diseasen
• Define the diagnostic criteria for each clinical application of transcranial Doppler
• Describe basic principles used to interpret spectral waveforms
• Recognize specific neuroimaging features in vascular ocular, orbital & spinal cord disorders
• Provide an update on the high-resolution vessel wall imaging techniques, & their applications in intracranial vasculopathies, such as reversible cerebral vasoconstriction syndrome, intracranial atherosclerotic disease, cerebral

vasculitis

• Review the application of temporal artery ultrasound in large vessel vasculitis
• Define & discuss neurosonology applications in the intensive care unit setting
• Define & discuss emerging clinical applications of neurological ultrasound
• List clinical risk factors for neurologic thiamine deficiency
• Recognize neuroimaging clues to thiamine deficiency
• Identify the physiology of neurologic thiamine deficiency & supplementation
• Illustrate how to calculate the ASPECTS score & its clinical implication in acute stroke management
• Review the use of multimodal imaging in acute stroke management
• Illustrate the use of neuroimaging in prognosticating patient outcomes post-cardiac arrest
• Describe non-invasive intracranial pressure monitoring techniques
• Describe the uses of neuromuscular ultrasound in neurological patients
• Discuss neuroimaging modalities in the management of neurological patients with demyelinating diseases
• Develop an understanding of what drives value in health care

Utilize patient satisfaction surveys

• Explain physics of carotid ultrasonography & transcranial Doppler ultrasonography
• Review the clinical indications & usefulness of the carotid ultrasound & TCD & apply contemporary protocols & practices in common neurovascular disorders
• Discuss the coding & billing for neurosonology such as the appropriate CPT & Medicare & local carriers’ coverages
• Identify the anatomy in the head & neck of pediatric patients on MRI & CT imaging.
• Review common infections in pediatric patients as visualized on neuroimaging of the head on CT & MRI.
• Discuss new research findings on neuroimaging in Covid patients.
• Identify the causes of secondary headache disorders & discuss how the findings on MRI & CT imaging may clarify diagnosis & treatments.
• Review the safety of imaging in pregnancy & causes of headaches during pregnancy as identified on neuroimaging.
• Discuss neuroimaging findings of headaches caused by variations in CSF pressure.
• Identify Nuclear Neurology studies that are currently available to help manage patients, including which radiopharmaceuticals are FDAapproved.
• Identify what clinical questions can be addressed in different neurologic disease states by clinically available PET & SPECT.
• Decide how best to incorporate Nuclear Neurology into clinical practice, either through collaboration with other physician groups
• or pursuing government-mandated nuclear training.

Review basic ultrasound physics.

• Apply the fundamentals of ultrasound physics to neurosonology.
• Review instrumentation & examination technique of carotid duplex, transcranial duplex & transcranial Doppler.
• Define & discuss ultrasound modalities for the rapid diagnosis of treatable lesions in acute ischemic stroke
• Define & discuss the rationale behind & clinical evidence for ultrasound for acute stroke therapy (sonothrombolysis)
• Describe the key principles of TCD performance & interpretation
• Describe the key principles of CUS performance & interpretation
• Define & discuss neurosonology applications in pediatric populations
• Define & discuss TCD monitoring rationale, technique & clinical evidence