- Application, indications and limitations of MSUS in rheumatology
- Basic B-mode and Doppler US physics and technology
- Acquisition process: operator, machine, patient:
• Holding the probe and optimizing the B-mode and Doppler settings
- Sonographic pattern of the different musculoskeletal tissues
- MSUS B-mode and Doppler artefacts and pitfalls
- Standard sonographic scans of the shoulder, elbow, wrist and hand, hip, knee, ankle and foot
- Image report and documentation
- Use of colour and power Doppler to detect synovial inflammation
- Ultrasound detection of the following pathologies: joint synovitis (i.e. synovial hypertrophy and joint effusion), tenosynovitis, bony cortex abnormalities (i.e. bone erosions)
- Scoring of synovial and tenosynovial inflammatory activity with B-mode and Doppler
- Assessment of structural joint damage
Attendance in a basic and intermediate MSUS course, each of at least 18 hours and at least 50% of supervised practical sessions is highly recommended.
- The trainee should perform a minimum of 30 normal and 70 pathological (6 joint regions: 15 wrist/hand, 15 ankle/foot, 10 shoulder, 10 elbow, 10 hip, 10 knee) examinations (total 100 US examinations) under supervision in RA patients (70) and healthy subjects (30).
- Examinations should encompass the full range of conditions listed above.
- The TUI Log Book should be kept by the trainee, listing the number and type of examinations and reporting and documenting the ultrasound findings.