0553.5519  שימושי אולטרה-סאונד ברפואה קלינית   

Ultrasound Utilization in Medical Practice

• Course Plan: A general review of ultrasound usage in clinical medicine, with  in-depth learning of various diagnostic and therapeutic procedures within their clinical context including pathophysiology of major diseases. An emphasis will be given on the correlation and  limitations of current technologies with clinical outcomes, as a trigger for future developments. In the first part of this course the instructor will review  : Introduction to Ultrasound in medicine, History and Evolution of Diagnostic Ultrasound; Basic Physics of Sound; Usage of Harmonics, Speckle Reduction and other Technologies for Image Improvement; Elastography, in Liver Disease and others;  Contrast Enhanced Ultrasound as a New Rival to CT ; Fusion Technology – Combining CT Scan and Ultrasound for Enhanced Navigation for Biopsies; 3D and 4D Ultrasound; Doppler, Tissue Doppler and 3D Doppler; Intravascular and Ocular Ultrasound, Usage of Ultrasound in Rheumatology, Orthopedics and Trauma. Therapeutic Ultrasound – Current Usage of Sonication in Urology, Neurology and Neuro-Surgery and Possible Future Therapeutic Utilization. Within each topic, students will learn about the pathophysiology and clinical presentation of major diseases for which ultrasound is used to answer a clinical question. In the second part of this course students will be presenting a full report including clinical correlations of two items from two broad realms: either ultrasound-assisted medical issues, and/or technological advances with a possible new answer to a clinical need, of their choice.     

Detailed Plan

Week 1

Introduction to Ultrasound in Medicine : History, Evolution and Review of Current Usage in Diagnosis and treatment;  

General course outline, expectations and logistics

Week 2

Basic Physics of Sound, Harmonics, Speckle Reduction and other Image Enhancements

Week 3

Cirrhosis and  other Pathologies of the Liver and the Role of Elastography .  CEUS – Contrast Enhanced Ultrasound – As a New Rival to CT Scan.

Week 4

Fusion Technology – Combining CT Scan and Ultrasound for Enhanced Navigation for Biopsies;

3D and 4D Ultrasound in Cardiology, Gynecology and others

Week 5

Meet the Industry : Mitral Regurgitation and Tricuspid Regurgitation – Novel Device for Correction of Annular Dilatation.
This meeting will focus on an Israeli innovation, looking on the full path from idea to clinical and commercial use of a medical device, from a biomedical engineer's point of view, including the usage of trans-esophageal echo for procedural navigation.

Guest Lecturer: Mr. Tal Reich, MSC in biomedical engineering. Former COO and VP R&D  in Valtech, which was acquired by Edwards Lifesciences. Today, VP, site manager  in Edwards Lifesciences

Week 6

Doppler, Tissue Doppler and 3D Doppler in Cardio-Vascular Diseases. Usage of Ultrasound in Orhtopedics and Rheumatology. Ultrasound in Trauma

Week 7

Midterm Projects Presentations and Discussion

Week 8

Midterm Projects Presentations and Discussion

Week 9

Therapeutic Ultrasound – Current Usage of Sonication in Urology, Neurology,  Neuro-Surgery

Week 10

Ultrasound in the Operating Room; Intravascular and Ocular Ultrasound   

Week 11

Student projects Presentations

Week 12

Student projects Presentations

Week 13

Student projects Presentations

Final Marathon: each student will write 3 multiple choice questions which will be answered by all others using an online interface (such as Kahoot or similar platforms) – which will serve as a final overview on the course.

• Prerequisites:  Anatomy and Physiology courses.

• References & Texts: Mostly via Internet and  journals. Two major textbooks , from which specific chapters and topics will be learned, are:

• HARRISON'S PRINCIPLES OF INTERNAL MEDICINE 19 Edition.
• DIAGNOSTIC ULTRASOUND, 2-VOLUME SET,  5th Edition. Carol Rumack, Deborah Levine

• Grading:

הציון יקבע על סמך ארבעה רכיבים:

 15% - הצעת פרויקט ‏

 25% - דוח ביניים ‏

 60% - דוח פרויקט סופי 

• Projects: Each student will complete, under the instructor guidance, the study of two medical disorders  of their choice. Each project will be presented in class via Power Point including:

• Pathophysiology and disease burden
• Clinical Presentation
• Laboratory and Auxiliary Findings (EKG, EMG, X ray  etc)
• Discussion about ultrasound findings compared to other imaging modalities.
• Diagnosis and Prognosis
• Current treatment and emerging future treatments / technologies.
• Current means of follow up, and emerging future technologies for this purpose.

-שימושי אולטרה-סאונד ברפואה – תוצאות למידה צפויות

 עם השלמת הקורס בהצלחה, הסטודנט אמור :

• להכיר מושגים בסיסיים בפיזיקה של גלי קול.  
• להבין את המגבלות הפיזיקליות של הטכנולוגיה ככלי אבחוני.
• להכיר מנגנונים באמצעותם ניתן לטייב את הדימות ע"י אולטרה-סאונד, מרמת ה acquisition  ע"י המתמר, ניקוי רעשים בזמן אמת ו post processing .
• להכיר את הפונקציות האבחוניות של אולטרה-סאונד כולל אלסטוגרפיה, דופלר, תלת מימד ושימוש בחומר ניגודי סונוגרפי.
• להכיר שילובים טכנולוגיים של אולטרה-סאונד עם CT ועם MRI , הן באבחון והן בטיפול.
• להכיר תהליכי אבחון רפואי מבוססי אולטרה-סאונד ואת הפתופיזיולוגיה והפרזנטציה הקלינית של מחלות מרכזיות בתחומים הבאים –  נוירולוגיה, גדולי מח, מחלות כבד ודרכי מרה, אי ספיקת לב, הפרעות מסתמיות, הרחבה של האורטה, מחלת עורקים פריפרית, קרישי דם פריפריים ומרכזיים,  כליות ודרכי שתן, ראומטולוגיה, טראומה ואורתופדיה.