Systematic USG scanning sequence

Ultrasound Scanning Techniques

Systematic Scanning Sequence

A Structured Approach to Patient Preparation, Probe Selection, Image Optimization, Anatomical Survey, Organ-by-Organ Scanning, Measurements, Doppler Assessment, Documentation, and Final Review

8.6 Systematic Scanning Sequence General Sonography Scanning Technique Educational Reference

Systematic Measurement sequence :

1. USG Abdomen

Live

Gall baladder

Pancreas

Spleen

Gastrointestinal

2. Obstetric & Fetal Sonography

3. Transvaginal Sonography (TVS)

4. Perineal & Groin Ultrasound

5. Scrotal Ultrasound

6. Penile Ultrasound

7. Breast Ultrasound

8. Dorsal Wall Ultrasound

9. Neck Ultrasound

10. Upper Limb Ultrasound

11. Lower Limb Ultrasound

12. Interventional Ultrasound

13. Neonatal & Pediatric Ultrasound

14. Ophthalmic Ultrasound

15. Cheek / Buccal Ultrasound

16. Nasal & Paranasal Sinus Ultrasound

17. Spine Ultrasound

18. Nerve Conduction Velocity (NCV) Study

19. Contrast-Enhanced Ultrasound (CEUS)

20. Elastography

21. Three-Dimensional (3D) Ultrasound

22. Four-Dimensional (4D) Ultrasound

23. Microvascular Imaging (SMI / MV-Flow)

24. Fusion Imaging

25. High-Frequency Ultrasound (HFUS)

26. Artificial Intelligence (AI)-Assisted Ultrasound

27. Point-of-Care Ultrasound (POCUS)

28. Interventional Ultrasound Procedures

29. Endoscopic Ultrasound (EUS)

30. Intravascular Ultrasound (IVUS)

31. Transcranial Doppler (TCD)

32. Lung/Thorax Ultrasound (LUS)

33. Cardiac Ultrasound (Echocardiography / Echo)

34. Quantitative Ultrasound (QUS)

Abdominal ultrasound scanning Techniques

Liver

• 1. Longitudinal Scanning of the Liver Through the Abdominal Aorta
• 2. Longitudinal Scanning of the Liver Through the Inferior Vena Cava on Subxiphoid
• 3. Transverse Scan of the Left and Right Liver Through the Porta Hepatis on Subxiphoid
• 4. Transverse Scanning of the Left Hepatic Lobe Through the Left Portal Vein Branches by Subxiphoid
• 5. Longitudinal Scanning of the Left Hepatic Lobe Through the Caudate Lobe and Medial Lobe
• 6. Oblique Scanning of the Left External Hepatic Lobe
• 7. Oblique Scanning of the Left Hepatic Lobe and Caudate Lobe
• 8. Longitudinal Scanning of the Hepatic Left Lobe and the Ligamentum Teres Hepatis by Subxiphoid
• 9. Oblique Scanning of the Ligamentum Teres and the Left Liver by Subxiphoid
• 10. Oblique Scanning of the Liver Through the Gallbladder and Inferior Vena Cava by the Right Subcostal Margin
• 11. Oblique Scanning of the Liver Through the Hepatic Veins and the Second Porta Hepatis on Subxiphoid
• 12. Transverse Scanning of the Upper Part of the Porta Hepatis
• 13. Transverse-Oblique View of the Left Liver Through the Longitudinal Section of the Left Hepatic Vein on the Subxiphoid
• 14. Oblique Scanning of the Right Liver Through the Porta Hepatis
• 15. Longitudinal Scanning of the Liver Through the Middle Hepatic Vein on Subxiphoid
• 16. Longitudinal Scanning of the Right Liver Through the Porta Hepatis
• 17. Oblique Scanning of the Right Anterior Liver and the Left Medial Lobe of the Liver by Right Intercostal Space
• 18. Oblique Scanning of the Dome Area in the Right Liver from the Right Intercostal Space Approach
• 19. Oblique Scanning of the Right Liver Through the Right Portal Vein by the Right Subcostal Space Approach
• 20. Longitudinal Scanning of the Right Liver and Right Kidney from the Right Subcostal
• 21. Oblique Scanning of the Right Liver Through the Right Hepatic Veins on Subxiphoid
• 22. Longitudinal Scanning 1 of the Right Liver Through the Porta Hepatis on the Right Subcostal
• 23. Longitudinal Scanning 2 of the Right Liver Through the Porta Hepatis
• 24. Transverse Scanning of the Porta Hepatis from the Right Subcostal
• 25. Transverse Scanning of the Right Liver and the Right Kidney from the Right Subcostal
• 26. Oblique Scanning of the Right Liver Through the Dome of the Right Diaphragm from the Right Subcostal
• 27. Longitudinal Scanning of the Common Hepatic Artery and Splenic Artery from the Upper Abdomen
• 28. Common Hepatic Artery Blood Flow Spectrum
• 29. Longitudinal Scanning of the Proper Hepatic Artery from the Upper Abdomen
• 30. Proper Hepatic Artery Blood Flow Spectrum
• 31. Portal Vein Blood Flow Spectrum from the Right Subcostal Margin

Gallbladder

• 1. Longitudinal Scanning of the Gallbladder from the Right Subcostal Margin
• 2. Short-Axis Scanning of the Gallbladder by the Right Subcostal Margin
• 3. Short-Axis Scanning of the Gallbladder Neck by the Right Subcostal
• 4. Oblique Scanning of the Left and Right Hepatic Ducts by the Right Subcostal
• 5. Longitudinal Scanning of the Right Hepatic Duct from the Right Intercostal Space
• 6. Longitudinal Scanning of the Common Bile Duct by the Right Subcostal and Right Upper Abdomen
• 7. Longitudinal Scanning of the Intrapancreatic Portion and End Part of the Common Bile Duct by the Right Subcostal and Right Upper Abdomen
• 8. Transverse Scanning of the Common Bile Duct at the Level of the Upper Part of the Pancreatic Head by the Right Subcostal
• 9. Transverse Scanning of the Middle Segment of the Common Bile Duct at the Level of the Lower Part of the Pancreatic Head by the Right Subcostal

Pancreas

• 1. Transverse Scanning of the Pancreas by Subxiphoid
• 2. Transverse Scanning of the Upper Portion of the Pancreatic Head by the Right Subcostal
• 3. Transverse Scanning of the Lower Port of the Pancreatic Head by Subxiphoid
• 4. Sagittal Scanning of the Pancreatic Head by the Right Upper Abdomen
• 5. Sagittal Scanning of the Pancreatic Body by the Subxiphoid
• 6. Oblique Scanning of the Pancreatic Tail by the Left Upper Abdomen
• 7. Oblique Scanning of the Left Kidney, Spleen and Pancreatic Tail by the Left Intercostal Space

Spleen

• 1. The Longitudinal Scanning of the Spleen by the Left Intercostal Space
• 2. The Image of the Accessory Spleen (Splenules) in the Longitudinal Scan of the Spleen by the Left Intercostal
• 3. Short Axis Scanning of the Spleen
• 4. Oblique Scanning of the Left Kidney and Spleen by the Left Intercostal Space
• 5. The Longitudinal Scanning of the Splenic Vein by Left Upper Abdomen
• 6. The Blood Flow Waveform of the Splenic Artery

Gastrointestinal

• 1. Longitudinal Scanning of the Lower Segment of the Esophagus and Stomach Bottom
• 2. Transverse Scanning of the Lower Segment of the Esophagus
• 3. Transverse Scanning of the Stomach Fundus and the Upper Part of the Stomach Body by Left Upper Abdomen
• 4. Oblique Scanning of the Stomach Fundus by Left Intercostal Space
• 5. Longitudinal Scanning of the Stomach Body
• 6. Short Axis Scanning of the Stomach Body by the Upper Abdomen
• 7. Short Axis Scanning of the Stomach Body by the Upper Abdomen
• 8. Longitudinal Scanning of the Gastric Angular and Antrum
• 9. Short Axis Scanning of the Stomach Antrum by the Right Upper Abdomen
• 10. Oblique Scanning of the Pylorus and the Duodenal Bulb
• 11. Transverse Scanning of the Droop Part of the Duodenum
• 12. Longitudinal Scanning of the Horizontal Part of Duodenum
• 13. Longitudinal Scanning of the Jejunum by Upper Abdomen
• 14. Longitudinal Scanning of the Ascending Colon from the Right Lower Abdomen Approach
• 15. Transverse Scanning of the Rectum by the Lower Abdomen

Kidneys (B/L)

• Renal length
• Renal width
• Cortical thickness
• Hydronephrosis grade
• Echogenicity (subjective)