Welcome to Musculoskeletal Ultrasound in Rheumatology, an educational resource for trainees. This site provides high quality, accessible Musculoskeletal learning material for trainees in the field of Rheumatology.

This online resource is intended to support the development of competent practice and supplement formal accredited clinical training.

Physics

Fundamental Physics and Safety Implications

An applied knowledge of ultrasound physics and safety is essential for safe and effective practice.

This resource covers:

  • Image generation
  • Interaction with tissue
  • Image display
  • Doppler imaging
  • Ultrasound safety
Optimisation

Medical Ultrasound: Image Optimisation

Ultrasound imaging is highly operator dependant. Integrated knowledge and application of physics and image optimisation is central to producing high quality images for interpretation.

This resource covers key optimisation controls:

  • Frequency
  • Depth
  • Sector width (line density)
  • Gain
  • Focus/focal zones
  • Doppler
arefacts

Medical Ultrasound: Artefacts

Artefacts are inherent within Ultrasound imaging.  Knowledge and identification of Ultrasound artefacts is essential to support accurate image interpretation.

This resource covers:

  • What are artefacts?
  • Ultrasound beam assumptions
  • The role of artefacts
  • Common artefacts
  • Shadowing
  • Enhancement
  • Reverberation
  • Anisotropy
  • Beam width
  • Motion
  • Aliasing
  • Electrical noise
Ergonomics

Medical Ultrasound: Ergonomics

Work related musculoskeletal disorders are prevalent within the ultrasound community.  Knowledge and understanding of ergonomic risks and strategies to prevent injury can improve ultrasound work practices.

This resource covers:

  • Ergonomic risks
  • Risk reduction
  • Ultrasound equipment
  • Good work practices
Image documentation and reporting

Medical Ultrasound: Image documentation and reporting

Ultrasound examinations require a formal written report.

This resource includes:

  • Reporting standards
  • What is included in the report?
  • Exam findings
  • Documenting pathology
  • Image management
Sonoanatomy

Identification and recognition of anatomical structures are paramount for effective clinical Ultrasound practice skills. This interactive resource presents transducer selection, probe placement and normal sonoanatomy to support the link from theory to practice.

User disclaimer: It is recommended that these resources be accessed using the Google Chrome browser for optimal access and usability.

Common Pathology

Common Pathology

This interactive resource presents common pathological ultrasound features of Rheumatic diseases in the musculoskeletal system.

User disclaimer: It is recommended that these resources be accessed using the Google Chrome browser for optimal access and usability.

Learning resources

The video resources demonstrate live musculoskeletal ultrasound scanning of a wide range of musculoskeletal structures including joints, tendons and entheseal structures.

Using expert sonographer experience and evidence in the field of rheumatology, these videos have been developed to assist trainees in becoming familiar with sonoanatomy and standard scanning techniques. All videos are complete with narrations and demonstrations of patient positioning, scanning techniques and identification of commonly assessed structures.

Foot:

Ankle:

Knee:

Hip: