These courses have been developed to give ultrasound users an intensive primer in using quantitative chronic liver disease diagnostic functions.

This is a unique opportunity to learn with Marilyn Zelesco (Fiona Stanley Hospital) and Dr. Todd Erpelding.

Shear Wave Elastography (SWE) course⁠

This advanced SWE ultrasound course includes 15 comprehensive modules, designed as a comprehensive primer for ultrasound practitioners to utilise the SWE function to quantify liver stiffness for cirrhosis grading. Access discussion and practical examples of SWE physics, scanning techniques and interpretation of results.

Module 1 Introduction to SWE
Module 2 Physics of SWE with Dr. Todd Erpelding
Module 3 Patient preparation, scanning technique and reporting
Module 4 SWE considerations. Discussion of variations and confounders
Module 5 Practical demonstration of scanning technique
Module 6 Live scanning. Pitfalls and confounders
Module 7 Live scanning. Left lobe of liver pitfall
Module 8 Live scanning. Patient forced expiration pitfall
Module 9 Live scanning. How to achieve a stable elastogram
Module 10 Live scanning. Liver capsule confounders
Module 11 Live scanning. NAFLD patient demonstration
Module 12 Live scanning. Demonstration of NAFLD patient with geographical infiltration
Module 13 Case study. Alcoholic liver disease
Module 14 Case study. HC patient post treatment
Module 15 Conclusion

“Chronic liver disease is a global issue with increasing expectations around ultrasound surveillance. These modules provide background to the role, technique and interpretation of hepatic Shear Wave Elastography. It emphasises the rules for reporting and the pitfalls sonographers need to be aware of in the clinical setting.”

Marilyn Zelesco
Supervising Sonographer
Fiona Stanley Hospital

Attenuation Imaging (ATI) of the liver course⁠

Nine comprehensive modules to help utilise ATI for liver steatosis quantification. Including discussion and practical examples of ATI physics, scanning technique, recognition of confounders and interpretation of results.

Module 1 Reasons for attenuation imaging
Module 2 Physics of ATI with Dr. Todd Erpelding
Module 3 Patient preparation, technique, reporting and considerations
Module 4 Practical introduction to scanning techniques
Module 5 Practical demonstration of confounders in healthy patients
Module 6 Practical demonstration of NAFLD patient
Module 7 Practical demonstration of geographical fatty infiltrated liver
Module 8 Practical confounders in S2 geographical liver
Module 9 Practical demonstration of targeted ultrasound of the liver (TUSL) including SWE
“Fatty liver disease is the leading cause of chronic liver dysfunction, affecting approximately 26% of the global population.  These training courses provide background into the aetiology of hepatic steatosis, the role of ATI including technique, interpretation and pitfalls.  They emphasis the optimal way to introduce this important imaging tool into a clinical environment for use as a diagnostic or monitoring adjunct.”

Marilyn Zelesco
Supervising Sonographer
Fiona Stanley Hospital

Attenuation Imaging (ATI)⁠

ATI provides the capability to quantify and color-code changes in the attenuation coefficient of the liver. Increased attenuation may occur due to changes in liver composition, such as elevated fat levels.

Hear from Todd Erpelding, Senior Clinical Collaborations Manager at Canon Medical, on how attenuation imaging can assist in the assessment of liver steatosis.

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