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ТRAINING COURSES
ON CEREBRAL ARTERIAL AND VENOUS BEDS PATHOLOGY IN FETUS, NEWLYBORN
AND ADULT PATIENTS CLINICAL ULTRASOUND DIAGNOSTICS.
Istyna Scientific Methodical Medical Ultrasound Center
was established for training doctors specializing in ultrasound
diagnostics (USD). The main Center's activity is development of
medical ultrasound techniques in order to objectivate vascular,
cardio neurological, neurological, neurosurgical and mental diseases,
obstetrics pathology.
Istyna is a unique scientific methodical and practical USD center
due to the original methods of ultrasound scanning and dopplerography,
USD-data clinical interpretation, pathogenetical approach of USD-doctor
to the revealed changes treatment as well as worked out on their
ground modern techniques for training in arterial and venous vessel
beds USD.
Arterial and venous cerebrovascular pathology US diagnostics
technique developed by Ulyana Lushchyk is the Center's intellectual
property. State Patent Office of Ukraine patented it under the title
"Brain vessels state US diagnostics method". Training program
of the center was approved by Ministry of Healthcare in Ukraine.
The tendency to a considerable rejuvenation of acute cerebral circulation
disturbances in able-bodied young people requires developing new
diagnostic techniques and efficient treatment tactics. One of the
most modern diagnostic techniques is brain vessels USD that started
in 80s in neurology from major head arteries ultrasound dopplerography
(USDG), which helped to examine blood flow in carotid and vertebral
arteries' extracranial segments as well as in a terminal branch
of ophthalmic artery - supratrochlear artery. With the development
of technical possibilities for electronic control of scanning ultrasound
ray and detectors able to perform such scanning, appeared new methods
for life-time visualization of carotid and vertebral artery as well
as internal jugular vein, their walls pulsation and elasticity control,
revealing of arteritis or atherosclerosis signs, aneurysm, hypoplasia,
dystonia, pathological tortuosity, ansiformation, kink and stenosing
process.
The transcranial USD (TC USD) which allows to investigate the blood
flow changes in all cerebral arteries of carotid and vertebrobasilar
zones, determine the level of their affection within segment and
diagnose the cause of headaches, vertigo, noises in the ears and
head, absent-mindness, memory disturbances and failing sight has
gain a foothold for the last seven years.
USD technique has been used earlier for major head arteries stenosing
affection diagnostics as the cause of atherosclerotic hypertonic
discirculatory encephalopatia, ishemic cerebral circulation disturbances.
The specialists of Istyna Medical Ultrasound Center have developed
an absolutely new venous cerebral bed state USD technique, which
makes it possible to diagnose venous discirculation, intracranial
hypertension and differentiate hemorrhagic, ishemic and tumorous
insults genesis, which enables us to carry out on the basis of hemodynamical
changes in precerebral and cerebral arterial and venous beds not
only vascular ishemic affection differential diagnostics but subarachnoid
and insults hematoma as well. Due to our USD technique of venous
as well as arterial cerebral beds the range of USD application is
nowadays widen for the investigation of vegetovascular dystonia
pathogenesis, vertigo and syncopal states, epilepsy, cephalgia,
closed craniocerebral injuries consequences, brain inflammation
diseases, parkinsonism, different kinds of speech disturbances,
arrest of psychomotor development in children, oligophrenia, depressive
states, diencephalic syndrome.
Moreover, the personally worked-out approach to the interpreting
of USD examination results helps to choose individually pathogenetically
correct treatment, estimate its adequacy by injecting intravenously
under the control of USD and observe treatment results. With the
help of TC USD it is possible to predict the course of subarachnoidal
hemorrhage and hemorrhagic insult, to control critical period of
disease and operate if needed.
Recent researches have shown the great informativity of the method.
The sensitivity of TC USD in cerebral discirculation diagnostics
makes 98-100%, and specificity - 90-100% in occlusion, stenosing
injuries, pathological stretches diagnosing. In comparison with
the CT revealing of the focus, TC USD appeared to be more sensitive
at the early period of insult.
At present stage it is necessary to introduce widely the technique
mentioned into obstetrical practice, neonathology, pediatrics, neuropathology,
psychiatry and neurosurgery, to provide clinics with modern ultrasound
systems, that should be adequate to the specialization of the clinic,
to prepare neuropathologists for the work of cerebral vascular pathology
US diagnostics doctors.
For everyone interested we offer 4 months training courses.
Training will be provided in form that is as close as possible to
the individual one - in groups of up to 5 people.
The course of subject training consists of 5 sections:
- Basic theoretical course (general and primary physical principles
of ultrasound system's work, theoretical fundamentals of USD).
- Methodical course (lectures, seminars and practical lessons,
independent work with references) in one of the next categories:
- USD of vessels and soft head tissues, neck, upper and lower
extremities (elementary course);
- USD of brain extracranial vessels (elementary course);
- USD of cerebral arteries and veins affection;
- Neurosonography with cerebral vessels beds state estimation;
- USD of upper and lower extremities vessels pathology;
- USD of vascular pathology in internal organs;
- USD in urology (vascular pathology);
- USD in gynecology and obstetrics (vascular system ''mother-placenta-
fetus'');
- USD in orthopedics (newborns and infants vascular pathology);
- USD of supporting and motor system affection and injuries;
- neurophysiology.
- The basic practical course (diagnostics on the modern US equipment,
and application of theoretical knowledge).
Practical acquaintance with USD techniques will be carried out
in a laboratory with the most modern samples of USD. Performance
attributes of the equipment enable us to carry out training during
scheduled patients examination, to keep the USD archive of different
pathologies for scientific work. Saving the images on video film
or diskette makes it possible to use them for training the students,
informing them about USD news, and also to master the up-to-date
techniques of USD.
- Final course (the techniques of visual observations results
interpretation and the registration of the medical conclusions
at the working place under the control of an assistant.)
- Examination of theoretical and practical skills with the delivery
of certificates.
Groups are formed according to the preliminary application in
the presence of the payment document. Please, inform us beforehand
about your necessity in accommodation.
The date of commencement is set according to mutual agreement.
Please arrive for courses in time and have by you a specification
for your US apparatus (if any).
The center guarantees annual posterior advanced training
courses (50 % discount) for doctors, who have mastered one of
our courses and were practicing during the year.
After training is over the students of our courses will have an
opportunity to consult with the Center in difficult diagnostic cases
personally or by phone.
The center invites doctors who are engaged or are going to be engaged
in scientific researches for co-operation.
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