Neuroultrasound Courses
The Department of Neurology offers neuroultrasound courses with transcranial Doppler and carotid ultrasound applications in various settings.
Course Director: Aarti Sarwal, MD, FAAN, FNCS, FCCM, RPNI aarti.sarwal@vcuhealth.org
Course Coordinator: Loretta Granum, MS loretta.granum@vcuhealth.org
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Critical Care Neurosonology Symposium
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- May 30, 2025 8 AM-11AM EST
- Complimentary registration non-CME course
- View the recording here. Enter 84756133 to access the recording.
The Neurovascular Ultrasound courses provide an in-depth exploration of the anatomy, pathophysiology, and hemodynamics of extracranial and intracranial cerebral circulation.
Participants will gain expertise in various clinical applications of transcranial Doppler (TCD) and carotid duplex sonography on evaluation and management of cerebrovascular disease covering B mode scans, color-flow imaging, duplex imaging and pulse wave Doppler measurements. Evidence based review of techniques and interpretations will be taught through virtual lectures and in person hands-on stations in an interactive format.
This is a comprehensive one-week course that will be virtual online didactics for the first four days with in person hands-on component in the last two days of the week. The first two days of the course focus on transcranial Doppler and the second two days focus on carotid ultrasound. A travel day is built into the 5th day within person hands-on labs on the weekend. The course will be useful for attendees intending to integrate TCD and carotid ultrasound into their clinical practice and allows 40 hours of CME credit and clinical knowledge to take the RPNI and NVS exam. This course provides the foundation knowledge of TCD and carotid ultrasound for attendees with no to minimal experience in using these modalities.
Prerequisites: This course is meant for basic training in neurovascular ultrasound. No prior ultrasound knowledge is required. Prior knowledge of cerebrovascular care is useful but not necessary.
Schedule:
- Day 1-2 (Monday-Tuesday): Virtual TCD didactics
- Day 3-4 (Wednesday-Thursday): Virtual Carotid didactics
- Day 5 (Friday): Travel day for attendees taking hands on classes on day 6/7
- Day 6 (Saturday): On-site TCD scanning labs with patient models
- Day 7 (Sunday): On-site Carotid scanning labs with patient models
This course serves as a preamble to the Neurovascular Ultrasound Interpretation (Carotid and TCD) course.
Objectives
At the conclusion of this course, the participant should be better able to:
- Discuss key principles of ultrasound physics, technology and anatomy as applied to neurovascular testing.
- Describe hemodynamics and pathophysiology of the cerebral circulation, and alterations relevant to patients with stroke, cerebrovascular disease (including sickle cell disease [SCD]), vasospasm and traumatic brain injury (TBI).
- List clinical indications for neurovascular testing, particularly as related to patients with stroke, cerebrovascular disease, SCD, vasospasm and TBI.
- Discuss the integrated role for neurovascular ultrasound in the management of patients with stroke, cerebrovascular disease, vasospasm and TBI and potential benefits to improve patient safety and outcomes.
- Discuss criteria for interpretation of neurovascular ultrasound studies.
- Describe key aspects of ongoing quality improvement in a neurovascular service.
- Demonstrate the hands-on ability to successfully identify pathology within key arterial segments in the extracranial circulation (CCA, BIF, ICA, ECA, VA) and to obtain Doppler velocity measurements from those segments.
- Demonstrate the hands-on ability to identify key intracranial arterial segments using TCD (MCA, ACA, PCA, VA, BA) and to obtain Doppler velocity measurements from those segments.
- September 22-28, 2025
- Registration: https://school.wakehealth.edu/education-and-training/continuing-professional-education/center-for-experiential-and-applied-learning/programs-and-services/program-for-medical-ultrasound/courses-and-seminars
- 40 hours CME credit
- Virtual didactics and hands on in-person
Wake Forest Ultrasound course 50 years Celebrations and Round Table
The Neurovascular Ultrasound Interpretation course is designed for attendees to interpret at least 200 neurovascular ultrasound cases (100 carotid and 100 TCD studies) in a supervised environment. This live activity is delivered virtually. While full-week attendance is encouraged, participants have the flexibility to choose specific days based on their area of focus. Monday, Tuesday and Wednesday covers TCD interpretation while Thursday and Friday is specific to Carotid interpretation.
Cases will be presented using video and electronic images, from which attendees will create a preliminary interpretation. The findings will be discussed, and when possible, compared with the clinical reading. Some unknown cases will be reviewed and submitted for critique.
Prerequisites: Prior completion of the Neurovascular Ultrasound course (or its equivalent) including hands-on and practical interpretation experience is strongly encouraged. Basics of Neurovascular ultrasound (carotid and TCD) interpretation and clinical interpretation are covered in our Neurovascular Ultrasound course and will only be repeated in relevant to the case-based review. Attendees with no prior ultrasound knowledge or experience who need the basics of ultrasound interpretation and clinical interpretation should seek education in basics and clinical indications before this course. Neurovascular Ultrasound (Carotid and TCD) serves as a preamble to this course.
Objectives
At the conclusion of this course, the participant should be better able to:
- Describe criteria for the interpretation of carotid duplex ultrasound studies.
- Describe criteria for the interpretation of transcranial Doppler ultrasound studies.
- Demonstrate the ability to identify normal, compared to pathological findings in the extracranial (CCA, BIF, ICA, ECA and VA) and the intracranial circulation (MCA, ACA, PCA, VA and BA).
- Formulate preliminary interpretations of carotid and transcranial ultrasound examinations.
- List clinical indications for neurovascular testing, particularly as related to patients with stroke or cerebrovascular disease.
- Discuss the integrated role for neurovascular ultrasound in the management of patients with stroke or cerebrovascular disease, and potential benefits to improve patient safety and outcomes.
- December 8-12, 2025
- Registration: https://school.wakehealth.edu/education-and-training/continuing-professional-education/center-for-experiential-and-applied-learning/programs-and-services/program-for-medical-ultrasound/courses-and-seminars
- 40 hours CME credit
- Virtual online only
The Neurovascular Ultrasound courses provide an in-depth exploration of the anatomy, pathophysiology, and hemodynamics of extracranial and intracranial cerebral circulation.
Participants will gain expertise in various clinical applications of transcranial Doppler (TCD) and carotid duplex sonography on evaluation and management of cerebrovascular disease covering B mode scans, color-flow imaging, duplex imaging and pulse wave Doppler measurements. Evidence based review of techniques and interpretations will be taught through virtual lectures and in person hands-on stations in an interactive format.
This is a comprehensive one-week course that will be virtual online didactics for the first four days with in person hands-on component in the last two days of the week. The first two days of the course focus on transcranial Doppler and the second two days focus on carotid ultrasound. A travel day is built into the 5th day within person hands-on labs on the weekend. The course will be useful for attendees intending to integrate TCD and carotid ultrasound into their clinical practice and allows 40 hours of CME credit and clinical knowledge to take the RPNI and NVS exam. This course provides the foundation knowledge of TCD and carotid ultrasound for attendees with no to minimal experience in using these modalities.
Prerequisites: This course is meant for basic training in neurovascular ultrasound. No prior ultrasound knowledge is required. Prior knowledge of cerebrovascular care is useful but not necessary.
Schedule:
- Day 1-2 (Monday-Tuesday): Virtual TCD didactics
- Day 3-4 (Wednesday-Thursday): Virtual Carotid didactics
- Day 5 (Friday): Travel day for attendees taking hands on classes on day 6/7
- Day 6 (Saturday): On-site TCD scanning labs with patient models
- Day 7 (Sunday): On-site Carotid scanning labs with patient models
This course serves as a preamble to the Neurovascular Ultrasound Interpretation (Carotid and TCD) course.
Objectives
At the conclusion of this course, the participant should be better able to:
- Discuss key principles of ultrasound physics, technology and anatomy as applied to neurovascular testing.
- Describe hemodynamics and pathophysiology of the cerebral circulation, and alterations relevant to patients with stroke, cerebrovascular disease (including sickle cell disease [SCD]), vasospasm and traumatic brain injury (TBI).
- List clinical indications for neurovascular testing, particularly as related to patients with stroke, cerebrovascular disease, SCD, vasospasm and TBI.
- Discuss the integrated role for neurovascular ultrasound in the management of patients with stroke, cerebrovascular disease, vasospasm and TBI and potential benefits to improve patient safety and outcomes.
- Discuss criteria for interpretation of neurovascular ultrasound studies.
- Describe key aspects of ongoing quality improvement in a neurovascular service.
- Demonstrate the hands-on ability to successfully identify pathology within key arterial segments in the extracranial circulation (CCA, BIF, ICA, ECA, VA) and to obtain Doppler velocity measurements from those segments.
- Demonstrate the hands-on ability to identify key intracranial arterial segments using TCD (MCA, ACA, PCA, VA, BA) and to obtain Doppler velocity measurements from those segments.
- February 16-22, 2026
- Registration link coming soon
- 40 hours CME credit
- Virtual didactics and hands on in-person
VCU-Wake Forest collaboration Global online TCD only course
- May 4-10, 2026
- Registration link coming soon
- 40 hours CME credit
- Virtual online only
The Neurovascular Ultrasound courses provide an in-depth exploration of the anatomy, pathophysiology, and hemodynamics of extracranial and intracranial cerebral circulation.
Participants will gain expertise in various clinical applications of transcranial Doppler (TCD) and carotid duplex sonography on evaluation and management of cerebrovascular disease covering B mode scans, color-flow imaging, duplex imaging and pulse wave Doppler measurements. Evidence based review of techniques and interpretations will be taught through virtual lectures and in person hands-on stations in an interactive format.
This is a comprehensive one-week course that will be virtual online didactics for the first four days with in person hands-on component in the last two days of the week. The first two days of the course focus on transcranial Doppler and the second two days focus on carotid ultrasound. A travel day is built into the 5th day within person hands-on labs on the weekend. The course will be useful for attendees intending to integrate TCD and carotid ultrasound into their clinical practice and allows 40 hours of CME credit and clinical knowledge to take the RPNI and NVS exam. This course provides the foundation knowledge of TCD and carotid ultrasound for attendees with no to minimal experience in using these modalities.
Prerequisites: This course is meant for basic training in neurovascular ultrasound. No prior ultrasound knowledge is required. Prior knowledge of cerebrovascular care is useful but not necessary.
Schedule:
- Day 1-2 (Monday-Tuesday): Virtual TCD didactics
- Day 3-4 (Wednesday-Thursday): Virtual Carotid didactics
- Day 5 (Friday): Travel day for attendees taking hands on classes on day 6/7
- Day 6 (Saturday): On-site TCD scanning labs with patient models
- Day 7 (Sunday): On-site Carotid scanning labs with patient models
This course serves as a preamble to the Neurovascular Ultrasound Interpretation (Carotid and TCD) course.
Objectives
At the conclusion of this course, the participant should be better able to:
- Discuss key principles of ultrasound physics, technology and anatomy as applied to neurovascular testing.
- Describe hemodynamics and pathophysiology of the cerebral circulation, and alterations relevant to patients with stroke, cerebrovascular disease (including sickle cell disease [SCD]), vasospasm and traumatic brain injury (TBI).
- List clinical indications for neurovascular testing, particularly as related to patients with stroke, cerebrovascular disease, SCD, vasospasm and TBI.
- Discuss the integrated role for neurovascular ultrasound in the management of patients with stroke, cerebrovascular disease, vasospasm and TBI and potential benefits to improve patient safety and outcomes.
- Discuss criteria for interpretation of neurovascular ultrasound studies.
- Describe key aspects of ongoing quality improvement in a neurovascular service.
- Demonstrate the hands-on ability to successfully identify pathology within key arterial segments in the extracranial circulation (CCA, BIF, ICA, ECA, VA) and to obtain Doppler velocity measurements from those segments.
- Demonstrate the hands-on ability to identify key intracranial arterial segments using TCD (MCA, ACA, PCA, VA, BA) and to obtain Doppler velocity measurements from those segments.
- September 14-20, 2026
- Registration link coming soon
- 40 hours CME credit
- Virtual didactics and hands on in-person
The Neurovascular Ultrasound Interpretation course is designed for attendees to interpret at least 200 neurovascular ultrasound cases (100 carotid and 100 TCD studies) in a supervised environment. This live activity is delivered virtually. While full-week attendance is encouraged, participants have the flexibility to choose specific days based on their area of focus. Monday, Tuesday and Wednesday covers TCD interpretation while Thursday and Friday is specific to Carotid interpretation.
Cases will be presented using video and electronic images, from which attendees will create a preliminary interpretation. The findings will be discussed, and when possible, compared with the clinical reading. Some unknown cases will be reviewed and submitted for critique.
Prerequisites: Prior completion of the Neurovascular Ultrasound course (or its equivalent) including hands-on and practical interpretation experience is strongly encouraged. Basics of Neurovascular ultrasound (carotid and TCD) interpretation and clinical interpretation are covered in our Neurovascular Ultrasound course and will only be repeated in relevant to the case-based review. Attendees with no prior ultrasound knowledge or experience who need the basics of ultrasound interpretation and clinical interpretation should seek education in basics and clinical indications before this course. Neurovascular Ultrasound (Carotid and TCD) serves as a preamble to this course.
Objectives
At the conclusion of this course, the participant should be better able to:
- Describe criteria for the interpretation of carotid duplex ultrasound studies.
- Describe criteria for the interpretation of transcranial Doppler ultrasound studies.
- Demonstrate the ability to identify normal, compared to pathological findings in the extracranial (CCA, BIF, ICA, ECA and VA) and the intracranial circulation (MCA, ACA, PCA, VA and BA).
- Formulate preliminary interpretations of carotid and transcranial ultrasound examinations.
- List clinical indications for neurovascular testing, particularly as related to patients with stroke or cerebrovascular disease.
- Discuss the integrated role for neurovascular ultrasound in the management of patients with stroke or cerebrovascular disease, and potential benefits to improve patient safety and outcomes.
- December 7-13, 2026
- Registration link coming soon
- 40 hours CME credit
- Virtual online only