Doppler and Advanced Techniques in Urologic Ultrasound (2022)

The advanced urologic ultrasound course is designed for participants who have a basic understanding of the physics of ultrasound and some experience with clinical scanning.  This course teaches the physics of Doppler ultrasound and how to use physical principles to improve image quality and understand ultrasound artifacts. 

The course is important for those urologists seeking to improve their ultrasound expertise in the operating room and in the office.  

The Doppler and advanced techniques presented in this video will instruct participants in the physics, machine settings,  and techniques for performing  power, color and spectral Doppler ultrasound in the practice of urology. The use of ALARA in the performance of Doppler ultrasound will be discussed. The advanced features of ultrasound  will be demonstrated with an eye toward practical utilization in the office and operating room settings. The clinical indications for the performance of Doppler ultrasound will be presented.

This activity satisfies the AIUM requirement – “The physician should complete 10 hours of AMA PRA Category 1 Credits™ specific to genitourinary ultrasound every 3 years.” 

Target Audience

  • Urologists
  • Urology Residents

Learning Objectives

After completing this activity, the participants should be able to:

  1. Identify the clinical indications for the performance color, power and/or spectral Doppler ultrasound.
  2. Describe the steps for calculating resistive indices and interpreting the results.
  3. State the principles associated with ALARA for the use of ultrasound.
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Non-Physician Participation
Course opens: 
Course expires: 


The content of this enduring material was developed by Pat Fox Fulgham, MD.

Faculty Disclosures
Pat Fox Fulgham, MD: Urology Clinics of North Texas: Investment Interest

Planning Committee Members

Urologic Diagnostic & Therapeutic Imaging Committee (UDTIC)

Ronney Abaza, MD
Disclosures: Intuitive Surgical Inc: Other; Surgiquest Inc.: Scientific Study or Trial; Ohio Urological Society: Leadership Position

Dean G. Assimos, MD
Disclosures: Oxalosis and Hyperoxaluria Foundation (OHF): Consultant or Advisor; Medical Review in Urology: Health Publishing; Urology Times: Health Publishing; National Institute of Health (NIH): IScientific Study or Trial

Kimberly Chancy
Disclosures: Nothing to disclose

Patrick N. Ciccone, MD
Disclosures: Nothing to disclose

Pat Fox Fulgham, MD
Disclosures: Urology Clinics of North Texas: Investment Interest

Frederick A. Gulmi, MD
Disclosures: Brooklyn Urologic Research Group: Leadership Position; Allied Urological Services and Metropolitan Lithotripsy Associates: Leadership Position; CHD Biosciences: Consultant or Advisor

Blake D. Hamilton, MD
Disclosures: MextMed, Inc.: Consultant or Advisor; Karl Storz Endoscopy: Meeting Participant or Lecturer; Cook Urological: Consultant or Advisor

Peter M. Knapp Jr., MD 
Disclosures: Medtronic: Scientific Study or Trial, Other; Strand Diagnostics LLC: Consultant or Advisor, Owner, Product Development

Surena F. Matin, MD
Disclosures: Mike Hogg Fund: Scientific Study or Trial; AT&T: Scientific Study or Trial

Arturo Mendoza-Valdes, MD
Disclosures: Bristol Myers: Scientific Study or Trial; AMGEN: Consultant or Advisor, Meeting Participant or Levturer; TEVA: Consultant or Advisor, Meeting Participant or Levturer; BAYER: Consultant or Advisor, Meeting Participant or Levturer;

David Fredrick Penson, MD
Disclosures: Patient-Centered Outcomes Research Institute: Scientific Study or Trial; Astellas: Scientific Study or Trial; medivation: Scientific Study or Trial; National Institutes of Health: Consultant or Advisor; US Agency for Healthcare Research and Quality: Consultant or Advisor, Scientific Study or Trial

Christopher Porter, MD
Disclosures: Nothing to disclose

Daniel Rukstalis, MD
Disclosures: Nothing to disclose

Sheila Stark, PhD
Disclosures: Nothing to disclose

Stephanie Stinchcomb, CPC
Disclosures: Accurate Coding Solutions: Consultant or Advisor; Board of Medical Specialty Coding: Consultant or Advisor

Martha K. Terris, MD
Disclosures: Nothing to disclose

J. Brantley Thrasher, MD
Disclosures: Oakstone Publishing's Practical Reviews in Urology: Leadership Position; Urology Times: Leadership Position; Residency Review Committee in Urology: Leadership Position; Society of Urologic Oncology: Leadership Position; SUCPD: Leadership Position

Edouard J. Trabulsi, MD
Disclosures: Centocor: Consultant or Advisor, Meeting Participant or Lecturer; Dendronl: Consultant or Advisor, Meeting Participant or Lecturer; Medivation: Consultant or Advisor, Meeting Participant or Lecturer; Photocure: Consultant or Advisor


To claim credits/hours of participation, participants must view the online video, take the online posttest, passing with a score of at least 80%, complete and submit the evaluation.


The American Urological Association (AUA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.


The American Urological Association designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 


The AUA is not accredited to offer credit to participants who are not MDs or DOs. However, the AUA will issue documentation of participation that states that the activity was certified for AMA PRA Category 1 Credit™.


It is the policy of the AUA to ensure that the content contained in this CME activity is valid, fair, balanced, scientifically rigorous, and free of commercial bias.


All persons in a position to control the content of an educational activity (i.e., activity planners, presenters, authors) are required to disclose to the provider all financial relationships with any commercial interest during the previous 24 months. The AUA must determine if the individual’s relationships may influence the educational content and mitigate any conflicts of interest prior to the commencement of the educational activity. The intent of this disclosure is not to prevent individuals with relevant financial relationships from participating, but rather to provide learners information with which they can make their own judgments.


All disclosures will be reviewed by the AUA Conflict of Interest (COI) Review Work Group Chair and/or Vice Chair for identification of conflicts of interest. The AUA COI Review Work Group, working with Office of Education staff, will document the mechanism(s) for management and mitigation of the conflict of interest and final approval of the activity will be documented prior to implementation. Any of the mechanisms below can/will be used to mitigate conflict of interest:

  • Peer review for valid, evidence-based content by the AUA COI Review Work Group. 
  • Attestation that clinical recommendations are evidence-based and free of commercial bias.
  • Introduction of a debate format (point-counterpoint)
  • Inclusion of moderated panel discussion with unbiased moderator
  • Publication of a parallel or rebuttal article for an article that is felt to be biased
  • Divestiture of the relationship by faculty
  • Recusal from controlling relevant aspects of planning 
  • Selection of alternative faculty for specific topic


The audience is advised that this continuing medical education activity may contain reference(s) to off-label or unapproved uses of drugs or devices. Please consult the prescribing information for full disclosure of approved uses.



 The opinions and recommendations expressed by faculty, authors and other experts whose input is included in this program are their own and do not necessarily represent the viewpoint of the AUA.


Attendance at or participation in AUA meetings and other activities constitutes an agreement by the registrant to AUA's use and distribution (both now and in the future) of the attendee's image or voice in photographs and electronic reproductions of such meetings and activities.


The use of audio, video and other photographic recording equipment by attendees is prohibited inside AUA meeting rooms.


Reproduction of written materials developed for this AUA course is prohibited without the written permission from individual authors and the American Urological Association.


The AUA complies with the Americans with Disabilities Act §12112(a). If any participant is in need of special assistance or has any dietary restrictions, please see the registration desk.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Non-Physician Participation
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