Hands-on breast sonography ultrasound imaging course.

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An Individualized Learning Experience

Hands-on intensive breast ultrasound training with lectures and one-on-one discussion to build the complete protocol to acquire and analyze all images.  For all specialties and experience levels.

The one-day class targets Principles, Protocol and Practice.  You won't gain as much information in a day elsewhere.


We'll begin with the 7 goals for breast imaging and analyze each one.  The protocol for the standard exam is set in such a way to maximize detection sensitivity over traditional methods.  Finally, we create the matrix of image and Doppler analysis and give you the tools to master conspicuity, pattern recognition, and tissue response.

We hold hands-on practice on live subjects with careful guidance and continuous feedback.  The small interactive setting created a comfortable conversational approach to the subject. Our post-course support is free in perpetuity.


Who Will Benefit

Who Will Benefit

Sonographers and Mammographers

There are no prerequisites for this class.  If you'll be returning to an active clinical site you'll arrive back with a giant leap forward.  That mandatory year of clinical experience you need will be spent on the clock at your work and not in a schoolroom.  Mammographers supplementing the Department's talent pool will find the experience a powerful platform from which to begin.  Even the most experienced sonographers in the field will gain from the advanced critical thinking and technical points established in this new and innovative way.


As an intern, fellow, or attending physician you'll quickly achieve the technical skills and insight in tactile technique and machine optimization.  This course will immediately dispel or correct every rumor and misinformation common among the sonography community. 

Sonography Students

Your Students or graduates who trained in general ultrasound but did not gain in-depth hands-on experience with breast ultrasound imaging will gain deeper and more employable skills as they enter the women's care workforce.  Your resume will look much more attractive with your advanced education in breast sonography on it.

Physician Assistants

The knowledge and hands-on skills from this single day will powerfully leverage your practice in screening, surveillance and surgical biopsy.

Research and Medical Device Professionals

Very few other areas of clinical practice bring as many elements of ultrasound technology to bear on soft tissue as in the breast.  As a research scientist you'll be able to identify and measure precisely virtually any element of soft tissue structure and function.  If you're a medical device professional you'll be vastly better able to build, market and sell your product with a competitive edge.




The class is strictly small so we can spend time on the topics we need to cover and you want to discuss.

  • Seven goals for ultrasonic breast tissue analysis: how and why each one is critical to the composite diagnosis.
  • Radial-antiradial scanning vs. the quadrant approach.
  • The two things that will take 3 years off your learning curve and advance your career by a decade.
  • How to speed-read findings at the subconscious level.
  • The surgeon's tactile scanning technique that adds as much as 15% to detection sensitivity.
  • A simple effective technique to assess the retroareolar area.
  • Subjective and quantitative Doppler: what each one tells us in the breast.
  • Evaluation of the breast implant.
  • How to think your way through any Registry Exam question they could ever ask.
  • Next steps: How to maximize your first six months in this field.




Our approach is totally focused on the patient diagnosis.  We are deeply familiar with virtually every ultrasound machine and the manufacturer's rationale behind its design, features, and functions.  Even so, no faculty members have any commercial interests or participation that might influence course content.  

There is no formal test in this class.  Learners are evaluated continuously and positive feedback is offered throughout.  Upon completion of this activity, you should be able to:

  • Describe the gross anatomy and tissue composition of the breast citing the organizational structure from the anterior surface to the posterior chest wall.
  • Describe and demonstrate the systematic approach to ultrasonic imaging of the breast citing the importance of the sectional, tactile imaging technique.
  • Describe the pathologic change associated with each of the following
    • skin and subcutaneous fat (and its varying appearance with probe pressure)
    • benign cysts

    • fibroadenomas
    • ductal carcinoma
    • noninvasive/invasive ductal carcinoma.
  • Describe the ultrasonographic features expected from each of the following tissue regions:

    • skin and subcutaneous fat (and its varying appearance with probe pressure)
    • Cooper ligaments  
    • the glandular region, differentiating the 4 main parenchymal patterns (juvenile, premenopausal, and pregnancy/lactation
    • retromammary fat
    • pectoral muscle
    • ribs
    • nipple region, specifically including the ductal pattern.
  • Apply a systematic analytic criterion-based process for differentiation of sonographic findings implementing each of the following features:
    • margins, using the descriptive terms jagged, or sharp and indistinct, or smooth
    • retrotumoral acoustic characteristics, including acoustic shadowing, enhancement, or no change
    • posterior shadowing by degree and location, including posterior enhancement
,  internal echo pattern or texture (homogeneous versus heterogeneous versus anechoic)
    • echogenicity, ranging from almost anechoic to hyperechoic
    • compression effect on shape and internal echogenicity

    • lateral/transverse ratio 
    • regional vascular resistance as detected by Doppler ultrasound
    • shear wave elastography.
  • Describe the role of ultrasound imaging in the evaluation of the augmented breast for evaluation of intra- or extracapsular rupture.
  • Describe and differentiate the criteria of 'stepladder sign' and extracapsular speckle noise in evaluation for implant rupture



$600.  One Day (Friday), 9am-4pm.  Your tuition includes your complete learning experience, printed course materials and post-conference support in perpetuity.  Breakfast and light lunch provided.



We designate this course a non-CME credit activity, meaning that the curriculum is not defined by the constraints of a fixed format.  This is to your strategic advantage.  Though the content meets and exceeds every academic guideline, we have over many years determined that flexibility in tailoring specific elements—and the delivery to each individual learner’s need and style—supersedes the restraints of a traditionally rigid, time-limited format.  It also permits us to openly, honestly and independently without bias discuss virtually every manufacturer's system features.  Too, the broad ranges of clinical professional specialist organizations have developed multiple exclusive brands of applicable CME.  We have chosen instead to focus on your lifelong bedside competence and strategic advantage. This decision has permitted us to make our classes microscopically small at the least tuition cost possible.  We will be delighted to direct you to the most appropriate free and low-cost traditional CME credit activities available online.

Free Downloads


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We've prepared a free library of high-resolution Anatomy Posters and Worksheets for you here.   Be certain to also download a free copy of our Employer/Employee Agreement, where you can gain your Employer's sponsorship of your travel and education costs in exchange for your commitment over time.


You've Got Questions?

AmyDonaldson-, administrator, keith mauney & associates ultrasound training Institutes.

I'm Amy Donaldson and we want to answer your every question.  You can email or call us at (972) 353-3200 (USA, GMT -06:00).  You can also click About Us or visit our FAQ page.