International Certification in Neurosonology

WON/ESNCH members are eligible to apply for the International Certification in Neurosonology, the most widely recognized certification in the field of neurological ultrasound.

Conditions of Participation

The participants must be active members of WON and be regularly practicing neurosonology.

Conditions of Participations

The aim of international certification is to elevate the level of quality of diagnostic Neurosonology by awarding those who proved to be able to teach and proficiently execute this method in theory and practice.

The following should be the standard format of the certification in Neurosonology:
01
Conditions of participation
The examinee has to be board certified physician and member of the NSRG or WON/ESNCH. Theoretical and practical knowledge and experience is mandatory.
02
General structure
The process of certification has two componentes:
Multiple choice test (MC-test);
Hands-on examination.
Note: Full certification needs both components. It is possible to pass only the theoretical part (MC-test), but for the practical test the MC-test is a precondition either beforehand or in parallel at the same meeting.
03
Multiple Choice (MC) Test
3.1. General considerations and responsibilities
A local organizer and a member of the commission who is responsible for the correct implementation of the certification process. The local organizer cannot be both a member of the commission and the local organizer at the same time. There must be two separate responsible people present to administer the examination.
3.2. questions should be given to the participants. They relate to neurovascular examinations including the following topics:
Anatomy;
Pathophysiology and hemodynamics;
Physics and instrumentation
Diagnostic criteria and interpretation of tests.
Choice of 4 answers, only one is correct
The threshold to pass the exam at the level of WON/ESNCH Expert in Neurosonology is
75%
30 / 40 Questions
Candidates that have between
60% - 72.5%
24 / 29 Questions
will pass the exam at the level of ESNCH Certified Neurosonologist.
04
Hands-on Examination
A local organizer and a member of the commission who is responsible for the correct implementation of the certification process. The local organizer cannot be both a member of the commission and the local organizer at the same time. There must be two separate responsible people present to administer the examination.
Each applicant will perform the exam under supervision of two members of the international certification committee (or nominated examiners of equal experience). Not more than one examiner should be from the same country as the examinee.

The applicant can familiarize with the devices beforehand and will be given technical support during the exam.
Recommended Reading:
Understanding Ultrasound Physics.
Sidney K. Edelman. E.S.P.Ultrasound 2012
Sonography Principles and Instruments.
Frederick W.Kremkau. Elsevier 2010
Cerebrovascular Ultrasound in Stroke Prevention and Treatment.
Andrei V. Alexandrov (Ed.). Blackwell Publishing Ltd 2011
Neurosonology.
Charles H. Tegeler, Viken L. Babikian, Camilo R. Gomez (Eds.). Mosby 1995
Atlas of Neurosonology.
Ekaterina Titianova, Kurt Niederkorn, Emilia Christova (Eds).
Cerebrovascular Ultrasound: Theory, Practice and Future Developments.
M. G. Hennerici, Stephen P. Meairs and M. Hennerici. Cambridge University Press 2001
Neurosonology and neuroimaging of stroke.
M. Valdueza, St. J. Schreiber, J.E. Roehl, R. Klingenbiel. Thieme 2008
Ultrasound Diagnosis of Cerebrovascular Disease: Doppler sonography of the extra- and intracranial arteries. Duplex-sonography.
G. M. von Reutern, H.J. Buedingen, Thieme 1993
Doppler Ultrasound, Physics, Instrumentation and Signal Processing.
D.H. Evans, W. N, Mc Dicken. Wiley 2000
New Trends in Neurosonology and Cerebral Hemodynamics – an Update.
Eva Bartels, Susanne Bartels, Holger Poppert (Eds.) Perspectives in Medicine. Elsevier 2011. Link
Manual of Neurosonology.
László Csiba, Claudio Baracchini (Eds.). Cambridge University Press 2016
Color-Coded Duplex Ultrasonography of the Cerebral Vessels. Atlas and Manual.
Eva Bartels, Schattauer 2018
Transcranial and Cervical Ultrasound in Stroke.
Vosko M.R., Newell D.W., Alexandrov A.V. In: Caplan L.R., Biller J., Leary M.C., Lo E.H., Thomas A.J., Yenari M., Zhang J.H., (Eds.). Primer on Cerebrovascular Diseases. Academic Press 2017
Neurosonology in Critical Care: Monitoring the Neurological Impact of the Critical Pathology.
Camilo N. Rodríguez, Claudio Baracchini, Jorge H. Mejia-Mantilla, Marek Czosnyka, Jose I Suarez, László Csiba, Corina Puppo, Eva Bartels (Eds.). Springer International Publishing 2021