and Laurence Loeuillet2
(1)
Centre d’échographie Ambroise Paré, Les Mureaux, France
(2)
Hôpital Cochin, Paris, France
Choosing the Right Route of Approach
It is important for sonographers to be familiar with the anatomic structures they are imaging, as this allows them to choose the best route of approach. For instance, as the skull constitutes a barrier to ultrasounds, the transducer must be positioned in such a manner that it emits ultrasound through an acoustic window, i.e., a suture or a fontanel. The figure below gives a few examples of best routes of approach and indications for their use.
Fig. 5.1
Routes of approach from left to right: lateral approach through the sphenoid fontanel (red arrow) for axial planes, median sagittal through the anterior fontanel (green arrow) and superior sagittal suture for the midline, posterolateral approach through the mastoid fontanel (purple arrow) for the cerebellum