The effectiveness of an educational program is a reflection of the skill of the instructor.  Throughout history all great teachers have recognized that an individualized approach to learning any complex task is the best way to achieve optimal knowledge and exceptional performance.  Miles has embraced this realization and combined it with his years of experience as a clinician, teacher and researcher at the University of Washington Medical Center in Seattle to create the most innovative and effective vascular ultrasound educational programs available...anywhere.

Each course is carefully crafted to the needs of the attendee from the specifics of physician interpretation to the precision required for technical application through hands-on imaging.

Understanding the complex art of vascular technology requires knowledge of both direct (color flow duplex sonography) and indirect (ABI, photoplethysmography, etc.) examination methods. At MCS advanced sonographic imaging and interpretive concepts are presented in conjunction with their physiologic components.  Importantly, the material presented is invaluable for those physicians preparing for the Registered Physician in Vascular Interpretation (RPVI) exam or sonographers studying for their RVT credential.

Here are just a few of the reasons MCS has been the leader in precision vascular training for over 17 years:

Enhanced analysis through advanced flow models: Miles uses unique and sophisticated computer generated flow models to aid in understanding highly complex vascular hemodynamics.  Extraordinary, but typical, helical flow is demonstrated in a 3-D MRI simulation (left) and variations of flow separation caused by the Bernoulli Principle are seen in symmetric and eccentric stenosis flow models (right).  Please allow 30 seconds to see the complete rotation of the 3-D MRI.



Imaging of complex pathology: attendees scan and generate real-time images of complex structures such as an internal carotid artery stent shadowed by a heavily calcified plaque (left) and severe ICA stenosis with heterogeneous plaque shown in Power Doppler (right)


Precision classification and interpretation: a deep understanding of complicated pathology is achieved through extensive analysis of high resolution real time color/power duplex with and without spectral analysis as well as multiplanar 2-D images.  A severe internal carotid artery stenosis is demonstrated in the two images below.

  Severe Stenosis Still

In summary, the MCS educational philosophy centers around the premise that an exceptionally high level of technical and interpretive skill can be achieved in a very short period of time through small class size, focused application and hands-on imaging.

Miles is able to establish very specific personal training goals that are reassessed continually during the course and modified as needed.  Problem areas are quickly identified, weak areas are strengthened, points of confusion are clarified and incorrect techniques are corrected.  Constant interaction between instructor and participant assures accurate communication of concepts and diagnostic methodology.

Miles Cramer Sonography (MCS) provides AMA accredited courses in both vascular ultrasound and indirect-method interpretation for physicians as well as technical training for sonographers in carotid, abdominal, renal, peripheral arterial, and venous examinations.