We will use case examples to define the role of modern Ultrasound in the diagnosis, staging & management of safe, effective Surgical Oncology practice.

Introduction: Orbital ultrasound is often a technically simple scan to perform but a notoriously difficult examination to interpret. A large number of pathologies occur in the eye and it is imperative that an accurate diagnosis is reached prior to any intervention being performed. The use of Contrast Enhanced Ultrasound (CEUS) has aided in the diagnosis of many pathologies in the eye.
Method: An initial study with colour Doppler ultrasound was used initially to differentiate between retinal detachments and retinoschisis (retinal layer tears). However, this proved not sensitive enough and a novel approach to using ultrasound intravenous microbubble contrast was used to examine blood flow in pathological findings of the eye.
Results: CEUS was a simple add on examination to a routine orbital ultrasound that gave substantially more information on blood flow characteristics of eye pathologies. It is useful in cases of vitreous haemorrhage for highlighting active blood flow from detached structures as well as highlighting masses. There is further future potential in using CEUS for quantification of blood flow in tumours pre and post radiotherapy treatment.
Conclusion: The use of CEUS in orbital pathologies should be used to problem solve difficult cases. It allows for more definitive diagnosis giving ophthalmologists more information prior to surgical or non-surgical intervention.

Introduction: Sonographer performed thyroid FNA is a commonly performed and well accepted practice in both the United Kingdom and Canada.
Methods: In this presentation I will outline the evidence base used to support the initiation of a sonographer performed thyroid FNA project within the radiology department at the Royal Melbourne Hospital. I will discuss the barriers to acceptance and take up of the sonographer advanced practitioner role and the unexpected hurdles in becoming an interventional practitioner. I will look at our success and our limitations involved with this new sonographer role and how we continue and advance this sonographer advanced clinician skill.

Ultrasound is the leading modality, highly effective and essential in the management of paediatric & adult salivary disorders.

We will explore the full range of disease presentations in salivary tissue & discuss potential, everyday diagnostic pitfalls.

We are often scanning the neck for various diagnostic queries; TIA pathway, incidental thyroid nodules, lumps etc. There are additional markers & findings in the soft tissues of the neck that may allow us to serendipitously alert clinicians towards further, preventative interventions that could improve the long-term well-being of patients without necessary over-servicing.