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Sound Medical Imaging

Ultrasound Medical Imaging for the North Country in New Hampshire
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About Sound Medical Imaging/AVH

• About SMI
• Mark Cartier, RDMS
• Stanley Whitaker, MD
• Alexandra Baker, RDMS
• Organizations
• What do ultrasound
professionals do?

• Why should you ask for a registered sonographer?










About Mark Cartier, RDMS, Sonographer & President

Mark Cartier is the President of Sound Medical Imaging and the chief sonographer, specializing in cardiac and fetus ultrasound. Mark has over twenty years of high-risk OBY-GYN experience with extensive neo-natal focus. Mark was one of the first Fetal Echocardiographers in the United States. Mark Cartier, Sonographer

At SMI, Mark performs sonograms for numerous applications using 4D, 2D, color and pulsed Doppler applications.

Mark received his A.S., Diagnostic Medical Sonography from Middlesex Community College in Bedford, MA and his A.S., Radiologic Technology from Northern Essex Community College in Haverhill,MA. Mark received his Bachelor of Science degree from Franklin Pierce College in Rindge, NH.

Mark is a R.D.M.S. (Registered Diagnostic Medical Sonographer) from the American Registry of Diagnostic Medical Sonographers and is certified by the American Registry of Radiologic Technologists.

Mark was the Radiology Manager at The Memorial Hospital in North Conway, NH. While at The Memorial Hospital, Mark not only performed sonograms for numerous applications but he also developed The Memorial Hosptital's quality assurance program. As part of his responsibilities, he also trained sonographers on new applications.

Mark's credentials in the field of sonography are well-established both as a published author and lecturer as well as a pioneer in the field of technolgoy. He has been instrumental in developing today's technology in ultrasound and is very well known and respected.

Books

Emerson, D., Cartier, M.: Fetal Abnormalities and Malformation. In: Fleischer A.C. Obstetrics and Gynecology. Churchill Livingstone, New York, 1993.

Emerson, D.S., Cartier, M.S. The Fetus: Scanning Technique and Normal Anatomy. In: Fleischer, A.C., Obstetrics and Gynecology. Churchill Livingstone, New York. In press.

Emerson, D., Eds. Color Doppler Sonography in Obstetrics and Gynecology. In: Fleischer A.C. Obstetrics and Gynecology. Churchill Livingstone, New York, 1993.

Emerson D., Felker R., Cartier, M., DiSessa T., : Fetal Echocardiography and Cardiac Doppler, In: Tonkin, I., Eds. Pediatric Cardiovascular Imaging. Philadelphia: W.B. Saunders Co., 1992; 257-275.

Emerson D., Altieri, L., Cartier, M., Transabdominal and Endovaginal Ultrasound. In: Stovall, T., ; Ling, F., Extrauterine Pregnancy, New Jersey: McGraw Hill, Inc., 1993; 137-138.

Fetal Sonography; W.B. Saunders Publishers. Chapter on Fetal Doppler.

Journals

Cartier, M., Birch, A., :Infantile Hemangioendothelioma: Improved Ultrasound Diagnosis, Neonatal Intensive Care, 1993.

Emerson, D., Becker,J., Felker, R., Cartier, M., Mosby, V., Birch, A., Mercer, B.,: Prenatal Diagnosis of Total Anomalous Pulmonary Venous. Fetus, 1993

Emerson, D.S., Cartier, M.S., Altieri, L.A., Felker, R.E., Smith, W.C., Stovall, T., Gray, L.A.: Diagnostic Efficacy of Endovaginal Color Flow Doppler in an Ectopic Pregnancy Screening Program. Radiology, 1992.

Cartier, M., Emerson, D.S.: Color Doppler Imaging of the Distal Pulmonary Branches in the Fetus. Clinical News 1991.

DiSessa, T.G., Emerson, D.S., Felker, R.E., Brown, D.L., Cartier, M.S., Becker, J.A.: Anomalous Systemic and Pulmonary Venous Pathways Diagnosed in Utero by Ultrasound. J Ultrasound Med 9:311-317, 1990.

Brown, D.L., Emerson, D.S., Felker, R.E., Cartier, M.S., Smith, W.C., : Diagnosis Of Early Embryonic Demise by Endovaginal Sonography. J.Ultrasound Med., 9-631-636, November 1990.

Brown, D.L., Cartier, M.S., Emerson, D.S., Smith W.C., Felker, R.E., Shanklin, D.: “Fetal Pseudopercardial Fluid”, accepted by Journal of Ultrasound in Medicine, 1989.

Felker, R.E., Cartier, M.S., Brown, D.L., Emerson, D.S.: Ultrasound of the Fetal Thymus, Journal of Ultrasound in Medicine, December 1989.

Brown, D.L., Emerson, D.S., Cartier, M.S., Felker, R.E., DiSessa, T.G., Smith, W.C.: Pictorial essay. Congenital Cardiac Anomalies: Prenatal Sonographic Diagnosis. AJR, 153:109-114, July 1989.

Brown, D.L., Cartier, M.S., Emerson, D.S., Shanklin, D.R., Smith, W.C., Felker, R.E., The Peripheral Hypoechoic Rim of the Fetal Heart. J Ultrasound Med, 1989.

Cartier, M.S., Doubilet, P: Fetal Aorta and Pulmonary Artery: Evidence for Sparing Intrauterine Growth Retardation, American Journal of Radiology, November, 1988.

Cartier, M.S., Davidoff, A., Warneke, L., Hirsch, M., Bannon, S., St.John Sutton, M., Doubilet, P.M.: The Normal Diameter of the Fetal Aorta and Pulmonary Artery: Echocardiographic Evaluation in Utero. American Journal of Radiology, November, 1987.

Bhatia, S., Theard, M., Piappert, T., Doubilet, P., Cartier, M., Saltzman, D., St.John Sutton, M: Relationship between placental blood flow and combined ventricular output with gestational age in the normal human fetus. Circulation, 1987.

Cartier, M.S., Emerson, D., Piappert, T., St.John Sutton, M: Hypoplastic left heart with absence of the aortic valve: Prenatal diagnosis using two-dimensional and pulsed Doppler echocardiography. J Clin Ultrasound, 1987.

Theard, M., Bhatia, S., Piappert, T., Doubilet, P., Cartier, M., Saltzman, D., St.John Sutton, M: Changes in placental blood flow with gestational age the normal human fetus. Circulation, 1987.

Cartier, M.S., The Fetal Heart: Basic Evaluation During an Obstetric Ultrasound Examination. Journal of Diagnostic Medical Sonography December, 1986.

Cartier, M.S., Emerson, D., Piappert, T., St.John Sutton, M.,: Hypoplastic Left Heart with Absence of the Aortic Valve. Journal of Clinical Ultrasound, September,1986.

Kenny, J.F., Piappert, T., Doubilet, P., Cartier, M.S., St.John Sutton, M.: Changes in Intracardiac blood flow velocities and right and left ventricular stroke volumes with gestational age in the normal human fetus: a prospective Doppler echocardiographic study. Circulation, 1986.

Barrs, V., Doubilet, P., St.John Sutton, M., Cartier, M.S., Frigoletto, F.D., Cardiac Output in a fetus with Erythroblastosis Fetalis: Assessment using Pulse Doppler. Obstetrics and Gynecology, 1986.

Papers Read Before & Published in Abstract Form

Emerson,D.S.,Cartier, M.S.,Felker,R.E,Altieri,L.A,Birch,A.,Smith,W.C.,Stovall,T.G, Predicting Treatment Response to Methetrexate Using Morphologic and Doppler Sonographic Characteristics of Ectopic Masses. Presentation at American Institute of Ultrasound Convention, Hawaii,1993. J. Ultrasound Med 12:S59-60. 1993

Cartier, M.,Emerson,D.,Felker,R.,Altieri,L.,Birch,A.,Mercer,B.,Smith,W., Color Flow Doppler for Evaluation of Abnormal Fetal Pulmonary Blood Flow. Presentation at AIUM Convention, Hawaii, 1993

Cartier, M., Altieri,L., Emerson,D.,Felker,R., Smith,W., Birch,A.,Sellers,R.,Stovall,T.G., Ovarian Pulsatility Index Differentiation Between Ectopic Pregnancy & Spontaneous Abortion. Presentation at AIUM, San Diego,1992. J. Ultrasound Med 11:560, 1992

Cartier, M.,Emerson,D.,Felker,R.,Altieri,L.,Birch,A.,Sellers,R., Color & Pulsed Doppler of the Fetal Superior Mesenteric Artery. Presentation at AIUM Convention, San Diego,1992. J Ultrasound Med. 11:531,1992

Cartier, M.,Emerson,D.,Felker,R.,Altieri,L.,Birch,A.,Sellers,R., Contribution of Color Doppler in Prenatal Evaluation of Congenital Cardiac Anomalies. Presentation at AIUM Convention, San Diego,1992. J Ultrasound Med. 11:522,1992

Cartier, M.,Emerson,D.,Felker,R.,Altieri,L.,Birch,A.,Sellers,R., Color Doppler of the Fetal Mesenteric Arteries in fetuses with Gastroshisis. Presentation at AIUM Convention, San Diego,1992. J Ultrasound Med. 11:550, 1992

Emerson,D., Gold,R., Dwyer,S.,,,Cartier, M., Interactive Remote Realtime Sonography utilizing dddata compression & transmission over telephone lines. Initial Evaluation Presentation at AIUM Convention, San Diego,1992. J Ultrasound Med. 511:65, 1992

Emerson,D.S.,Cartier, M.S.,Brown, D.R.,Felker,R.E,Altieri,L.A, Smith,W.C., Babina,V., Ratio of Intestinal Herniation Circumference to Abdominal Circumference: An Aid to First Trimester Diagnosis of Omphalocele, Presentation at AIUM Convention, Atlanta, February, 1991, J Ultrasound Med.10:S62, 1991

Emerson,D.S.,Cartier, M.S., D.R.,Felker,R.E,Altieri,L.A, Smith,W.C., Moretti,M.L., Birch,A., Increased Shunting of Venous Blood via the Ductus Venosus in Fetuses with IUGR: A Doppler Study, Presentation at AIUM Convention, Atlanta, February, 1991, J Ultrasound Med.10:S55, 1991

Emerson,D.S., D.R.,Felker,R.E,Altieri,L.A, Smith,W.C., Cartier, M.S., Normal Prenatal Sonographic Appearance of the Fourth Ventricle and Cerebellar Vermis, Presentation at AIUM Convention, Atlanta, February, 1991,
J Ultrasound Med.10:S65, 1991

Emerson,D.S.,Cartier, M.S., DeVore,G.R.,Altieri,L.A., Felker,R.E, Smith,W.C., Distal Pulmonary Artery Branchesin the Fetus: New Observations With Color Flow & Pulsed Doppler, Presentation at AIUM Convention, Atlanta, February, 1991,
J Ultrasound Med.10:S19, 1991

Cartier, M., Altieri,L., Emerson,D.,Felker,R.,Stovall,T.G., Gray, L.A., Smith,W.C., Endovaginal Color Flow Doppler & Pulsed Doppler Characteristics in Ectopic Pregnancy, Presentation at AIUM Convention, Atlanta, February, 1991, J Ultrasound Med.10:S20, 1991

Altieri,L., Cartier, M., Emerson,D.,Felker,R.,Stovall,T.G., Gray, L.A., Smith,W.C., Improved Diagnostic Yield Using Endovaginal Color Flow Doppler with Pulsed Doppler in a Screening Population at Risk for Ectopic Pregnancy, Presentation at AIUM Convention, Atlanta, February, 1991, J Ultrasound Med.10:S19, 1991

Emerson,D.S.,Burwinkle,T.H.Cartier, M<.S., Buster,J.E., Felker,R.E, Altieri,L.A., Brown,D.R., Carson,S.A., First Trimester Bradycardia Predicts Poor Pregnancy Outcome, Presentation at AIUM Convention, Atlanta, February, 1991, J Ultrasound Med.10:S61, 1991

Brown, D.L., Emerson, D.S., Felker, R.E., Cartier, M.S., Smith, W.C.: Diagnosis of Early Embryonic Demise by Endovagional Sonography. Presentation at American Institute of Ultrasound in Medicine, New Orleans, 1990.

Emerson, D.S., Cartier, M.S., Felker, R.W., O’Neal, M.F., Altieri, L., Smith, W.C., : Stability of Choroid Plexus Width in Fetal Ventriculomegaly. Presentation at American Institute of Ultrasound in Medicine, New Orleans, 1990.

Felker, R.E., Cartier, M.S., Emerson, D.S.: Fetal Foramen Ovale Aneurysm: A Normal Variation of the Septum Primum. Presentation at American Institute of Ultrasound in Medicine, New Orleans, 1990.

Cartier, M.S., Emerson, D.S., Felker, R.E., Smith, W.C.: Pulsed Doppler Waveforms of Renal Arteries in the Fetus, Presentation at American Institute of Ultrasound in Medicine, New Orleans, 1990.

Emerson, D.S., DiSessa, T.G., Sibal, B.M., Cartier, M.S.: Fetal Echocardiography for the identification of Indomethacin induced Ductus Arteriosus Constriction, Presentation at American Institute of Ultrasound in Medicine, New Orleans, 1990.

Cartier, M.S., Altieri, L.A., Emerson, D.S., Felker, R.E., Smith, W.C., Stovall, T.G., Gray, L.A.: Diagnostic Efficacy of Endovaginal Color Flow Doppler in an Ectopic Pregnancy Screening Program. Presentation at the Radiologic Society of North American, 76th Scientific Assembly and Annual Meeting, Chicago, November, 1990.

Altieri, L.A., Cartier, M.S., Emerson, D.S., Felker, R.E., Smith, W.C., Stovall, T.G., Gray, L.A.: Endovaginal Color Flow Doppler in the Early IUP: Correlation with Peritrophoblastic Velocities, Sac Size, and HCG Presentation at the Radiologic Society of North America, 76th Scientific Assembly and Annual Meeting, Chicago, November, 1990.

Moretti, M., Smirt, C., Cartier, M., Mercer, B., Emerson, D., Sibal, B.: Pulsatility Index of the Fetal Renal Artery in Postdates Pregnancies and Relation to Amniotic Fluid Volume, Presentation at 3rd International Congress of the International Perinatal Doppler Society, Los Angeles, August, 1990.

Cartier, M.S., Mercer, B., Emerson, D.S., Moretti, M., Babina, V., D’Alton, M.,: Fetal Foot Length as a Predictor of Gestational Age and Femur Lengths in the Black Population. Presentation at Society of Diagnostic Medical Sonographers Conference, Boston, 1989.

Cartier, M.S., Emerson, D.S., Brown, D.L., Felker, R.E., Smith, W.C.: Ductus Venousus Fraction of Umbilical Vein Flow: Doppler Evaluation. Presentation at Society of Diagnostic Medical Sonographers Conference, Boston, 1989.

Emerson, D.S., Cartier, M.S., Brown, D.L., Felker, R.E., Smith, W.C.: Shunting of Umbilical Blood via the Ductus Venousus: Fetal Doppler Study. Presentation at Radiologic Society of North America, Chicago, 1989.

Brown, D.L., Cartier, M.S., Emerson, D.S., Smith, W.C., Felker, R.E., Shanklin, D.R.: Fetal Pseudopericardial Fluid. Presentation at American Institute of Ultrasound in Medicine/Word Federation of Ultrasound in Medicine and Biology Convention, Washington, 1988.

Fetal Aorta and Pulmonary Artery: Normal Growth Curves Using 2D and M-mode Echocardiography. AIUM Meeting, October, 1986.

Lectures

“Basic Endovaginal Scanning”
West Virginia Diagnostic Ultrasound
Society, 7th Annual Conference
1993, Morgantown, WV

“OB Abnormalities”
Toledo Hospital Department of Ultrasound
Diagnostic Ultrasound Symposium
1993, Perrysburg, Ohio

“Detection of Ectopic Pregnancy with Color Flow”
SDMS Endovaginal Specialty Symposium
1993, Albuquerque, New Mexico

“Endovaginal Color Doppler Imaging”
Acuson Color Flow Seminar
1990, Chicago, Illinois

“Clinical Applications of Endovaginal Ultrasound in the First Trimester”
Acuson Seminar in Color Doppler Imaging
1990, Omaha, Nebraska

“The Uses of Endovaginal Color in Ectopic Screening”
Acuson Seminar in Color Doppler Imaging
1990, St. Louis, Missouri

“Examination of the Abnormal Fetal Heart”
SDMS Meeting, 1989
Boston, Massachusetts

“Fetal Heart Rates: Values Throughout
Gestation” Diagnostic Ultrasound Society of
Kentucky Seminar,
1989, Louisville, Kentucky

“Fetal Psuedopericardial Fluid”
Diagnostic Ultrasound Society of Kentucky
Seminar, 1989, Louisville, Kentucky

“Basic Fetal Heart Exam”
Diagnostic Ultrasound Society of Kentucky
Seminar, 1989, Louisville, Kentucky

“Segmental Approach to Fetal Cardiac
Evaluation” University of Tennessee,
1988, Memphis, Tennessee

“Fetal Cardiac Assessment”
Harvard Medical School Ultrasound Course
1987, Boston, Massachusetts

“Normal Fetal Anatomy, “
Harvard Medical School Ultrasound Course
1987, Boston, Massachusetts

“Normal Fetal Cardiac Anatomy,”
University of Tennessee Regional Medical
Center at Memphis, 1987, Memphis, Tn.

“Normal Fetal Cardiac Anatomy,”
“Harvard Medical School Ultrasound Course
1986, Boston, Massachusetts

“Fetal Thorax”
New England Society of Medical Sonographers
1986, Boston, Massachusetts

“Current Trends in High Risk Pregnancy”
New England Society of Medical Sonographers
1986, Boston, Massachusetts

“Fetal Cardiac Anatomy”
Harvard Medical School Ultrasound Course
1985, Boston, Massachusetts

Exhibits

Cartier, M., Emerson, D., Altieri, L., Felker, R., Smith W., Birch, A., Sellers R., Stovall T.G. Video Presentation: “Ectopic pregnancy, spontaneous abortion, and early viable pregnancy: Endovaginal color and pulsed Doppler Patterns”. Presentation at the American Institute of Ultrasound in Medicine Convention, San Diego, 1992. J Ultrasound Med 511:77; 1992.

Cartier, M.S., Emerson, D.S., Altieri, L.A., Felker, R.E., Smith, W.C., Stovall, T., Videotape Presentation: "Ectopic Pregnancy, Spontaneous Abortion, and Early Viable Pregnancy: Endovaginal Color and Pulsed Doppler Patterns,” Radiological Society of North America 77th Scientific Assembly and Annual Meeting, Chicago, 1991.

Burwinkel, T.H., Emerson, D.S., Cartier, M.S., Buster, J.E., Felker, R.E., Altieri, L.A., et al; Assuring Good Pregnancy Outcome at the Initial Examination. Poster Presentation at the Society for Gynecologic Investigation, San Antonio, Texas, March, 1991.

Emerson, D.S., Stovall, T.G., Altieri, L.A., Cartier, M.S., Felker, R.E., Smith, W.C.,: Improved Diagnostic Yield With Endovaginal Color Flow Doppler In An Ectopic Pregnancy Screening Program. Poster Presentation at the American Institute of Ultrasound in Medicine Meeting, Atlanta, February, 1991. J Ultrasound Med. 10:S77, 1991.

Cartier, M.S., Moretti, M., Emerson, D.S., Mercer, V., Sibal, V.,: Pulsatility Index of the Fetal Renal Artery in IUGR and Normal Fetuses, Poster Presentation. International Perinatal Doppler Society, 3rd International Congress.Los Angeles, August, 1990.

Prenatal Evaluation of the Thymus, American Institute in Medicine, WFUMB/AIUM/SDMS Meeting, October, 1988.

Sonography of Fetal Cardiac Anomalies, American Institute in Medicine, WFUMB/AIUM/SDMS Meeting, October, 1988.

Prenatal Sonographic Identification of Coarctation of the Aorta, American Institute in Medicine, WFUMB/AIUM/SDMS Meeting, October, 1988.

Emerson, D.S., Cartier, M.S., DiSessa, T.G., et al. Prenatal Sonographic identification of coarctation of the aorta. Poster Presentation at the American Institute of Ultrasound in Medicine (QIUM, WFUMB) Convention, Washington, D.C., 1988.

Brown, D.L., Emerson, D.S., Cartier, M.S., Felker, R.E., Smith W.C.,: Sonography of Fetal Cardiac Anomalies. Poster Presentation at the American Institute of Ultrasound in Medicine (AIUM, WFUMB) Convention, Washington, D.C., 1988.

Cartier, M.S., Emerson, D.S., Felker, R.E., Smith, W.C.: Prenatal Evaluation of the Thymus. Poster Presentation at the American Institute of Ultrasound in Medicine (AIUM, WFUMB) Convention, Washington, D.C., 1988.

Brown, D.L., Emerson, D.S., Cartier, M.S., Felker, R.E., Smith, W.C., DiSessa, T.G.: Sonography of Fetal Cardiac Anomalies, Poster Presentation at Radiologic Society of North America, 74th Scientific Assembly, Chicago, 1988.

Fetal Aorta and Pulmonary Artery: Evidence for Sparing in Intrauterine Growth Retardation, American Institute in Medicine, October, 1987.

Fetal Cardiac Evaluation Using the Segmental Approach to Diagnosis in Congenital Heart Disease, American Institute in Medicine October, 1987.

Fetal Cardiac Evaluation Using the Segmental Approach to Diagnosis in Congenital Heart Disease Radiologic Society of North American, November , 1986.

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