In 2001, I undertook a short fellowship in ultrasound at Thomas Jefferson University under Prof Barry B Goldberg, sponsored by the RSNA.
The people who influenced me most in my ultrasound career have been Prof Henry Kasozi of Makerere University, Kampala who introduced me to ultrasound. Prof Claus D Clausen of Tübingen University impressed upon me to improve my radiology skills in general but under his oversight, I learned to perform ultrasound independently and to conduct research in ultrasound.
Prof Barry B Goldberg of Thomas Jefferson University probably influenced my carrier the most. Under his supervision, I learnt to systematically conduct a wide range of ultrasound techniques including vascular, musculoskeletal, and interventional ultrasound, in addition to systematic scanning of general abdominal, obstetrical and gynecological ultrasound.
Figure 5: Students who graduated with the Masters in Diagnostic Ultrasound at the Kampala WFUMB-COE (ECUREI).
The highlights in my ultrasound carrier have been the establishment of Ernest Cook Ultrasound and Education Institute (ECUREI), in July 2002, in affiliation with Thomas Jefferson University, The Establishment of the Kampala WFUMB CoE in Uganda in October 2004, the award of Honorary Fellowship of the American Institute of Ultrasound in Medicine (FAIUM) in March 2015 and the award of the Honorary Membership of the European Society of Radiology in Vienna-Austria in February 2019.
Ultrasound technology available today has exceeded the expectations I had in my earlier days of ultrasound. There has been tremendous improvement in quality of ultrasound images, attributed compound and tissue harmonic imaging plus higher frequency transducers even exceeding 20 MHz. Other fascinating discoveries include elastography, contrast enhanced ultrasound and of recent micro ultrasound.
Two funny stories happened almost 20 years ago. One morning we switched on our ultrasound machine, only to discover the head of the sector transducer had been eaten by rats. A second time was when a child belonging to one of the radiologists chewed up the head of a transducer mistaking it for an ice-cream cone. We later learnt that ultrasound gel was not only tasty to rodents but also to humans and resolved to clean our transducers completely free of gel and keep them away from rodents and children.
I am still involved in the ultrasound world. I still teach, do routine clinical ultrasound work and undertake research. My current area of curiosity is ultrasound applications for diagnosis and treatment of male urogenital diseases; prostate, vas deferens and scrotum with an example of delivering drugs directly into the prostate for treatment of chronic prostatitis. I continue to teach ultrasound at the Kampala WFUMB CoE where we graduate over 80 ultrasound practitioners yearly with diplomas, Bachelors degrees and Masters degrees in ultrasound.