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MEDICAL IMAGING AND RADIATION PROTECTION

Academic year and teacher
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Versione italiana
Academic year
2016/2017
Teacher
MELCHIORE GIGANTI
Credits
8
Didactic period
Secondo Semestre

Training objectives

•Knowledge and understanding: imaging methods knowledge, as far as technical and methodological aspects concern, awareness of the Patient involvement (invasivity and radiation burden), and of the cost/benefit aspects as well.
•Applying knowledge and understanding: radiologic anatomy knowledge, both planar and tomographic. Skill in management of diagnostic pathways based upon appropriatness criteria. Knowledge of the fundamental principles of radiation protection, and the ionizing radiation hazards for living matter. Skills in radiation protection for patients, professionals and population. Knowledge of national and european laws concerning ionizing radiation protection.
•Making judgements: critical knowledge of the position of national and international Technology Assessment authorities.
•Communication skills: construction of the communication inteface between the ordering physician and the radiologist, by means of the structured report.
•Learning skills: Ability to access and use of the scientific societies guide-lines,

Prerequisites

Knowledge of the basic in Radiation Physics and interaction with matter. Knowledge of normal human anatomy. Knowledge of eukaryote cell biology, expecially the cellular cycle.

Course programme

Radiology.
•Principles of techniques and methodics, Radiologic instrumentation (traditional x-ray system, computed tomography, magnetic resonance, ultrasonography, gamma-camera, positron emission tomography, angiography), contrast media.
•The structured radiology report: communication between ordering physician and radiologist.
•Diagnostic imaging appropriateness criteria.
•Clinical Radiology: diagnostic pathways, referred to gender related differences Radiation protection in adult, in woman in child-bearing age, in child.
•Multiparametric radiological anatomy of chest, abdomen, neck, male and female pelvis, shoulder, hip and knee joints.
•Fundamental radiological semeiology
•Refresh on ionizing radiation physics and interaction with matter.
•Radiobiology basics
•Deterministic and sthocastic effects of ionizing radiation
•Fundamental principles or radiation protection and concerning regulations.
Nuclear Medicine
•General principles in Nuclear Medicine.
•Details in Single Photon Emission Computed Tomography (SPECT end positron emission tomography (PET) in oncology, cardiology and neurology.
•Basics in: (a) Radiometabolic therapy; (b) nuclear medicine diagnostics in nephro-urology, infections, endocrinology and pneumology.

Didactic methods

Lectures, clinical cases simulation in classroom, real case discussion in radiology for small groups.

Learning assessment procedures

The exam will be held orally, and will last between half and three quarters an hour. The exam consist of trhree parts, to each one will be assigned from 0 to 10 points. The sum of the score obtained in each part will be the final evaluation in 30/30. The first part concerns the knowledge of diagnostic imaging instrumentation (i.e. ultrasonography, traditional x-ray procedures, computed tomography, magnetic resonance, angiography, gamma-camera, positron emission tomography). The second part is about the appropriateness criteria and diagnostic and instrumental management of simulated clinical cases, among that discussed in classroom. The third part will be held in front of a real diagnostic monitor, and consist in the evaluation of the student skill in recognizing the type of image proposed, the modality of acquisition and the knowledge of radiographic anatomy. The recognition and description of pathological elements and the formulation of diagnostic hypotesis is required only to deserve full marks "cum laude". Upon student's request, the exam can be held in english.

Reference texts

Torricelli P., Mignani S., Zompatori M., Manuale di Diagnostica per immagini per il Corso di Laurea in Medicina e Chirurgia, Casa Editrice Esculapio
Natale Villari, Giampaolo Biti, Alessandro Giordano, Bruno Beomonte Zobel, Diagnostica per immagini, medicina nucleare radioterapia, Piccin Ed.

Cittadini G Sardanelli - Diagnostica per Immagini e radioterapia - PICCIN

Di Guglielmo L. Calliada F. - Radiologia e Diagnostica per Immagini - Minerva Medica