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MEDICAL IMAGING AND RADIATION PROTECTION

Academic year and teacher
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Versione italiana
Academic year
2020/2021
Teacher
MELCHIORE GIGANTI
Credits
8
Didactic period
Secondo Semestre

Training objectives

The course aims to give the student the basic notions of diagnostic imaging and radiation protection in the radiological, neuradiological and nuclear medicine fields, accompanying them in their medical applications.

Knowledge and understanding:
At the end of the course the student will have:
- 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.
- knowledge of the application of imaging techniques in women and children;
radiologic anatomy knowledge, both planar and tomographic;
- knowledge of the fundamental principles of radiation protection, and the ionizing radiation hazards for living matter.
- knowledge of national and european laws concerning ionizing radiation protection and ability to access and use of the scientific societies guide-lines

Applying knowledge and understanding:
At the end of the course the student will have:
- skills in management of diagnostic pathways based upon appropriatness criteria;
- skills in radiation protection for patients, professionals and population;
- critical knowledge of the position of national and international Technology Assessment
authorities.
- skills in construction of the communication interface between the ordering physician and the
radiologist, by means of the structured report.

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 and Neuroradiology
• 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.
• Radiological clinical methodology: diagnostic pathways referring to aspects of Gender Medicine.
• Clinical Radiology: diagnostic pathways
• Multiparametric radiological anatomy of head, neck, 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 (in adults, in women of childbearing age, in children), 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

The course includes lectures and online assisted teaching. The hours of online teaching on the certification moodle platform consist of the deepening of some covered topics and indicated by the teachers at the beginning of the course. The teaching activity will be integrated by classroom simulation of clinical cases, discussion of clinical cases in 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 three 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.