Imaging Methods and Nuclear Medicine - DA1108056
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Jde o povinný studijní předmět, který patří mezi základní teoretické předměty profilujícího základu. Cílem předmětu je získání klinických znalostí a dovedností v souvisejícím lékařském oboru zobrazovacích metod a nukleární medicíny a jejich fixace, které vytvářejí základní předpoklady nezbytné pro úspěšný výkon zdravotnického povolání lékaře. V rámci předmětu student získá především následující znalosti, dovednosti a kompetence:
- Provést jednoduchého ultrazvukového vyšetření (při podezření na pleurální výpotek, rezistenci v dutině břišní,
ascites).
- Odůvodnit objednání radiologického vyšetření; popsat rentgenový snímek; zakomponovat radiologické vyšetření
do klinického postupu.
- Objednat potřebné testy a vyšetření v případu s forenzními důsledky: například rentgen.
- Uvést vědecky podložený (evidence-based) důvod pro objednání testů (je-li to vhodné, zároveň zahrnout
poznatky z teoretických lékařských oborů vztahujících se ke klinickému stavu pacienta), vzít v úvahu nákladovou
efektivitu objednaných vyšetření.
- Vyvarovat se nadbytečných/nepotřebných diagnostických testů a léčby.
- Doporučit vstupní, nákladově efektivní diagnostickou metodu pro pacienta s akutním nebo chronickým
onemocněním, nebo jako součást preventivní zdravotní prohlídky.
- Vyhodnotit abnormální rentgenové zobrazení břicha, hrudníku a kostry.
- Zjistit přítomnost efuze detekovatelné ultrazvukem (břicho, pleura).
- Zhodnotit a interpretovat výsledky a stanovit pracovní diagnózu včetně diferenciální diagnostiky (klinická
rozvaha).
- Vyhodnotit výsledky testů a zahrnout je do diferenciální diagnózy. Pochopit důsledky a naléhavost v případě
abnormálních výsledků vyšetření a v případě nutnosti požádat o pomoc s jejich výkladem.
- Uplatnit poznatky základních vědních lékařských oborů ve své klinické rozvaze a v indikaci vhodných zákroků a
vyšetření.
- Zahrnout vědecké poznatky teoretických lékařských věd včetně epidemiologických informací (incidence,
prevalence) do klinické rozvahy za účelem sestavit diferenciální a pracovní diagnózu.
- Přizpůsobovat se technologickým inovacím, například, nové zobrazovací metody a nástroje k monitorování stavu
pacienta a stádia nemoci, nové vyšetřovací postupy apod. Last update: Procházková Helena, Bc. (12.02.2024)
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The course consists of 3 weeks seminar sessions. This is followed by block teaching of nuclear medicine (see nuclear medicine clinic website).
The term of oral exam:
The clerkship begins on the first day at seminar room of radiology department (Blue building -1P). Keys to the room are available at the secretariat of the clinic.
White coat and student Id card are necessary.
Part of the course takes place in radiology department of Central Military Hospital (prim Belšan).
Absences
During the course of Imaging methods only one absences is tolerated due to disease or serious reason. These absence is not necessary to document.
More absences must be documented in written form and must be substituted. (Substitution occurs in the afternoon after regular training - extent and form will depend on the head of clinic.) - (Dean's provision No. 1/2011)
Conditions for acquiring the credit are
adequate presence during practical training and
successful passing of practical test - which takes place on the last day of the third week teaching (reporting 2 plain films and one Ct/MRI - description, basic anatomical structures)
Essay:
Student have to write a seminar work on a selected topic of radiology. Please choose specific topic, not one of the test questions.
Topic is necessary to consult with the head of the department or his representative.
You have to report the name of topic to secretary of department during internships on KZM.
The paper:
Introduction - Analysis - The end - literature (minimum 3 literal source).
The scope of work, at least 3 pages, including image documentation, which can not outweigh over the text.
Please send the work by e-mail (at least two days before the exam) - seminarni.prace.kzm@lfmotol.cuni.cz - and ALSO bring it printed to final examiantion.
Topic of work is the third questions at the final exam.
Final examination:
Final examination consists of two questions and essay exam.
Examiation begins at 8.00 pm. Last update: Procházková Helena, Bc. (03.10.2024)
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Gunderman, R. B.: Essential radiology : Thieme, 2006 (B)
Rogers, P.: Pocket radiologist interventional
Periodical: Radiology, Radiographics and European Radiology
Herring, W.: Learning radiology.Recognizing the Basics. Elsevier 2019 Last update: Procházková Helena, Bc. (03.10.2024)
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Imaging methods - principles, division according to source of signal, detector, demands on patient, hazards of different methods, history
X ray equipment, X ray tube, characteristics of X ray radiation, X ray film and its characteristics
Radiography and fluoroscopy, principle of image enhancement (image intensifier) - description of the source, detector, radiation load
Hazards of X ray examination, prevention against radiation
Contrast media, reaction on their application, treatment of allergic reactions
Digital image - basic characterization, digital radiography - sorts of detectors, possibilities of image postprocessing, communication and archiving
Process of description of radiological examination, basic described structures and formulations - radiological semiology, formulation of radiological report of images of peripheral bones, chest, paranasal sinuses, ultrasonographic examination of abdomen, CT examination of brain, chest and abdomen, MR examination of brain and spine
Angiography (including DSA) - technics, description of methodology of examination, preparation of patient, main indications and contraindications, basic anatomical structures, diagnostic and interventional procedures
Non-invasive vessel imaging - technique, description of methodology of examination, preparation of patient, main indications and contraindications
Principle of ultrasonography - technique, description of methodology of examination, preparation of patient, main indications and contraindications
Principle of CT-technique, description of methodology of examination, preparation of patient, main indications and contraindications
Principle of MRI-technique, description of methodology of examination, preparation of patient, main indications and contraindications
Ultrasonography of abdomen - technique, description of methodology of examination, preparation of patient, main indications and contraindications, basic anatomic structures
Diagnostic imaging of bones - technique, description of methodology of examination, preparation of patient, main indications and contraindications, basic anatomic structures
Diagnostic imaging of bone fractures - technique, description of methodology of examination, preparation of patient, main diagnostic signs, basic anatomic structures
Diagnostic imaging of inflammatory involvement of bones and joints - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Diagnostic imaging of bone tumours - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Diagnostic imaging of degenerative involvement of joints - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Diagnostic imaging by involvement of spinal column and spinal cord - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Imaging methods in traumatology - indication of individual imaging methods, their sequence and significance
Imaging methods in neurology - indication of individual imaging methods, their sequence and significance
Diagnostic imaging of CNS injury - indications and limitations of individual imaging methods and their significance
Diagnostic imaging of CNS tumours (brain and spine) - indications and limitations of individual imaging methods, their sequence, main diagnostic signs, basic anatomic structures of brain, spinal column and spinal cord
Normal X ray and CT picture of thoracic organs, normal wording of report, radiological picture of most common pathological involvement of chest.
X ray picture of inflammatory involvement of lungs, its differential diagnosis.
Diagnostic imaging of tumours of lungs and pleura - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Diagnostic imaging of tuberculosis, pneumoconiosis and pulmonary fibrosis - main dg. signs, basic anatomy of thorax
Diagnostic imaging of pulmonary emphysema - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures of pulmonary parenchyma
Diagnostic imaging of trauma of thorax - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures of chest wall and lungs.
Diagnostic imaging of expansive processes of mediastinum - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Diagnostic imaging of inborn errors of lungs, neonatal pneumopathies - main diagnostic signs, basic anatomic structures, differences compared with adults.
Changes of X ray picture in inborn and acquired heart diseases - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures of heart and great vessels
Diagnostic imaging of GIT obstructions - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures of GIT and peritoneal cavity
Diagnostic imaging of GIT perforation - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures of GIT and peritoneal cavity
Contrast examination of GIT - description of methodology, patient’s preparation, main indication and contraindication, basic anatomical structures of GIT and peritoneal cavity
Vascular and nonvascular methods of interventional radiology by GIT diseases, main anatomical structures of GIT and peritoneal cavity
Diagnostics and conservative treatment of invagination - indications and contraindications, possible radiological approaches, basic diagnostic signs
Diagnostic imaging of liver, gallbladder and billiard tract - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Diagnostic imaging of retroperitoneal involvement - particularly of pancreas and adrenal glands - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures of retroperitoneum
Diagnostic imaging of acute abdomen - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures of GIT and peritoneal cavity
Diagnostic imaging of uropoetic system indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Imaging methods in gynaecology and obstetrics - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Diagnostic imaging of inborn errors of anorectal and urogenital region - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Interventional radiology by liver and biliary tract involvement - indications and contraindications, names and description of individual methods, description of methodology of examination, basic diagnostic signs
Imaging methods in ENT involvement - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomical structures in head and neck area
Diagnostic imaging of breast - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomical structures, normal description
Diagnostic imaging of abdominal expansions - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomy of intraabdominal organs, peritoneal and retroperitoneal spaces
Specialities of diagnostic imaging in childhood, fractures typical for children age - indications and limitations of individual imaging methods, anatomy of small bone soft hand and foot
Diagnostic imaging of acute thorax involvement - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomy of heart and coronary arteries
Diagnostic imaging of bone expansion - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomical structures of individual bones
1. Nuclear cardiac imaging
2. Role of the nuclear imaging methods in patients with coronary artery disease (CAD)
3. Perfusion and ventilation pulmonary scan
4. Pulmonary embolism - methods in NM
5. Radionuclide renal evaluation
6. Role of diuretic renography in patients with dilatation of the upper urinary tract
7. Role of renal cortical scintigraphy (99mTc-DMSA scan) in patients with
pyelonephritis
8. GIT examination in NM - principle of the method, radiopharmaceuticals, indications
9. Brain perfusion SPECT - principle of the method, radiopharmaceuticals, indications
10. Dementia - role of radionuclide examinations (PET ligands, DAT examination)
11. Bone scintigraphy - principle of the method, radiopharmaceuticals, indications
12. Diagnostics of the osteomyelitis in NM
13. Localization diagnostics of inflammations in NM
14. PET, PET/CT - principle of the method, radiopharmaceuticals, indications
15. Lymphoscintigraphy, Sentinel node localization - principle of the method, indication
16. Diagnostics and treatment of neuroendocrine tumors in NM
17. Radionuclide examination of thyroid and parathyroid gland
18. Radionuclide therapy - principles of the methods, radiopharmaceuticals, indications Last update: Procházková Helena, Bc. (03.10.2024)
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Imaging methods - principles, division according to source of signal, detector, demands on patient, hazards of different methods, history
X ray equipment, X ray tube, characteristics of X ray radiation, X ray film and its characteristics
Radiography and fluoroscopy, principle of image enhancement (image intensifier) - description of the source, detector, radiation load
Hazards of X ray examination, prevention against radiation
Contrast media, reaction on their application, treatment of allergic reactions
Digital image - basic characterization, digital radiography - sorts of detectors, possibilities of image postprocessing, communication and archiving
Process of description of radiological examination, basic described structures and formulations - radiological semiology, formulation of radiological report of images of peripheral bones, chest, paranasal sinuses, ultrasonographic examination of abdomen, CT examination of brain, chest and abdomen, MR examination of brain and spine
Angiography (including DSA) - technics, description of methodology of examination, preparation of patient, main indications and contraindications, basic anatomical structures, diagnostic and interventional procedures
Non-invasive vessel imaging - technique, description of methodology of examination, preparation of patient, main indications and contraindications
Principle of ultrasonography - technique, description of methodology of examination, preparation of patient, main indications and contraindications
Principle of CT-technique, description of methodology of examination, preparation of patient, main indications and contraindications
Principle of MRI-technique, description of methodology of examination, preparation of patient, main indications and contraindications
Ultrasonography of abdomen - technique, description of methodology of examination, preparation of patient, main indications and contraindications, basic anatomic structures
Diagnostic imaging of bones - technique, description of methodology of examination, preparation of patient, main indications and contraindications, basic anatomic structures
Diagnostic imaging of bone fractures - technique, description of methodology of examination, preparation of patient, main diagnostic signs, basic anatomic structures
Diagnostic imaging of inflammatory involvement of bones and joints - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Diagnostic imaging of bone tumours - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Diagnostic imaging of degenerative involvement of joints - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Diagnostic imaging by involvement of spinal column and spinal cord - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Imaging methods in traumatology - indication of individual imaging methods, their sequence and significance
Imaging methods in neurology - indication of individual imaging methods, their sequence and significance
Diagnostic imaging of CNS injury - indications and limitations of individual imaging methods and their significance
Diagnostic imaging of CNS tumours (brain and spine) - indications and limitations of individual imaging methods, their sequence, main diagnostic signs, basic anatomic structures of brain, spinal column and spinal cord
Normal X ray and CT picture of thoracic organs, normal wording of report, radiological picture of most common pathological involvement of chest.
X ray picture of inflammatory involvement of lungs, its differential diagnosis.
Diagnostic imaging of tumours of lungs and pleura - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Diagnostic imaging of tuberculosis, pneumoconiosis and pulmonary fibrosis - main dg. signs, basic anatomy of thorax
Diagnostic imaging of pulmonary emphysema - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures of pulmonary parenchyma
Diagnostic imaging of trauma of thorax - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures of chest wall and lungs.
Diagnostic imaging of expansive processes of mediastinum - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Diagnostic imaging of inborn errors of lungs, neonatal pneumopathies - main diagnostic signs, basic anatomic structures, differences compared with adults.
Changes of X ray picture in inborn and acquired heart diseases - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures of heart and great vessels
Diagnostic imaging of GIT obstructions - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures of GIT and peritoneal cavity
Diagnostic imaging of GIT perforation - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures of GIT and peritoneal cavity
Contrast examination of GIT - description of methodology, patient’s preparation, main indication and contraindication, basic anatomical structures of GIT and peritoneal cavity
Vascular and nonvascular methods of interventional radiology by GIT diseases, main anatomical structures of GIT and peritoneal cavity
Diagnostics and conservative treatment of invagination - indications and contraindications, possible radiological approaches, basic diagnostic signs
Diagnostic imaging of liver, gallbladder and billiard tract - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Diagnostic imaging of retroperitoneal involvement - particularly of pancreas and adrenal glands - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures of retroperitoneum
Diagnostic imaging of acute abdomen - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures of GIT and peritoneal cavity
Diagnostic imaging of uropoetic system indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Imaging methods in gynaecology and obstetrics - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Diagnostic imaging of inborn errors of anorectal and urogenital region - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomic structures
Interventional radiology by liver and biliary tract involvement - indications and contraindications, names and description of individual methods, description of methodology of examination, basic diagnostic signs
Imaging methods in ENT involvement - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomical structures in head and neck area
Diagnostic imaging of breast - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomical structures, normal description
Diagnostic imaging of abdominal expansions - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomy of intraabdominal organs, peritoneal and retroperitoneal spaces
Specialities of diagnostic imaging in childhood, fractures typical for children age - indications and limitations of individual imaging methods, anatomy of small bone soft hand and foot
Diagnostic imaging of acute thorax involvement - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomy of heart and coronary arteries
Diagnostic imaging of bone expansion - indications and limitations of individual imaging methods, main diagnostic signs, basic anatomical structures of individual bones
Klinika nukleární medicíny a endokrinologie
odkaz na přednášky Moodle - https://dl1.cuni.cz/course/view.php?id=6780 (vstup pro studenty až po zadání hesla) Last update: Procházková Helena, Bc. (03.10.2024)
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