91072 - CT ImagingTtechniques- (RN)

Learning outcomes

The student acquires the technical-practical and methodological knowledge necessary to carry out a CT investigation with appropriate protocols based on the patient's clinical question, the pathology and the type of equipment available. Recognize artifacts and image quality criteria.

Course contents

Program / Contents:

•  Physical principles of CT image formation
  
• CT image formation: acquisition-processing-visualization
  
• Historical introduction on computed tomography
  

• Technological evolution of TC systems
  
• Main components of a scanner
  
• Structural and technological requirements of a CT room
  
• Basic principles of sequential and spiral CT
  
• From spiral CT to multilayer CT (TCMS)
  
• TCMS compared to spiral CT: advantages and disadvantages
  
• Basic characteristics and method of acquiring CT images
  
• CT scan parameters
  
• CT exposure parameters
  
• Geometric parameters of CT
  
• CT reconstruction parameters
  
• TC display parameters
  
• Optimization of CT techniques: quality and dose
  
• Dose in CT: descriptors and reduction techniques
  
• TCMS image post processing techniques: MPR, MIP, MinIP, SSD, VR. VE
  Artifacts in TC: how to recognize and prevent them

Study protocols:

• Standard brain CT study protocol without and with contrast medium
  
• Mass facial CT study protocol without and with contrast medium
  
• TC study protocol for petrous rocks
  
• Stroke protocol in emergency
  
• Studio Dental scan and Cone Beam protocol
  
• Study protocol Cervical, dorsal, lumbosacral CT without and with contrast medium
  
• Neck CT study protocol with and without contrast medium
  
• Basal chest CT study protocols without and with contrast medium and HRCT (Hight Resolution)
  
• Abdominal CT study protocol without and with contrast medium
  
• Multiphase abdominal CT study protocol
  
• Abdomen CT study protocol aimed at the diagnostic question
  
• Joint CT study protocol: shoulder, wrist, elbow, pelvis, knee, ankle and foot
  
• Interventional CT (Vertebroplasty and CT guided biopsy and placement of drains)

Angio-CT protocols:

• CT study protocol Intra-cranial angio
  
• Study Protocol Extra-cranial CT angiography or supra-aortic trunks (TSA)
  
• Study Protocol Angio-CT Pulmonary Embolism
  
• Study Protocol Angio-CT Thoracic Aorta
  
• Abdominal Aorta Angio-CT study protocol
  
• Study protocol Angio-CT Aorta Thoraco Abdominal
  
• TAVI (Transcatheter Aortic Valve Implantation) Study Protocol
  
• Study protocol Angio-CT Abdominal aorta and iliac vessels
  
• Study Protocol Angio-CT Lower Limbs (Run Off)
  
• Cardiac CT study protocol

 

 

Readings/Bibliography

• Gazzetta Ufficiale dell'Unione Europea
• La dose al paziente in diagnostica per immagini, Caramella, e Faggioni, Springer,
• Luigi Cei - Tecniche di tomografia computerizzata e risonanza magnetica. – SOCIETÀ EDITRICE UNIVERSO
• Maurizio Resta e Mariangela Resta - Il radiologo e il trauma. - E.L.I. MEDICA S.R.L.
• Giuseppe Pigariello – TC-RM cranio-encefalo tecniche e anatomia radiologica. - E.L.I. MEDICA S.R.L.
• Vittorio Miele, Mariano Scagione, Roberto Grossi, Antonio Rotondo Diagnostica per immagini nel trauma maggiore. - MASSON ELSEVIER S.R.L.
• Lorenzo Faggioni, Fabio Paolicchi, Emanuele Neri – Elementi di tomografia computerizzata – SPRINGER

• Edward C. Weber, Joel A. Vilensky, Stefphen W. Carmichael, - Anatomia radiologica Netter. – MASSON

• Prokop, Michael, Galanski-Bonomo,-Tomografia Computerizzata Spirale e Multistrato - MASSON
• L.Cei, A. La Fianza, C. Biluce -Tecniche di Tomografia Computerizzata e Risonanza Magnetica nella diagnostica per Immagini. – SOCIETÀ EDITRICE
• Servizio Sanitario Regionale Emilia-romagna - Linee guida per la qualità TC.
• Roberto, Pozzi, Macelli - Trattato Italiano di Tomografia Computerizzata. – GNOCCHI
• Giancarlo Dal Pozzo, - Compendio di tomografia computerizzata e TC spirale.

Teaching methods

For each neuo and body CT study protocol, the student must know:

• The main indications for the investigation
•  The procedures for welcoming and identifying the user from taking charge to leaving the patient
• Verification and evaluation of radiological requests
• Patient management and preparation
• Use of contrast media appropriate choice of the type of acquisition
• Patient positioning, centering, and study protocol procedures
• Appropriate choice of scanning parameters: acquisition-processing and display of images
• Correctness criteria for CT images
• Outline of anatomy Neuro and Body CT

Assessment methods

The assessment of learning takes place through a final exam that verifies the acquisition of the knowledge and skills expected in the context of the procedures in the TC room, through a written test (90 questions with multiple answers, only one correct) on the main topics treated during the lectures, and an oral exam where the candidate describes the images and the CT study protocol used

The test will be evaluated on the basis of the following parameters:

- knowledge, mastery and deepening of the contents
- critical and expository skills
- technical-scientific terminological correctness.

Teaching tools

The didactic material presented in class (PPT) will be made available to the student in electronic format (Pdf) on a PC.

This material can be printed and brought to class or uploaded to a PC on the day of class.

Reception hours

See Roberto Cappelli's website [https://www.unibo.it/sitoweb/roberto.cappelli2]

Office hours

See the website of Roberto Cappelli