39800 - Angiographic Imaging Techniques (RN)

Learning outcomes

The student acquires the technical-practical and methodological knowledge necessary to carry out angiographic investigations with appropriate protocols based on the patient's clinical question, the pathology and the type of equipment available. Recognizes artefacts and image quality criteria, the multidisciplinary team, radiation protection and hygiene standards.

Course contents

The course offers the student elements for the acquisition of knowledge and skills in the field of angiographic imaging in the vascular room, in the hemodynamics room, in the hybrid operating room and in the CT room.

The program includes the following didactic contents:

• The role of the radiology technician in angiographic imaging in: Vascular room, Hemodynamics room, Hybrid operating room and CT room
• Differences between the different rooms where angiographic imaging can be performed (how the environment is organized, equipment used, materials and working methods)
• What the technician must know and what the technician must be able to do in these environments (which tests are carried out, comparison of angiographic imaging)
• How to deal with sterility and radiation protection in different work environments.
• Comparison of various angiographic techniques (advantages and disadvantages)

ANGIOGRAPHIC IMAGING IN THE VASCULAR ROOM:

• Digital subtraction angiography (DSA)
• Instruments of a vascular room: angiograph, needle, guide, catheter, injector
• Vascular interventional procedures (embolization, fibrinolysis, placement of vascular filters, stents and drainages, etc.)
• The role of the technician in conducting the examination, use of protective devices and attention to the sterility of the environments

ANGIOGRAPHIC IMAGING IN THE HEMODYNAMICS ROOM:

• Instruments of a hemodynamics room: equipment and materials used
• Main procedures in hemodynamics (study of coronary arteries, study of heart cavities and valves, coronary angioplasty, etc.)
• The role of the technician in the hemodynamics room (conducting the examination, radiation protection, images and sterility of the environments)

ANGIOGRAPHIC IMAGING IN THE HYBRID VASCULAR OPERATING ROOM:

• Hybrid vascular operating room instruments: angiograph, injector and materials used in the hybrid room
• Main procedures in the hybrid vascular room (traumatic angiography, carotid stenosis, placement of vascular endoprostheses, etc.)
• The role of the technician in the hybrid vascular room (examination, radiation protection, image storage, sterility of the environments)
  
  

VASCULAR ANGIOGRAPHIC IMAGING IN CT:

• CT room instruments: equipment and injector
• Main vascular examinations performed in CT (intra cranial angio, extra cranial angio (TSA), pulmonary embolism, thoracic-abdominal aortic angio, TAVI, lower limb angio (Run Off), coronary CT.
• The role of the technician in vascular CT exams (examination conduction, radiation protection, image post processing)

 

Readings/Bibliography

INTERVENTIONAL CARDIOLOGY, Howard C. Herrmann, MD

2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation

Eur J Vasc Endovasc Surg. 2015 Apr;49(4):390-5. doi: 10.1016/j.ejvs.2015.01.009. Epub 2015 Feb 27.

Eur J Vasc Endovasc Surg. 2015 May;49(5):541-8. doi: 10.1016/j.ejvs.2015.01.010. Epub 2015 Mar 7

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

Lectures with ppt slides and presentation of videos and images and angiography of the different work environments

Assessment methods

The exam will be oral with a couple of questions on the general topics covered in class, and may be deepened with a couple of more specific questions if deemed appropriate on the discussion of angiographic images.

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

Tools to support teaching

The teaching 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