Diagnostic imagining and radiotherapy

A.Y. 2020/2021
Overall hours
Learning objectives
The course aims to provide students with:
i) the ability to correctly propose the various diagnostic procedures by image, even with radionuclides;
ii) the ability to evaluate the cost / benefit ratios in the choice of diagnostic procedures;
iii) knowledge of the correct therapeutic applications of interventional radiology and of nuclear medicine;
iv) the knowledge of radiobiological principles of ionizing radiation as well as the clinical indications of radiation therapy in oncology;
v) knowledge of the principles of radio protection.
Expected learning outcomes
i) must interpret the diagnostic imaging reports;
ii) are able to propose the correct diagnostic and therapeutic procedures;
iii) are able to understand the biological effects of ionizing radiation and how applying them to the treatment of the more frequent neoplastic diseases.
Course syllabus and organization

Single session

The lessons of the first semester from 21 September to 4 November 2020 were held in mixed mode:
in the classroom with a limited number of students, who have booked using their unified e-mail credentials through the "lessonsUnimi" app (https://www.unimi.it/it/studiare/frequentare-un-corso -degree / follow ...) and at the same time synchronously through the "Teams platform" for students not present; the lessons were also video-recorded to allow students unable for documented needs to follow them in sync.
From 5 November 2020 to 15 January 2021, face-to-face lessons have been suspended as per the Rector's Decree. Teaching continued remotely: the lessons were delivered through the Microsoft Teams platform, mostly in synchrony, almost always respecting the calendars approved for the current semester.
The lessons of the second semester will start in early March 2021 and will probably take place in mixed mode, with booking through the dedicated app, following the rules adopted in the first semester: in safety, in compliance with hygiene rules, with the use of PPE and observing the spacing.

NB for any further information, consult the unimi.it website: (Home Studying Attending a degree course Following the course of study Lesson times)
Course syllabus
Nuclear Medicine
Principles of radiation physics, Nuclear Medicine equipment, radiopharmaceuticals.
Applications of conventional Nuclear Medicine (endocrine pathologies, musculoskeletal system, infectious pathology, study of renal function); Nuclear cardiology; PET in oncology; applications in neurology
Nuclear medicine therapy techniques

Radiotherapy: History and technological developments
Principles of Radiobiology
Principles of Radiotherapy: External beam Radiotherapy, Intraoperative Radiotherapy, Intensity Modulated Radiotherapy, Brachytherapy, Hadrotherapy, Image Guided Radiotherapy. Radical and palliative Radiotherapy, interaction with other treatment modalities (e.g. Pre-operative and Post-operative Radiotherapy, in combination with Chemotherapy/Hormonetherapy etc)
Radiotherapy side effects: classification, prevention, treatment
Management of Prostate, Breast and Head-Neck cancers with Radiotherapy

Principles of ionizing radiation and radiation protection
Diagnostic imaging of the chest
Diagnostic imaging of the liver
Diagnostic imaging of the pancreas and biliary tract
Diagnostic imaging of the urinary system
Diagnostic imaging of the cardio-vascular system
Diagnostic imaging of the genital system
Vascular, oncological and extravascular interventional radiology.
Prerequisites for admission
Physics examination
Anatomy examination
General pathology examination
Teaching methods
The teacher uses frontal lectures on the different items described in the outline. At the end of each frontal lesson some time is dedicated to questions by the students to promote a better knowledge of difficult aspects of the lesson.
Teaching Resources
Cittadini. Diagnostica per immagini e radioterapia
Giorgio Cittadini, Giuseppe Cittadini
Editore: Edra
Assessment methods and Criteria
Oral examination on the items described during classes
MED/36 - IMAGING AND RADIOTHERAPY - University credits: 5
Lessons: 60 hours