Magnetic Resonance: Techniques

A.Y. 2020/2021
7
Max ECTS
70
Overall hours
SSD
FIS/07 ING-INF/07 MED/36 MED/50
Language
Italian
Learning objectives
The course aims to:
- provide knowledge about characteristics and principles in the use of MRI equipment
illustrate the main guidelines for performing MRI studies of various organs and systems, as well as the ability to recognize in the images: examined segment, acquisition plane, used type of sequence.
- provide specific knowledge to apply the radiological techniques of studying to the central nervous system.
- illustrate the current role of vascular and interventional radiology in the diagnosis and therapy of different diseases, and to inform students about the angiographic devices and technical issues related to the different procedures.
- provide knowledge about anatomy and pathology of the upper airway and their correlation with diagnostic imaging.
Expected learning outcomes
At the end, students must:
- know the characteristics and the fundamentals of MRI equipment
- know the basics of the most commonly used protocols in MRI
- know how to correlate the MRI images to the anatomical structures of the human body, and be able to recognize the different types of weighing and sequences used
- know the techniques of study of the CNS (from CT to standard and functional MRI investigations)
- know the different types of devices and the main procedures used in interventional radiology
- know the main diseases of the upper airway and their more suitable investigation techniques.
Course syllabus and organization

Single session

Responsible
Didactic methods.
Half of the students, according to pre-established shifts, will participate from time to time in face-to-face lessons in classrooms suitably equipped for the Covid emergency, where safety conditions allow it.
Furthermore, to allow them to be used both in synchronous and asynchronous mode for students not present in the classroom, the lessons will be held simultaneously on the Microsoft Teams platform and can be followed both in synchrony on the basis of the first semester and in asynchronous mode, because they will be registered and left on the same platform available to students not present in the classroom.
Lessons may also include pre-recorded materials.
If the situation worsens, the lessons will be delivered through the Microsoft Teams platform and can be followed both in synchronous according to the scheduled time and asynchronously, because they are recorded through the same platform.

Program and reference material.
The program and reference material will not change. The teaching material (slides displayed during the lectures) will be available on the Ariel platform dedicated to teaching.

Methods for verifying learning and evaluation criteria.
Written.
The exam will take place in writing in the presence or in the event of an aggravation of the pandemic, with the moodle + seb + webconference modality to be activated in collaboration with the Center for educational innovation and multimedia technologies of the University of Milan.
Oral.
The oral part of the exam will take place using the Microsoft Teams platform. In this case the duration of the test will be about 20 minutes.
The examination, in particular, will be aimed at:
- ascertain the achievement of the objectives in terms of knowledge and understanding;
- ascertain the ability to apply knowledge and understanding and verify the autonomy of judgment through the discussion of the topics covered by the lessons;
- verify the student's autonomy of judgment also through the analysis of cases discussed during the course or mentioned in the textbooks;
- ascertain the mastery of the specific language of radiological sciences and the ability to present the topics in a clear and logical way, with the necessary links to the content of other courses of the Degree Course.
Prerequisites for admission
In-depth knowledge of the contents of the course "Basis of Phisics and Mathematics".
Assessment methods and Criteria
The learning assessment includes a written test and an oral test.
The 45-minute written test is based on 60 multiple choice questions with 4 answer options (only one correct). A minimum score of 18 is needed to access the oral part of the examination. Each correct answer is assigned a score of 0.5 points up to the total score of 30 points available, There is 0.1 points penalty for each wrong answer. There are no penalties for replies not given. The written test can include all the topics covered during the lessons.
The oral exam must be taken in the same exam session in which the written test was taken and passed. Failure to pass the oral exam entails the repetition of the written test. To consult the calendar of exam sessions scheduled for the current academic year, reference should be made to the calendar of appeals published on the website of the Degree Course.
The oral exam globally evaluates the competences acquired by the student and always includes one or more questions on course contents.
The final grade is not the arithmetic average of the mark of the written test and the oral exam.
The booking on the UNIMIA portal, within the dates established for each appeal, is mandatory for the examination.
Magnetic resonance equipment, training, and image processing
Course syllabus
MR image contrast.
Principles of image formation in MRI: the K-space.
Spectroscopy - Principles and applications.
Magnetic resonance with contrast medium.
Advanced sequences.
Outline of image processing.
Teaching methods
The course is divided into a series of lectures with slide shows in Power Point. The lectures slides are uploaded to the Ariel website or given directly to students.
Teaching Resources
CORIASCO, RAMPADO, BRADAC: Elementi di risonanza magnetica: Dal protone alle sequenze per le principali applicazioni diagnostiche - Springer Science & Business Media, 2014
Physical principles of computerised tomography, quality controls, and x-ray protection
Course syllabus
Magnetism and the physical principles underlying the production of the MRI signal.
MRI scanner and its components.
Indicators of image quality and artifacts in MRI.
Fundamental sequences.
Security in MRI and outline of quality control.
Teaching methods
The course is divided into a series of lectures with slide shows in Power Point. The lectures slides are uploaded to the Ariel website or given directly to students.
Teaching Resources
DONALD G. MITCHELL: Principi di Risonanza Magnetica - Edizione italiana: Ed. Centro Scientifico
Magnetic resonance imaging
Course syllabus
Clinical applications of MRI in various clinical districts: brain, heart and vessels, liver, biliary system, pancreas, kidneys and adrenal glands, prostates, intestines, joints and spinal column.
Teaching methods
The course is divided into a series of lectures with slide shows in Power Point. The lectures slides are uploaded to the Ariel website or given directly to students.
Teaching Resources
VANZULLI, TORRICELLI, RAIMONDI: Manuale di RM per TSRM - Poletto editore, 2018 (2a edizione)
Magnetic resonance: techniques and protocols
Course syllabus
Magnetic resonance principles: technical performance considerations.
Technical parameters that influence the contrast of the MRI image.
Technical parameters that affect image quality.
Technical parameters that influence the acquisition time.
Parallel imaging techniques and use of phased array coils.
Patient reception and management and safety in MRI.
Musculoskeletal MRI techniques (positioning, reels used, main sequences and acquisition plans).
MRI shoulder, elbow, wrist, pelvis, hips, knee, ankle and foot protocols.
Patient positioning and selection of the reels. Main sequences of pulses and scanning planes in the various clinical questions.
MRI abdomen techniques (patient preparation, centering, dedicated coils, sequences used, study plans).
Upper abdomen MRI protocol. Patient positioning and selection of coils, used pulse sequences and scanning planes.
MRI cholangiography Protocol. MRI enterography protocol. Lower abdomen protocols in the main clinical questions.
Breast MRI protocol, patient positioning and choice of reels, choice of pulse sequences and scanning planes.
MRI angiography techniques and protocols. Patient positioning and selection of the reels.
Pulse sequences (TOF, PC, CE-MRA) and scanning planes.
Main artifacts in RMI and any strategies to eliminate or reduce them.
Teaching methods
The course is divided into a series of lectures with slide shows in Power Point. The lectures slides are uploaded to the Ariel website or given directly to students.
Teaching Resources
VANZULLI, TORRICELLI, RAIMONDI: Manuale di RM per TSRM - Poletto editore, 2018 (2a edizione)
CORIASCO, RAMPADO, BRADAC: Elementi di risonanza magnetica: Dal protone alle sequenze per le principali applicazioni diagnostiche - Springer Science & Business Media, 2014
Magnetic resonance equipment, training, and image processing
ING-INF/07 - ELECTRICAL AND ELECTRONIC MEASUREMENT - University credits: 1
Lessons: 10 hours
Professor: Pepa Matteo
Magnetic resonance imaging
MED/36 - IMAGING AND RADIOTHERAPY - University credits: 4
Lessons: 40 hours
Magnetic resonance: techniques and protocols
MED/50 - APPLIED MEDICAL TECHNOLOGY AND METHODOLOGY - University credits: 1
Lessons: 10 hours
Professor: Raimondi Gabriele
Physical principles of computerised tomography, quality controls, and x-ray protection
FIS/07 - APPLIED PHYSICS - University credits: 1
Lessons: 10 hours
Professor: Pepa Matteo
Professor(s)
Reception:
Every Monday, from 3 to 5 pm
Division of Radiation Oncology, European Institute of Oncology (IEO), Milan
Reception:
Upon email contact
IRCCS Istituto Ortopedico Galeazzi, Radiology Unit, floor -2