Radiology, Nuclear Medicine, and Radiation Therapy - Clinical Skills
A.Y. 2023/2024
Learning objectives
To be familiar with the following topics: methods of measuring diagnostic performance; principles of radiobiology; principles of radiation protection for patients and operators; indications and contraindications for diagnostic imaging tests also in terms of cost-effectiveness for diagnostic and screening use; interventional radiology; interpretation of reports and communication to patients. To understand how the disease prevalence and gravity and, therefore, the selection of the requesting physician, influence the reliability of radiological and medical-nuclear investigations. To know the principles governing the risk-benefit ratio in the use of ionizing radiation for diagnostic and therapeutic purposes. To know the principles of image generation and to be able to explain them to the patient (radiographic and radioscopic techniques, computed tomography, ultrasound techniques, angiography, magnetic resonance imaging, planar and tomographic scintigraphy, positron-emission tomography). To know the general outlines of indications and contraindications for diagnostic imaging tests, contrast agents and radiopharmaceuticals to be able to define the sequential and synergic use of imaging techniques in major clinical condition. To know principles and application modes of the main radiotherapy techniques; hints of systematic radiotherapy with particular reference to oncological pathologies with greater epidemiological relevance (breast, prostate, lung cancers, etc.).
Expected learning outcomes
To be able, by evaluating one or more images of an investigation, to understand by which technique they were obtained and to which body region they refer by recognizing its anatomical elements, to describe any pathological findings, and to provide a diagnostic orientation. To be able to indicate which investigations are most suitable for the solution of diagnostic questions related to the main clinical conditions both in emergency and elective situations and which screening programs using imaging techniques are supported by sufficient levels of evidence. To be able to communicate to patients and family members the technical principles of imaging investigations and the content of reports. To be able to describe to patients and family members the technical principles and indications of major radiation therapy procedures.
Lesson period: First semester
Assessment methods: Giudizio di approvazione
Assessment result: superato/non superato
Single course
This course cannot be attended as a single course. Please check our list of single courses to find the ones available for enrolment.
Course syllabus and organization
Linea: Policlinico
Course syllabus
Professional activities pursue and are an integral part of the objectives and results of the learning expected from teaching, as they confer the skills and abilities useful for applying knowledge in clinical practice.
Radiology
Methods of measuring diagnostic performance; influence of disease prevalence (and, therefore, the selection of the requesting physician) on the reliability of the radiological examination result. The risk/benefit ratio in the use of ionizing radiation for diagnostic purposes. Principles of radiation protection for patients and operators. Units of dose measurement for ionizing radiation for diagnostic purposes. Physical and technical bases of digital imaging for conventional radiological techniques, computed tomography and tomosynthesis, ultrasound techniques (including Doppler ), angiography, magnetic resonance imaging and bone densitometry. Contrast media in conventional radiology, computed tomography, magnetic resonance and ultrasound and their indications and contraindications. Indications and contraindications for imaging obtained with the techniques listed above in order to define the sequential and synergistic use of imaging in the main clinical conditions. Role of interventional radiology from imaging-guided biopsies to endovascular and oncological treatments. Interpretation of reports and communication to the patient.
Nuclear Medicine
Physical and technical bases of the formation of digital images for planar and tomographic scintigraphy and for positron emission tomography. Radiopharmaceuticals and their clinical use. Specific aspects of radiation protection in a nuclear-medical environment. Applications of conventional Nuclear Medicine (endocrine diseases, musculoskeletal system, infectious diseases, study of renal function); Nuclear cardiology; PET in oncology; applications in neurology. Nuclear medicine therapy techniques.
Radiation Therapy
Radiotherapy: history and technological development. Principles of Radiobiology. Principles of Radiotherapy: external beam, intraoperative, intensity-modulated, brachytherapy, Hadrotherapy, Image-guided. Radical and palliative Radiotherapy, interaction with other treatment modalities (pre-operative and post-operative, in combination with chemotherapy/ hormonetherapy, etc,). Radiotherapy side effects: classification, prevention and treatment. Management of prostate, breast and head-neck cancers with Radiotherapy.
Radiology
Methods of measuring diagnostic performance; influence of disease prevalence (and, therefore, the selection of the requesting physician) on the reliability of the radiological examination result. The risk/benefit ratio in the use of ionizing radiation for diagnostic purposes. Principles of radiation protection for patients and operators. Units of dose measurement for ionizing radiation for diagnostic purposes. Physical and technical bases of digital imaging for conventional radiological techniques, computed tomography and tomosynthesis, ultrasound techniques (including Doppler ), angiography, magnetic resonance imaging and bone densitometry. Contrast media in conventional radiology, computed tomography, magnetic resonance and ultrasound and their indications and contraindications. Indications and contraindications for imaging obtained with the techniques listed above in order to define the sequential and synergistic use of imaging in the main clinical conditions. Role of interventional radiology from imaging-guided biopsies to endovascular and oncological treatments. Interpretation of reports and communication to the patient.
Nuclear Medicine
Physical and technical bases of the formation of digital images for planar and tomographic scintigraphy and for positron emission tomography. Radiopharmaceuticals and their clinical use. Specific aspects of radiation protection in a nuclear-medical environment. Applications of conventional Nuclear Medicine (endocrine diseases, musculoskeletal system, infectious diseases, study of renal function); Nuclear cardiology; PET in oncology; applications in neurology. Nuclear medicine therapy techniques.
Radiation Therapy
Radiotherapy: history and technological development. Principles of Radiobiology. Principles of Radiotherapy: external beam, intraoperative, intensity-modulated, brachytherapy, Hadrotherapy, Image-guided. Radical and palliative Radiotherapy, interaction with other treatment modalities (pre-operative and post-operative, in combination with chemotherapy/ hormonetherapy, etc,). Radiotherapy side effects: classification, prevention and treatment. Management of prostate, breast and head-neck cancers with Radiotherapy.
Prerequisites for admission
Professional activities pursue and are an integral part of the objectives and results of the learning expected from teaching, as they confer the skills and abilities useful for applying knowledge in clinical practice.
Human anatomy, medical physics.
Human anatomy, medical physics.
Teaching methods
Frequency of radiology rooms, nuclear medicine and radiotherapy.
Frontal lessons supported by Power-Point presentations, available on the Ariel platform.
Frontal lessons supported by Power-Point presentations, available on the Ariel platform.
Teaching Resources
Medicina Nucleare: Cittadini G, Cittadini G, Sardanelli F. Diagnostica per immagini e radioterapia. EDRA 2015.
Radioterapia: Perez & Brady's Principles and Practice of Radiation Oncology; 6° ed. Lippincott Williams and Wilkins 2013
Radioterapia: Perez & Brady's Principles and Practice of Radiation Oncology; 6° ed. Lippincott Williams and Wilkins 2013
Assessment methods and Criteria
Three oral interviews, one for each section (radiology, nuclear medicine, radiation therapy). Each interview will be rated by each teacher in 30ths; a global evaluation in 30ths will be obtained taking into account the relative weight of each section (radiology 50%; nuclear medicine 25%, radiation therapy 25%). To pass the examination, the candidate must obtain at least 18/30 for each of the sections. Multiple-choice tests can be used only in the case of a very high number of candidates.
MED/36 - IMAGING AND RADIOTHERAPY - University credits: 2
Professional training: 50 hours
Linea: San Donato
Course syllabus
Professional activities pursue and are an integral part of the objectives and results of the learning expected from teaching, as they confer the skills and abilities useful for applying knowledge in clinical practice.
Radiology
Methods of measuring diagnostic performance; influence of disease prevalence (and, therefore, the selection of the requesting physician) on the reliability of the radiological examination result. The risk/benefit ratio in the use of ionizing radiation for diagnostic purposes. Principles of radiation protection for patients and operators. Units of dose measurement for ionizing radiation for diagnostic purposes. Physical and technical bases of digital imaging for conventional radiological techniques, computed tomography and tomosynthesis, ultrasound techniques (including Doppler ), angiography, magnetic resonance imaging and bone densitometry. Contrast media in conventional radiology, computed tomography, magnetic resonance and ultrasound and their indications and contraindications. Indications and contraindications for imaging obtained with the techniques listed above in order to define the sequential and synergistic use of imaging in the main clinical conditions. Role of interventional radiology from imaging-guided biopsies to endovascular and oncological treatments. Interpretation of reports and communication to the patient.
Nuclear Medicine
Physical and technical bases of the formation of digital images for planar and tomographic scintigraphy and for positron emission tomography. Radiopharmaceuticals and their clinical use. Specific aspects of radiation protection in a nuclear-medical environment. Applications of conventional Nuclear Medicine (endocrine diseases, musculoskeletal system, infectious diseases, study of renal function); Nuclear cardiology; PET in oncology; applications in neurology. Nuclear medicine therapy techniques.
Radiation Therapy
Radiotherapy: history and technological development. Principles of Radiobiology. Principles of Radiotherapy: external beam, intraoperative, intensity-modulated, brachytherapy, Hadrotherapy, Image-guided. Radical and palliative Radiotherapy, interaction with other treatment modalities (pre-operative and post-operative, in combination with chemotherapy/ hormonetherapy, etc,). Radiotherapy side effects: classification, prevention and treatment. Management of prostate, breast and head-neck cancers with Radiotherapy.
Radiology
Methods of measuring diagnostic performance; influence of disease prevalence (and, therefore, the selection of the requesting physician) on the reliability of the radiological examination result. The risk/benefit ratio in the use of ionizing radiation for diagnostic purposes. Principles of radiation protection for patients and operators. Units of dose measurement for ionizing radiation for diagnostic purposes. Physical and technical bases of digital imaging for conventional radiological techniques, computed tomography and tomosynthesis, ultrasound techniques (including Doppler ), angiography, magnetic resonance imaging and bone densitometry. Contrast media in conventional radiology, computed tomography, magnetic resonance and ultrasound and their indications and contraindications. Indications and contraindications for imaging obtained with the techniques listed above in order to define the sequential and synergistic use of imaging in the main clinical conditions. Role of interventional radiology from imaging-guided biopsies to endovascular and oncological treatments. Interpretation of reports and communication to the patient.
Nuclear Medicine
Physical and technical bases of the formation of digital images for planar and tomographic scintigraphy and for positron emission tomography. Radiopharmaceuticals and their clinical use. Specific aspects of radiation protection in a nuclear-medical environment. Applications of conventional Nuclear Medicine (endocrine diseases, musculoskeletal system, infectious diseases, study of renal function); Nuclear cardiology; PET in oncology; applications in neurology. Nuclear medicine therapy techniques.
Radiation Therapy
Radiotherapy: history and technological development. Principles of Radiobiology. Principles of Radiotherapy: external beam, intraoperative, intensity-modulated, brachytherapy, Hadrotherapy, Image-guided. Radical and palliative Radiotherapy, interaction with other treatment modalities (pre-operative and post-operative, in combination with chemotherapy/ hormonetherapy, etc,). Radiotherapy side effects: classification, prevention and treatment. Management of prostate, breast and head-neck cancers with Radiotherapy.
Prerequisites for admission
Professional activities pursue and are an integral part of the objectives and results of the learning expected from teaching, as they confer the skills and abilities useful for applying knowledge in clinical practice.
Human anatomy, medical physics.
Human anatomy, medical physics.
Teaching methods
Frequency of radiology rooms, nuclear medicine and radiotherapy.
Frontal lessons supported by Power-Point presentations, available on the Ariel platform.
Frontal lessons supported by Power-Point presentations, available on the Ariel platform.
Teaching Resources
Medicina Nucleare: Cittadini G, Cittadini G, Sardanelli F. Diagnostica per immagini e radioterapia. EDRA 2015.
Radioterapia: Perez & Brady's Principles and Practice of Radiation Oncology; 6° ed. Lippincott Williams and Wilkins 2013
Radioterapia: Perez & Brady's Principles and Practice of Radiation Oncology; 6° ed. Lippincott Williams and Wilkins 2013
Assessment methods and Criteria
Three oral interviews, one for each section (radiology, nuclear medicine, radiation therapy). Each interview will be rated by each teacher in 30ths; a global evaluation in 30ths will be obtained taking into account the relative weight of each section (radiology 50%; nuclear medicine 25%, radiation therapy 25%). To pass the examination, the candidate must obtain at least 18/30 for each of the sections. Multiple-choice tests can be used only in the case of a very high number of candidates.
MED/36 - IMAGING AND RADIOTHERAPY - University credits: 2
Professional training: 50 hours
Professor:
Secchi Francesco
Shifts:
Gruppo 1
Professor:
Secchi FrancescoGruppo 2
Professor:
Secchi FrancescoLinea: San Giuseppe
Course syllabus
Professional activities pursue and are an integral part of the objectives and results of the learning expected from teaching, as they confer the skills and abilities useful for applying knowledge in clinical practice.
Radiology
Methods of measuring diagnostic performance; influence of disease prevalence (and, therefore, the selection of the requesting physician) on the reliability of the radiological examination result. The risk/benefit ratio in the use of ionizing radiation for diagnostic purposes. Principles of radiation protection for patients and operators. Units of dose measurement for ionizing radiation for diagnostic purposes. Physical and technical bases of digital imaging for conventional radiological techniques, computed tomography and tomosynthesis, ultrasound techniques (including Doppler ), angiography, magnetic resonance imaging and bone densitometry. Contrast media in conventional radiology, computed tomography, magnetic resonance and ultrasound and their indications and contraindications. Indications and contraindications for imaging obtained with the techniques listed above in order to define the sequential and synergistic use of imaging in the main clinical conditions. Role of interventional radiology from imaging-guided biopsies to endovascular and oncological treatments. Interpretation of reports and communication to the patient.
Nuclear Medicine
Physical and technical bases of the formation of digital images for planar and tomographic scintigraphy and for positron emission tomography. Radiopharmaceuticals and their clinical use. Specific aspects of radiation protection in a nuclear-medical environment. Applications of conventional Nuclear Medicine (endocrine diseases, musculoskeletal system, infectious diseases, study of renal function); Nuclear cardiology; PET in oncology; applications in neurology. Nuclear medicine therapy techniques.
Radiation Therapy
Radiotherapy: history and technological development. Principles of Radiobiology. Principles of Radiotherapy: external beam, intraoperative, intensity-modulated, brachytherapy, Hadrotherapy, Image-guided. Radical and palliative Radiotherapy, interaction with other treatment modalities (pre-operative and post-operative, in combination with chemotherapy/ hormonetherapy, etc,). Radiotherapy side effects: classification, prevention and treatment. Management of prostate, breast and head-neck cancers with Radiotherapy.
Radiology
Methods of measuring diagnostic performance; influence of disease prevalence (and, therefore, the selection of the requesting physician) on the reliability of the radiological examination result. The risk/benefit ratio in the use of ionizing radiation for diagnostic purposes. Principles of radiation protection for patients and operators. Units of dose measurement for ionizing radiation for diagnostic purposes. Physical and technical bases of digital imaging for conventional radiological techniques, computed tomography and tomosynthesis, ultrasound techniques (including Doppler ), angiography, magnetic resonance imaging and bone densitometry. Contrast media in conventional radiology, computed tomography, magnetic resonance and ultrasound and their indications and contraindications. Indications and contraindications for imaging obtained with the techniques listed above in order to define the sequential and synergistic use of imaging in the main clinical conditions. Role of interventional radiology from imaging-guided biopsies to endovascular and oncological treatments. Interpretation of reports and communication to the patient.
Nuclear Medicine
Physical and technical bases of the formation of digital images for planar and tomographic scintigraphy and for positron emission tomography. Radiopharmaceuticals and their clinical use. Specific aspects of radiation protection in a nuclear-medical environment. Applications of conventional Nuclear Medicine (endocrine diseases, musculoskeletal system, infectious diseases, study of renal function); Nuclear cardiology; PET in oncology; applications in neurology. Nuclear medicine therapy techniques.
Radiation Therapy
Radiotherapy: history and technological development. Principles of Radiobiology. Principles of Radiotherapy: external beam, intraoperative, intensity-modulated, brachytherapy, Hadrotherapy, Image-guided. Radical and palliative Radiotherapy, interaction with other treatment modalities (pre-operative and post-operative, in combination with chemotherapy/ hormonetherapy, etc,). Radiotherapy side effects: classification, prevention and treatment. Management of prostate, breast and head-neck cancers with Radiotherapy.
Prerequisites for admission
Professional activities pursue and are an integral part of the objectives and results of the learning expected from teaching, as they confer the skills and abilities useful for applying knowledge in clinical practice.
Human anatomy, medical physics.
Human anatomy, medical physics.
Teaching methods
Frequency of radiology rooms, nuclear medicine and radiotherapy.
Frontal lessons supported by Power-Point presentations, available on the Ariel platform.
Frontal lessons supported by Power-Point presentations, available on the Ariel platform.
Teaching Resources
Medicina Nucleare: Cittadini G, Cittadini G, Sardanelli F. Diagnostica per immagini e radioterapia. EDRA 2015.
Radioterapia: Perez & Brady's Principles and Practice of Radiation Oncology; 6° ed. Lippincott Williams and Wilkins 2013
Radioterapia: Perez & Brady's Principles and Practice of Radiation Oncology; 6° ed. Lippincott Williams and Wilkins 2013
Assessment methods and Criteria
Three oral interviews, one for each section (radiology, nuclear medicine, radiation therapy). Each interview will be rated by each teacher in 30ths; a global evaluation in 30ths will be obtained taking into account the relative weight of each section (radiology 50%; nuclear medicine 25%, radiation therapy 25%). To pass the examination, the candidate must obtain at least 18/30 for each of the sections. Multiple-choice tests can be used only in the case of a very high number of candidates.
MED/36 - IMAGING AND RADIOTHERAPY - University credits: 2
Professional training: 50 hours
Professor(s)