COURSE OUTLINE

Course Number

RAD216

Course Title

Advanced Imaging Modalities

Credits

3

Lecture Hours

3

Prerequisites:

RAD206

Laboratory

Hours

0

Co-Requisites:

RAD228

UCatalog Description (2017-2018) U:

Presents the principles of fluoroscopy and tomography, with an overview of

special radiographic procedures and advanced imaging techniques including computerized tomography and magnetic resonance imaging. (Fall 2016)

URequired Texts/Other Materials U:

Title: Textbook of Radiographic Positioning and Related Anatomy

Author: K. Bontrager Publisher: Mosby Edition: 8th Title: Radiologic Science for Technologists

Author: S. Bushong Publisher: Mosby Edition: 10th

Title: Fundamentals of Special Radiographic Procedures

Author: A.M. Snopek Publisher: Saunders Edition: 5th

Recommended Texts:

Title: Principles of Radiographic Imaging Author: R. Carlton; A. Adler

Publisher: Delmar Edition: 5th URevision Date U U Course CoordinatorU:

Summer 2017 William Petrosky No Course Changes Voice: 609.570.3341; E-mail: HUpetroskw@mccc.eduUH

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UCourse Competencies/Goals (Student Learning Outcomes) U: At the completion of the course, the student should be able to:

1. Identify the various kinds of equipment used during specialized

radiologic procedures.

2. Describe the functions and principles of operation of advanced

imaging systems, including image intensification, conventional tomography and computer-enhanced imaging.

3. Identify the various kinds of advanced imaging modalities found in

medical imaging.

4. Explain the function and principles of operation of at least four

advanced imaging modalities.

5. Identify specialized procedures involving the use of contrast media.

6. Identify the contrast media used during specialized procedures,

including indications and contraindications.

7. Explain the technical and positioning considerations in performing the specialized radiographic procedures.

8. Demonstrate knowledge of sterile technique employed during special radiographic procedures.

9. Identify the anatomy demonstrated in radiographs and other images

obtained during special radiographic procedures.

10. Identify major elements of human circulatory anatomy on

radiographs and other imaging media.

UCourse-specific General Education Goals and Core Skills (Student Learning Outcomes, Continued)U:

General Education Knowledge Goals:

Goal 1. Communication. Students will communicate effectively in both

speech and writing.

Goal 2. Mathematics. Students will use appropriate mathematical and

statistical concepts and operations to interpret data and to solve problems.

Goal 3. Science. Students will use the scientific method of inquiry, through

the acquisition of scientific knowledge.

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Goal 4. Technology. Students will use computer systems or other

appropriate forms of technology to achieve educational and personal goals.

Goal 5. History. Students will understand historical events and movements

in World, Western, non-Western or American societies and assess their

subsequent significance

Goal 6. Ethical Reasoning and Action. Students will understand ethical

issues and situations.

MCCC Core Skills Goal A. Written and Oral Communication in English. Students will

communicate effectively in speech and writing, and demonstrate proficiency

in reading.

Goal B. Critical Thinking and Problem-solving. Students will use critical

thinking and problem solving skills in analyzing information.

Goal C. Ethical Decision-Making. Students will recognize, analyze and

assess ethical issues and situations.

Goal D. Information Literacy. Students will recognize when information is

needed and have the knowledge and skills to locate, evaluate, and effectively

use information for college level work.

Goal E. Computer Literacy. Students will use computers to access, analyze

or present information, solve problems, and communicate with others.

Goal F. Collaboration and Cooperation. Students will develop the

interpersonal skills required for effective performance in group situations.

Goal G. Intra-Cultural and Inter-Cultural Responsibility. Students will

demonstrate an awareness of the responsibilities of intelligent citizenship in a

diverse and pluralistic society, and will demonstrate cultural, global, and

environmental awareness.

UUnits of Study in Detail U:

Upon completion of this lecture course and clinical observation course, the student will be able to:

Adapt to changes and varying clinical situations. (Goal B)

Describe the role of health care team members in responding/reacting to a

local or national emergency.

Integrate the use of appropriate and effective written, oral and nonverbal

communication with patients, the public and members of the health care team

in the clinical setting. (Goal 1, Goal A)

Integrate appropriate personal and professional values into clinical practice.

(Goal 6, Goal C)

Recognize the influence of professional values on patient care. (Goal 6, Goal

C)

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Adapt procedures to meet age-specific, disease-specific and cultural needs of

patients. (Goal 6, Goal C)

Assess the patient and record clinical history.

Apply standard and transmission-based precautions.

Apply the appropriate medical asepsis and sterile technique.

Demonstrate competency in the principles of radiation protection standards.

Apply the principles of total quality management.

Report equipment malfunctions.

Examine procedure orders for accuracy and make corrective actions when

applicable.

Demonstrate safe, ethical and legal practices.

Integrate the radiographer’s practice standards into clinical practice setting.

(Goal 6, Goal C)

Comply with departmental and institutional response to emergencies,

disasters and accidents.

Differentiate between emergency and non-emergency procedures.

Adhere to national, institutional and departmental standards, policies and

procedures regarding care of patients, providing radiologic procedures and

reducing medical errors.

Critique images for appropriate anatomy, image quality and patient

identification. (Goal 4, Goals B & E)

Determine corrective measures to improve inadequate images. (Goal B)

UTopical Outline U: The general plan for the fifteen-week semester course identifies the topics to

be covered:

UWeek # UTopic 1 Introduction/Sterile Asepsis/Arthrography

2 Myelography & Sialography

3 Hysterosalpingography & ERCP

4 Mammography, Parts I & II

5 Mammography, Part III

6 Midterm Examination

7 Image Instensification & TV Imaging Systems

8 Recording Media & Equipment

9 Computer Concepts & Digital Imaging

10 Photographic & Digital Subtraction Techniques

11 Introduction to Crossectional Anatomy

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12 Introduction to Computed Tomography

13 Introduction to Magnetic Resonance Imaging

14 Overview of Vascular Special Procedures

15 Selected Vascular & Non-Vascular Procedures

16 Final Examination UTentative Lecture ScheduleU:

Tuesdays: 9:00 to 11:50 A.M.

Week

Number

Topic

Reading Assignment

1 Overview of Objectives

OR Orientation

Arthrography

Snopek pp 424-434

Bontrager pp 216-219

2 Test #1: Arthrography

Myelography

Sialography

Snopek pp 394-412

Bontrager pp 725-728

Snopek pp 414-422

3 Test #2: Myelography & Sialogaphy

Hysterosalpingography

ERCP

Snopek pp 381-393

Bontrager p 722-724

Bontrager p 721

4 Test #3: HSG & ERCP

Mammography

Mammography, part 2

Bontrager pp 748-766

Carlton Ch 38

Bushong Ch 23

5 Mammography, part 3

Bone Densitometry

Review for Midterm Exam

On-line Handouts

Bontrager pp 767-773

Carlton Ch 39

6 Midterm Exam (including

Mammography and Bone

Densitometry)

7 Review Midterm Exam Results

Image Intensification

TV Imaging Systems Basic

Carlton Ch 36

Bushong Ch 25

8 Test #4: Image

Intensification/Vidicon Tubes

Tomographic Concepts

Non-Film Recording Media

Carlton Ch 37;

Bushong 258-262

Bontrager pp 733-734

Carlton Ch 37

9 Test #5: Basic Tomography &

Recording Media

Computer Concepts

Digital Radiography

Bushong Ch 14-16

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Test #6: Digital Imaging/Computer

Bushong pp 424-429

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Concepts

Photographic and Digital Subtraction

Introduction to Crossectional Anatomy

Bontrager pp 670-671

11 Test #7: Subtraction Techniques

(Photog. & Digital)

Computed Tomography

Snopek pp 145-164

Carlton Ch. 41

Bontrager pp 687-713

12 Test #8: Computed Tomography

Magnetic Resonance Imaging, parts 1

and 2

Test #9: Magnetic Resonance

Imaging

(Take-Home)

Bushong Ch 28

Snopek Ch 9

Bontrager pp 774-788

Carlton Ch. 42

13* No Class

14 Catheterization Lab Personnel,

Equipment and General Procedures

Snopek Chapters 3 and 4

15 Catheterization Methods & Selected

Vascular and Non-Vascular Procedures

Snopek Ch 17

Bontrager pp 678-682

16 Final Examination

*Tuesday follows Thursday schedule

4BAdvanced Imaging Modalities Essay

Students taking RAD 216 will have an opportunity to observe two advanced imaging modalities of their choice during the fall semester at Princeton

Radiology Associates, P.A. Each observation will be for one day (8:00 a.m. to 4:00 p.m.) unless otherwise instructed.

In order to make each visit meaningful, students are expected to meet certain objectives. Accordingly, designated clinical supervisors will evaluate

each student at the conclusion of each observation. A clinical evaluation form is utilized for this purpose. It is the student’s responsibility to return

each completed evaluation form to the course instructor in order to verify attendance at the clinical facility. Failure to return each completed evaluation form will result in a reduction in the clinical attendance grade.

This could adversely impact that student’s RAD 228 clinical grade.

Dosimeters are to be worn at the Princeton Radiology Associates office visited. The supervisors are instructed to turn away any student who is not wearing a dosimeter, even if the assignment is in diagnostic medical

sonography or magnetic resonance imaging.

It is suggested that students prepare for each observation by reading literature related to the modality. No student is expected to become an

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overnight expert, but it will not hurt to know a few things in advance. With adequate preparation, students will be able to ask relevant questions and

enhance their understanding of what is observed.

As a capstone of the observation experience, each student shall prepare a four to five-page essay, not including title page, covering one observed modality. Note: students should begin their essays soon after

completing the observation of their choice. The deadline for submission is 4 weeks following the last clinical observation (see

PRA rotation list). Those whose writing ability is weak should seek immediate assistance from the Learning Center (http://www.mccc.edu/student_services_learncenter_ww_writing.s

html) on the second floor of the Library Building. The essay should contain the following elements:

1. A brief introduction to your observation 2. The type of modality observed

3. General principles of operation 4. The kinds of procedures performed

5. Contraindications if any 6. Safety considerations for patient and staff

7. A detailed description of an observed procedure 8. Education and training needed to work in the modality 9. Why you would (would not) pursue the modality as a career

10.A brief conclusion

A grading rubric will be distributed in order to guide the satisfactory completion of the essay and will be the basis for grading the assignment.

The essay must be typewritten and double-spaced using 12-point “Courier” font. The grade for the essay will be determined on the basis of satisfying

the written criteria which shall be distributed on the first day of class. PLEASE NOTE THE FOLLOWING:

Essays are due by the scheduled deadline (see page 10). One point will be

deducted for each day an essay is received past the due date. Students whose essays are returned to them because they do not meet

minimum standards of college-level English will be required to meet with a tutor at the Writing Center. The students will verify having worked with the

tutor using an instructor-issued form, then re-submit their essays by the new deadline. If the corrected essays satisfy the requirements as contained in the grading rubric, the highest grade to be awarded will be a C (75%).

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UEvaluation of Student Learning U:

A grade of “C” (75%) or higher must be achieved in the course in order to continue taking radiography courses the next semester. There will be a

minimum of five tests, one midterm examination and a final examination. A term project involving an advanced modality is also required.

The course instructor will provide details of testing formats, test dates and term project deadlines. The grading is as follows:

Tests 20% Midterm Examination 30%

Final Examination 30% Written Report (essay) 20%

NOTE: Students will be assigned to Princeton Radiology Associates to

observe a number of advanced imaging modalities. Attendance

on the assigned days is mandatory. Failure to fulfill the observations will be reflected in the student’s clinical

attendance evaluation in RAD 228.

UClinical Education Policies U: The student should refer to the clinical education handbook for the pertinent policies regarding attendance, punctuality, the clinical competency process, etc. UAttendance Policy U:

1. Students are expected to be in attendance at the scheduled start time of all class and laboratory sessions; late arrival is disruptive to the class and instructor. Attendance will be taken for all lecture and lab sessions. The

following grading system will be recorded for late arrival and absences:

A. Lecture: 1. Three points will be deducted from the final lecture grade for each

late arrival to a scheduled lecture.

2. Five points will be deducted from the final lecture grade for each absence from a scheduled lecture.

B. Laboratory (not applicable to this course):

1. Three points will be deducted from the final lab grade for each late

arrival to a scheduled laboratory. 2. A total of five (5) points will be deducted from the final laboratory

grade for each lab test not taken on schedule. (Refer to item # 3-4 below)

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2. Cell phones must be turned off upon entering the classroom. Receiving phone calls in tone or vibration mode are distracting to other students.

Calls may not be made on personal cell phones during class time. Students may not charge their personal cell phone in the radiography

classroom MS 314. 3. All students are required to attend every lab session. Students must be

present for the entire period actively engaged in radiographic positioning, assisting classmates, and image evaluation. In case of emergency or

illness, exceptions may be made if the student contacts the course instructor prior to the lab session. If the instructor is not available, a message must be transmitted by e-mail or voice mail before the lab

session begins. A valid, documented excuse (i.e. doctor’s note, vehicular repair) must be presented the next class session. It will be the instructor’s

prerogative to decide whether or not the excuse is valid. If deemed valid, a make-up session would be conducted in the college lab according to a schedule arranged by the instructor. Students may not lab test until the

lab session has been completed. If a student misses more than one lab session clinical education progression may be jeopardized, leading to

course failure.

4. Students who miss a laboratory test will be rescheduled according to a schedule arranged by the instructor. Students may not progress with the clinical competency process on the missed lab procedure; this may

jeopardize completion of clinical education requirements. A total of five (5) points will be deducted from the final laboratory grade for each lab

test not taken on schedule.

5. Make-up written tests are not permitted. Students must contact the instructor directly, leave a voice or e-mail message prior to the time of the scheduled exam. Students who miss an examination must provide a valid, documented excuse i.e. doctors note, vehicular repair by the next class session. If determined valid by the instructor, the comprehensive mid-term and/or final exam will be calculated with an additional weight equal to the missed examination. If the midterm examination is missed with valid excuse, the weight of the exam will be added to the final exam. This will serve as validation of material comprehension covered on the missed examination. Any unexcused examination will earn a zero (0) grade.

6. Students who miss the final examination must contact the instructor by email

or phone by the start of the examination administration. A valid, documented excuse must be submitted within two days of the final exam administration date. Valid excuses include emergent situations that arose unexpectedly and could not be mitigated at the time of the final exam. Examples include but are not limited to death in family, illness, vehicular repair with supporting documentation from the respective agency. Planned vacations, events, advanced request for time away are not considered valid excuses. If

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determined valid, the make-up final exam date will be determined by the course instructor in consultation with the student. The final exam must be taken prior to the start of the spring term to be eligible for the spring term radiography courses.

Princeton Radiology Associates Clinical Observation Schedule

Student Modality Date Day Location Essay Due

Young, Shawnna MR 9/6/17 W J

Leip, Michael MR 9/6/17 W P

DiMaggio, Sarah NM 9/6/17 W J

Tomar, Nikita US 9/6/17 W J

Rodas, Wandeli US 9/6/17 W P

Leckie, Jessica MR 9/8/17 F J

Peralta, Ana MR 9/8/17 F P

Hartmann, Kelly NM 9/8/17 F J

Locklear, Allie US 9/8/17 F P

Szorc, Agata US 9/8/17 F J

Tomar, Nikita MR 9/13/17 W J 10/11/17

Rodas, Wandeli MR 9/13/17 W P 10/11/17

Makarova, Victoria NM 9/13/17 W J

Petito, Tiffany US 9/13/17 W P

Magalhaes, Natalia US 9/13/17 W J

DiMaggio, Sarah MR 9/15/17 F P 10/13/17

Hartmann, Kelly MR 9/15/17 F J 10/13/17

Leip, Michael NM 9/15/17 F J 10/13/17

Hulak, Sylwia US 9/15/17 F P

Desai, Gargi US 9/15/17 F J

Locklear, Allie MR 9/20/17 W P 10/18/17

Szorc, Agata NM 9/20/17 W J 10/18/17

Young, Shawnna US 9/20/17 W P 10/18/17

Czapkowski, Robyn US 9/20/17 W J

Petito, Tiffany NM 9/22/17 W J 10/20/17

Leckie, Jessica US 9/22/17 F J 10/20/17

Peralta, Ana US 9/22/17 F P 10/20/17

Magalhaes, Natalia NM 9/27/17 W J 10/25/17

Makarova, Victoria US 9/27/17 W P 10/25/17

Desai, Gargi US 9/27/17 W J 10/25/17

Hulak, Sylwia NM 9/29/17 F J 10/27/17

Czapkowski, Robyn NM 10/4/17 W J 11/1/17

Location: P=Princeton Office; J=Jamesburg (Forsgate) Office

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Academic Integrity: Mercer County Community College is committed to Academic Integrity -- the honest, fair and continuing pursuit of knowledge, free from fraud or deception. This implies that students are expected to be responsible for their own work. Academic Integrity is violated whenever a student:

A. Uses or obtains unauthorized assistance in any academic work.

B. Gives fraudulent assistance to another student.

C. Knowingly represents the work of others as his/her own, or represents

previously completed academic work as current.

D. Fabricates data in support of an academic assignment.

E. Inappropriately or unethically uses technological means to gain academic

advantage.

For any academic integrity violation, the faculty member will determine the penalty and shall notify the chairperson of the Academic Integrity Committee of the violation and the penalty imposed. Students should refer to the MCCC Student Calendar/Handbook for the complete policy and OMB210 (http://www.mccc.edu/academic_policies_integrity.shtml).

Accessibility: Mercer County Community College is committed to ensuring the full participation of all students in its programs. If you have a documented differing ability or think that you may have a differing ability that is protected under the ADA or Section 504 of the Rehabilitation Act, please contact Arlene Stinson in LB216 (stinsona@mccc.edu) for information regarding support services.