R T 74: ADVANCED CLINICAL EXPERIENCE: COMPUTED TOMOGRAPHY
Foothill College Course Outline of Record
Heading | Value |
---|---|
Effective Term: | Summer 2021 |
Units: | 14 |
Hours: | 16 lecture, 480 laboratory per quarter (496 total per quarter) 2 hours lecture per week for the first 8 weeks; 40 hours clinical laboratory per week for 12 weeks. This is a clinical laboratory course with 16 hours of didactic content. |
Prerequisite: | Current ARRT and CRT certification as a Radiologic Technologist; R T 62A and 62C. |
Degree & Credit Status: | Degree-Applicable Credit Course |
Foothill GE: | Non-GE |
Transferable: | CSU |
Grade Type: | Letter Grade Only |
Repeatability: | Not Repeatable |
Student Learning Outcomes
- Demonstrate proper equipment manipulation and assist in the performance of computed tomography procedures, applying appropriate patient care and radiation protection principles in the clinical setting.
- Critique and distinguish relevant sectional anatomy and pathology related to computed tomography.
Description
Course Objectives
The student will be able to:
- Review patient history to identify contraindications prior to the examination.
- Perform venipuncture in the upper extremity for the purpose of injecting contrast media.
- Relate how radiation interacts with human tissues for the purpose of radiation protection.
- Maintain radiation protection for the patient, personnel, and self.
- Exhibit knowledge and understanding in the proper use of the CT equipment.
- Explain acquisition parameters and data reconstruction as it relates to CT image processing.
- Critique and evaluate CT images for good diagnostic quality.
- Select proper scanning parameters and patient positioning as outlined by the department protocols.
- Differentiate between normal and abnormal anatomy as it relates to CT procedures of the head, spine, musculoskeletal, neck, chest, abdomen and pelvis.
- Adhere to standards of attendance, punctuality and dependability.
- Conduct self in a professional manner.
- Apply theory to practice by exhibiting ongoing, satisfactory job performance.
- Prepare a case study presentation based on literature search and clinical experience.
Course Content
- Patient interactions and management
- Patient assessment and preparation
- Clinical history
- Scheduling and screening
- Education
- Consent
- Immobilization
- Monitoring
- Management of accessory medical devices
- Lab values
- Medications and dosage
- Contrast administration
- Contrast media
- Special contrast considerations
- Administration route and dose calculations
- Venipuncture
- Injection techniques
- Post-procedure care
- Adverse reactions
- Universal/standard precautions
- Patient discharge/post-procedure instructions
- Patient assessment and preparation
- Safety
- Radiation safety and dose
- Radiation physics
- Radiation interaction with matter
- Acquisition (geometry)
- Physics principles (attenuation)
- Radiation physics
- Radiation protection
- Minimizing patient exposure
- Personnel protection
- Shielding
- Dose measurement
- Patient dose reduction and optimization
- Radiation safety and dose
- Image production
- Image formation
- CT system principles, operation, and components
- Tube
- Collimation
- Generator
- Detectors
- Data acquisition system
- Computer and array processor
- Imaging parameters and data acquisition
- Image processing
- Reconstruction
- Post-processing
- CT system principles, operation, and components
- Image evaluation and archiving
- Image display
- Pixel/voxel
- Matrix
- Image magnification
- Display field of view
- Window level, window width
- Cine
- Geometric distance or region of interest
- Image quality
- Spatial resolution
- Contrast resolution
- Temporal resolution
- Noise and uniformity
- Quality assurance and accreditation
- CT number
- Linearity
- Artifact recognition and reduction
- Beam hardening or cupping
- Partial volume averaging
- Motion
- Metallic
- Edge gradient
- Patient positioning
- Equipment induced artifacts
- Informatics
- Hard/electronic copy
- Archive
- PACS
- Security and confidentiality
- Networking
- Image display
- Image formation
- Procedures
- Head, spine, and musculoskeletal
- Head
- Temporal bones
- Pituitary fossa
- Orbits
- Sinuses
- Maxillofacial
- Tempomandibular joint
- Base of skull
- Brain
- Cranium
- Brain perfusion
- Spine
- Cervical
- Thoracic
- Lumbar
- Sacrum/coccyx
- Post myelography
- Discography
- Musculoskeletal
- Upper extremity
- Lower extremity
- Bony pelvis
- Shoulder and/or scapula
- Sternum and/or ribs
- Arthrography
- Head
- Neck and chest
- Neck
- Larynx
- Soft tissue neck
- Chest
- Mediastinum
- Lung
- Heart
- Airway
- Low dose lung screening
- Neck
- Abdomen and pelvis
- Abdomen
- Liver
- Biliary
- Spleen
- Pancreas
- Adrenals
- Kidneys and/or ureters
- GI tract
- Pelvis
- Bladder
- Colorectal
- Reproductive organs
- Abdomen
- Head, spine, and musculoskeletal
- Professionalism
- Punctuality and dependability
- Clinic time reporting
- Absenteeism
- Communicating whereabouts appropriately
- Professional conduct
- Taking initiative
- Communicating effectively
- Conducting oneself in a professional manner
- Job performance
- Scanning according to protocol
- Planning and organizing work efficiently
- Being alert and interested in examinations
- Reading and understanding requisitions
- Communicating effectively
- Completing exam in a reasonable amount of time
- Punctuality and dependability
- Case study presentation
- Topic selection
- Presentation development
- Oral presentation
Lab Content
- Radiologic technology (computed tomography) clinical practice
- Radiation protection
- Equipment operation
- Physics and instrumentation
- Imaging procedures
- Patient care in a clinical setting
Special Facilities and/or Equipment
Method(s) of Evaluation
Presentation project: Case study
Clinical performance evaluation
Online quizzes
Method(s) of Instruction
Discussion
Demonstration
Clinical practice
Lecture
Representative Text(s) and Other Materials
Seeram, Euclid. Computed Tomography: Physical Principles, Clinical Applications & QC, 4th ed.. 2015.
Kelley, Lorrie. Sectional Anatomy for Imaging Professionals, 4th ed.. 2018.
Although the Seeram text is more than 5 years old, it remains the preeminent text in this area.
Types and/or Examples of Required Reading, Writing, and Outside of Class Assignments
- Reading assignments as required by the Computed Tomography Department.
- Development of a case study presentation.
- Participation in weekly Canvas discussions.
- Self-study companion modules geared to meet ARRT category content specifications to meet the continuing education requirements for board licensure.