Download Advanced Functional Imaging course specification

Cairo University
Faculty of Medicine
Course Specification for MD Degree in Diagnostic and
Intervention Radiology
Advanced Functional Imaging
Program on which the course is given: MD Degree in Diagnostic
and Intervention Radiology.
Department offering the program: The Diagnostic and Intervention
Radiology Department.
Course Code : RAD924AFI
Minor element of program: Advanced functional imaging.
Department offering the course: Diagnostic and Intervention
Radiology department.
Academic year: 2011-2012
Credit points:
5
Course coordinators:

Prof. Youssriah Yahia Sabri

Dr. Iman Hamdy Ibrahim


1
Dr. Rania Zeitoun
Dr. Dalia Salah El Mesidy
I. Aim of the course:
The aim of the course is to enable the specialized candidates in the medical
field of diagnostic radiology to achieve satisfactory levels of knowledge and
clinical background in
a sub-specialty of the radiology practice, interact
with community problems, respect ethical values according to community
culture, and promote their medical standards through engaging in continuing
medical education. The program also aims to introduce the candidate to the
scientific medical research.
II. Intended learning outcomes:
1-knowledge and understanding: by the end of the program the
candidate should:
a) Distinguish the radiological appearances of different pathologies
in a
radiological subspecialty using different diagnostic modalities.
b) Identify and discuses different diagnostic modalities and advanced
functional imaging techniques in radiology needed to diagnose the nature of
different imaging lesions.
c) Identify the management of procedural complications.
d) Describe different diagnostic modalities and advanced functional imaging
techniques for diagnosing various lesions in
a radiological subspecialty
including thoracic Imaging , cardiovascular Imaging , neuroradiology ,
uroradiology , gastrointestinal Imaging, head and neck imaging , women
Imaging and interventional radiology.
2
2- Intellectual Skills: By the end of the program the candidate should be
able to:
a) Develop skills and audit methodology that are necessary to structure and
perform research and audit under appropriate guidance.
b) Review published articles critically and to perform effective literature
searches on a given topic.
c) Interpretation of the effective application of research findings in every day
practice will be also required.
3- Professional and practical skills: by the end of the program the
candidates should be able to:
a) Apply the different procedures competently and independently.
b) Attaining experience in non interpretative skills (risk management, patient
safety, recognition and management of contrast reaction).
4- General and transferable skills: by the end of the program the
candidates should be able to:
a) Participation in reporting different advanced functional radiological
examinations of a specified radiological subspecialty
which are done
during the general through put of the normal working day of the department
of diagnostic and intervention radiology.
b) Performing any routine radiological procedure that might be booked
during a normal working day.
c) Attendance at end conducting clinico-radiological conferences and
multidisciplinary meetings.
d) Competence at reviewing studies of
subspecialty
a specified radiological
on a workstation and familiarity with digital image
manipulation and post processing.
3
e) Teaching and training. Appraising and assessing.
f) Working with colleagues:
o Treating colleagues fairly.
o Working in teams.
o Leading teams.
o Taking up appointments.
o Sharing information with colleagues,
o Delegation and referral,
o Assessing conduct or performance of colleagues.
g) Relationships with patients
o Obtaining consent.
o Respecting confidentiality.
o Maintaining trust.
o Good communication.
h) Probity:
o Dealing with problems in professional practice,
o Handing complaints and formal inquiries.
III. Course contents:
Elective course; one academic year (30 weeks Starts October)
5 credit points .
The candidate has the right to choose only one of the following
subspeciality courses to be examined in
4
Credit
Points Total
Item
Advanced
functional
Thoracic
Imaging
a. Congenital lung lesions
b. Inflammatory
lung
lesions
c. Tumours of lungs and
pleura
d. Consolidation
and
collapse
e. Diffuse infiltrative lung
disease
f. Vascular lung lesions
g. Miscellaneous
lesions
(Hepatopulmonary axis,
Airway diseases)
h. Mediastinum
i. Chest wall
j. Diaphragm
Item
Advanced
functional
Cardiac
Imaging
a. Cardiac conventional
radiography
b. Cardiac MRI
c. Coronary angiography
d. Congenital
heart
diseases
e. Myocardial
ischemia
and infarction
f. Cardiomyopathy
g. Valvular heart diseases
h. Pericardial diseases
i. Cardiac masses
5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
5
0.5
0.5
0.5
Credit
Points Total
0.5
0.5
0.5
0.5
1
0.5
0.5
0.5
0.5
5
Item
Advanced functional
GastroIntestinal Imaging
a. Salivary glands/Esophagus
/Pharynx
b. Stomach/ Duodenum
c. Small & Large bowel
(inflammatory bowel dis.)
d. Pancreas/ Spleen
e. Acute abdomen/ Abdominal
trauma
f. Dynamic MR liver
g. MRCP/ CT biliary
h. Peritoneal/ Mesenteric
pathologies
i. Bariatric surgery (Gastric
sleeve)/Large abdominal wall
hernia
j. MR defecography
Items
Advanced functional
Urogenital Imaging
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
Techniques/ Contrast
media/MRU/Scintigraphy
Congenital anomalies
Stones & obstructive uropathy
Tumors and cystic disease of
kidneys
Ureteric pathologies
UB pathologies
Prostate/ Seminal
vesicles/Urethra/Scrotum
Renal vascular lesions and
reno-vascular hypertension
Supra-renal imaging & lesions
Pelvic floor imaging
6
Credit
Points Total
0.5
0.5
0.5
0.5
0.5
5
0.5
0.5
0.5
0.5
0.5
Credit
Points Total
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
5
Item
Advanced
functional
neuroradiology
and Head and
Neck Imaging
I)
Neuroradiology
1-CNS Infections
2-MRS
3-Supratentorial Tumors
4-Posterior Fossa Tumors
5-Craniocervical Junction
6-MR Diffusion and Perfusion
7-The Spinal Cord
8-Cerebrovascular Stroke
0.25
0.5
0.25
0.25
0.5
0.5
0.5
0.5
II)Head and Neck Imaging
1-Imaging of the Orbit
2-Imaging of the Petrous Bone
3-Imaging of the Paranasal
sinuses 4-Imaging of the Larynx
5-Imaging of the Thyroid Gland
0.25
0.5
0.25
0.5
0.25
Item
Advanced interventional
radiology
a.
b.
c.
d.
e.
f.
g.
h.
i.
Credit
Points Total
Vascular
interventions
(diagnostic and therapeutic)
Neuro-interventions
Renal interventions
Tumors ablation
Hepatic focal lesion ablation
Gastrointestinal bleeding
Hepato-biliary interventional
techniques
Miscellaneous
specialized
techniques
Doppler
7
5
Credit
Points Total
1
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
5
Item
Advanced
functional
Musculoskeletal Imaging
Advanced functional pediatric
Imaging
Skeletal trauma
Bone infections
c.
Arthritis
d. Bone tumors
e.
Imaging in hematological
diseases
f. Shoulder joint
g. Elbow and wrist joints
h. Hip joint
i.
Kneejoint
j.
Ankle joint
a.
b.
Item
1. Pediatric musculoskeletal
system
2. Pediatric cardiology
3. Pediatric genitourinary
system
4. Pediatric head and neck
5. Pediatric spine
6. Pediatric neuroradiology
7. Pediatric gastrointestinal
system
8. Pediatric chest
8
Credit
Points Total
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.5
5
Credit Total
points
0.5
5
0.5
1
0.5
0.5
0.5
1
0.5
Advanced Women
Imaging
Item
I)
Imaging of the Breast
1-Techniques and positions of the breast
and breast ultrasound
2-BIRADS lexicon interpretation
3-Benign breast lesions
4-Malignant breast lesions
5-Breast MRI
6-Special techniques of the breast
II)
Imaging of the female
pelvis and DEXA
1-Hysterosalpingography and
multimodality approach to uterine
lesions
2- Multimodality approach to ovarian
and adnexal lesions
3-CT of the female pelvis
4-Benign ovarian, adnexal and uterine
lesions
5-Malignant ovarian, adnexal and
uterine lesions
6-Obestetric ultrasound
7-Imaging of the placenta
8-DEXA
Credit
Points
Total
5
0.4
0.4
0.3
0.3
0.4
0.4
0.4
0.4
0.4
0.3
0.3
0.3
0.3
IV Teaching methods:
A. Tutorials:
Tutorials are arranged to discuss
daily radiology
cases
(images
interpretation, possible differential diagnosis and final diagnosis)
B. Presentations:
All subspecialty imaging units direct a scientific meeting to present:

Challenging cases presentations .
Each case presentation includes:
a) Radiology images
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b) Relevant clinical data
c) Differential diagnosis
d) Final diagnosis
•
Scientific presentation for an advanced imaging technique and its
applications
C. Journal club:
is held once a month by the thoracic imaging unit to
review and discuss recent research studies and articles.
D. Film Reading Sessions:
 Afternoon sessions are held daily discussing interesting cases.
 Weekly morning sessions reviewing the daily cases in thoracic
imaging unit.
E. Assignments:

Candidates are assigned to contribute in the scientific meetings
through sharing in cases presentation, journal club and discussions.
V. Teaching and learning facilities:
Lecture halls:
1. A well-designed conference room for weekly meetings with data show
and projection capabilities that allow cases to be viewed directly from the
PACS.
2. Rooms for small groups
Audio-visual aids:
 Data shows
 Radiology imaging library
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 Digital library
 PACS
 Computer lab.
List of References:
 Recommended books:
 General Radiology

Grainger and Allison’s Diagnostic Radiology: A Textbook of Medical Imaging by Andreas
Adam, Adrian K Dixon, Jonathan H. Gillard, Cornelia M.Schaefer-Prokop

Textbook of Radiology and Imaging by David Sutton
 Women Imaging

Diagnostic Imaging: Gynecology by H. Hricak, O.Akin, E. Sala, S.M. Ascher, D. Levine, C.
Reinhold

Diagnostic Imaging: Breast by W.A. Berg, R.L. Birdwell, E.C. Gombos, S. Wang, B.T.
Parkinson, S. Raza, G.E. Green, A. Kennedy, M.D. Kettler

Breast MRI: Diagnosis and Intervention by EA Morris, L.L. Liberman
 Thoracic Imaging

Thoracic radiology : the requisites by Theresa c. Mcloud

Diagnostic imaging: chest by Abbott-Martinez-Jiménez

Thoracic imaging: pulmonary and cardiovascular radiology
by W. Richard Webb and
Charles B Higgins.
 Pediatric Imaging

Diagnostic Imaging: Pediatrics by L.F. Donnely,B.V. Jones, S.M. Ohara, C.G. Anton, C.
Benton, S.J Westra, S. J. Kraus, J.L. Strife, B.L. Koch, K.L.Hoeg, E.J. Krotty, R.B. Fortuna.
 Musculoskeletal Imaging

Diagnostic imaging: orthopaedicsby Stoller-Tirman-Bredella-Beltran-Branstetter-Blease

Musculoskeletal MRIby Helms-Major-Anderson-Kaplan-Dussault.
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 Interventional Radiology

Interventional Radiology: A Survival Guide, byDavid Kesseland Iain Robertson

Vascular and Interventional Radiology, by Karim Valji

Handbook of Interventional Radiologic Procedures (Lippincott Williams & Wilkins
Handbook Series) by Krishna Kandarpa and Lindsay Machan
 Neuroradiology and Head and neck imaging

Diagnostic Imaging: Brain by A.G. Osborn, K.L. Salzman, A.J. Barkovich

Diagnostic Imaging: Head and Neck by H.R. Harnsberger, R.H. Wiggins, P.A. Hudgins,
M.A. Michel, J. Swartz, H.C. Davidson, A.J. Macdonald, C.M. Glastonbury, J.K. Cure, B.
Branstetter

Diagnostic Imaging: Spine by J.S. Ross, M. Brant-Zawadzki, K.R. Moore, J. Crim, M.Z.
Chen, G.L.Katzman
 Urogenital imaging

Textbook of Uroradiology
By Dunnick
 Gastrointestinal Imaging


CT and MRI of the abdomen and pelvis
A teaching file
MRI of the liver
G. Schnieder
 Cardiac Imaging

Clinical Cardiac MRI.
Periodicals:
 Radiographics
 Radiology
Web sites:
> www.radiopaedia.org
> www.learningradiology.com
> www.radiologyeducation.com
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VI. Supervision and Monitoring of the Training
Program
According to the faculty of medicine, Cairo university Bylaws for M.D.
training programs, a logbook will be kept for each candidate to document
his/her participation in different scientific activities. The head of the
department allows the candidates to undergo the final examination when
they complete their training program and collect the credit points needed.
VII Assessment:
A: Assessment Tools:
M.D Thoracic imaging Exam
 A written exam :
 Essay questions (3 hours)
 Oral exam .
B: Assessment Schedule:
 The written exam will be held in May/November every year .

Oral exam (multiple examiners).
C: Weighing Of Assessment: Marks allocated to courses.
Written
oral
Total
125(50%)
125 (50%)
250 (100%)
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Remarks:
• It is mandatory to pass the written and oral exams.
• Passing mark for the two written papers together is >60%.
• Passing mark for oral exam is >60%.
Course director
 Prof. Youssriah Yahia Sabri
 Dr. Iman Hamdy
Date
of
approval
by
department
council
November 2016
Head of Department
Prof. Nagui Abd El-Wahab
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