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October 9, 2009 RAD 251 ADVANCED CROSS-SECTIONAL ANATOMY Plan of Instruction Effective Date: 2009 Version Number: 2009-1 COURSE DESCRIPTION: This course provides the radiographer with knowledge of anatomy of the human body in cross-section. Topics included advanced sectional anatomy as demonstrated by computed tomography, magnetic resonance, and medical sonography. Upon completion, the student will be able to identify cross sectional anatomy from CT, MRI, and medical sonography. CREDIT HOURS Theory 2 credit hours Lab 0 credit hour Clinical 0 credit hour Total 2 credit hours Total Contact Hours - 2 NOTE: Theory credit hours are a 1:1 contact to credit ratio. Colleges may schedule practical lab hours as 3:1 or 2:1 contact to credit ratio. Clinical hours are 3:1 contact to credit ratio. (Ref Board Policy 705.01) The Alabama Community College System Copyright© 2009 All rights reserved Advanced Cross-Sectional Anatomy RAD 251 PREREQUISITE COURSES As required by program CO-REQUISITE COURSES As required by program PROFESSIONAL COMPETENCIES Explain concepts related to cross-sectional anatomy. Formulate specific clinical considerations for each transverse plane, sagittal plane, or coronal plane. INSTRUCTIONAL GOALS Cognitive - Comprehend advanced concepts of cross sectional anatomy. Psychomotor– There are no psychomotor goals directly associated with this course. Affective – There are no affective goals directly associated with this course. PROFESSIONAL COMPETENCIES/OBJECTIVES Unless otherwise indicated, evaluation of students’ attainment of cognitive and performance objectives is based on knowledge and skills gained from this course. Competencies specified for each module may be set by certification agencies, national and state codes, health care facility policies, locally developed lab/clinical assignments, or any combination. Students are expected to utilize relevant technology for patients’ care and records documentation. This course is based on the American Society of Radiologic Technologists Radiography Curriculum (2007). ACCS Copyright© 2009 All rights reserved 2 Advanced Cross-Sectional Anatomy RAD 251 MODULE A – INTRODUCTION TO CROSS-SECTIONAL ANATOMY PROFESSIONAL COMPETENCIES A1.0 PERFORMANCE OBJECTIVES Explain concepts related to A1.1 This competency is measured cross-sectional anatomy. cognitively. LEARNING OBJECTIVES A1.1.1 Define terms associated with radiographic sectional anatomy. A1.1.2 Identify anatomical/positioning planes. A1.1.3 Identify directional terms to describe the relative position of one body part to another. A1.1.4 Define regional terms. A1.1.5 Differentiate between normal and abnormal anatomical images. MODULE A OUTLINE Anatomical/Positional planes Transverse Coronal Sagittal Midsaggital Parasagittal Frontal Regional terms Anterior Ventral Posterior Dorsal Distal Proximal Superior Cranial Inferior Caudal Medical Mesial Lateral Supine Prone Normal and abnormal indicators ACCS Copyright © 2009 All rights reserved KSA Indicators 2 1 1 1 1 3 3 Advanced Cross-Sectional Anatomy RAD 251 MODULE B – THE HEAD PROFESSIONAL COMPETENCIES B1.0 PERFORMANCE OBJECTIVES Formulate specific clinical B1.1 This competency is measured considerations for each cognitively. transverse plane, sagittal plane, or coronal plane. LEARNING OBJECTIVES B1.1.1 Define terms associated with radiographic sectional anatomy of the head. B1.1.2 Describe anatomical structures for the head. B1.1.3 Describe sectional anatomy of specified regions. MODULE B OUTLINE Bones of the skull and cranium Skull and cranium Cranial cavity Facial skeleton Paranasal sinuses Foramina of the skull The Brain Nervous tissue and organization o White matter structures o Gray matter structures Regions of the brain o Cerebrum to include hemispheres, lobes, fissures, sulci, etc. o White matter o Diencephalon to include epithalamus, thalamus, hypothalamus, etc. o Brainstem o Cerebellum to include hemispheres and peduncles The Ventricle System Cerebrospinal fluid Choroid plexus Lateral ventricles Third ventricle Fourth ventricle Meninges Dura Mater and major extensions Arachnoid o Subarachnoid cisterns Pia Mater ACCS Copyright © 2009 All rights reserved KSA Indicators 2 1 2 2 4 Advanced Cross-Sectional Anatomy RAD 251 MODULE B OUTLINE (Continued) Arterial Blood Supply Anterior supply (major branches) Posterior supply (major branches) Circle of Willis Venous drainage Superficial drainage system Dural sinuses Internal jugular vein Cranial nerves The Orbital Cavity Skeletal formation of the orbital cavity Bulbus oculi (eyeball) o Fibrous tunic o Vascular tunic Orbital muscles Vascular supply Optic Nerve Auditory Canal Temporal bone and bony structures Vestibulocochlear nerve and course Endocrine System - Pituitary Gland Sphenoid bone Infundibulum Hypophysis (pituitary gland) ACCS Copyright © 2009 All rights reserved 5 Advanced Cross-Sectional Anatomy RAD 251 MODULE C – THE SPINE PROFESSIONAL COMPETENCIES C1.0 PERFORMANCE OBJECTIVES Formulate specific clinical C1.1 This competency is measured considerations for each cognitively. transverse plane, sagittal plane, or coronal plane. LEARNING OBJECTIVES C1.1.1 Define terms associated with radiographic sectional anatomy of the spine. C1.1.2 Describe anatomical structures. C1.1.3 Describe sectional anatomy of specified regions. MODULE C OUTLINE Typical vertebrae components Cervical vertebrae components Thoracic vertebrae components Lumbar vertebrae components Sacrum Coccyx Intervertebral discs Nucleus pulposus Annulus fibrosus o Herniated disc Vertebral column Sections Curvatures Spinal cord Composition White matter Gray matter Conus medullaris Cauda equina Filum terminale Spinal plexus Cervical Brachial Lumbar Sacral ACCS Copyright © 2009 All rights reserved KSA Indicators 2 1 2 2 6 Advanced Cross-Sectional Anatomy RAD 251 MODULE D – THE SOFT TISSUE NECK PROFESSIONAL COMPETENCIES D1.0 PERFORMANCE OBJECTIVES Formulate specific clinical D1.1 This competency is measured considerations for each cognitively. transverse plane, sagittal plane, or coronal plane. LEARNING OBJECTIVES D1.1.1 Define terms associated with radiographic sectional anatomy of the soft tissue neck. D1.1.2 Describe anatomical structures. D1.1.3 Describe sectional anatomy of specified regions. MODULE D OUTLINE Tissue organization Suprahyoid Infrahyoid Viscera of the neck Pharynx o Components, recesses, tonsils, etc. Rectopharyngeal space Larynx (distinguishing between true and false cords) Esophagus Trachea Thyroid gland Salivary glands o Parotid o Sublingual o Submandibular Vascular supply (major branches) Musculature of the neck Muscles of mastication Anterior triangle Posterior triangle ACCS Copyright © 2009 All rights reserved KSA Indicators 2 1 2 2 7 Advanced Cross-Sectional Anatomy RAD 251 MODULE E - THE THORAX PROFESSIONAL COMPETENCIES E1.0 PERFORMANCE OBJECTIVES Formulate specific clinical E1.1 This competency is measured considerations for each cognitively. transverse plane, sagittal plane, or coronal plane. LEARNING OBJECTIVES E1.1.1 Define terms associated with radiographic sectional anatomy of the thorax. E1.1.2 Describe anatomical structures. E1.1.3 Describe sectional anatomy of specified regions. MODULE E OUTLINE Skeletal anatomy of the thorax Sternum Thoracic vertebrae Ribs Thoracic cavity Lungs Mediastinum Superficial features of the heart Chambers and valves Vascular supply and drainage Coronary arteries Cardiac veins The great vessels of the heart Aorta o Ascending aorta Pulmonary trunk Superior vena cava Inferior vena cava Associated thoracic structures Thymus Trachea and bronchi Esophagus Azygos veins Breast General structure Hormonal participation Lymphatic system Major lymph node chains ACCS Copyright © 2009 All rights reserved KSA Indicators 2 1 2 2 8 Advanced Cross-Sectional Anatomy RAD 251 MODULE F – THE ABDOMEN PROFESSIONAL COMPETENCIES F1.0 PERFORMANCE OBJECTIVES Formulate specific clinical F1.1 This competency is considerations for each transverse measured cognitively. plane, sagittal plane, or coronal plane. LEARNING OBJECTIVES F1.1.1 Define terms associated with radiographic sectional anatomy of the abdomen. F1.1.2 Describe anatomical structures. F1.1.3 Describe sectional anatomy of specified regions. MODULE F OUTLINE Abdominal regions Diaphragm Structure Openings Abdominal musculature Anterolateral muscles Posterior muscles Abdominal peritoneum Mesentery Peritoneal elements Peritoneal Cul-De-Sacs Abdominal vasculature Abdominal aorta Branches Venous drainage of the abdomen Inferior vena cava and major branches Hepatic portal system Possible configurations of portal blood supply Abdominal viscera Liver o Lobes o Vasculature Gallbladder Esophagus Stomach o Vasculature o Divisions Small intestine o Divisions Large intestine o Divisions Spleen o Vasculature ACCS Copyright © 2009 All rights reserved KSA Indicators 2 1 2 2 9 Advanced Cross-Sectional Anatomy RAD 251 Module F Outline: Pancreas o Vascular landmarks o Divisions o Blood Supply Kidneys o Blood supply o Structure Suprarenal gland (Blood supply) ACCS Copyright © 2009 All rights reserved 10 Advanced Cross-Sectional Anatomy RAD 251 MODULE G - THE PELVIS PROFESSIONAL COMPETENCIES G1.0 PERFORMANCE OBJECTIVES Formulate specific clinical G1.1 This competency is measured considerations for each cognitively. transverse plane, sagittal plane, or coronal plane. (B) LEARNING OBJECTIVES G1.1.1 Define terms associated with radiographic sectional anatomy of the pelvis. G1.1.2 Describe anatomical structures. G1.1.3 Describe sectional anatomy of specified regions. MODULE G OUTLINE Pelvic cavity Bony pelvis Sacrum Coccyx Os Coxae Pubis Ischium Acetabulum Pelvic musculature Wall of the false pelvis Pelvic floor Wall of the true pelvis Vasculature Common iliac arteries Innervation Pelvic viscera Gastrointestinal organs Urinary organs Viscera of female pelvis Peritoneal folds Ligaments Ovaries Uterus o Body o Fundus o Uterine wall o Perimetrium o Ligamentous attachments Cervix Vagina ACCS Copyright © 2009 All rights reserved KSA Indicators 2 1 2 2 11 Advanced Cross-Sectional Anatomy RAD 251 MODULE G OUTLINE (Continued) External genitalia and related perineum Regions Female external genitalia Male external genitalia Musculature Reproductive organs of the male pelvis Scrotum Ductus deferens Spermatic cord Cremaster muscle Seminal vesicles Prostate Bulbourethral glands Penis ACCS Copyright © 2009 All rights reserved 12 Advanced Cross-Sectional Anatomy RAD 251 MODULE H – THE UPPER EXTREMETY PROFESSIONAL COMPETENCIES H1.0 PERFORMANCE OBJECTIVES KSA Indicators 2 Formulate specific clinical H1.1 This module is measured considerations for each cognitively. transverse plane, sagittal plane, or coronal plane. LEARNING OBJECTIVES H1.1.1 Define terms associated with radiographic sectional anatomy of the 1 upper extremety. H1.1.2 Describe anatomical structures. 2 H1.1.3 Describe sectional anatomy of specified regions. 2 Module H Outline: Shoulder joint Bony components Ligaments Musculature o Rotator cuff muscles Bursae Upper arm (brachium) Bony components Muscular components (Anterior and posterior) Vasculature Innervation Elbow joint Bony components Articulations Ligaments Musculature Vasculature Innervation Cubital Fossa Musculature Fascia Contents (identify nerves, arteries, veins and tendons emphasizing a medical to lateral relationship.) Forearm Bony components Muscular components (anterior and posterior) Vasculature Innervation Wrist Bony compartments Ligamentous components Tendinous components Vasculature Innervation ACCS Copyright © 2009 All rights reserved 13 Advanced Cross-Sectional Anatomy RAD 251 Module H Outline (continued) Hand Bony components Muscular components Vasculature Innervation ACCS Copyright © 2009 All rights reserved 14 Advanced Cross-Sectional Anatomy RAD 251 MODULE I - LOWER EXTREMITY PROFESSIONAL COMPETENCIES I1.0 PERFORMANCE OBJECTIVES KSA Indicators 2 Formulate specific clinical I1.1 This competency is measured considerations for each cognitively. transverse plane, sagittal plane, or coronal plane. LEARNING OBJECTIVES I1.1.1 Define terms associated with radiographic sectional anatomy of the lower extremity. I1.1.2 Describe anatomical structures. I1.1.3 Describe sectional anatomy of specified regions. MODULE I OUTLINE Hip joint Bony components Ligamentous components Muscular components (Anterior, posterior, and medical groups) Vascular components Innervation The Thigh Bony components Muscular components (Anterior, medical and posterior compartments) Vasculature Innervation The Knee Bony components Ligamentous components o Menisci o Extracapsular ligaments Intracapsular ligaments Muscular components Neurovascular components The Leg Bony components Muscular components o Anterior compartment o Posterior compartment o Lateral compartment Vasculature Innervation The Ankle Bony components Ligamentous components Musculotendinous components (Medial, lateral, anterior, and posterior groups) Neurovascular components ACCS Copyright © 2009 All rights reserved 1 2 2 15 Advanced Cross-Sectional Anatomy RAD 251 MODULE I OUTLINE (Continued) The Foot Bony components Muscular components o Dorsal o Plantar Innervation o Dorsal o Plantar Vasculature ACCS Copyright © 2009 All rights reserved 16 Advanced Cross-Sectional Anatomy RAD 251 LEARNING OBJECTIVES TABLE OF SPECIFICATIONS The table below identifies the percentage of cognitive objectives for each module. Instructors should develop sufficient numbers of test items at the appropriate level of evaluation. Facts/ Nomenclature Principles/ Procedures A/a 80% 33% 33% 33% 33% 33% 33% 33% 33% B/b 20% 66% 66% 66% 66% 66% 66% 66% 66% Module A Module B Module C Module D Module E Module F Module G Module H Module I Indicator 1 2 3 4 Analysis/ Operating Principles C/c - Evaluation/ Complete Theory D/d - Learner’s Knowledge, Skills and Abilities Key Terms Description Identifies basic facts and terms about the subject or Limited competency. Knowledge Performs simple tasks associated with the competency. and Needs to be told or shown how to do most tasks. Proficiency Requires close supervision. Identifies relationship of basic facts and states general principles and can determine step-by-step procedures for Moderate doing the competency. Knowledge and Performs most parts of the competency. Needs help only Proficiency on hardest parts. Requires limited supervision. Analyzes facts and principles and draws conclusions about the subject to include why and when the competency must Advanced be done and why each step is needed. Can predict Knowledge outcomes. and Performs all parts of the competency. Needs only a spot Proficiency check of completed work. Requires little or no direct supervision. Superior Can evaluate conditions and make appropriate decisions Knowledge as related to resolving problems. and Performs competency quickly and accurately with no direct Proficiency supervision and is able to instruct and supervise others. ACCS Copyright © 2009 All rights reserved 17