Download Welcome to Radiologic Technology

Welcome to
Radiologic Technology
Rad Tech A
Section
Tuesday 4pm-7:10pm
MCS 5
Welcome
Colleen McFaul, Instructor
INTRODUCTION TO RADIOLOGIC TECHNOLOGY
FACULTY WEB PAGE : www.elcamino.edu/cmcfaul
Welcome
Course Syllabus
 Find
it on Faculty website.
Welcome
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Welcome
Study tips
 Do
the assigned readings before class
 Review Power Points presentations
 Review notes taken in class
 Spend at least two hours outside of class
per hour of in-class instruction
 Be part of study group
INTRODUCTION OF
RADIOLOGIC TECHNOLOGY
Introduction to RT
Radiologic Technology
High Tech
Profession
High Touch
Profession
Introduction to RT
Radiologic Technology
 Preconceived
ideas regarding x-rays ?
 Satisfying Profession?
 Dangerous Profession?
 What makes a GREAT technologist?
Introduction to RT
Preconceived Ideas regarding
X-ray field
Introduction to RT
Satisfying Profession
Introduction to RT
Is it dangerous?
THE HISTORY OF X-RAYS
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History of X-rays
History of X-rays


Many scientists working with Crookes tube
Discovered by Wilhelm Roentgen
 German
physicist- University of Wurtzburg
 November 8, 1895

1st X-ray of Anna Bertha Roentgen’s Hand
 30

minute exposure
Roentgen received 1st Nobel Prize for
Physics 1901
History of X-rays
Emergence of X-ray into a
Medical Field
 1st
medical x-ray taken 1896
 People went to physicists and
photographers for x-ray
 Eventually nurses or aides took the x-ray
 On the job training
 Experience the best teacher
 ?consequences of this?
History of X-rays
Clarence Dally 1st fatality of cumulative dose of radiation
Multiple reports of eye damage due to x-ray
Multiple reports of skin erythema due to x-ray exposure
Has this changed?
History of X-rays
Emergence of X-ray into a
Medical Field
 1st
Rad Tech considered to be Edward
Jerman
 Founding of ASXT in 1920
 Name change to ASRT in 1964 due to the
proliferation of specialties
 No longer “tech trade” but now a
profession
 Profession needs analytical thinking and
problem solving skills
History of X-rays
IMAGING
MODALITIES
No longer an “x-ray department” at
hospitals
IMAGING MODALITIES
 Certification,
Registration and Licensure
for Technologists




Radiologist vs. Radiographer
Certification
Licensure
Modalities
IMAGING MODALITIES

Certification by ARRT







Requires education
Requires proficiency in clinical exams
Requires examination
Requires Registration
Certifies that technologist has been trained
and is proficient in performing exams.
Does NOT grant license to practice
Uses designation of R.T.-Registered
Technologist
IMAGING MODALITIES
 Licensing
by Each State
 Grants permission to take x-rays
 Sometimes requires exams
 Requires fee, CEU’s
 California uses the designation of CRT,
Certified Radiologic Technologist
IMAGING MODALITIES
 Colleen
McFaul, R.T., C.R.T.
 Edward
Jerman, R.T.
 Homer
Simpson, C.C.
Registered
Technologist, Certified
Radiologic
Technologist licensed in
Calif
Registered
Technologist
Cartoon Character
!!
IMAGING MODALITIES
Primary certificates
Post
primary
Ionizing radiation
IMAGING MODALITIES
Diagnostic Radiographer
 Diagnostic
Radiology- Radiographer,
technologist, Limited license (XT)



Skeletal exams, CXR’s, abdomen, skull
Portable exams, trauma, surgery
Contrast media
 Barium

studies, kidney studies,
Specialty exams
 Lumbar
puncture, myelograms, arthrograms
IMAGING MODALITIES
Diagnostic Radiographer
 Uses
Ionizing Radiation to produce
diagnostic images to aid in diagnoses of
disease and trauma
 Uses the designation of R
 Wilhelm Roentgen, R.T. (R)
IMAGING MODALITIES
Diagnostic Radiographer
Diagnostic Radiographer
Diagnostic Radiographer
IMAGING MODALITIES
Diagnostic Radiographer
Diagnostic Radiographer
IMAGING MODALITIES
Fluoroscopy
 Frequently
contrast media exams
 Use of x-rays in motion (ionizing radiation)
 Designated by F
 Bertha Roentgen, R.T. C.R.T.(R)(F)
 Post primary examination/license
IMAGING MODALITIES
Fluoroscopy
• Uses specialized x-ray
units to produce “real
time” images of the
body in motion
• Similar to video vs. still
pictures
Fluoroscopy
IMAGING MODALITIES
Fluoroscopy
Fluroscopy
Barium swallow
Fluoroscopy
Fluoroscopy
Fluoroscopy
IMAGING MODALITIES
Mammography
 Breast
imaging using ionizing radiation
 Also referred to as a mammographer
 Screening exams, diagnostic exams,
galactograms, localizations,
 Designated by M
 Colleen McFaul, R.T., C.R.T., (R)(M)
 Post primary exam
 Required to perform mammography
Mammography
Mammography
IMAGING MODALITIES
Cardiovascular Interventional
Technology
 Uses
ionizing x-ray to image blood vessels,
heart vessels, sometimes repair,
 Previously known as Special Procedures
 Involves Cardiac catheterizations,
angiograms, vascular exams
 Several designations: CI, VI
 Dawn Charman, R.T., C.R.T., (R)(CI)
 Post primary exam
Interventional
Angiography
Interventional
Interventional
Interventional
Interventional
Vessels of the brain
subtraction
IMAGING MODALITIES
Computed Tomography
 Also
known as CT, Cat, scans
 Uses ionizing radiation to obtain cross
sectional images
 Designated by CT
 Kelly Holt, R.T., C.R.T., (R)(CT)
 Post primary exam
Computed Tomography
Can you imagine how this patient must feel?
Computed Tomography
• Cross sectional view of anatomy
• Frequent use of contrast media
• Patients can experience
claustrophobia
• Images are termed “slices”
IMAGING MODALITIES
Bone Densitometry
 Also
known as DEXA scan
 Uses ionizing radiation to determine the
density of bones
 Screens for osteoporosis
 Designated by BD
 Clarence Dally, R.T., C.R.T., (R)(BD)
 Post primary exam
Bone Densitometry
Non-diagnostic images,
Reveals only the density of the bones
IMAGING MODALITIES
Sonography
 Also
known as ultrasound
 Uses sound waves to create images
 Designation is RDMS or S
 Rory Natividad, R.D.M.S
 Rory Natividad, R.T., (S)
 Primary exam and post primary
Sonography
Sonography
Sonography
Breast ultrasound
Sonography
Vascular Sonography
IMAGING MODALITIES
Radiation Therapy
 Is
involved in the treatment rather than
the diagnosis of diseases
 Uses ionizing radiation to kill diseased cells,
frequently cancer cells, not always
 Designated by T
 Thomas Fallo, R.T. (T)
 Primary exam
Radiation Therapy
Radiation Therapy
IMAGING MODALITIES
Magnetic Resonance Imaging
 Also
known as MRI
 Uses radio frequencies and magnetism
properties to produce images
 Can be whole body or cross sectional
 Designated by MRI
 Mina Colunga, R.T., C.R.T., (MRI)
 Primary and post primary exams
Magnetic Resonance Imaging
Magnetic Resonance Imaging
• Can produce both sagittal and
coronal images
• Similar claustrophobic reactions
• Can use contrast media
• Soft tissue imaging
IMAGING MODALITIES
Nuclear Medicine
 Also
known as Nuc Med,
 Uses pharmaceuticals that give off
ionizing radiation to produce images
 Radiation comes from within the patient
 Designation is NM, also CNMT (NMTCB)
 William Crookes, R.T., C.R.T., (NM)
 William Crookes, CNMT
 Primary or post primary
Nuclear Medicine
Images are obtained after the injection of a radioactive isotope.
The patient usually receives the injection in the morning and
images are obtained later in the day. Patient should refrain from
contact with the susceptible population during this time.
Nuclear Medicine
Both AP
and PA
views are
shown.
Uptake in
femur is
abnormal
Imaging Modalities
Radiologist Assistant
•
•
•
•
New modality
Not licensed in all states, including California
Look for new legislative news
Local program at Loma Linda University
Imaging Modalities
IMAGING MODALITIES
ARRT summary
Post Primary
Certification
Primary Certification
5
modalities
1. Radiography
2. Nuclear Medicine
3.Radiation Therapy
4. Magnetic
Resonance Imaging
5. Sonography

10 modalities
1. Mammography
2. Computed Tomography
3. Magnetic Resonance
Imaging
4. Quality Management
5. Bone Densitometry
6. Cardiac Interventional
7. Vascular Interventional
8. Sonography
9. Vascular Sonography
10. Breast Sonography
IMAGING MODALITIES
Primary certificates
Post
primary
Ionizing radiation
Governing Bodies/opportunities
IMAGING MODALITIES
Governing Bodies
Governing Bodies
ARRT- American Registry of Radiologic
Technologist (national)
RHB- Radiologic Health Branch, California (state)
JRCERT-Joint Review Committee on Education in
Radiologic Technology
JCAHO-Joint Commission on Accreditation of
Healthcare Organizations
Professional Organizations
ASRT
CSRT
NMTCB-Nuclear Medicine Technology
Certification Board
ARDMS-American Registry of Diagnostic
Medical Sonographer
Governing Bodies/opportunities
IMAGING MODALITIES
Opportunities

1. Medical

2. Commercial

3. Industrial

4. Administration

5. Education
Governing Bodies/opportunities
IMAGING MODALITIES
Opportunities
 Workplace







settings
Hospitals
Clinics
Private offices
Research facilities
Overseas
Registry
Urgent care centers
SUMMARY
What makes a GREAT
Radiologic Technologist??
 Sincere
desire to help and care for the ill
and the injured
 Strong background in math and sciences
 Able to handle stress, ability to make
quick decisions, analytical thinking
 Significant body movement, assisting
patients, moving and manipulating
equipment