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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 Helpful Courses/Resources Theater Arts Beginning Acting Adaptive PE Academic Strategy Courses Student Services Center Special Resources Financial Aid 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 Rad Tec A\copy-of-history-of-x-ray2n7dnesg4cm5\copy-of-history-of-x-ray2n7dnesg4cm5-171_193730_259 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