Course Syllabus
Adv. Positron Emission Tomography (PET) & Fusion Tech.
NMTT 2333
Semester with
Course Reference
Number (CRN)
SUMMER 2015
CRN 56205
Instructor contact
information
(phone number
and email
address)
Glenn Smith;
Phone: 713-718-7354;
Email: glenn.smith@hccs.edu
Office Location
and Hours
Coleman College for Health Sciences
Pam Alderman
972-860-4281
pamela.alderman@hccs.edu
Room 525 – Coleman
Hours: Mon. 8-11 am; Tue. 8:00-9:00 am; Fri. 8:00-9:00
Alderman – Room X3022E M, W 7:00a – 9:00a; 4:00p – 5:30p
Course
Location/Times
Coleman Campus
Monday 1:00 – 4:30 and Friday 1:00-4:00 in Room 437
Course Semester
Credit Hours
(SCH) (lecture, lab)
If applicable
Credit Hours
3.00
Lecture Hours
3.00
Laboratory Hours
External Hours
Total Course
Contact Hours
48.00
Room X3035D – Brookhaven College (Dallas)
Continuing
Education Units
(CEU): if
applicable
Course Length
(number of weeks)
8 weeks
Type of Instruction Lecture
Web-enhanced
1
Course
Description:
Advance study in the field of Positron Emission Tomography and fusion technology.
Course
Prerequisite(s)
PREREQUISITE(S):
 NMTT 1409
FREQUENT REQUISITES
 College Level Writing
 Departmental approval
 Admission to the Program
 College Level Reading
 College Level Mathematics
Academic
Discipline/CTE
Program Learning
Outcomes
1. Prepare and administer radiopharmaceuticals.
2. Correlate nuclear medicine procedures with normal anatomy/physiology and abnormal
pathology.
3. Utilize proper methods of patient care.
4. Demonstrate radiation safety techniques to minimize radiation exposure.
5. Perform quality control procedures.
6. Competently perform imaging and non-imaging nuclear medicine procedures.
Course Student
Learning
Outcomes (SLO):
4 to 7
1. Explain the methodology of positron emission tomography and fusion technology.
2. Describe radiopharmaceuticals used and their patterns of biodistribution.
3. Identify required instrumentation and quality control measures.
4. Outline associated patient preparation."
5. Detail the usage of PACS, teleradiology, and other systems used in the healthcare setting
to manage, store and transmit information.
Learning
Objectives
(Numbering
system should be
linked to SLO e.g., 1.1, 1.2, 1.3,
etc.)
Explain the methodology of positron emission tomography and fusion technology.
1. Discuss how a PET, PET/CT, and/or SPECT/CT scan for oncology, cardiac and/or brain
imaging is acquired.
Describe radiopharmaceuticals used and their patterns of biodistribution.
1. Identify the radiopharmaceuticals used for PET, PET/CT and/or SPECT/CT.
2. Discuss the biodistribution of the radiopharmaceuticals used in PET, PET/CT
and SPECT/CT imaging.
Identify required instrumentation and quality control measures.
1. Detail the components of a PET, PET/CT and SPECT/CT imagers.
2. Discuss the quality control studies performed on PET, PET/CT and SPECT/CT imagers.
Outline associated patient preparation."
1. List the patient preparation steps utilized in PET, PET/CT and SPECT/CT imaging.
2. Compare the images acquired when the patient is properly prepared for a study versus not
correctly prepared for a study.
Detail the usage of PACS, teleradiology, and other systems used in the healthcare
setting to manage, store and transmit information.
1. Explain how acquired patient data is viewed, processed and archived on a PACS system.
2. Discuss the utilization of radiology and hospital information systems used to manage
patient information in accordance with facility policies, state and federal statues and
accreditation standards.
SCANS and/or
Core Curriculum
Competencies: If
applicable
SCANS
Explain the methodology of positron emission tomography and fusion technology.
Foundation Skills - Basic -Writing
Describe radiopharmaceuticals used and their patterns of biodistribution.
Foundation Skills - Basic -Writing
2
Identify required instrumentation and quality control measures.
Foundation Skills - Basic -Writing
Outline associated patient preparation."
Foundation Skills - Basic -Writing
Detail the usage of PACS, teleradiology, and other systems used in the healthcare
setting to manage, store and transmit information.
Calendar
NMTT - 2333 PET COURSE ; SUMMER 2015
CLASS : Mondays 1:00-4:30 pm & Fridays 1:00 am - 4:00 pm for 8 weeks
TEXTBOOKS: Nuclear Medicine and PET/CT
Technology and Techniques,
Christian & Waterstram-Rich,
7TH Ed.,Mosby, 2012
WEEK
1
Mon., 6/1
Smith
Nuclear Medicine Procedure Manual
Klingensmith, Eshima, Goodard
Wick, 2012-2014
CONTENT
ASSIGNMENT
Radiation Safety
Objectives:
Christian:
1. Describe the radiation safety techniques used to reduce
radiation exposure in PET imaging
2. Discuss patient radiation exposure from PET and CT
Scanner
3. Discuss occupational radiation exposure from operating
a CT scanner
4. List the HVL of lead for Tc-99m vs F-18 and the HVL of
tungsten for F-18
5. What are the items considered in getting a site ready for
F-18 studies
348-349,
372-373,
193-199
3
Mon., 6/5
CT Physics & Instrumentation
Objectives:
Christian
Roger
Bumgardner
MPh
RT: (R), (N),
& (CT)
1. Describe the physics processes involved in the
production of x-rays
2. Describe the role of each component in the x-ray tube
and its operation
3. Discuss the proper adjustment of the x-ray tube voltage
and current in CT
4. Name the principle parts of a CT scanner and the
function of each component
5. Describe how helical CT scanner operates and the
component changes made this technology possible
6. Discuss how CT image data are acquired and processed
7. Describe the calculation process of Hounsfield units
8. Describe CT number values assigned to various tissues
and how these values are assigned into meaningful
display windowing
9. List parameters set by the operator for CT use and
describe the effect of each on the images
10. Discuss CT Image quality issues
12. Describe the parameters and imaging characteristics
required for a diagnostic quality CT scan
13. Discuss patient & occupational radiation exposure from
a CT scanner
Chapter 11
WEEK 2
Mon., 6/8
Rene Hyder
Radiopharmaceuticals: Production & Characteristics
Objectives:
Christian:
1. Identify the radiopharmaceutical used in PET imaging
and their methods of production
2. Describe the components and operation of a cyclotron
3. Explain the pharmacokinetics of FDG
4. Describe the normal and abnormal distribution of F-18-FDG
5. Identify the usual adult and pediatric dosage and route of
Administration
6. List the advantages of PET radiopharmaceuticals
7. Identify the clinical uses of PET and PET/CT
8. List the radiopharmaceuticals used for PET Cardiac
Imaging
9. Describe how a Sr-82/Rb-82 generator works and required
quality assurance test
10 . Explain how a Sr82/Rb-82 generator/infusion system is
used to dose patient
11. List other current PET radiopharmaceuticals and their
proposed use
152 – 156
168 – 173
319 – 333
PM: 92
4
WEEK 2
Fri.,6/12
PET Instrumentation
Objectives:
Christian:
Hyder
WEEK 3
Mon., 6/15
Glenn Smith
Rene Hyder
1. Describe the physics of positrons decay and emissions
2. Explain the fundamental operation of dedicated PET
scanners and their design
3. List detector crystals that can be used for PET imaging
and describe their properties
4. Discuss 2D and 3D imaging and the advantages and
disadvantages of each
5. Describe the detection of true, scatter and random events
6. Describe transmission images and it's use in attenuation
correction of PET images
7. Explain how the CT transmission scan is utilized
8. Discuss attenuation correction techniques in PET
9. Discuss the design of a PET/CT scanner
10. Discuss the advantages of a PET/CT Scanner
11. Describe the appearance of attenuation corrected versus
non corrected images
12. Describe the process of storing reconstructed data in
sinograms and reconstruction methods in PET
PET, CT & PET/CT
Quality Assurance
Objectives:
1. Discuss a PET quality control program, including:
blank scan, absolute activity calibration, normalization
scan, sinogram, coincidence timing window, gain and
energy calibration, etc.
2. Describe a CT Quality control program
3. List the origin of CT and PET/CT image artifacts and how
they may be prevented
4. Explain truncation and its effect on image quality
5. Discuss the integration of CT procedures into the
combined PET/CT examination
6. Discuss the critical elements in generating quantitative
measurements
7. Discuss SUV
8. Discuss appropriate parameters for the acquisition of
low dose CT for PET attenuation correction
391-402
PM: 36,
37,
40
Christian:
342-345,,
373-374
PM: 16, 17
5
WEEK 3
Fri., 6/19
Patient Preparation & Artifacts
Objectives:
Christian:
394-398
MDACC
PET
Leslie
Peirsol
Brandon
Simon
WEEK 4
Mon., 6/22
Martha Mar
WEEK 4
Fri., 6/26
WEEK 5
Mon, 6/29
1:00-4:00
1. Describe the patient preparation for oncology studies
2. Explain the patient preparation differences for
cardiology, brain and oncology studies
3. Describe the normal distribution of F-18-FDG
4. Define “occult” lesions as indicated in this lecture
5. Describe the patient preparation for a F-18-FDG oncology
study
6. Explain patient positioning for the dosing and scanning for
F-18-FDG
7. List the indications for oncology imaging with F-18-FDG
8. List the advantages of using F-18-F-Na for bone PET
imaging
9. Discuss appropriate acquisition parameters for
PET and CT
10. Describe various artifacts that may be seen in PET images
11. Define SUV and explain how it is calculated and used;
12 Discuss how it can be effected by incorrect patient
preparation
PM: 82
Fusion Technology & Infomatics
Objectives:
1. Explain the DICOM system
2. Discuss computer programming and programming
languages
3. Explain digital storage of images
4. Diagram computer network configurations
5. Discuss uses of non-imaging computers
6. Discuss dedicated PET images & QC
Christian:
347-348
Review for Mid-Term Exam
MID-TERM EXAM
6
WEEK 6
Mon., 7/6
PET Oncology 1: Clinical Indications for PET/CT
Objectives:
Christian;
402-418
Hyder
1. Discuss the different types of PET oncology applications
2. Discuss the various scanning protocols for PET/CT and
when they are used with each type of cancer
3. Explain the steps in properly preparing a patient for a
PET/CT oncology study
4. Describe the patient positioning and comfort issues that
hinder the acquisition of a quality PET/CT study
5. Discuss the significance of peripheral blood glucose levels
in FDG imaging
Christian:
400 - 418
WEEK 6
Fri., 7/10
Donald
Podoloff,
MD
PET Oncology 2
Objectives:
1. Discuss benign causes of increased FDG uptake
2. Identify normal and abnormal PET/CT images
3. Identify patterns associated with the various types of
cancer using PET/CT
4. Identify artifacts in PET/CT oncology images
5. Discuss the normal pattern of head and neck FDG
Activity
6. Discuss the value of future PET oncology radiotracers
7. Discuss the potential future directions of PET/CT oncology
WEEK 7
Mon., 7/13
PET/CT & SPECT/CT Cardiology
Objectives:
Hyder
1. List the radiopharmaceuticals used in PET cardiac
Imaging and how they are administered
2. Describe the various patterns of normal FDG myocardial
uptake
3. Describe the protocol for PET/CT cardiac imaging
4. Describe the technique used to acquire SPECT/CT
images
5. Identify normal and abnormal cardiac PET/CT &
SPECT/CT images
6. Identify artifacts in cardiac PET/CT & SPECT/CT images
7. List the indications for cardiology imaging with PET
8. Describe the technique used to acquire gated SPECT
cardiac results
9. Explain patient preparation for PET cardiac studies
7
WEEK 7
Fri., 7/17
1:00-4:00
PET/CT & SPECT/CT Brain Imaging (Review)
Objectives:
Christian:
436-441
Andrea
Vinson
Methodist
Hospital
1. List the indications for brain imaging with PET/CT
2. List the radiopharmaceutical used in PET/CT brain
imaging and associated patient preparation
3. Describe the procedure used in PET/CT brain imaging
4. Identify normal and abnormal PET/CT images
5. Identify artifacts in PET/CT brain Images
6. Describe the advantages and disadvantages of PET
brain images compared to SPECT images
PM: 42,
45
WEEK 8 FINAL EXAM
FINAL EXAM
Mon., 7/20
1:30-3:30
Instructional
Methods
Web-enhanced (49% or less)
Face to Face
Student
Assignments
Explain the methodology of positron emission tomography and fusion technology.
Various assigned readings from textbooks, peer-rev
Papers
Describe radiopharmaceuticals used and their patterns of biodistribution.
Various assigned readings from textbooks, peer-rev
Papers
Identify required instrumentation and quality control measures.
Various assigned readings from textbooks, peer-rev
Papers
Outline associated patient preparation."
Papers
Various assigned readings from textbooks, peer-rev
Detail the usage of PACS, teleradiology, and other systems used in the healthcare
setting to manage, store and transmit information.
Various assigned readings from textbooks, peer-rev
Student
Assessment(s)
Explain the methodology of positron emission tomography and fusion technology.
Quizzes/Tests which may include: definitions, matching, multiple choice, true/false, short
answer, brief essay
Various assigned readings from textbooks
Writing papers including essays, analyses, reviews, research, comparing and contrasting
Research papers
Describe radiopharmaceuticals used and their patterns of biodistribution.
Quizzes/Tests which may include: definitions, matching, multiple choice, true/false, short
answer, brief essay
Various assigned readings from textbooks
8
Writing papers including essays, analyses, reviews, research, comparing and contrasting
Research papers
Identify required instrumentation and quality control measures.
Reading and then writing about seminal texts and theories
Quizzes/Tests which may include: definitions, matching, multiple choice, true/false, short
answer, brief essay
Various assigned readings from textbooks
Writing papers including essays, analyses, reviews, research, comparing and contrasting
Research papers
Outline associated patient preparation."
Reading and then writing about seminal texts and theories
Quizzes/Tests which may include: definitions, matching, multiple choice, true/false, short
answer, brief essay
Various assigned readings from textbooks
Writing papers including essays, analyses, reviews, research, comparing and contrasting
Research papers
Detail the usage of PACS, teleradiology, and other systems used in the healthcare
setting to manage, store and transmit information.
Quizzes/Tests which may include: definitions, matching, multiple choice, true/false, short
answer, brief essay
Various assigned readings from textbooks
Instructor's
Requirements
This is a web-enhanced course and therefore the student is expected to look for course materials
and updates on blackboard no later than the night before class. The syllabus and slides are to be
printed by the student and brought to each class.
All students are expected to attend classes regularly in which they are enrolled. Attendance
will be checked regularly by the instructor. Any student may be dropped from a course after
accumulating absences in excess of 12.5 percent of the total hours of instruction, which is
6.25 hours for this course. If a student exceeds 6.5 hours after the official drop date, they will
receive a letter grade deduction from their final grade for each hour over the limit.
If a student enters the class more than thirty minutes after class has begun or leaves
more than thirty minutes before the class ends, the student will be counted as absent
for the entire class time. Grade points will be lost for each class missed.
Examination questions will be taken from the reading assignments, the lab assignments as well
as from the material presented during the lecture.
All assignments are to be done outside the class, completed and turned in before the
beginning of the next class. A student will lose 10 points on an assignment if the assignment
is not turned in before the beginning of the next class and will lose 10 additional points a day
(not including weekends) until the assignment is turned in. If the graded assignment has been
returned. Disagreements with graded assignment/exams must be expressed and resolved
within one week of their return.
CELL PHONE USAGE:
There will be no cell phone/listening device usage in class. The first phone that rings during
class will not be penalized. Any subsequent ring or usage (for example: calling, texting, surfing,
etc.) will result in a 5 point reduction off the next scheduled major exam. If a cell phone rings
during a major exam, 20 points will be deducted from that exam. If the student answers the
phone during the exam,30 points will be deducted from that exam. If the student is expecting
an emergency call, they must inform the instructor and leave the phone with the instructor.
The instructor will answer the phone and pass on the message.
LAPTOPS, PADS AND TABLETS
May be used to take notes; however, if you are found to be using the laptop, pad and/or tablet in
9
any other manner during class, YOU WILL NOT BE ALLOWED TO BRING THE LAPTOP, PAD
AND/OR TABLET TO CLASS AFTER THIS OCCURS and you will receive a “0” for that day.
Program/Disciplin
e Requirements: If
applicable
Students absent at the time when a major exam or class quiz is given will have NO MAKE-UP
EXAMINATION. This also includes a student who comes to class late. Student will not be
allowed to take exams at a later time during the class. All exams will have time periods
designated therefore all test papers and practicals must be terminated at the end of that time
period. This policy is absolutely necessary in order to carry out all laboratory activities in the
given time period and allow for fairness to all students present.
Any student absent from the classroom for a major scheduled exam will have the percent (%)
value of that exam added to the percent value of the appropriate FINAL EXAM. For example:
If the Mid-Term Exam was missed, the 40% value would be added to the Comprehensive
Final Exam and it would then be worth 83%.
CELL PHONES ARE NOT ALLOWED DURING ANY EXAMINATIONS!
Final examinations must be taken on the day and time designated by the instructor, unless
there is a personal illness, accident or death in the immediate family (parent, child, brother,
sister, spouse or grandparent). In the event any of these occur, the student must call and
speak personally with the instructor or department head on the day of the examination.
The student must provide documented evidence of the reason for missing the examination:
doctor's statement in the case of personal illness, an accident report in the case of an accident,
or obituary or funeral program in the case of death in the immediate family. This
documentation must be provided prior to taking a make-up final examination.
The make-up final must be taken within 7 working days from the original test date or at the
discretion of the instructor. In the case of a severe injury or long term illness, the student will
be given an "I", incomplete, until the final examination is taken. An "I" will automatically turn
into an "F" if the student does not take the examination by the end of the following term
(excluding Summer). A student may not register for the next semester's nuclear medicine
technology courses, if they have an incomplete in any of their nuclear medicine technology
courses.
If notification on the day of a missed final examination to the involved instructor/department
head by the student is not made, a student will receive a “0” for their final exam grade and
course's final grade will be calculated as prescribed in the individual course syllabi. Also,
if documented evidence as described in the preceding paragraph is not provided, a student
will receive a “0” on their final examination.
For other program/discipline requirements: see Nuclear Medicine Technology Program
Student Handbook.
HCC Grading
Scale
A = 100- 90
4 points per semester hour
B = 89 - 80:
3 points per semester hour
C = 79 - 70:
2 points per semester hour
D = 69 - 60
1 point per semester hour
59 and below = F
0 points per semester hour
IP (In Progress)
0 points per semester hour
W(Withdrawn)
0 points per semester hour
I (Incomplete)
0 points per semester hour
AUD (Audit)
0 points per semester hour
IP (In Progress) is given only in certain developmental courses. The student must re-enroll
to receive credit. COM (Completed) is given in non-credit and continuing education courses.
10
To compute grade point average (GPA), divide the total grade points by the total number of
semester hours attempted. The grades "IP," "COM" and "I" do not affect GPA.
For Health Science programs, see the Program/Discipline Requirements section for specific
grading requirements.
Instructor Grading
Criteria
METHOD FOR DETERMINING COURSE GRADE
Assignments/Class work/Quizzes
12%
Attendance ( - 2.5 pts. per class missed )
5%
Mid-Term Exams
40%
Final Examination
43%
NUCLEAR MEDICINE TECHNOLOGY PROGRAM GRADING SCALE
90 - 100
A
80 - 89
B
75 - 79
C
Below 75
Instructional
Materials
F
Remember: You need a C or better to continue
to the next semester
Nuclear Medicine Procedure Manual, Klingensmith, Eshima, Goddard,
Wick Publishing, 2012-14
Nuclear Medicine and PET/CT, Christian & Waterstram-Rich, Mosby, 2012
HCC Policy Statement:
Access Student
Services Policies
on their Web site:
http://hccs.edu/student-rights
Distance Education and/or Continuing Education Policies
Access DE
Policies on their
Web site:
http://de.hccs.edu/Distance_Ed/DE_Home/faculty_resources/PDFs/DE_Syllabus.pdf
Access CE
Policies on their
Web site:
http://hccs.edu/CE-student-guidelines
11