Radiology

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THE SYLLABUS OF RADIODIAGNOSIS
FOREWORD
Applicable Students: Six-year system oversea students in the department of
clinical medicine.
Class Hours: It takes 64 hours to study this course. The study of theory consists of
32 hours and the laboratory practical take up 32 hours.
Course Introduction and Objectives
The teaching contents are divided into three grades: First grade content is to be
mastered and to be learned by heart; it is of the greatest importance and it is the key
point of teaching; the second grade is for students to be familiar with, the teaching
files in this grade will be presented only in part in lectures, thus some files are to be
self studied; the third grade contents help the student to form a knowledge base, such
as the state of art Radiology, to catch up with the rapid development of modern
imaging technology; as well as the comparison of the several imaging modalities on
the basis of their advantages and limitations.
TEACHING HOURS DISTRIBUTION
No.
Contents
Lecture
Practice
Chapter 1
Overview
2
4
Chapter 2
Respiratory system
6
4
Chapter 3
Circulation system
2
4
Chapter 4
Digestive system
5
4
Chapter 5
Urinary system
4
4
Chapter 6
Musculoskeletal system
5
4
Chapter 7
Neuroimaging
4
4
Chapter 8
Interventional radiology
4
4
Total
32
32
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CHAPTER 1: OVERVIEW AND PRINCIPLES OF
DIAGNOSTIC IMAGING
[Objectives]
1. Get familiar with the general aspect of Diagnostic Radiology, including its history,
present status, and prospect.
2. Realize the content object of the Course of Diagnostic Radiology.
3. Master the basic knowledge of Diagnostic Radiology.
4. Identify four types of fundamental radiographic densities on plain films.
5. Master and understand the principles, advantages, and disadvantages of various
modalities of imaging examination including traditional diagnostic radiology and
modern imaging examinations.
6. Choose optimal radiographic contrast agent and manage their adverse reaction.
COURSE CONTENTS
Theory
1. Introduction and definition of Diagnostic Radiology.
2. Historical perspectives.
(1) Examination techniques of traditional diagnostic radiology
(2) Modern imaging techniques
3. The nature and production of X-rays
(1) Definition of X-rays
(2) Production of X-rays
(3) Physical effects of X-rays
4. Fundamental radiographic densities on plain films.
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5. Modalities of Diagnostic Radiology examination.
(1) Plain film radiography
(2) Fluoroscopy
(3) Conventional tomography
(4) Contrast radiographic examination
(5) Computed tomography (CT)
(6) Magnetic resonance imaging (MRI)
6. The radiographic contrast agent and management of their adverse reaction
Practice
1. Help the students to be familiar with the courses of routine imaging examination,
including X-ray, CT, and MRI in the radiology department.
2. Help the students to be familiar with various types of images of diagnostic
radiology including plain X-ray films, contrast radiography, CT and MRI.
CHAPTER 2: RESPIRATORY SYSTEM
[Objectives]
1. Master the imaging technology (X-ray, CT and MRI) and normal imaging anatomy
in respiratory system
2. Understand the basic features in diseases of the following common diseases:
Pulmonary
Sequestration,
Bronchogenic
Cysts,
Inflammatory
Disorders
(Pneumonia, Lung Abscess, Tuberculosis, Chronic Obstructive Pulmonary Disease
(Emphysema, Bronchiectasis, Neoplasms of the Lung Hamartoma, Bronchial
Carcinoma, Pulmonary Metastases), Sarcoidosis, Disease Of The Mediastinum
(Intrathoracic Thyroid, Thymoma, Teratoma, Malignant Lymphorna, Aortic
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Aneurysm, Dissecting Aneurysms), Disease Of the Pleura (Pleural Effusion,
Pneumothorax, Pleural Thickening and Fibrothorax, Pleural Mesothelioma),
Pulmonary Thromboembonsm, Thoracic Trauma (Bone Fractures, Pneumothorax
and Hemothorax, Pulmonary Contusion, Pulmonary Laceration)
COURSE CONTENTS
Theory
1. Imaging Technology and Imaging Anatomy
(1) Imaging Technology
(2) Imaging Anatomy
2. The basis features in chest diseases
(1) Exudation and consolidation
(2) Proliferative lesion
(3) Fibrosis
(4) Calcification
(5) Cavitation
(6) Mass
3. Imaging appearance of diseases in respiratory system
(1) Malformation
(2) Inflammatory disorders
(3) Chronic obstructive pulmonary disease
(4) Neoplasms of the lung
(5) Disease of the mediastinum
(6) Disease of the pleura
(7) Pulmonary thromboembolism
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(8) Thoracic Trauma
Practice
1. The routine imaging examinations (X-ray, CT and MRI) of respiratory system in
radiological department
2. Discuss some clinical cases of respiratory system in class or in radiological
department
CHAPTER 3: CARDIO-VASCULAR SYSTEM
[Objectives]
1. Master the imaging technology (X-ray, CT and MRI), normal imaging anatomy,
and basic features in diseases of cardio-vascular system
2. Understand the imaging appearance, diagnosis and differential diagnosis of
rheumatic heart disease (mitral stenosis), hypertensive heart disease, COR
pulmonale, pericarditis, and congenital heart disease
COURSE CONTENTS
Theory
1. Imaging Technology and Imaging Anatomy
(1) Plain film
(2) Computed tomography (CT)
(3) Magnetic resonance imaging (MRI)
2. Imaging appearance of diseases in central nervous system
(1) Rheumatic heart disease
(2) Hypertensive heart disease
(3) COR pulmonale
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(4) Pericarditis
(5) Congenital heart disease
Practice
1. Show the students the routine imaging examinations (X-ray, CT and MRI) of
cardio-vascular system in radiological department.
2. Show the students the clinical cases of cardio-vascular system in class or
radiological department.
CHAPTER 4: GASTROINTESTINAL SYSTEM
[Objectives]
1. Master the image technology (X-ray, CT and MRI) in gastrointestinal system
2. Get familiar with the normal imaging anatomy in gastrointestinal system
3. Understand the radiological appearance of common diseases in gastrointestinal
system, included diseases of esophagus, stomach and duodenum, small bowel,
colon, liver, gallbladder and biliary system, pancreas and spleen.
4. Understand the diagnosis and differential diagnosis of gastric ulcers, gastric cancer,
colon carcinoma, hepatic tumors and pancreatitis.
COURSE CONTENTS
Theory
1. Imaging techniques and anatomy
(1) Abdominal plain film
(2) Double contrast examination
(3) Computed tomography
(4) Ultrasonography
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(5) Magnetic resonance (MR) imaging
(6) Nuclear medicine
2. Principles of interpretation
(1) Types of pathology
(2) Elements of the double-contrast image
(3) Protrusions
(4) The barium pool
(5) Radiologic-histologic correlation of GI tract
3. Imaging appearance of diseases in gastrointestinal system
(1) Esophagus
(2) Stomach and duodenum
(3) Small bowel
(4) Colon
(5) Liver
(6) Gallbladder and biliary system
(7) Pancreas
(8) Spleen
Practice
1. Show the students the routine imaging examinations (X-ray, CT and MRI) of
gastrointestinal system in radiological department.
2. Show the students the clinical cases of gastrointestinal system in class or
radiological department.
CHAPTER 5: URINARY SYSTEM
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[Objectives]
1. Master the image technology (X-ray, CT and MRI) of urinary system
2. Be familiar with the normal imaging anatomy of urinary system
3. Understand the image appearance of congenital abnormalities, calculus, infections,
and masses.
4. Understand the diagnosis and differential diagnosis of urolithiasis, tuberculosis,
masses (including renal cyst and tumors)
COURSE CONTENTS
Theory
1. Imaging Technology and Imaging Anatomy
(1) Plain film (K.U.B, I.V.P)
(2) Computed tomography (CT)
(3) Magnetic resonance imaging (MRI)
2. Imaging appearance of diseases in urinary tract
(1) Congenital abnormalities
(2) Obstructive lesions
(3) Infections
(4) Masses: cysts and tumors
(5) Vascular lesions
(6) Traumatic lesions
(7) Extrinsic compression
(8) Renal transplantation
Practice
1. Show the students the routine imaging examinations (X-ray, CT and MRI) of
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urinary tract in radiological department.
2. Show the students the clinical cases of urinary tract in class and radiological
department.
CHAPTER 6: MUSCULOSKELETAL IMAGING
[Objectives]
1. Understand the structure and growth of bones and joints
2. Master the basic X-ray features in diseases of bones and joints
3. Get familiar with the image appearance and the diagnosis of fracture, skeletal
infection and bone tumors
COURSE CONTENTS
Theory
1. The structure and growth of bones and joints
2. Basic X-ray features in diseases of bones and joints
(1) Changes of bones
(2) Changes of joints
(3) Changes of soft tissues
3. Fracture
4. Skeletal infection
(1) Pyogenic osteomyelitis and septic arthritis
(2) Skeletal tuberculosis
5. Bone Tumors
(1) Giant cell tumors of bone
(2) Osteosarcoma
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(3) Metastatic Tumors in Bone
Practice
Show the students the clinical cases of musculoskeletal system in class
CHAPTER 7: NEUROLOGICAL IMAGING
[Objectives]
1. Be familiar with the imaging technology (X-ray, CT and MRI) and normal imaging
anatomy in central nervous system
2. Understand the imaging appearance, the diagnosis and differential diagnosis of
cerebral vascular diseases, brain tumors, brain trauma, demyelization diseases and
infection
COURSE CONTENTS
Theory
1. Imaging Technology and Imaging Anatomy
(1) Plain skull film
(2) Computed tomography (CT)
(3) Magnetic resonance imaging (MRI)
2. Imaging appearance of diseases in central nervous system
(1) Cerebral Vascular Diseases
(2) Brain tumors
(3) Brain trauma
(4) Demyelinating Diseases: Multiple Sclerosis
(5) Infection: Cerebritis and Abscess
Practice
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1. Show the students the routine imaging examinations (X-ray, CT and MRI) of
central nervous system in radiological department
2. Show the students the clinical cases of central nervous system in class or
radiological department
CHAPTER 8: INTERVENTIONAL RADIOLOGY
[Objectives]
1. Be familiar with the general concepts of the diagnostic and therapeutic procedure
in interventional radiology
2. Understand the appliances, their clinical application and therapeutic procedures in
interventional radiology
COURSE CONTENTS
Theory
1. Essential knowledge of interventional radiology
(1) History of interventional radiology
(2) The application using interventional radiology
(3) Categorization of intervention examination
(4) Puncture approach
2. Interventional therapy
(1) Embolotherapy method and indication
(2) PTA
(3) Filter release
(4) Tumor embolism and chemotherapy
Practice
295
1. Show the students the routine DSA examinations equipment sample and machine
furnish.
2. Show the students the clinical cases of interventional therapy in class and
radiological department.
REFERENCES
1. Clinical Radiology: The Essential, 2nd Edition, Richard H. Daffner, Lippincott
Williams & Wilkins, Pennsylvania USA,1999
2. Radiology, 2nd Edition, Taveras JM, Ferrucci JT. Lippincott Williams & Wilkins,
Pennsylvania USA, 2002
3. Body CT with MRI Correlation, 2nd Edition. Lee SS, Lippincott Williams &
Wilkins, Pennsylvania USA , 2004
4. CT of the Heart: Principles and Applications Schoepf UJ, Humana Press Inc., 2005
5. Essential of Skeletal Radiology, 2nd Edition, Yochum Terry R., Rowe Lindsay J.
Williams & Wilkins,1996
6. Diagnostic Neuradiology, Osborn Anne G. Mosby-Year Book, Inc. St. Louis, 1994
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