Sri Lanka School of radiography Syllabus - Diagnostic Radiography First year Subjects & Number of hours ► Anatomy , Physiology & Pathology – 120 hours ► Physics General Physics - 160 hours Radiation Physics - 70 hours ► Hospital Practice, Care of patient & Medical terminology 90 hours Subject contents Anatomy Typical animal cell. Tissues. Bones, Joints and Locomotor system, Circulatory system, Respiratory system, Lymphatic system, Reticulo- endothelial system, Alimentary system, Genito-urinary system, Endocrine system, Nervous system, Special sense organs: Eye, Ear. Surface markings. Physiology Cell function, Function of tissues. Function of bones and joints. Physiology of circulation, Physiology of respiratory system. Function of Lymphatic system. Function of Pituitary, thyroid, para thyroids, adrenal, thymus, pancreas and gonads. Function of brain and the nerves. Function of the eye and the ear. Pathology Pathological process, Common diseases of all anatomical systems, Radiological demonstration of abnormal situations. General Physics Mathematics, Measurements and Units, Energy & Mechanics, Electricity and Magnetism, Static electricity, DC, AC.. Basic electronics. Transformer principle, Rectification. Radiation Physics Electro-magnetic Radiation, Production of X-rays, Properties of X-rays, Interaction of Xrays with matter, Radioactivity, Measurement of Radiation, Biological effects of radiation, Radiation protection, Code of practice, Protective materials and methods, Personnel monitoring. Hospital Practice & Care of Patient Hospital staffing and organization. Records relating to patients and departmental statistics, Professional attitudes. Communication. Medico legal aspects. Appointment organization. Patient psychology. Management of chair and stretcher patients. Nursing care. First aid. Care of unconscious patients. Preparation of patients for X-ray examinations. Infection and infection control. Principles of asepsis. Sterilization. Drugs in the X-ray department, Contrast agents. Hypersensitivity and reaction to contrast agents. Medical Terminology Second year Subjects & Number of hours ► Equipment for Diagnostic Radiography / Imaging equipment ► Radiographic Imaging / Radiographic Photography ► Radiographic Technique General radiography Contrast Radiography / Special examinations – 100 hours – 100 hours – 200 hours Subject contents Equipment for Diagnostic Radiography / Imaging equipment ► ► ► ► ► ► ► ► ► ► ► Power/energy supply Basic x-ray equipment X-ray tubes X-ray Circuit Basic circuit Filament circuit High-tension circuit Types of high-tension generators Timers & interlocks X-ray tube ratings X-ray tube faults X-ray tube mountings X-ray table / patient support system Vertical bucky / cassette holders Equipment for Control of Scatter Grids ► ► ► ► Beam limiting devices ► Cones ► Collimators / Light beam diaphragms Fluoroscopic Equipment Types Image intensification Digital fluoroscopic equipment Specialized x-ray equipment Skull table C-arm fluoroscopic equipment Mobile x-ray equipment Dental x-ray equipment Mammography x-ray equipment Quality assurance tests on equipment Introduction to Other imaging equipment CT MRI CR / DR equipment NI / RI US 2. Radiographic Imaging ► Image characteristics ► Radiographic image ► The invisible x-ray image Formation Characteristics ► Detection & Recording of X-ray image Recording methods & media Photosensitive materials Radiographic performance of photosensitive materials ► Film materials Production, Features & types Storage & care of film materials ► Intensifying screens Constructional features Types & uses Screens & image quality Care of screens ► Film Cassettes Constructions features Types & uses Care of cassettes ► Radiographic processing Principles ► ► ► ► ► ► ► ► ► Equipment & practice ► Manual processing ► Automatic processing ► Daylight processing (automated film handling systems) The processing area Presentation & viewing of Radiographs The Radiographic image Factors affecting quality Faults The influence of exposure factors Image quality control Aspects Processor quality control The fluoroscopic image Formation & viewing Image quality Recording methods Duplication & subtraction of radiographs Digital images Image digitization Digital subtraction Recording of digital images Digital image management systems Introduction to Other Imaging Technologies CT MRI NI/RI US CR DR 3. Radiographic Technique 1. General Radiography ► Basic principles ► Chest ► Thoracic cage Ribs, Clavicle, Sternum, S/C joint ► Upper extremity Digits, Hand, Carpus, Forearm, Elbow, Humerus ► Shoulder Girdle Shoulder joint Scapula A/C joint ► Abdomen ► ► ► ► ► ► ► ► ► For GI & related organs For KUB Skull Paranasal sinuses Facial bones T/M joints & Mastoids Neck for soft tissue Spine / Vertebrae Cervical spine Thoracic spine Lumbar spine Sacrum & Coccyx Pelvic Girdle SI joints Hip joints Head & Neck of femur Lower extremity Toes Tarsals & metatarsals Ankle joint Leg Knee joint , Patella Femur Dental radiography Peri-apical views Occlusal views OPG Cephalometry 2. Contrast Radiography (For the contrast examinations which are not performed at present are given theoretical knowledge only) ► Basic principles ► Contrast media ► Aseptic technique ► Contrast examinations of Urinary System Indications & contra-indications IVU Retrograde Pyelography Urethrography Cystography Micturating cysto-urethrography ► Contrast examinations of Gastro-Intestinal Tract. Indications & contra-indications Barium Swallow Barium meal ► ► ► ► ► ► 3. 4. 5. Small bowel enema Barium meal & follow through Barium enema (single & double contrast) Contrast examinations of Nervous system Myelography Reticulography Contrast examinations of Circulatory system Coronary angiography Cerebral Angiography ► Carotid , Vertebral Trans-lumbar: Renal, Femoral, Brachial arteriography Peripheral venography Portal venography DSA & Interventional procedures Contrast examinations of Respiratory system Bronchography (Theory) Contrast examinations of hepato-biliary system Oral cholecystography (Theory) T-tube cholangiography Percutaneous Transhepatic Cholangiography Endoscopic Retrograde Choledoco Pancreatography Contrast examinations of reproductive system Hystero Salphingography Other examinations Dacryo-cystography Sialography Lymphangiography (Theory) Arthrography (Theory) Mobile/in ward Radiography & Operating theatre radiography Trauma radiography Paediatric radiography Practical / Clinical experience During two year the students are placed in x-ray departments on a roster basis to gain practical experience in relevant areas under supervision of Tutor radiographers and the senior radiographers. They have to maintain a record of their work in the ‘Student Record of Practical work” provided by the school. Name of Minimum Type of work Person Hospital / X-ray Number of Responsible for department Hours of student work supervision Reception of patients, Tutor 1. The National Registering & Filing of Radiographers, Hospital of Sri Lanka. (a). Dept. of Radiology (b) Out Patient Department (c). Orthopaedic Clinic (d) X-Ray room, Orthopaedic & ENT wards (e). Accident & Trauma Unit (f). NeuroSurgical Unit 520 Records. General & Contrast Radiography 312 General radiography of chest, skull, abdomen, spine & extremities 312 Orthopaedic Radiography 132 Orthopaedic Radiography, X-rays of ENT patients etc. 224 120 (g). Dental Institute (h). Cardiac Investigating Unit (i). Casualty & Mobile Radiography Unit 2. Children Hospital 132 132 Radiography of Accident & trauma patients, Operating Theatre radiography Neuro radiography, Cerebral Angiography Peri-apical Dental radiography, Orthopantomography Angio-cardiography etc. Senior Radiographers and the Superintendent Radiographer Tutor Radiographers, Senior Radiographers Tutor Radiographers, Senior Radiographers Tutor Radiographers, Senior Radiographers Tutor Radiographers, Senior Radiographers Senior Radiographers Senior Radiographers Senior Radiographers 132 Inward & Operating theatre radiography Senior Radiographers 132 Paediatric Radiography 3. Central Chest Clinic 132 Chest radiography including Mass Miniature Radiography Senior Radiographers Tutor Radiographers Senior Radiographers TOTAL Number of Hours 2280 January 2010