2001 MEMBERSHIP GUIDELINES VETERINARY RADIOLOGY ELIGIBILTY As stated in Section 2 of “The Red Book” DESCRIPTION OF SUBJECT The candidate should be able to demonstrate: a) b) c) a detailed knowledge of and competence in basic radiography and radiological interpretation of dogs, cats and horses an understanding of the principles and application of ultrasound an understanding of the application of CT, MRI and nuclear medicine LEARNING OBJECTIVES / OUTCOMES Written Paper 1: The physics and principles of radiology and ultrasonography, radiography and radiation protection 1. A basic knowledge of elementary general physics will be assumed and not separately examined. 2. The candidate will be expected to know the following: 3. The electro-magnetic spectrum: definition, wave and particle theories 4. How x-ray photons are generated: the components of the x-ray tube; types of anodes: rotating and stationary, cathode thermionic emission, line focus principle, heel effect, heat dissipation basic generator circuits, rectification, transformers, capacitor discharge equipment 5. The processes leading to production of the x-ray photon: structure of the atom, binding forces interactions at the anode: general radiation/Bremsstrahlung and characteristic radiation the effect of kV, mA and time on x-ray photon production 6. The interaction of x-rays with matter: coherent scatter, the photoelectric effect, Compton and the relative frequencies of these interactions factors affecting attenuation/ the inverse square law scatter radiation – factors affecting the production of and methods to reduce the effects of scatter - grids (types, cut-off), air gap techniques, beam collimation. 7. How a radiographic image is formed: formation of an image due to differential absorption film construction, types and speeds photographic density and contrast intensifying screens, phosphors, construction, rare earth Vs Ca tungstate, speeds cassettes 8. The principles and practice of film processing: development, wash, fixation, wash, dry preparation of chemicals darkroom design and requirements film identification identification of darkroom artifacts 9. Factors affecting film quality: density, contrast, sharpness the origin and control of scatter – grids/collimators film and screen speed unsharpness – geometric (magnification, distortion, penumbra effect) and motion recognition of faults due to inadequate radiographic procedure 10. The candidate will be expected to be competent at practical radiography: exposure assessment factors influencing the choice of kV, mA, time, films and grids formation of a technique chart patient positioning and problems in veterinary practice/limitations understanding the need for restraint and be able to demonstrate suitable methods/advantages and disadvantages of anaesthesia 11. The candidate will be expected to know and be able to apply the principles of radiation protection: risks involved in the use of radiographic procedures/methods to minimise this risk discuss basic radiation protection rules for a small and large animal practice relevant legal requirements: Code of Practice for the Safe Use of Ionising Radiation in Veterinary Practice hazards arising from poor design of x-ray rooms control of hazards from scatter radiation correct use of protective aprons and gloves familiarity with current radiation monitoring services instruction of lay staff in radiation protection somatic and genetic effects stochastic and non-stochastic effects units: rads, rems 12. The candidate is expected to know the basics of diagnostic ultrasound: principles of image formation including frequency, acoustic impedance, resolution, artifacts and transducers an appreciation and indications of diagnostic ultrasound in practice Written Paper 2: Radiological interpretation of dogs, cats and horses 1. The candidate is expected to know the radiographic appearance of the normal structure and function of the various organ systems commonly investigated in small animal and equine practice principles and the use of radiographic contrast media - the nature of the more frequently used contrast media and indications for their use indications for and procedures of basic contrast techniques particularly when investigating the gastrointestinal tract, urinary tract and myelography 2. The candidate should be able to recognise, describe and list differential diagnoses for the changes in structure and function of the various body systems as related to disease which occurs in dogs, cats and horses EXAMINATIONS Examination Structure Please refer to the Red Book Section 1 Written Paper 1 (2 hours) The physics and principles of radiology and ultrasonography, radiography and radiation protection Written Paper 2 (2 hours) Radiological interpretation of dogs, cats and horses Section 2 Practical Examination (3 hours written film reading) 10 cases including but not necessarily limited to dogs, cats and horses Each answer might include the following: Patient signalment, views included, any techniques used (i.e. contrast studies) Comment on radiographic technique/quality (positioning/exposure/collimation) Radiographic description Conclusions, differential diagnosis list, recommendation of further imaging techniques if appropriate The practical examination may not necessarily be limited to these types of questions. Oral Examination (approx. 1 hr) Please refer to the Red Book. The oral examination might include further film reading. RECOMMENDED READING LIST Textbooks Thrall, DE (1998) “Textbook of Veterinary Radiology”, 3rd Ed. WB Saunders Company, Philadelphia. Curry III, TS, Dowdey, JE, Murry Jr RC, (1990), “Christensen’s Physics of Diagnostic Radiology”, 4th Ed. Lea and Febiger, Philadelphia. Butler, JA, Colles, CM, Dyson, SJ, Kold, SE, Poullos, PW, (2000), “Clinical Radiology of the Horse”, 2nd Ed. Blackwell Science, Malden, Mass. National Health and Medical Research Council of Australia, (1983), “Code of Practice for the Safe Use of Ionising Radiation in Veterinary Radiology”, Australian Government Publishing Service, Canberra. References Allan, GS, (1992) “Radiological Symposium”, Proceedings 203, Postgraduate Committee in Veterinary Science, University of Sydney. Barr, F, (1990), “Diagnostic ultrasound in the dog and cat”, Blackwell Scientific Publications, London. Burk, RL and Auckerman, N, (1996), “Small Animal Radiology A diagnostic atlas and text”, 2 nd Ed. Churchill Livingstone, New York. Dik, KJ and Gunsser, I, (1988). “Atlas of Diagnostic Radiology of the Horse. Part 1: Diseases of the front limb”, Wolfe Publishing Ltd. London. Dik, KJ and Gunsser, I, (1989) “Atlas of Diagnostic Radiology of the Horse. Part 2: Diseases of the hind limb”, Wolfe Publishing Ltd. London. Dik, KJ and Gunsser, I, (1990) “Atlas of Diagnostic Radiology of the Horse. Part 3: Head, neck and thorax”, Wolfe Publishing Ltd. London. Douglas, SW, Herrtage ME, Williamson, AD, (1987), “Principles of Veterinary Radiography”, 4th Ed. Balliere Tindall, London. Han, CM and Hurd, CD, (2000), “Practical Diagnostic Imaging for the Veterinary Technician”, 2nd Ed. Mosby, St Louis. Kealy, JK, and McAllister, H, (2000), “Diagnostic radiology and ultrasonography of the dog and cat”, 2nd Ed. WB Saunders, Philadelphia, Lavin, LM, (1999), “Radiography in Veterinary Technology”, 2nd Ed. WB Saunders, Philadelphia. Mendehall, A and Cantwell, HD (1988) “Equine Radiographic Procedures”, Lea and Febiger, Philadelphia. Nyland, TG and Mattoon, JS, (1995), “Veterinary Diagnostic Ultrasound”, WB Saunders, Philadelphia. O’Brien, TR, (1978), “Radiographic Diagnosis for Abdominal Disorders in the Dog and Cat”, WB Saunders, Philadelphia. Owens, JM, (1981), “Radiographic interpretation for the small animal clinician”, Ralston Purina Company, Saint Louis. Ryan, GD, (1981), “Radiographic positioning of small animals”, Lea and Febiger, Philadelphia. Schebitz, H and Wilkens, H, (1988), “Atlas of Radiographic Anatomy of the horse”, Verlag Paul Parey, Berlin. Schebitz, H and Wilkens, H, (1988), “Atlas of Radiographic Anatomy of the Dog and Cat”, Verlag Paul Parey, Berlin. Spaulding, K, (1998), Proceedings from Australasian Association of Veterinary Diagnostic Imaging: Abdominal ultrasonography diagnostic imaging meeting Stashak, TS, (1998), “Adam’s lameness in horses”, 5th Ed, Williams and Wilkins, Baltimore. Suter, PF, (1984), “Thoracic Radiography. A text atlas of thoracic diseases of the dog and cat”, Wettsweil, Switzerland. Ticer, JW, (1984), “Radiographic Techniques in Small Animal Practice”, 2nd Ed. WB Saunders, Philadelphia. Webbon, PM and Rossdale, FD, (1986), “Equine Radiography – a guide to interpretation”. Equine Veterinary Journal, Supplement 4. In addition, it is recommended that the candidate have access to “Veterinary Radiology and Ultrasound” the journal of the American College of Veterinary Radiology.