CT and MRI

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Cardiovascular CT and MR Training for University of Michigan Cardiology Fellows
Course Syllabus
Course Objectives:
1. Understand basic techniques of acquiring cardiovascular CT and MR
2. Be able to use workstations for basic viewing cardiovascular CT and MR studies, including basic 3D postprocessing reconstruction methods for CT
3. Understand the relative strengths and limitations of cardiovascular CT and MR in comparison to other imaging
modalities, and which patients may or may not be good candidates for these studies
4. Be aware of potential artifacts that may occur with cardiovascular CT and MR, and how these artifacts can be
avoided or minimized
5. Be able to interpret basic cardiovascular CT and MR findings
Course Details:
1. Orientation:
a. Review course objectives and schedule
b. Schedule
i. Find CT cases listed in Careweb schedule for “CT-UH” and communicate with reading faculty
and fellow to be informed of add-on cases
ii. Email list for cardiac MRI cases
iii. Staff and fellow schedule
iv. Troy LaBounty generally co-reads cardiac CT studies on Tuesdays (you should attend)
c. Orientation to CT/MR scanners, reading rooms, 3D room
d. Orientation to basics on how to use CT workstation and perform basic 3D post-processing
e. List of past cases for review in binder by workstation
f. SCCT board review course (on fellow’s J drive)
2. Expectations
a. Attend orientation session
b. Observe both study acquisition and interpretation whenever possible.
c. Pre-read studies when possible
d. Record studies in a case log. During a 2-week rotation, you should log at a minimum:
i. ≥5 live CT cases during both acquisition and performance (includes TAVI CTs)
ii. ≥5 live MR cases during both acquisition and performance
iii. ≥20 prior CT cases reviewed
iv. ≥20 prior MRI cases reviewed
e. Assigned reading
i. Cardiac MRI UVA online tutorial:
1. http://www.med-ed.virginia.edu/courses/rad/cardiacmr/index.html
2. MD Consult text Cardiovascular MR Made Easy (Varghese and Pennel) (optional)
3. http://www.imaios.com/en/e-Courses/e-MRI (have to register but good overview)
ii. Cardiac CT
1. SCCT Board Review Course (on J drive): Sections titled: CT fundamentals, radiation,
image acquisition and protocols, Non-coronary Parts 1 and 2, Coronary Parts 1 and 2
2. Cardiac CT Update 2012 Text, Chapters 2,3,4,5,7,10,12 (on J drive)
f. Time should be divided between CT and MRI
g. Between cases, review prior studies from list of past cases and board review materials
h. Complete brief quiz and attend feedback session at end of rotation
3. Details on CT scheduling:
a. Check the CT schedule for the day to identify cases. Many CT’s are added last-minute, and you should
touch base with the faculty reader and radiology resident/fellow in the morning so you can be notified
of new cases as they occur
4. For interpretation of MR cases:
a. You should only attend studies performed at the UMHS
b. Generally there will be a specific faculty member at UMHS each day (see daily group email)
Credentialing: Depending on course duration, participation, and experience, fellows may be candidates for CT
and/or MR credentialing
Case Log Page 1
Name: _________________________
Modality
(CT/MR)
Date
Indication
Rotation Dates: _____________
Findings
Live Study
Acquisition
Reading
Historical
Case
Review
Case Log Page 2
Name: _________________________
Modality
(CT/MR)
Date
Indication
Rotation Dates: _____________
Findings
Live Study
Acquisition
Reading
Historical
Case
Review
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