Leonardo PACE | DIAGNOSTIC IMAGING AND RADIOTHERAPY

cod. 1060100035

DIAGNOSTIC IMAGING AND RADIOTHERAPY

	1060100035
	DIPARTIMENTO DI MEDICINA, CHIRURGIA E ODONTOIATRIA "SCUOLA MEDICA SALERNITANA"
	EQF7
	MEDICINE AND SURGERY
	2021/2022

PERCORSO SHARED STUDY PATHWAY

	OBBLIGATORIO
	YEAR OF COURSE 5
	YEAR OF DIDACTIC SYSTEM 2016
	AUTUMN SEMESTER

TEACHING UNITS

	SSD	CFU	HOURS	ACTIVITY	TYPE OF ACTIVITY
1	DIAGNOSTICA PER IMMAGINI E RADIOTERAPIA - MOD 1
	MED/36	3	36	LESSONS	COMPULSORY SUBJECTS, CHARACTERISTIC OF THE CLASS
2	DIAGNOSTICA PER IMMAGINI E RADIOTERAPIA - MOD 2
	MED/36	2	24	LESSONS	COMPULSORY SUBJECTS, CHARACTERISTIC OF THE CLASS

PROFESSORS

	LEONARDO PACE1 T Curriculum
	RENATO CUOCOLO2 Curriculum

	Objectives
	KNOWLEDGE AND UNDERSTANDING: THE INTEGRATED COURSE IS DESIGNED TO ENABLE THE STUDENT TO LEARN: THE NATURE OF BIOENERGY USED IN DIAGNOSTIC IMAGING, THEIR USE AND RISKS, THE BASICS OF THE MAIN PHYSICAL AND TECHNICAL METHODS OF DIAGNOSTIC IMAGING, THEIR OPERATION AND THE CRITERIA OF IMAGES; THE BIOCHEMICAL BASIS, PHARMACODYNAMIC AND PHARMACOKINETIC PROPERTIES, SIDE EFFECTS OF CONTRAST MEDIA; THE 'RADIOLOGICAL ANATOMY” AND RADIOLOGICAL GENERAL SEMIOTICS, SEMIOTICS AND DIAGNOSTIC PROTOCOLS OF THE MAIN DISEASES; TECHNICAL PRINCIPLES, AND GENERAL AND CLINICAL APPLICATIONS OF INTERVENTIONAL RADIOLOGY AND RADIATION THERAPY; THE PRINCIPLES OF RADIOBIOLOGY AND RADIATION PROTECTION AND THE LEGISLATION IN FORCE. • APPLYING KNOWLEDGE AND UNDERSTANDING: STUDENTS WILL BE INTRODUCED TO ANALYSIS AND INTERPRETATION OF NORMAL AND PATHOLOGICAL ASPECTS RELATING CONVENTIONAL RADIOLOGY, COMPUTED TOMOGRAPHY, ULTRASOUND, MAGNETIC RESONANCE AND NUCLEAR MEDICINE. STUDENTS SHOULD BE ABLE TO APPLY THEIR KNOWLEDGE AND UNDERSTANDING AND HAVE THE ABILITY TO SOLVE PROBLEMS ON TOPICS INCLUDED IN BROADER INTERDISCIPLINARY CONTEXTS. IN PARTICULAR, THE STUDENT SHOULD APPLY CLINICAL JUDGMENT TO DETERMINE WHICH DIAGNOSTIC IMAGING PROCEDURE OR PROCEDURES WOULD BE MORE APPROPRIATE IN THE LIGHT OF EVIDENCE BASED MEDICINE AND LEARN TO ANALYZE AND INTERPRET THE RESULTS. • MAKING JUDGEMENTS: STUDENTS MUST HAVE THE ABILITY TO INTEGRATE KNOWLEDGE AND HANDLE COMPLEXITY, AND FORMULATE JUDGMENTS ON THE BASIS OF AVAILABLE INFORMATION. STUDENTS MUST: BE ABLE TO DISTINGUISH NORMAL FROM ABNORMAL IMAGES; ABLE TO DISCUSS ASPECTS OF DIAGNOSTIC IMAGING OF THE MAJOR ORGANS AND SYSTEMS WITH PARTICULAR ATTENTION TO THE INDICATIONS, THE DIAGNOSTIC RESULTS AND LIMITATIONS OF THE DIFFERENT IMAGING MODALITIES; DEFINE THE RATIONAL CHOICE BY PRIORITY AND SEQUENCE OF THE DIFFERENT IMAGING MODALITIES IN THE DIAGNOSIS OF MAJOR DISEASES; ABLE TO UNDERSTAND THE DIAGNOSTIC IMAGING REPORTS, COMPLEMENTING THE WRITTEN TEXT WITH THE OBSERVATION OF IMAGES AND WITH CONSIDERATION OF OTHER DIAGNOSTIC ELEMENTS. • COMMUNICATION SKILLS: STUDENTS MUST BE ABLE TO FILL REQUESTS FOR IMAGING PROCEDURES IN ORDER TO PROVIDE RELEVANT CLINICAL INFORMATION AND SETTING CLEAR DIAGNOSTIC QUESTIONS. STUDENTS MUST BE ABLE TO COMMUNICATE IN A CLEAR AND UNAMBIGUOUS WAY INFORMATION NECESSARY TO EXPLAIN TO THE PATIENT THE BENEFITS AND POSSIBLE RISKS OF THE DIAGNOSTIC IMAGING PROCEDURE AS WELL AS THE RESULTS OBTAINED. •LEARNING SKILLS: STUDENTS MUST HAVE DEVELOPED THOSE LEARNING SKILLS THAT WILL ENABLE THEM TO CONTINUE MEDICAL EDUCATION. MOREOVER, THE FOLLOWING LEARNING OBJECTIVES SHOULD BE ACCOMPLISHED: TO COLLECT, ORGANIZE AND INTERPRET THE INFORMATION CORRECTLY; TO COLLECT SPECIFIC INFORMATION ON PATIENT MANAGEMENT AND CLINICAL DATA; TO USE THE TECHNOLOGY ASSOCIATED TO INFORMATION AND COMMUNICATIONS SYSTEM; TO MANAGE AN ARCHIVE FOR ITS SUBSEQUENT ANALYSIS AND IMPROVEMENT.

KNOWLEDGE AND UNDERSTANDING: THE INTEGRATED COURSE IS DESIGNED TO ENABLE THE STUDENT TO LEARN: THE NATURE OF BIOENERGY USED IN DIAGNOSTIC IMAGING, THEIR USE AND RISKS, THE BASICS OF THE MAIN PHYSICAL AND TECHNICAL METHODS OF DIAGNOSTIC IMAGING, THEIR OPERATION AND THE CRITERIA OF IMAGES; THE BIOCHEMICAL BASIS, PHARMACODYNAMIC AND PHARMACOKINETIC PROPERTIES, SIDE EFFECTS OF CONTRAST MEDIA; THE 'RADIOLOGICAL ANATOMY” AND RADIOLOGICAL GENERAL SEMIOTICS, SEMIOTICS AND DIAGNOSTIC PROTOCOLS OF THE MAIN DISEASES; TECHNICAL PRINCIPLES, AND GENERAL AND CLINICAL APPLICATIONS OF INTERVENTIONAL RADIOLOGY AND RADIATION THERAPY; THE PRINCIPLES OF RADIOBIOLOGY AND RADIATION PROTECTION AND THE LEGISLATION IN FORCE.
• APPLYING KNOWLEDGE AND UNDERSTANDING: STUDENTS WILL BE INTRODUCED TO ANALYSIS AND INTERPRETATION OF NORMAL AND PATHOLOGICAL ASPECTS RELATING CONVENTIONAL RADIOLOGY, COMPUTED TOMOGRAPHY, ULTRASOUND, MAGNETIC RESONANCE AND NUCLEAR MEDICINE. STUDENTS SHOULD BE ABLE TO APPLY THEIR KNOWLEDGE AND UNDERSTANDING AND HAVE THE ABILITY TO SOLVE PROBLEMS ON TOPICS INCLUDED IN BROADER INTERDISCIPLINARY CONTEXTS. IN PARTICULAR, THE STUDENT SHOULD APPLY CLINICAL JUDGMENT TO DETERMINE WHICH DIAGNOSTIC IMAGING PROCEDURE OR PROCEDURES WOULD BE MORE APPROPRIATE IN THE LIGHT OF EVIDENCE BASED MEDICINE AND LEARN TO ANALYZE AND INTERPRET THE RESULTS.
• MAKING JUDGEMENTS: STUDENTS MUST HAVE THE ABILITY TO INTEGRATE KNOWLEDGE AND HANDLE COMPLEXITY, AND FORMULATE JUDGMENTS ON THE BASIS OF AVAILABLE INFORMATION. STUDENTS MUST: BE ABLE TO DISTINGUISH NORMAL FROM ABNORMAL IMAGES; ABLE TO DISCUSS ASPECTS OF DIAGNOSTIC IMAGING OF THE MAJOR ORGANS AND SYSTEMS WITH PARTICULAR ATTENTION TO THE INDICATIONS, THE DIAGNOSTIC RESULTS AND LIMITATIONS OF THE DIFFERENT IMAGING MODALITIES; DEFINE THE RATIONAL CHOICE BY PRIORITY AND SEQUENCE OF THE DIFFERENT IMAGING MODALITIES IN THE DIAGNOSIS OF MAJOR DISEASES; ABLE TO UNDERSTAND THE DIAGNOSTIC IMAGING REPORTS, COMPLEMENTING THE WRITTEN TEXT WITH THE OBSERVATION OF IMAGES AND WITH CONSIDERATION OF OTHER DIAGNOSTIC ELEMENTS.
• COMMUNICATION SKILLS: STUDENTS MUST BE ABLE TO FILL REQUESTS FOR IMAGING PROCEDURES IN ORDER TO PROVIDE RELEVANT CLINICAL INFORMATION AND SETTING CLEAR DIAGNOSTIC QUESTIONS. STUDENTS MUST BE ABLE TO COMMUNICATE IN A CLEAR AND UNAMBIGUOUS WAY INFORMATION NECESSARY TO EXPLAIN TO THE PATIENT THE BENEFITS AND POSSIBLE RISKS OF THE DIAGNOSTIC IMAGING PROCEDURE AS WELL AS THE RESULTS OBTAINED.
•LEARNING SKILLS: STUDENTS MUST HAVE DEVELOPED THOSE LEARNING SKILLS THAT WILL ENABLE THEM TO CONTINUE MEDICAL EDUCATION. MOREOVER, THE FOLLOWING LEARNING OBJECTIVES SHOULD BE ACCOMPLISHED: TO COLLECT, ORGANIZE AND INTERPRET THE INFORMATION CORRECTLY; TO COLLECT SPECIFIC INFORMATION ON PATIENT MANAGEMENT AND CLINICAL DATA; TO USE THE TECHNOLOGY ASSOCIATED TO INFORMATION AND COMMUNICATIONS SYSTEM; TO MANAGE AN ARCHIVE FOR ITS SUBSEQUENT ANALYSIS AND IMPROVEMENT.

	Prerequisites
	IN ORDER TO UNDERSTAND AND KNOW HOW TO APPLY THE TOPICS COVERED IN THE TEACHING THE STUDENT MUST HAVE ACQUIRED THE BASIC KNOWLEDGE OF PHYSICS, HUMAN ANATOMY AND PATHOLOGICAL ANATOMY. PROPEDEUTICITY AND BARRINGS: PHYSICS, PATHOLOGICAL ANATOMY II.

	Contents
	THE COURSE CONSISTS OF ONE MODULE (DIAGNOSTICS FOR IMAGES AND RADIOTHERAPY, MED / 36) OF 5 CFU. THE COURSE INCLUDES 40 HOURS OF TEACHING IN THE FORM OF LESSONS AND THE TOPICS COVERED ARE: 1.NATURE AND PROPERTIES OF RADIATION. INTERACTIONS WITH MATTER 2.IONIZING AND NON-IONIZING RADIATION: BIOLOGICAL EFFECTS 3.RADIATION PROTECTION OF THE PATIENT AND OF OCCUPATIONALLY EXPOSED WORKERS, LEGAL ISSUES 4.CONTRAST MEDIA: CHARACTERISTICS, INDICATIONS, SIDE EFFECTS AND ADVERSE REACTIONS 5.FORMATION OF IMAGES: RADIOLOGY AND CT, NUCLEAR MEDICINE, ULTRASOUND, MAGNETIC RESONANCE IMAGING 6.RADIONUCLIDES, PRINCIPLES OF RADIOCHEMISTRY AND RADIOPHARMACEUTICALS, NUCLEAR MEDICINE TECHNIQUES, PRINCIPLES AND INDICATIONS OF RADIONUCLIDE THERAPY 7.RADIATION THERAPY TECHNIQUES, ELEMENTS OF CLINICAL DOSIMETRY. GENERAL INDICATIONS TO RADIATION THERAPY APY 8.DIAGNOSTIC IMAGING IN HEAD AND NECK DISEASES 9.DIAGNOSTIC IMAGING IN THORACIC DISEASES 10.DIAGNOSTIC IMAGING IN BREAST DISEASES 11.DIAGNOSTIC IMAGING IN CARDIOVASCULAR DISEASES 12.DIAGNOSTIC IMAGING IN ABDIMINAL AND GASTROENTERIC DISEASES 13.DIAGNOSTIC IMAGING IN MUSCOLOSKELETAL DISEASES 14.DIAGNOSTIC IMAGING IN ENDOCRINOLOGICAL DISEASES 15.DIAGNOSTIC IMAGING IN UROGENITAL DISEASES 16.DIAGNOSTIC IMAGING IN SYSTEMIC DISEASES 17.PRINCIPLES AND INDICATIONS OF INTERVENTIONAL RADIOLOGY 18.THE DIAGNOSTIC IMAGING REPORT AND COPIES OF IMAGES: HOW TO INTERPRET THEM

Contents

THE COURSE CONSISTS OF ONE MODULE (DIAGNOSTICS FOR IMAGES AND RADIOTHERAPY, MED / 36) OF 5 CFU. THE COURSE INCLUDES 40 HOURS OF TEACHING IN THE FORM OF LESSONS AND THE TOPICS COVERED ARE:
1.NATURE AND PROPERTIES OF RADIATION. INTERACTIONS WITH MATTER
2.IONIZING AND NON-IONIZING RADIATION: BIOLOGICAL EFFECTS
3.RADIATION PROTECTION OF THE PATIENT AND OF OCCUPATIONALLY EXPOSED WORKERS, LEGAL ISSUES
4.CONTRAST MEDIA: CHARACTERISTICS, INDICATIONS, SIDE EFFECTS AND ADVERSE REACTIONS
5.FORMATION OF IMAGES: RADIOLOGY AND CT, NUCLEAR MEDICINE, ULTRASOUND, MAGNETIC RESONANCE IMAGING
6.RADIONUCLIDES, PRINCIPLES OF RADIOCHEMISTRY AND RADIOPHARMACEUTICALS, NUCLEAR MEDICINE TECHNIQUES, PRINCIPLES AND INDICATIONS OF RADIONUCLIDE THERAPY
7.RADIATION THERAPY TECHNIQUES, ELEMENTS OF CLINICAL DOSIMETRY. GENERAL INDICATIONS TO RADIATION THERAPY APY
8.DIAGNOSTIC IMAGING IN HEAD AND NECK DISEASES
9.DIAGNOSTIC IMAGING IN THORACIC DISEASES
10.DIAGNOSTIC IMAGING IN BREAST DISEASES
11.DIAGNOSTIC IMAGING IN CARDIOVASCULAR DISEASES
12.DIAGNOSTIC IMAGING IN ABDIMINAL AND GASTROENTERIC DISEASES
13.DIAGNOSTIC IMAGING IN MUSCOLOSKELETAL DISEASES
14.DIAGNOSTIC IMAGING IN ENDOCRINOLOGICAL DISEASES
15.DIAGNOSTIC IMAGING IN UROGENITAL DISEASES
16.DIAGNOSTIC IMAGING IN SYSTEMIC DISEASES
17.PRINCIPLES AND INDICATIONS OF INTERVENTIONAL RADIOLOGY
18.THE DIAGNOSTIC IMAGING REPORT AND COPIES OF IMAGES: HOW TO INTERPRET THEM

	Teaching Methods
	THE COURSE INCLUDES LECTURES (5 CFU), WHICH TAKE PLACE IN THE CLASSROOM WITH THE AID OF SLIDES. ATTENDANCE OF LESSONS IN THE CLASSROOM IS MANDATORY. IN ORDER TO TAKE THE FINAL EXAM, THE STUDENT MUST HAVE ATTENDED AT LEAST 75% OF THE SCHEDULED HOURS LEAST 75% OF THEM. THE METHOD OF CHECKING THE PRESENCE IS NOTED BY THE TEACHER AT THE BEGINNING OF THE LESSONS.

	Verification of learning
	THE ACHIEVEMENT OF THE OBJECTIVES OF THE COURSE IS CERTIFIED BY PASSING AN EXAM WITH EVALUATION IN THIRTIES CONSISTING IN WRITTEN AND ORAL TESTS. KNOWLEDGE AND UNDERSTANDING WILL BE ASSESSED BY A WRITTEN TEST WITH MULTIPLE ANSWERED QUESTIONS (28 QUESTIONS) OR OPEN ANSWER (2 QUESTIONS). THE ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING AND THE AUTONOMY OF JUDGMENT WILL BE ASSESSED WITH THE ORAL TEST BY ANALYSIS OF CLINICAL CASES AND REASONED DIAGNOSTIC PROCEDURES. THE WRITTEN TEST AND THE ORAL EXAMINATION ARE TAKEN ON THE SAME DAY. THE WRITTEN TEST IS PREPARED TO THE ORAL TEST AND PROVIDES A MINIMUM MARK (18/30) TO ACCESS THE ORAL TEST. THE EXAM TEST IS AIMED AT ASSESSING THE STUDENT'S ABILITY TO UNDERSTAND THE FUNDAMENTAL PRINCIPLES OF THE DISCIPLINE. THE VOTE, EXPRESSED IN THIRTIES WITH POSSIBLE PRAISE, WILL DEPEND ON THE MATURITY ACQUIRED ON THE CONTENT OF THE COURSE. FOR THE PURPOSE OF AWARDING THE PRAISE, THE QUALITY OF THE EXHIBITION WILL BE TAKEN INTO ACCOUNT, IN TERMS OF THE USE OF APPROPRIATE SCIENTIFIC LANGUAGE AND THE PROVEN AUTONOMY OF JUDGMENT.

Verification of learning

THE ACHIEVEMENT OF THE OBJECTIVES OF THE COURSE IS CERTIFIED BY PASSING AN EXAM WITH EVALUATION IN THIRTIES CONSISTING IN WRITTEN AND ORAL TESTS. KNOWLEDGE AND UNDERSTANDING WILL BE ASSESSED BY A WRITTEN TEST WITH MULTIPLE ANSWERED QUESTIONS (28 QUESTIONS) OR OPEN ANSWER (2 QUESTIONS). THE ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING AND THE AUTONOMY OF JUDGMENT WILL BE ASSESSED WITH THE ORAL TEST BY ANALYSIS OF CLINICAL CASES AND REASONED DIAGNOSTIC PROCEDURES. THE WRITTEN TEST AND THE ORAL EXAMINATION ARE TAKEN ON THE SAME DAY. THE WRITTEN TEST IS PREPARED TO THE ORAL TEST AND PROVIDES A MINIMUM MARK (18/30) TO ACCESS THE ORAL TEST.
THE EXAM TEST IS AIMED AT ASSESSING THE STUDENT'S ABILITY TO UNDERSTAND THE FUNDAMENTAL PRINCIPLES OF THE DISCIPLINE. THE VOTE, EXPRESSED IN THIRTIES WITH POSSIBLE PRAISE, WILL DEPEND ON THE MATURITY ACQUIRED ON THE CONTENT OF THE COURSE. FOR THE PURPOSE OF AWARDING THE PRAISE, THE QUALITY OF THE EXHIBITION WILL BE TAKEN INTO ACCOUNT, IN TERMS OF THE USE OF APPROPRIATE SCIENTIFIC LANGUAGE AND THE PROVEN AUTONOMY OF JUDGMENT.

	Texts
	- P. TORRICELLI, M. ZOMPATORI. MANUALE DI DIAGNOSTICA PER IMMAGINI. ED.ESCULAPIO (PAGG 710), 2016 -AA.VV. DAL SINTOMO ALL'IMAGING...DALL'IMAGING ALLA RADIOTERAPIA. ED. IDELSON (PAGG 660), 2018 - W. HERRING. CAPIRE LA RADIOLOGIA: LE BASI DELLA DIAGNOSTICA PER IMMAGII. PICCIN (PAGG 398), 2020 - F. GIOVAGNORIO. MANUALE DI DIAGNOSTICA PER IMMAGINI NELLA PRATICA MEDICA (PAGG 362). 2021

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Leonardo PACE | DIAGNOSTIC IMAGING AND RADIOTHERAPY