Core X-ray and CT - Radiology

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Department of Radiology Heersink School of Medicine

Core X-Ray and CT - Training Essentials

	Clinical Radiology	Radiation Safety
	Familiarization and observation of routine radiology procedures, terminology and techniques Standard radiographic projections Conventional tomography Bedside radiography Fluoroscopy and routine GI exams Mobile C-arm fluoroscopy in the OR and ICU Use of contrast agents Cysto and urography Gastroentrology and ERCP Angiography and digital subtraction angiography (DSA) Interventional radiology Cardiac angiography Interventional cardiology Electrophysiology procedures	MPDs State and Federal Regulations Radiation Safety Committee responsibilities and meetings

	Routine Performance Audits
	Mobile radiographic unit General radiographic unit Digital chest unit Mammographic unit Conventional fluoroscopic unit Mobile C-arm fluoroscopic unit Digital fluoroscopic/fluorographic unit DSA unit CT scanner Cardiac cath lab Conventional wet chemistry processor Laser multiformat camera Ultrasound unit

	Acceptance testing	Radiation Shielding Design
	The differences between routine performance audits and acceptance testing should be understood for each of the above units.	General radiographic room Mammography suite General R&F room Special procedures room Cardiac cath lab CT scanner suite

	Radiation Safety Surveys	Patient Radiation Dosimetry
	Lead shielding thickness and integrity of new room Mobile radiographic unit General radiographic unit Digital chest unit Mammographic unit Conventional fluoroscopic unit Mobile C-arm fluoroscopic unit Digital fluoroscopic/fluorographic unit DSA unit CT scanner Cardiac cath lab	ESEs for routine (radiographic, fluoroscopic and CT) exams Effective doses for routine exams Fetal dose estimates for routine exams

	General
	The medical physics fellow should initially work with the designated faculty member in performing routine performance audits and radiation surveys. After observing and working with a faculty member on the routine performance audit and radiation survey of a given type of unit, the resident should subsequently be the principle member of the team and be responsible for the data reduction and producing a draft report and patient dosimetry table. The documentation will be reviewed by the responsible faculty member. The resident should participate in acceptance testing whenever a new unit is commissioned. During the Core X-Ray and CT rotations the resident will be responsible for specifying radiation shielding design for the type of x-ray units noted above and in each case develop an appropriate architect communication document. The shielding specifications and associated documentation will be reviewed by the responsible faculty member.