Syllabus for practical excercises in Radiology and Nuclear Medicine for winter semester 2021/2022

The order of the practicals are not the same for all groups and students, the students will attend all practicals, but in different sequence, changing the attendance between groups is not allowed

1. Basic evaluation of the radiological examinations

Viewing of CT and MRI images, multi-planar reconstructions, practical examples

2. Advances evaluation of the radiological examinations

3D imaging, CT angiography, fusion of the images in hybrid imaging

3. Differential diagnosis of lung diseases in imaging

Pneumonia, bronchopneumonia, chronic obstructive lung disease, interstitial lung fibrosis

4. Acute abdomen – differential diagnosis in imaging

Gastrointestinal tract perforation, bowel obstruction, bowel ischemia, acute appendicitis.

5. Acute central nervous system diseases

Brain ischemia, intracerebral hemorrhage, subarachnoid hemorrhage, interventional therapy of stroke and subarachnoid bleeding

6. Interventional radiology

Basic instrumentation, instruments, indications and contraindications

7. Visit of CT suite

Indications, contraindications, patient preparation, use of the contrast material, imaging technique

8. Visit of MR suite

Indications, contraindications, patient preparation, use of the contrast material, imaging technique

9. Visit of interventional cath-lab suite

Indications, contraindications, patient preparation, use of the devices and contrast material, imaging technique

10. Ultrasonography 1

Ultrasound practice – base of the imaging concepts

11. Ultrasonography 2

Ultrasound practice – abdominal

12. Ultrasonography 3

Ultrasound practice – head and neck, Doppler-ultrasonography

Practical exercises take place at The Department of Imaging Methods, Faculty Hospital Lochotín, entrance C, IV. Floor. Paired numbers of groups start from practicals 1, un-paired numbers of groups start from practicals 7

Prof. MUDr. Jiří Ferda, Ph.D.

Head of The Department of Imaging Methods

Pilsen, 24th September 2021

List of lectures on Diagnostic Imaging - IV. year – General Medicine

Winter Semester 2021/2022

1. Diagnostic methods of Radiology and Nuclear Medicine

4/10/2021 lecture in presence at the lecture hall Prof. MUDr. Jiří Ferda, Ph.D.

The position of the imaging in the diagnostics algorithms and in the follow up of the disease evolution. How to indicate diagnostic imaging? The comparison of the general indications of radiological and nuclear medicine imaging methods. Radiation burden, special problems of the indications of the imaging methods in childhood and pregnancy. Current indications of the X-rays – diseases of the lungs, skeleton, special problems of mammography. The main indications of the ultrasound – imaging of the abdominal organs, cardiovascular imaging, including Doppler ultrasound, special ultrasound applications – transcranial, endosonography, ultrasound elastography. Main indications of computed tomography – urgent imaging, lung imaging, cardiovascular imaging. Main indications of the magnetic resonance imaging – imaging of the brain, spinal cord and musculoskeletal system. Diagnostic radionuclide methods, therapeutic radionuclide methods. Radiopharmaceutical selections, tissue behavior displayed by radiopharmaceutical – distribution, metabolic activity, receptor-principle, ligand binding, blood-element labeling. The selection of the imaging technique – planar scintigraphy, dynamic scintigraphy, gated-SPECT, hybrid imaging. Application of the radiopharmaceutical, radiation burden, care of the patient with the applied radiopharmaceutical, special problems of radiopharmaceutical application in childhood. General symptoms in scintigraphy evaluation – positive and negative scintigraphy, dynamic scintigraphy evaluation. Quantification of the accumulation. Hybrid methods – SPECT/CT, PET/CT, PET/MRI.

2. Therapy in radiology and Nuclear medicine

11/10/2021 lecture in presence at the lecture hall Prof. MUDr. Jiří Ferda, Ph.D.

Principal of the mini-invasive therapy under imaging control. Endovascular interventions, non-vascular interventions. Seldinger catheterization principle, percutaneous transluminal angioplasty, stent implantation, stent-graft implantation, embolization technique – coiling, chemoembolization, radio-embolization, percutaneous vascular recanalization, implantation of the permanent vascular access, vena cava filters. Non-vascular interventions – biopsy, drainage of the fluid collections, nephrostomy, biliary drainage, radio-frequency ablation. Therapy in nuclear medicine using radionuclide application, radioiodine applications, therapy of the bone metastases, therapy using radioembolisation, theranostics.

3. Lung diseases

18/10/2021 lecture in presence at the lecture hall Doc. MUDr. Hynek Mírka, Ph.D.

Differential diagnosis of the inflammatory lung diseases, inflammatory diseases in immunocompetent and immunocompromised patients, lung tuberculosis. Differential diagnostic of the interstitial lung diseases – interstitial lung fibrosis, exogenous allergic alveolitis, sarcoidosis, pneumoconiosis, carcinomatous lymphangiitis. Chronical obstructive lung disease, bronchiectasies, cystic fibrosis. Differential diagnostic of focal lung diseases - chondrohamartoma, lung carcinoma, granulomatous diseases, lung metastases. Newborn´s lung diseases

4. Imaging in diseases of the gastrointestinal tract, liver, biliary system and pancreas

25/10/2021 lecture in presence at the lecture hall Doc. MUDr. Hynek Mírka, Ph.D.

Imaging of the esophageal diseases. Imaging of the tumors of the stomach and their staging. Differential diagnosis of the bowel obstruction. Imaging in Crohn disease, differential diagnosis of the small bowel diseases. Detection, staging and restaging of colorectal carcinoma using imaging. Liver cirrhosis and portal hypertension. Imaging of the hepatocellular carcinoma and its differential diagnosis. Differential diagnosis of the cholestasis. Differential diagnosis of the focal pancreatic lesions. Acute and chronic pancreatitis.

5. Imaging in cardiovascular diseases

1/11/2021 lecture in presence at the lecture hall Prof. MUDr. Jan Baxa, Ph.D.

Deep venous thrombosis and its detection by the imaging methods, differential diagnoses of lower extremity swelling. A role of imaging in differential diagnosis of the chest pain – pulmonary embolism, acute coronary syndrome, aortic dissection. Coronary arteries´diseases – stress induced ischemia and its diagnostics using radiology and nuclear medicine. Diseases of the myocardium – myocarditis, cardiomyopathy, amyloidosis, hemosiderosis. Valvular cardiac disorders. Aortic aneurysms and their complications. Chronic and acute limb ischemia and its diagnostic imaging, differential diagnosis of the acute and chronic arterial occlusion.

6. Imaging in trauma

8/11/2021 lecture in presence at the lecture hall Prof. MUDr. Jan Baxa, Ph.D.

Imaging strategy in monotrauma and polytrauma. Imaging strategy in musculoskeletal trauma – fractures of skeleton – their types and types of dislocations. Imaging in suspected life threatening injuries – brain injury, injuries of thoracic and abdominal organs. Ultrasound imaging using FAST protocol. CT imaging in polytrauma. Strategy in imaging in spine and spine cord injury. Diffuse axonal injury. Interventional radiology in injuries of the aorta and peripheral arteries.

7. Imaging of the head and neck diseases

15/11/2021 E-lecture available on Moodle since date of lecture Prof. MUDr. Jiří Ferda, Ph.D.

Differential diagnosis of diseases of paranasal sinuses – acute and chronic sinusitis, mukokele, tumors. Differential diagnosis of the diseases in the region of temporal bone – neurinoma of the cranial nerves, chronic otitis media, cholesteatoma, paraganglioma. Differential diagnosis of the eye ball diseases – chorioid