1. SylabUZ
2. Wydział Lekarski i Nauk o Zdrowiu
3. semestr zimowy 2023/2024
4. WLiNZ - oferta ERASMUS / Lekarski - jednolite magisterskie sześcioletnie
5. Nuclear Medicine

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Nuclear Medicine - opis przedmiotu

Cel przedmiotu

The goal of this course is to familiarise with basic terminology, rules of execution and interpretation of scintigraphy and positon emision tomography (PET); to give the skill to choose an appropriate examination by considering individual recommendations, restrictions and limitations of radionuclide imaging; to familiarise with newest breakthroughs in the field of nuclear medicine; to allow acquisition of basic skills necessary to carry out clinical tests and to integrate clinical knowledge and skills with scientific evidence.

Wymagania wstępne

Zapisz zmiany

Familiarity with anatomy, physiology and pathophysiology; picture diagnosis and medical physics basics.

Zakres tematyczny

Seminars

1. Medical imaging, morphological and functional
2. Positron Emission Tomography PET/CT
3. Sentinel lymph node in Oncology and methods of detection
4. Scintigraphic receptor imaging
5. Radioisotope therapy

 

Practicals

Thematic Block 1

1. Scintigraphy in nephrourology

- Nephron imaging – static scintigraphy of kidneys
- Isotope renography and diuretic tests
- Indirect and direct isotope micturating cystography

2. Diagnosis of pulmonary embolism with the inclusion of lung perfusion scintigraphy

3. Scintigraphy in neurology:

- Application of brain perfusion scintigraphy in vascular and dementia disorders
- Radionuclide cisternography and detection of traumatic cerebrospinal fluid leak
- Radionuclide imaging of Parkinson’s disease and other scintigraphic receptor tests

4. Sceletal metastasis of malignant tumours, diagnosis and isotope therapy

Thematic Block 2

1. Radionuclide imaging and therapy of  organs and systems – overview of the method and goal of procedures, interpretation of images, clinical use of following tests:

a. Bone scintigraphy:
- Planar scans (whole body imaging, three-phase bone scintigraphy)
- Tomographic scans (SPECT and SPECT-CT)

b. Radioisotope heart scans:
- Heart perfusion scintigraphy stress/rest
- First-pass method isotope ventriculography

c. Radioisotope digestive tract scans:
- Salivary gland scintigraphy
- Liver and biliary tract dynamic scintigraphy
- Liver static scintigraphy
- Upper digestive tract scintigraphy
- Radionuclide diagnosis of gastrointestinal bleeding
- Radionuclide imaging of Meckel’s diverticulum

d. Thyroid gland isotope imaging:
- Planar scintigram
- Iodine uptake
- Parathyroid subtractive scintigraphy

2. Radioisotope therapy:
- Treatment of benign and malignant tumors in the thyroid gland using I-131
- Radiosynoviortesis

Thematic Block 3

1. Physical basis of nuclear medicine and rules of radiological protection

2. Measuring apparatus:
- Radioactivity meters, dosage and irradiation measurement
- Dosimetry
- Imaging instrumentarium: planar gamma camera, SPECT-type gamma camera, hybrid SPECT/CT gamma camera, PET/CT scanner

3. Basics of radiological protection:
- Rules of radiological protection (personnel, patient)
- Exposure categories, classification of laboratory sections
- Methods of dosage reduction and ionising radiation protection

4. Principles of radiopharmacy:
- Pharmacokinetics of radiotracers
- Construction and operation of a technetium-99m generator
- Rules of work in a radionuclide laboratory
- Radioactive waste and its degradation

Metody kształcenia

Lectures in the form of multimedia presentations and discussions with students take place in the lecture hall

Clinical practicals take place in the nuclear medicine dept.

During the practicals students familiarise themselves with the topography and rules of conduct of the facility; together with staff they will take part in:

- Patient registration
- Testing, qualification and ordering the treatment for patients
- Carrying out diagnosis or treatment procedures
- Preparation and quality inspection of gamma cameras, SPECT/CT and PET/CT scanners
- Marking of radiotracers in a hot laboratory

Students will familiarise themselves with operation of computer workstations and clinical software, under the supervision of staff they independently perform:

- Basic analysis and interpretation of scintigraphic images
- Reconstruction and initial analysis of PET/CT scan images

Due to the nature of work in a radioisotope facility it will not be possible to hold a practical demonstration of certain topics and procedures. A multimedia presentation with particular emphasis on the practical aspects with an interactive discussion will be used instead.

Efekty uczenia się i metody weryfikacji osiągania efektów uczenia się

Opis efektu	Symbole efektów	Metody weryfikacji	Forma zajęć

Warunki zaliczenia

Assignment conditions

A condition to attend the final exam is presence in all classes. A maximum of two unexcused absences are allowed. Student should consult with the person carrying out the classes and retake the classes no later than the day of the final exam.

The student’s knowledge, analytical skills, substantive preparation and active participation in clinical practicals are verified continuously during the classes. In the event that the student is not prepared or a task given to them is insufficiently performed, they might be forbidden from continuing to attend the class and/or be forbidden from taking the final exam. In such an event the student must make up for the missed content in time given by the person carrying out the class.

The final exam will verify the material discussed during seminars, practicals and lectures with the knowledge procured from recommended literature and home work. Final exam is in written form, no less than 35 single-choice questions. Achieving a score of at least 60% is equivalent to passing the exam.

The final score from the subject is calculated using the exam’s score, converted according to the following scale:

93-100% = 5.0
85-92% = 4.5
76-84% = 4.0
68-75% = 3.5
60-67% = 3.0
59% and less = 2.0

Regulations regarding the conditions for passing and the examination are equivalent to those of direct examination, subject to change if forced to move to remote examination in regulated time, before the start of the exam period.

Literatura podstawowa

Birkenfeld B, Listewnik M. Medycyna nuklearna, obrazowanie molekularne. Wyd. Pomorskiego Uniwersytetu Medycznego Szczecin 2011.

Królicki L. Medycyna nuklearna. Wyd. Fundacja im. L. Rydygiera 1996.

Pruszyński B. Radiologia. Wyd. Lekarskie PZWL Warszawa 2003

Literatura uzupełniająca

Uwagi

Zmodyfikowane przez dr Justyna Mazurek-Popczyk (ostatnia modyfikacja: 23-05-2023 23:35)