Syllabus - Diagnostic Radiography

Sri LankaSchool of radiography

Syllabus - Diagnostic Radiography

First year

Subjects & Number of hours

►Anatomy , Physiology & Pathology– 120 hours

►Physics

General Physics- 160 hours
Radiation Physics- 70 hours

►Hospital Practice, Care of patient & Medical terminology 90 hours

Subject contents

Anatomy

Typical animal cell. Tissues. Bones, Joints and Locomotor system, Circulatory system, Respiratory system, Lymphatic system, Reticulo- endothelial system, Alimentary system, Genito-urinary system, Endocrine system, Nervous system, Special sense organs: Eye, Ear. Surface markings.

Physiology

Cell function, Function of tissues. Function of bones and joints. Physiology of circulation, Physiology of respiratory system. Function of Lymphatic system. Function of Pituitary, thyroid, para thyroids, adrenal, thymus, pancreas and gonads. Function of brain and the nerves. Function of the eye and the ear.

Pathology

Pathological process, Common diseases of all anatomical systems, Radiological demonstration of abnormal situations.

General Physics

Mathematics, Measurements and Units, Energy & Mechanics, Electricity and Magnetism, Static electricity, DC, AC.. Basic electronics. Transformer principle, Rectification.

Radiation Physics

Electro-magnetic Radiation, Production of X-rays, Properties of X-rays, Interaction of X-rays with matter, Radioactivity, Measurement of Radiation, Biological effects of radiation, Radiation protection, Code of practice, Protective materials and methods, Personnel monitoring.

Hospital Practice & Care of Patient

Hospital staffing and organization. Records relating to patients and departmental statistics, Professional attitudes. Communication. Medico legal aspects. Appointment organization.

Patient psychology. Management of chair and stretcher patients. Nursing care. First aid. Care of unconscious patients. Preparation of patients for X-ray examinations. Infection and infection control. Principles of asepsis. Sterilization. Drugs in the X-ray department, Contrast agents. Hypersensitivity and reaction to contrast agents.

Medical Terminology

Second year

Subjects & Number of hours

►Equipment for Diagnostic Radiography / Imaging equipment– 100 hours

►Radiographic Imaging / Radiographic Photography – 100 hours

►Radiographic Technique – 200 hours

General radiography
Contrast Radiography / Special examinations

Subject contents

Equipment for Diagnostic Radiography / Imaging equipment

►Power/energy supply

►Basic x-ray equipment

►X-ray tubes

►X-ray Circuit

Basic circuit
Filament circuit
High-tension circuit
Types of high-tension generators

►Timers & interlocks

►X-ray tube ratings

►X-ray tube faults

►X-ray tube mountings

►X-ray table / patient support system

►Vertical bucky / cassette holders

►Equipment for Control of Scatter

Grids
Beam limiting devices

►Cones

►Collimators / Light beam diaphragms

►Fluoroscopic Equipment

Types
Image intensification
Digital fluoroscopic equipment

►Specialized x-ray equipment

Skull table
C-arm fluoroscopic equipment
Mobile x-ray equipment
Dental x-ray equipment
Mammography x-ray equipment

►Quality assurance tests on equipment

►Introduction to Other imaging equipment

CT
MRI
CR / DR equipment
NI / RI
US

2. Radiographic Imaging

►Image characteristics

►Radiographic image

►The invisible x-ray image

Formation
Characteristics

►Detection & Recording of X-ray image

Recording methods & media
Photosensitive materials
Radiographic performance of photosensitive materials

►Film materials

Production, Features & types
Storage & care of film materials

►Intensifying screens

Constructional features
Types & uses
Screens & image quality
Care of screens

►Film Cassettes

Constructions features
Types & uses
Care of cassettes

►Radiographic processing

Principles
Equipment & practice

►Manual processing

►Automatic processing

►Daylight processing (automated film handling systems)

►The processing area

►Presentation & viewing of Radiographs

►The Radiographic image

Factors affecting quality
Faults

►The influence of exposure factors

►Image quality control

Aspects
Processor quality control

►The fluoroscopic image

Formation & viewing
Image quality
Recording methods

►Duplication & subtraction of radiographs

►Digital images

Image digitization
Digital subtraction
Recording of digital images
Digital image management systems

►Introduction to Other Imaging Technologies

CT
MRI
NI/RI
US
CR
DR

3. Radiographic Technique

General Radiography

►Basic principles

►Chest

►Thoracic cage

Ribs, Clavicle, Sternum, S/C joint

►Upper extremity

Digits, Hand, Carpus, Forearm, Elbow, Humerus

►Shoulder Girdle

Shoulder joint
Scapula
A/C joint

►Abdomen

For GI & related organs
For KUB

►Skull

►Paranasal sinuses

►Facial bones

►T/M joints & Mastoids

►Neck for soft tissue

►Spine / Vertebrae

Cervical spine
Thoracic spine
Lumbar spine
Sacrum & Coccyx

►Pelvic Girdle

SI joints
Hip joints
Head & Neck of femur

►Lower extremity

Toes
Tarsals & metatarsals
Ankle joint
Leg
Knee joint , Patella
Femur

►Dental radiography

Peri-apical views
Occlusal views
OPG
Cephalometry

Contrast Radiography

(For the contrast examinations which are not performed at present are given theoretical knowledge only)

►Basic principles

►Contrast media

►Aseptic technique

►Contrast examinations of Urinary System

Indications & contra-indications
IVU
Retrograde Pyelography
Urethrography
Cystography
Micturating cysto-urethrography

►Contrast examinations of Gastro-Intestinal Tract.

Indications & contra-indications
Barium Swallow
Barium meal
Small bowel enema
Barium meal & follow through
Barium enema (single & double contrast)

►Contrast examinations of Nervous system

Myelography
Reticulography

►Contrast examinations of Circulatory system

Coronary angiography
Cerebral Angiography

►Carotid , Vertebral

Trans-lumbar: Renal, Femoral,
Brachial arteriography
Peripheral venography
Portal venography
DSA & Interventional procedures

►Contrast examinations of Respiratory system

Bronchography (Theory)

►Contrast examinations of hepato-biliary system

Oral cholecystography (Theory)
T-tube cholangiography
Percutaneous Transhepatic Cholangiography
Endoscopic Retrograde Choledoco Pancreatography

►Contrast examinations of reproductive system

Hystero Salphingography

►Other examinations

Dacryo-cystography
Sialography
Lymphangiography (Theory)
Arthrography (Theory)

Mobile/in ward Radiography & Operating theatre radiography
Trauma radiography
Paediatric radiography

Practical / Clinical experience

During two year the students are placed in x-ray departments on a roster basis to gain practical experience in relevant areas under supervision of Tutor radiographers and the senior radiographers.

They have to maintain a record of their work in the ‘Student Record of Practical work” provided by the school.

Name of Hospital / X-ray department / Minimum Number of Hours of work / Type of work / Person Responsible for student supervision
1. The National
Hospital of Sri
Lanka.
(a). Dept. of
Radiology / 520 / Reception of patients, Registering & Filing of Records.
General & Contrast Radiography / Tutor Radiographers, Senior Radiographers and the Superintendent Radiographer
(b) Out Patient
Department / 312 / General radiography of chest, skull, abdomen, spine & extremities / Tutor Radiographers, Senior Radiographers
(c). Orthopaedic
Clinic / 312 / Orthopaedic Radiography / Tutor Radiographers, Senior Radiographers
(d) X-Ray room,
Orthopaedic &
ENT wards / 132 / Orthopaedic Radiography,
X-rays of ENT patients etc. / Tutor Radiographers, Senior Radiographers
(e). Accident &
Trauma Unit / 224 / Radiography of Accident & trauma patients, Operating Theatre radiography / Tutor Radiographers, Senior Radiographers
(f). Neuro-
Surgical Unit / 120 / Neuro radiography, Cerebral Angiography / Senior Radiographers
(g). Dental
Institute / 132 / Peri-apical Dental radiography, Orthopantomography / Senior Radiographers
(h). Cardiac
Investigating
Unit / 132 / Angio-cardiography etc. / Senior Radiographers
(i). Casualty &
Mobile Radiography Unit / 132 / Inward & Operating theatre radiography / Senior Radiographers
2. Children
Hospital / 132 / Paediatric Radiography / Senior Radiographers
Tutor Radiographers
3. Central Chest
Clinic / 132 / Chest radiography including Mass Miniature Radiography / Senior Radiographers
TOTAL Number of Hours / 2280

January 2010