Welcome to Radiologic Technology

Rad Tech ASection Tuesday 4pm-7:10pmMCS 5

Colleen McFaul, Instructor

INTRODUCTION TO RADIOLOGIC TECHNOLOGYFACULTY WEB PAGE : www.elcamino.edu/cmcfaul

Welcome

Course Syllabus Find it on Faculty website.

Welcome

Helpful Courses/Resources

Theater Arts Beginning Acting Adaptive PE Academic Strategy Courses

Student Services Center Special Resources Financial Aid

Welcome

Study tips

Do the assigned readings before class Review Power Points presentations Review notes taken in class Spend at least two hours outside of

class per hour of in-class instruction Be part of study group

Welcome

INTRODUCTION OF RADIOLOGIC TECHNOLOGY

Radiologic Technology

High Tech Profession

High Touch Profession

Introduction to RT

Radiologic Technology Preconceived ideas regarding x-rays ? Satisfying Profession? Dangerous Profession? What makes a GREAT technologist?

Introduction to RT

Preconceived Ideas regarding X-ray field

Introduction to RT

Satisfying Profession

Introduction to RT

Is it dangerous?

Introduction to RT

THE HISTORY OF X-RAYSRad Tec A\copy-of-history-of-x-ray-2n7dnesg4cm5\copy-of-history-of-x-ray-2n7dnesg4cm5-171_193730_259

History of X-rays

Many scientists working with Crookes tube

Discovered by Wilhelm Roentgen German physicist- University of Wurtzburg November 8, 1895

1st X-ray of Anna Bertha Roentgen’s Hand 30 minute exposure

Roentgen received 1st Nobel Prize for Physics 1901

History of X-rays

Emergence of X-ray into a Medical Field

1st medical x-ray taken 1896 People went to physicists and

photographers for x-ray Eventually nurses or aides took the x-

ray On the job training Experience the best teacher ?consequences of this?

History of X-rays

History of X-rays

Clarence Dally 1st fatality of cumulative dose of radiationMultiple reports of eye damage due to x-rayMultiple reports of skin erythema due to x-ray exposureHas this changed?

Emergence of X-ray into a Medical Field

1st Rad Tech considered to be Edward Jerman

Founding of ASXT in 1920 Name change to ASRT in 1964 due to

the proliferation of specialties No longer “tech trade” but now a

profession Profession needs analytical thinking and

problem solving skills

History of X-rays

History of X-rays

IMAGING MODALITIES

No longer an “x-ray department” at hospitals

IMAGING MODALITIES

Certification, Registration and Licensure for Technologists

Radiologist vs. Radiographer Certification Licensure Modalities

IMAGING MODALITIES

Certification by ARRT Requires education Requires proficiency in clinical exams Requires examination Requires Registration

Certifies that technologist has been trained and is proficient in performing exams.

Does NOT grant license to practice Uses designation of R.T.-Registered

Technologist

IMAGING MODALITIES

Licensing by Each State Grants permission to take x-rays Sometimes requires exams Requires fee, CEU’s California uses the designation of CRT,

Certified Radiologic Technologist

IMAGING MODALITIES

Colleen McFaul, R.T., C.R.T.

Edward Jerman, R.T.

Homer Simpson, C.C.

Registered Technologist, Certified Radiologic Technologist licensed in Calif

Registered Technologist

Cartoon Character !!

IMAGING MODALITIES

IMAGING MODALITIESDiagnostic Radiographer Diagnostic Radiology- Radiographer,

technologist, Limited license (XT) Skeletal exams, CXR’s, abdomen, skull Portable exams, trauma, surgery Contrast media

Barium studies, kidney studies, Specialty exams

Lumbar puncture, myelograms, arthrograms

IMAGING MODALITIESDiagnostic Radiographer Uses Ionizing Radiation to produce

diagnostic images to aid in diagnoses of disease and trauma

Uses the designation of R Wilhelm Roentgen, R.T. (R)

IMAGING MODALITIESDiagnostic Radiographer

Diagnostic Radiographer

IMAGING MODALITIESDiagnostic Radiographer

Diagnostic Radiographer

Diagnostic Radiographer

IMAGING MODALITIESFluoroscopy

Frequently contrast media exams Use of x-rays in motion (ionizing

radiation) Designated by F Bertha Roentgen, R.T. C.R.T.(R)(F) Post primary examination/license

IMAGING MODALITIESFluoroscopy

• Uses specialized x-ray units to produce “real time” images of the body in motion

• Similar to video vs. still pictures

Fluroscopy

Barium swallow

IMAGING MODALITIESFluoroscopy

Fluoroscopy

Fluoroscopy

Fluoroscopy

Fluoroscopy

IMAGING MODALITIESMammography Breast imaging using ionizing radiation Also referred to as a mammographer Screening exams, diagnostic exams,

galactograms, localizations, Designated by M Colleen McFaul, R.T., C.R.T., (R)(M) Post primary exam Required to perform mammography

Mammography

Mammography

IMAGING MODALITIESCardiovascular Interventional Technology Uses ionizing x-ray to image blood

vessels, heart vessels, sometimes repair, Previously known as Special Procedures Involves Cardiac catheterizations,

angiograms, vascular exams Several designations: CI, VI Dawn Charman, R.T., C.R.T., (R)(CI) Post primary exam

Interventional

Angiography

Interventional

Interventional

Interventional

subtractionVessels of the brain

Interventional

IMAGING MODALITIESComputed Tomography Also known as CT, Cat, scans Uses ionizing radiation to obtain cross

sectional images Designated by CT Kelly Holt, R.T., C.R.T., (R)(CT) Post primary exam

Can you imagine how this patient must feel?

Computed Tomography

• Cross sectional view of anatomy• Frequent use of contrast media• Patients can experience claustrophobia• Images are termed “slices”

Computed Tomography

IMAGING MODALITIESBone Densitometry Also known as DEXA scan Uses ionizing radiation to determine the

density of bones Screens for osteoporosis Designated by BD Clarence Dally, R.T., C.R.T., (R)(BD) Post primary exam

Non-diagnostic images, Reveals only the density of the bones

Bone Densitometry

IMAGING MODALITIESSonography Also known as ultrasound Uses sound waves to create images Designation is RDMS or S Rory Natividad, R.D.M.S Rory Natividad, R.T., (S) Primary exam and post primary

Sonography

Sonography

Breast ultrasound

Sonography

Vascular Sonography

Sonography

IMAGING MODALITIESRadiation Therapy Is involved in the treatment rather than

the diagnosis of diseases Uses ionizing radiation to kill diseased

cells, frequently cancer cells, not always Designated by T Thomas Fallo, R.T. (T) Primary exam

Radiation Therapy

Radiation Therapy

IMAGING MODALITIESMagnetic Resonance Imaging Also known as MRI Uses radio frequencies and magnetism

properties to produce images Can be whole body or cross sectional Designated by MRI Mina Colunga, R.T., C.R.T., (MRI) Primary and post primary exams

Magnetic Resonance Imaging

• Can produce both sagittal and coronal images• Similar claustrophobic reactions• Can use contrast media• Soft tissue imaging

Magnetic Resonance Imaging

IMAGING MODALITIESNuclear Medicine Also known as Nuc Med, Uses pharmaceuticalspharmaceuticals that give off

ionizing radiation to produce images Radiation comes from within the patient Designation is NM, also CNMT (NMTCB) William Crookes, R.T., C.R.T., (NM) William Crookes, CNMT Primary or post primary

Images are obtained after the injection of a radioactive isotope. The patient usually receives the injection in the morning and images are obtained later in the day. Patient should refrain from contact with the susceptible population during this time.

Nuclear Medicine

Nuclear Medicine

Both AP and PA views are shown. Uptake in femur is abnormal

Radiologist Assistant

Imaging Modalities

• New modality• Not licensed in all states, including California• Look for new legislative news• Local program at Loma Linda University

IMAGING MODALITIESARRT summary

Primary Certification

5 modalities1. Radiography2. Nuclear Medicine3.Radiation Therapy4. Magnetic Resonance Imaging5. Sonography

Post Primary Certification

10 modalities1. Mammography2. Computed Tomography3. Magnetic Resonance Imaging4. Quality Management5. Bone Densitometry6. Cardiac Interventional7. Vascular Interventional8. Sonography9. Vascular Sonography10. Breast Sonography

Imaging Modalities

IMAGING MODALITIES

IMAGING MODALITIESGoverning BodiesGoverning BodiesARRT- American Registry of Radiologic Technologist (national)RHB- Radiologic Health Branch, California (state)JRCERT-Joint Review Committee on Education in Radiologic TechnologyJCAHO-Joint Commission on Accreditation of Healthcare OrganizationsProfessional Organizations

ASRTCSRTNMTCB-Nuclear Medicine Technology

Certification BoardARDMS-American Registry of Diagnostic

Medical Sonographer

Governing Bodies/opportunities

IMAGING MODALITIESOpportunities

1. Medical

2. Commercial

3. Industrial

4. Administration

5. Education

Governing Bodies/opportunities

IMAGING MODALITIESOpportunities Workplace settings

Hospitals Clinics Private offices Research facilities Overseas Registry Urgent care centers

Governing Bodies/opportunities

What makes a GREAT Radiologic Technologist?? Sincere desire to help and care for the ill

and the injured Strong background in math and

sciences Able to handle stress, ability to make

quick decisions, analytical thinking Significant body movement, assisting

patients, moving and manipulating equipment

SUMMARY