Subject Code : CUTM1768
Subject type : 3+1+0
Credit: 4
Course Objectives
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Introduction to the use of ionizing radiation for the management of cancer.
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To get exposure to different types of clinical radiation generators.
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Use of radioactive sources for the management of malignant and non-malignant diseases.
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To know different areas of cancer management using advanced types of equipment.
Course Outcomes
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Course outcome (CO)
Mapping COs with POs (High -3,Medium - 2, Low -1)
At the end of the course student will be able to:
CO1 - Use modern linear accelerator
PO5 (2)
CO2 – Handle different radiotherapy equipment with proper care
PO2(3)
CO3 –Explain different techniques and procedures used in radiotherapy
PO4(2)
CO4 – Explain Harmful effects of radiation and quantification of radiation and its use in regulated manner
PO7(2)
SYLLABUS
Unit-1
Orthovoltage equipment with special reference to physical design equipment of tube and its accessories and interlocks, gamma ray sources used radiotherapy especially cobalt 60 source its construction and source housing and handling mechanism. Principles of isocentric Tele-isotope machines, megavoltage x-ray and electron beam accelerators and betatron.
Unit-2
Salient features of components of Linear Accelerator like tube design, wake guide, target design, beam bending system. Radio-frequency generators like magnetron and klestron. Basic principle of remote after-loading system/machines and sources used.
Practice: - Demonstration, handling and maintenance of Linear Accelerator. Demonstration, handling and maintenance of cyclotron , betatron. Demonstration, handling and maintenance of magnetron , klestron.
Unit-3
Principles of simulators and vacuum forming machines for making casts. Sterofoam template cutting system introduction to radio-surgery. Equipment and dosimetry equipment.
Practice: - Demonstration , handling and maintenance the instruments used in gamma ray production.
Suggested reading
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Textbook of Radiotherapy by Faiz M Khan
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Step by Step Management of Chemo and Radiotherapy by Krishan
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Principle and Practice of Nuclear Medicine and Correlative Medical Imaging by lele
Session Plan
Session 1
Preparation of patients for general radiological procedures
Presentation : https://www.slideshare.net/nfnajwa/patient-preparation-for-radiological-procedure
Video : https://www.youtube.com/watch?v=bIlP8a3qbrY
Reference: https://www.denverhealth.org/-/media/files/departments-services/radiology-patient-preparation-instructions.pdf
Session 2
Departmental instruction to out-patients or ward staff
Presentation : https://www.slideshare.net/mohammedalthaf18/responsibility-of-radiographer-153282783
Presentation : https://www.slideshare.net/prajwith/radiology-department-planning
Video: https://www.youtube.com/watch?v=Ci38eN-Eu3w
Reference: https://juniperpublishers.com/ctoij/pdf/CTOIJ.MS.ID.555789.pdf
Session 3
Colonic irrigations
Presentation: https://www.slideshare.net/Sashalane01/what-is-colonic-irrigation
Presentation : https://www.slideshare.net/Rv_252/colonic-irrigation
Video: https://www.youtube.com/watch?v=uw4U9-kHWls
Video: https://www.youtube.com/watch?v=uN3ngJuvpdc
Reference: https://www.medicalnewstoday.com/articles/hydrotherapy-of-the-colon
Session 4
Flatulence and flatus causes and methods of relief
Presentation : https://www.slideshare.net/SUPEROXIDE/new-microsoft-powerpoint-presentation-copy-flatulence
Presentation : https://www.slideshare.net/natural-healing-cures/new-wordpad-document-28840713
Video: https://www.youtube.com/watch?v=pEld0xT4HAA
Reference: https://www.healthline.com/health/gas-flatulence
Session 5
Principles of catheterization
Video: https://www.youtube.com/watch?v=3yYj2a4DjiA
Presentation : https://www.slideshare.net/doctortvrao/urinary-catheter-careprinciples-of-care-and-asepsis
Presentation : https://www.slideshare.net/tozki/urinary-catheterization-2248691
Reference : http://www.staff.city.ac.uk/m.j.jones/PDFs/Principles_of_catheterisation.pdf
Session 6
Intubation
Presentation : https://www.slideshare.net/nka63/endotracheal-intubation-46564829
Video: https://www.youtube.com/watch?v=FtJr7i7ENMY
Video: https://www.youtube.com/watch?v=GeNG1M9eC-E
Reference : https://www.ncbi.nlm.nih.gov/books/NBK560730/
Session 7
DEXA Scan:
Presentation : https://www.slideshare.net/jiraporn_spp/bone-densitometry-clinical-aspect
Presentation : https://www.slideshare.net/shrikantstilawat/dexa-pppresent
Video: https://www.youtube.com/watch?v=utEZnKpAb-Q
Video: https://www.youtube.com/watch?v=OrpHNN6JypQ
Reference : https://radiopaedia.org/articles/dual-energy-x-ray-absorptiometry-1
Reference : https://link.springer.com/article/10.1007/s40134-014-0048-x
Session 8-12
Color Doppler:
Video: https://www.youtube.com/watch?v=s23_d-qeEn4&t=37s
Video: https://www.youtube.com/watch?v=tQn8jKtwk6o
Video: https://www.youtube.com/watch?v=4pipx9hhl9g
Video: https://www.youtube.com/watch?v=zdP12GcQuME
Presentation : https://www.slideshare.net/shaffar75/principles-of-doppler-ultrasound
Reference : https://radiopaedia.org/articles/color-flow-doppler-ultrasound
Reference : https://www.ncbi.nlm.nih.gov/books/NBK580539/
Reference : https://ecgwaves.com/topic/color-doppler/
Session 13
CT SCAN: Advancement in CT
Presentation : https://www.slideshare.net/mitushaverma9/advances-in-ct-technology
Presentation : https://www.slideshare.net/sumanduwal3/generations-and-advancement-of-ct
Video: https://www.youtube.com/watch?v=9GB9d-Hdbvc
Reference :
Session 14
CT SCAN: Spiral CT
Presentation : https://www.slideshare.net/JAMESJACKY/computed-tomography-and-spiral-computed-tomography
Video: https://www.youtube.com/watch?v=hSPROv0mVo8&t=6s
Session 15
CT SCAN: Spiral CT
Presentation : https://www.slideshare.net/JAMESJACKY/computed-tomography-and-spiral-computed-tomography
Video: https://www.youtube.com/watch?v=hSPROv0mVo8&t=6s
SESSION 16
Radiological Contrast agents
Video: https://youtu.be/t7AUN5gRkT0
Presentation: https://www.slideshare.net/mr_koky/contrast-media
Reference: https://www.radiology.wisc.edu/wp-content/uploads/2017/10/contrast-agents-tutorial.pdf
SESSION 17-18
CM Side effects
Video: https://youtu.be/7vmWoiHKou4
Presentation: https://www.slideshare.net/mohitgoel9212/contrast-media-reaction-50287812
Reference: https://www.hindawi.com/journals/bmri/2014/741018/
SESSION 19 – 20
Iodinated CM
Video: https://youtu.be/4t776n1ze-Y
https://youtu.be/tCNgogMoKB0
Presentation: https://www.slideshare.net/NaikInayat/iodinated-contrast-media
Reference: https://www.radiology.wisc.edu/wp-content/uploads/2017/10/contrast-agents-tutorial.pdf
Session 21
CT SCAN: Technical Aspects of various procedures in CT
Reference : https://xray.ufl.edu/patient-care/divisions/interventional-radiology/therapies/ct-guided-biopsy/
https://www.ouh.nhs.uk/patient-guide/leaflets/files/5810Pct.pdf
Session 22
Nuclear Medicines
Video: https://www.youtube.com/watch?v=wfPza-R2sAY
Video: https://www.youtube.com/watch?v=l2OVu-JSU2Y
Presentation : https://www.slideshare.net/FhoodAlmatbe/nuclear-medicine-61531749
Presentation : https://www.slideshare.net/Saudi_nmc/what-is-nuclear-medicine-100804574
Session 23
Nuclear Medicines : Characteristic of Radionuclide
Presentation : https://www.slideshare.net/VictorEkpo2/everything-radionuclides-nuclear-medicine
Video: https://www.youtube.com/watch?v=m2jp0klZHEE
Video: https://www.youtube.com/watch?v=1U6Nzcv9Vws
Session 24
PET Scan
Video: https://www.youtube.com/watch?v=yrTy03O0gWw
Presentation : https://www.slideshare.net/prikshity/2011-cs1029-pet
Presentation : https://www.slideshare.net/RamseySmall/positron-emission-tomography-95565611
Session 25
Mammography
Video: https://www.youtube.com/watch?v=zQTw_PVzdOQ
Video: https://www.youtube.com/watch?v=_ohkit3g58Q&t=169s
Presentation : https://www.slideshare.net/ArchanaKoshy/mammography-physics-and-technique
Presentation : https://www.slideshare.net/SumanjaliAnjali/mammography-70492319
Session 26-27
Characteristic and Description of Equipment.
Presentation : https://www.slideshare.net/abdulkaderhelwan/pet-ct-scan-29360768
Presentation : https://www.slideshare.net/brucelee55/the-physics-of-positron-emission-tomography-pet
Video: https://www.youtube.com/watch?v=TYGa4KBu5oo
Video: https://www.youtube.com/watch?v=oySvkmezdo0
SESSION 28
Digital Subtraction Angiographic Units
Video: https://youtu.be/gS-qViRDzIk ,
Presentation:https://www.slideshare.net/subhayanmandal/digital-subtraction-angiography
Reference:https://radiopaedia.org/articles/digital-subtraction-angiography#:~:text=Digital%20subtraction%20angiography%20(DSA)%20is,depiction%20of%20the%20blood%20vessels.