COURSE CONTENTS STUDY HOURS (Theory +Practical) A. Radiation Detectors 4+8
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1 COURSE TITLE: RADIATION, MEDICAL IMAGING EQUIPMENT & CLINICAL PRACTICE MARKS STUDY HOURS: THEORY 120 PAPER: 01 PRACTICAL: 30 Term : 4 th TIME : 03HRS COURSE CONTENTS STUDY HOURS (Theory +Practical) A. Radiation Detectors 4+8 A1. Ionization Chamber A2. Geiger Muller Counter A3. Scintillation Counter A4. Solid State Detector B. Nuclear Radiation Exposure 9+12 B1. Natural sources of Radiation B2. Man made Radiation Sources B3. Biological Effect of Radiation B4. Use of Nuclear Radiation B5. Tracer Techniques B6. Medical uses of Radioisotopes B7. Biological uses B8. Agricultural uses B9. Industrial uses C. Dose Distribution and Scatter Analysis C1. Phantoms C2. Depth Dose Distribution C3 Percentage Depth Dose C4. Tissue Air Ratio C5. Tissue Phantom Ratio C6. Tissue Maximum Ratio C7. Wedge Filter C8. Wedge Angle C9. Wedge Transmission Factor C10. Isodose Chart C11. Effect of Source Size C12. SSD C13. SDD C14. Field Size Collimation
2 C15. Penumbra D. MEDICAL IMAGING II D1. Physical principles of MRI D2. Equipment with images D3. Physical principles of ultrasounds D4. Diagnostic ultrasounds D5. Principles of radiobiology D6. Molecular & cellular radiobiology D7. Early & late effects of radiation D8. Health physics D9. Design for radiological image facilities D10. Design for radiological protection D11. Radiation protection procedures E. RADIATION PROTECTION E1. Basic concepts of radiation protection E2. Sources of radiation E3. Radiation dose limits E4. Risk estimation E5. Personal and area monitoring survey E6. Basic concepts of shielding E7. Administration of regulation protection according to relevant regulatory body E8. Radiation detector and equipments E9. Personal monitor (film badge, pocket alarm dosimeters, TLD) E10. Area monitoring (survey meters) F. RADIOTHERAPY EQUIPMENTS 8+20 F1. Brachytherapy F1.1 Principle of brachytheray F1.2 Radioactive source F1.3 HDR F1.4 DR F2. CT Simulator F2.1 Principle F2.2 Application F3. Treatment Planning Computer F3.1 Principle F3.2 Application
3 G. PRACTICAL 60 G1. PLANNING AND DOSE CALCULATION PROCESS G1.1 Planning & dose calculation G1.1.1 Dimensions 1D (one dimension) G1.1.2 PDD ( Precentage depth dose), TAR ( Tissue air ratio), G1.1.3 OAR (Organs at risk), TMR (Tissue maximum ratio), TPR (Tissue phantom ratio) G1.1.4 Influence of shielding and FSD on the dose distribution G D (two dimension) G D (three dimension) G1.1.7 Beam shaping and modification G1.2 Calculations G1.2.1 ICRU recommendation (International commission for radiological units) G1.2.2 Dose limits G1.2.3 Target volume and critical organ delineation G1.2.4 Treatment plan analysis and evaluation G1.2.5 Documentation G1.3 Simulation G1.3.1 Isocenter G1.3.2 Planning data G1.3.3 Documentation G1.3.4 Generation of DRRs (Digitally reconstructed radiograph) G1.4 Verification G1.4.1 Portal Film G1.5 MOULD ROOM G1.5.1 Information and communication G1.5.2 Materials in Radiotherapy used for Shielding G1.5.3 Moulds G1.5.4Customized Shielding G1.5.5 Management of pollution and hazards RECOMMENDED BOOKS 1. Radiological science for technologist (Stewart C.Bushong) 2. Techniques in diagnostic radiology (G.II white House B.S Worthington ) 3. Atlas of AC.T /M.R Crossectional anatomy 4. The Physics of radiation therapy, Faiz M. Khan, Williams and Willkins 3 rd Edition 5. Radiation Therapy Planning Gunilla C. Bental Megraw-Hill 2 nd Edition 6. Manual of Clinical Oncology, Dennis A. Casciato Barry B.I.owitz, Little, Brown & Company. 3 rd Edition
4 7. Practical Radiotherapy Planning, Dobbs J & Barrate, Arnold 8. Radiation Therapy Simulation Work Book, Sue Mizc, Rhonda, Pergamon Press 9. Oxford Tectbook of Oncology Souhami, Tannock, Hohenberger & Horiot 10. Clinical Epidemiology: A Basic science for clinical Medical Sackett 11. The Basic science of oncology Tannock, Hill Bristow & Harrington 12. Medical Physicists Mr. Akbar Ali (Sr. Scientist), INOR Abbottabad) Mr. Karim Khan (Sr. Scientist, SINOR, Swat) Mr. Misbah ul Haq ( Sr. Scientist, SINOR, Swat) 13. Radiation Oncologists Dr. Rubina Ali ( Pr. Medical Officer, NORI, Islamabad) Dr. Kokab (Pr. Medical Officer, BINO, Bhawalpur) Dr. Naeem Leghari ( Deputy Chief Medical Officer, NIMRA, Jamshoro)
5 COURSE TITLE: RADIOTHERAPY, TREATMENT & CLINICAL PRACTICE STUDY HOURS: THEORY 120 PAPER: 02 PRACTICAL: 30 TERM: 4 th TIME : 03HRS A. RADIOTHERAPY I A.1 Oncology and Epidemiology A2 For each identified site the etiology and epidemiology, signs and symptoms, Diagnosis and general management must be covered A3 Region for radiotherapy A3.1 Head and neck A3.2 Prostate A3.3 Lung A3.4 Lymphomas A3.5 Bladders A3.6 CNS A3.7 Sarcomas A4. For the above mentioned system the following aspects have to be needed A4.1 Cancer prevention and public education A4.2 Promoting a healthy lifestyle A4.3 Early detection A4.4 Screening A4.5 Benign and malignant diseases A4.6 Methods of spread of malignant disease A4.7 Staging and grading systems A4.8 Introduction to genetics, genetic predisposition and high risk groups B. TREATMENT DELIVERY TECHNIQUES B1 Treatment techniques of the following sites on simulation & treatment machines B1.1 Head and neck B1.2 Prostate B1.3 Lung B1.4 Lymphomas B1.5 ladders B1.6 CNS B1.7 Sarcomas B2 Others as considered appropriate B2.1 Treatment B2.2 Information B2.3 Set-up B2.4 Manual B2.5 Computer assisted B2.6 Data verification, registration or recoding
6 B3. Verification B3.1 EPID Electronic Portal imaging device B3.2 EPID Protocol and decision. B4. Patient positioning, immobilization and reproducibility B4.1 Set-up procedures B4.2 Manual B4.3 Computer assisted B4.4 Data verification, registration or recording B4.5 Verification (portal imaging) B4.6 Documentation B5. Patient management on treatment B5.1 Side effect related to radiation and dose B5.2 Acute B5.3 Late B5.4 Monitoring of side effects B5.5 Information and communication B5.6 Documentation of side effects C. RADIOTHERAPY II C1. Oncology and Epidemiology For each identified site the etiology and epidemiology, signs and symptoms, diagnosis and general management must be covered C1.1 Breast C1.2 Gynecological C1.3 Gastro-intestinal tract C1.4. Skin C1.5 Eye tumours For the above mentioned system the following aspects have to be needed C1.6 Cancer prevention and public education C1.7 Promoting a healthy lifestyle C1.8 Early detection C1.9 Screening C1.10 Benign and malignant disease C1.11 Methods of spread of malignant disease C1.12 Staging and grading systems C1.13 Introduction to genetics, genetic predisposition and high risk groups D. PRACTICAL 70 D1. Clinical Experience This session is designed to provide the aspiring radiation therapy technologist with a general overview of the activities in a modern radiation therapy department
7 D2. TREATMENT PLANNING PROCESS D2.1 Radiation therapy preparatory phase D Patient file D2.1.2 Anamnesis (taking information directly from the clinicians medical history notes) D2.1.3 Medical aspects D2.1.4 Information D2.1.5 Treatment proposal D2.2 Localization D2.2.1 D2.2.2 D2.2.3 D2.2.4 D2.2.5 D2.2.6 D2.2.7 Information and communication Dimensions Patient positioning, immobilization and reproduction Localization data Contours Documentation Lasers/Markings RECOMMENDED BOOKS 1. Radiological science for technologist (Stewart C.Bushong) 2. Techniques in diagnostic radiology (G.II white House B.S Worthington ) 3. Atlas of AC.T /M.R Crossectional anatomy 4. The Physics of radiation therapy, Faiz M. Khan, Williams and Willkins 3 rd Edition 5. Radiation Therapy Planning Gunilla C. Bental Megraw-Hill 2 nd Edition 6. Manual of Clinical Oncology, Dennis A. Casciato Barry B.I.owitz, Little, Brown & Company. 3 rd Edition 7. Practical Radiotherapy Planning, Dobbs J & Barrate, Arnold 8. Radiation Therapy Simulation Work Book, Sue Mizc, Rhonda, Pergamon Press 9. Oxford Tectbook of Oncology Souhami, Tannock, Hohenberger & Horiot 10. Clinical Epidemiology: A Basic science for clinical Medical Sackett 11. The Basic science of oncology Tannock, Hill Bristow & Harrington 12. Medical Physicists Mr. Akbar Ali (Sr. Scientist), INOR Abbottabad) Mr. Karim Khan (Sr. Scientist, SINOR, Swat) Mr. Misbah ul Haq ( Sr. Scientist, SINOR, Swat) 13. Radiation Oncologists Dr. Rubina Ali ( Pr. Medical Officer, NORI, Islamabad) Dr. Kokab (Pr. Medical Officer, BINO, Bhawalpur) Dr. Naeem Leghari ( Deputy Chief Medical Officer, NIMRA, Jamshoro)
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