Distance Assisted Training for Nuclear Medicine Technologists

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Distance Assisted Training for Nuclear Medicine Technologists

  1. 1. Distance Assisted Training for Nuclear Medicine Technologists RAS 6029 / RAS2006003 The Next Phase: SPECT/CT & PET/CT Heather Patterson Westmead Hospital, Sydney, Australia Brian Hutton University College London, UK
  2. 2. Proposed Work plan: • Approval of draft syllabus – appoint technical writers/authors • First draft of new materials ready Oct/Nov 2007 - Advisory meeting for main technical writers Thailand November 2007 • Develop DAT website and web-based tools - registration, code access - online assignments, self-assessment, final examinations - interactive image manipulation - monitor progress - feedback, questions/answers - ongoing updates • Train the Trainer course on utilization of web-based support system • Assessment of student performance using web-based tools
  3. 3. Proposed Syllabus: Introduction to CT principles 4 SPECT/CT 3 Cross-sectional anatomy (revised) 1 Introduction to basic science of PET 3 Clinical PET/CT 4 Units / subjects 15 Units delivered in 4 modules each module ~ 30 - 40 hrs study over 2 months = ~160 hrs of study
  4. 4. Proposed Syllabus: Introduction to CT principles • Basic CT physics and operation parameters • CT safety and dosimetry • Clinical procedures and protocols: use of contrast • Specific issues in use of CT with SPECT and/or PET SPECT/CT • Advanced SPECT physics (revision) • Choices of SPECT/CT system and specific QC • Clinical applications of SPECT/CT Cross-sectional anatomy (revised) • use of web package
  5. 5. Proposed Syllabus: Introduction to basic science of PET • Background on cyclotron and available PET tracers • Basic PET physics and operation parameters: QC procedures • Radiation safety for positron emitters Clinical PET/CT • Understanding the basis for imaging with FDG: - normal patterns of uptake for FDG, - application of FDG in Oncology • Work-flow and protocols for PET/CT • Artifacts and issues in PET/CT; measurement of SUV • Use of tracers other than FDG in oncology - application in cardiology and neurology
  6. 6. Points for consideration: • Small number of technologists practicing PET/CT in different countries - different training backgrounds initially how many will have completed DAT basic & advanced? - suitable for other staff eg: registrars in training Need to define pre-requisites • Ensure understanding of necessity for equipment and practical issues - all students need to complete practical exercises & assessment
  7. 7. Points for consideration: • Website: still a necessity for paper based materials? provide a database with images – who supports it? encourage student discussion + interaction other students / tutors country internal monitoring – improved communication? eg: monitoring assignments, setting examinations, feedback • CT component to include: a) diagnostic CT including use of contrast b) CT for attenuation correction and localization
  8. 8. Pre-requisites: Establish entry level for participants eg: - successfully completed DAT basic & advanced levels - practicing in department with SPECT/CT & PET/CT or SPECT only and PET/CT ? or SPECT/CT and PET ? Minimum requirements: Functioning NM dept, qualified NM physician…as per current guidelines PET/CT or PET with access to SPECT/CT Other options: - senior NM technologist with some PET experience - CT radiographer - sufficient NM knowledge? - revise / complete previous SPECT units – plus other subjects?
  9. 9. Web Platforms: ANENT Asian Network for Education in Nuclear Technology IAEA affiliated website - KAERI
  10. 10. Web Platforms: ANENT Asian Network for Education in Nuclear Technology IAEA affiliated website - KAERI Web-CT (Blackboard) Utilized by many Distance Education institutions Moodle Modular Object-Orientated Dynamic Learning Environment Course management system Utilized by Open University, UK + a growing number of DE institutions Being replaced by Recent meeting deciding on special regional requirements
  11. 11. moodle.org Software package producing internet based courses & websites Designed to support a ‘social constructionist’ framework of education ie: creating a culture for shared knowledge. • New developments and ideas shared with other moodle users • Support system to help users solve problems (moodle.com) - Updates on revisions, new versions
  12. 12. moodle.org Focus on Student learning Teacher interaction Ease of monitoring Student learning: • Text on-line, assignments answered on-line • Inter-active illustrative materials, case studies eg: rotating MIP PET images (maximum intensity projection) • Additional quizzes to reinforce learning – self assessment • Results, interaction and progress recorded - prompts for student to continue to next stage • Active discussion groups that force student to communicate
  13. 13. moodle.org Focus on Student learning Teacher interaction Ease of monitoring Teacher / coordinator interaction: • Discussions, questions / answers with local tutors • Review assignment results & progress - interactive or automatic reminders / emails Ease of monitoring • Results, progress and student interaction displayed on one page - all student results and feedback displayed • Regular reports to DAT – web administration and IAEA
  14. 14. Introduction to CT principles • Basic CT physics and operation parameters N. Keat • CT safety and dosimetry N. Keat • Clinical procedures and protocols: use of contrast R. Endozo • Specific issues in use of CT with SPECT and/or PET J. Dickson / B. Hutton SPECT/CT • Advanced SPECT physics (revision) B. Hutton • Choices of SPECT/CT system and specific QC B. Hutton • Clinical applications of SPECT/CT J. Bomanji
  15. 15. Introduction to basic science of PET • Background on cyclotron and available PET tracers S.Eberl • Basic PET physics and operation parameters: QC procedures J.Dickson • Radiation safety for positron emitters J.Towson Clinical PET/CT • Understanding the basis for imaging with FDG: P. Thomas - normal patterns of uptake for FDG, - application of FDG in Oncology • Work-flow and protocols for PET/CT C. Constable • Artifacts and issues in PET/CT; measurement of SUV W L Wong • Use of tracers other than FDG in oncology P.Thomas - application in cardiology and neurology

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