Nuc Med 4268 - Clinical Nuclear Medicine II
2 Credit Hours
Spring Semester 2008
Clinical Nuclear Medicine II 4268 (Dr Heggie)
10:20 – 12:00 Friday
Room 606 Lewis Hall
Tentative Proposed Schedule of Topics to be Covered
Date Lecture/Discussion Topic WI Paper Due
January 25 Gastrointestinal Review
February 1 Respiratory Review
February 8 Central Nervous Review Draft of Clinical Paper 1
February 15 Musculoskeletal Review
February 22 Cardiac Review Revised Clinical Paper 1
February 29 Endocrine Review
March 7 Genitourinary Review Draft of Clinical Paper 2
March 14 Tumor Review
March 21 Infection Review Revised Clinical Paper 2
March 24 - 30 Spring Break Spring Break
April 4 Therapy Review
April 11 Instrumentation Review Draft of Paper 3
April 18 Radiopharmacy Review Revised Paper 3
April 25 Quality Control and Images Draft Paper 4
May 2 Patient Care Review
May 8 Stop Day – Final paper due by 5 PM Revised Paper 4
Course Syllabus: Clinical Nuc Med II 4268
2 credit hours
Instructor: Dr. Glen Heggie, RTNM, EdD, FCAMRT
Office – 884-7843 (Room 605 Lewis Hall)
Fax – 884-1490
Email – firstname.lastname@example.org
Home – 999-9461
Office Hours By arrangement
Text: No specific texts required
This course is designed to correlate with NM 3256 and NM 4232. The course has two major
purposes – first, to improve written communication skills by practicing, discussing, and exploring
writing; and second to share information on topics relevant to our review for the upcoming national
registry examinations. Nuc Med 4268 is designed to heighten the student’s understanding of the
core NMTCB competencies.
Each student will be required to select a unique topic from the four major groups included below (2
on clinical procedures, and 2 from – radiation safety and/or instrumentation and/or radiopharmacy);
no topic is to be repeated by more than one student. At the end of the semester, a CD containing all
of the revised papers will be distributed to each student as reference material on the field of Nuclear
Medicine Technology in 2008. Topics covered include (but are not necessarily limited to):
NMTCB Task List (effective December 2004)Full details can be found at http://www.nmtcb.org/
Group I: Radiation Safety
#1: Post appropriate signs in designated areas to comply with NRC regulations.
#2: Prepare and package radioactive materials for transportation.
#3: Use personal radiation monitoring devices.
#4: Review monthly personnel exposure records.
#5: Take appropriate measures to reduce radiation exposure.
#6: Notify the appropriate authority of excessive radiation exposure.
#7: Notify the appropriate authority of misadministration.
#8: Utilize proper methods for the use and storage of radioactive materials.
#9: Instruct the patient, family and staff in radiation safety precautions after the administration of therapeutic
#10: Provide instruction on proper radiation emergency procedures.
#11: Perform wipe tests and area radiation surveys.
#12: Prepare, survey and clean radiotherapy isolation room.
#13: Survey, inspect and inventory incoming radioactive materials.
#14: Monitor and dispose of radioactive waste.
#15: Use proper procedures for managing a radioactive spill.
Group II: Instrumentation
#16: Perform and evaluate quality control on a well counter or probe.
#17: Calibrate scintillation camera.
#18: Perform and evaluate field uniformity on the scintillation camera.
#19: Perform and evaluate detector linearity and spatial resolution on a scintillation camera.
#20: Assess performance of image recording equipment.
#21: Determine operational status of survey meter.
#22: Perform and evaluate accuracy, linearity, and geometry tests of the dose calibrator.
#23: Perform and evaluate dose calibrator constancy test.
#24: Perform and evaluate quality control procedures for SPECT camera.
#25: Perform and evaluate quality control procedures for PET system.
Group III: Clinical Procedures
#26: Maintain and operate auxiliary equipment (as described in equipment/procedures list).
#27: Schedule patient studies, ensuring appropriate sequence of multiple procedures and interact with staff
regarding special orders.
#28: Receive patient and provide proper nursing care during nuclear medicine procedures.
#29: Communicate effectively with patient, family and staff.
#30: Provide safe and sanitary conditions.
#31: Recognize and respond to emergency conditions.
#32: Receive patient, verify patient identification and written orders for study; follow up on inappropriate orders.
#33: Obtain pertinent patient history and check procedural contradictions.
#34: Prepare patient for procedure.
#35: Select and administer the appropriate radiopharmaceutical by the proper route.
#36: Prepare proper instrument, computer and auxiliary equipment and acquire imaging procedures as indicated by
#37: Evaluate image appearance and perform any additional views as required.
#38: Process and evaluate computer generated data.
#39: Prepare and perform cardiac monitoring and/or stress testing.
#40: Prepare/administer interventional pharmacologic agent.
#41: Obtain samples and/or data for non-imaging studies.
#42: Calculate and evaluate results of non-imaging studies.
Group IV: Radiopharmacy
#43: Elute radionuclide generator; perform and evaluate quality control tests.
#44: Review the daily work schedule to plan radiopharmaceutical needs.
#45: Prepare radiopharmaceutical kits, perform quality control and evaluate results.
#46: Prepare and dispense diagnostic radiopharmaceuticals.
#47: Prepare and dispense therapeutic radiopharmaceuticals.
#48: Label blood components with a radiopharmaceutical according to protocol.
Assignment Specifics :
Prior to beginning each paper the student must have the topic, scope and focus
approved by the course’s instructor. The intent of these papers is to provide a concise,
comprehensive review of the selected topic and so, care must be taken to choose a
topic of manageable size and scope. Papers should be set up using Times New Roman
12 point type and must not exceed 8 pages in length (excluding references, any
significant space used by illustrations and/or tables, and a glossary). All versions – draft
and final should be submitted electronically in *.doc format – no Word Perfect, Word
Pad etc as these can not be opened with my software. Following review of the first
submission of each paper -- words, terms or concepts may be highlighted in yellow –
this indicates that a brief but clear definition/explanation must be appended to the paper
in a short glossary. Papers may take the form of assays, annotated worksheets and/or
annotated examination questions (so long as the topic is covered in a clear and
The specific due dates for the initial and final versions are indicated at the beginning of
All papers should be double spaced, on the front side of the page with 1.5 inch left
margin, and 1 inch margins elsewhere. There must be at least 5 unique resources, with
no more than 2 of these resources from peer reviewed web pages – others should be
from texts or SNM journals. Please format your work in APA style, additional resources
to assist you with this are available upon request. The finished version of the paper
should be between 8 -12 numbered pages (i.e. the title page, glossary and the
references are not text pages).
Each paper will be graded as described below:
Draft: 15% (if submitted on time)
Final copy- Mechanics/Grammar 10%
Final copy-Adherence to format 5%
Final copy-Logical Sequencing 10%
Questions to be addressed as below: 60%
Is the subject covered adequately?
If a Clinical Procedure, is the discussion organized and thorough with appropriate background information?
If Radiation Safety, is the discussion complete and up to date, with possible implications?
If Instrumentation, is the discussion complete with discussion of workings, QC, regulations?
If Radiopharmacy, is the discussion complete with biochemistry, physical characteristics of radionuclides,
effective half-life, etc.?
Does the writer understand the material and convey it in the work?
The final grade will be based on the accumulation of points from the following items.
Written Assignment #1 (Clinical Paper 1) 17.5 points
Written Assignment #2 (Clinical Paper 2) 17.5 points
Written Assignment #3 (Rad Safety/Instrum or Radiopharm) 17.5 points
Written Assignment #4 (Rad Safety/Instrum or Radiopharm) 17.5 points
70 total points
Since this is a WI course no more than 70 % of the total grade can come from the
papers produced. The remaining 30 % of the course grade will be made up of weekly
quiz material which will assess the topics covered during the previous week’s class.
Grades of A- or better will be reserved for those students who complete
the above course work with 91% or greater of the available points.
A 94 – 100
A- 91 – 93.9
B+ 88 – 90.9
B 85 – 87.9
B- 82 – 84.9
C+ 79 – 81.9
C 76 – 78.9
C- 73 – 75.9
F < 73
Students who accumulate less than 73% of the total points will not be considered
for successful completion of the course.
From the Provost’s Office:
Academic integrity is fundamental to the activities and principles of a university. All members of the
academic community must be confident that each person's work has been responsibly and honorably
acquired, developed, and presented. Any effort to gain an advantage not given to all students is
dishonest whether or not the effort is successful. The academic community regards breaches of the
academic integrity rules as extremely serious matters. Sanctions for such a breach may include
academic sanctions from the instructor, including failing the course for any violation, to disciplinary
sanctions ranging from probation to expulsion. When in doubt about plagiarism, paraphrasing,
quoting, collaboration, or any other form of cheating, consult the course instructor.
If you need accommodations because of a disability, if you have emergency medical information to
share with me, or if you need special arrangements in case the building must be evacuated, please
inform me immediately. Please see me privately after class, or at my office.
Office location: 605 Lewis @ 884-7843
Office hours: By arrangement or via Adria McGee – 882-8034
To request academic accommodations (for example, a note taker), students must also register with
the Office of Disability Services, (http://disabilityservices.missouri.edu), S5 Memorial Union, 882-
4696. It is the campus office responsible for reviewing documentation provided by students requesting
academic accommodations, and for accommodations planning in cooperation with students and
instructors, as needed and consistent with course requirements. For other MU resources for students
with disabilities, click on "Disability Resources" on the MU homepage.
The University community welcomes intellectual diversity and respects student rights. Students who
have questions concerning the quality of instruction in this class may address concerns to either the
Departmental Chair or Divisional leader or Director of the Office of Students Rights and
Responsibilities (http://osrr.missouri.edu/). All students will have the opportunity to submit an
anonymous evaluation of the instructor(s) at the end of the course.