Course Description

Diagnostic Imaging II (DI2) is the first of two courses focused on the imaging appearance of a variety of pathological aberrations affecting patients. This course will include a high level review of clinical imaging of the musculoskeletal system in various disease states. Lectures are geared toward a practical, problem-solving approach to musculoskeletal conditions and a systematic approach to interpretation of diagnostic imaging studies will be utilized. Emphasis is placed on the interrelationships between the fundamental histopathology and pathophysiology, the observable changes seen on imaging studies, and clinically relevant physical and biochemical findings. Additionally, the current state-of-the-art clinical practice for musculoskeletal advanced imaging will be included, highlighting the role and applications of such techniques.

 

Categories of bone disease to be discussed include primary benign and malignant neoplasms of bone of various histological etiologies, metastatic disease of bone, vascular pathologies, nutritional/metabolic and endocrine diseases, osteomyelitis, inflammatory and degenerative arthritic disorders, and autoimmune connective tissue disorders such as systemic lupus and scleroderma. This course supports the mission statement of Parker College by helping to create leaders who promote Chiropractic wellness through high standards of education, research and service.

Learning Objectives

The primary objective of DI2 is to improve the student doctor’s skills in regards to interpretation of diagnostic imaging studies and differential diagnosis development. The focus will be on benign and malignant primary osseous neoplasms, secondary malignancies, osseous infection, various metabolic, nutritional, endocrine, and vascular pathologies, inflammatory and degenerative arthritic disorders, and connective tissue disorders such as systemic lupus and scleroderma. Upon successful completion of DI2 the student doctor should be able to:

  1. Explain the fundamental pathophysiology of the discussed entities.
  2. Understand the epidemiological characteristics of the discussed diseases and recognize their presenting clinical symptomatology and abnormal clinical lab findings.
  3. Demonstrate familiarity with the various imaging modalities available, including conventional radiography, magnetic resonance imaging (MRI), computed tomography (CT), and bone scintigraphy.
  4. Effectively describe fundamental pathological changes to the skeleton and adjacent soft tissues associated with the various pathologies discussed using excepted descriptive terminology and named radiographic signs, when applicable, in accordance with the various imaging modalities, particularly conventional radiographs.
  5. Analyze imaging studies and, in association with pertinent clinical information, develop a reasonable differential diagnosis in regards to the pathologies discussed.
  6. Explain appropriate patient management recognizing the most widely used treatment options, potential co-morbidities/complications, and prognosis of discussed disease processes, and when they are encountered in practice what aspects might fit into the scope of practice of a chiropractic physician.

    About the Instructor

    Dr. Gilbert is a veteran of the United States Army and a member of the Veterans of Foreign Wars. After earning a Bachelors of Science in Biology and Biochemistry from West Texas A&M University, he attended Texas Chiropractic College and graduated Magna Cum Laude, earning both a Bachelors of Science in Human Biology and a Doctorate of Chiropractic.
     
    He entered the Residency in Diagnostic Imaging at Parker College of Chiropractic and earned diplomate status with the American Chiropractic Board of Radiology (ACBR). He is an Assistant Professor of Radiology with the Center for Academics at Parker College and is the Director of the Diagnostic Imaging Residency. Additionally, he is the Director of Administrative Affairs and a reading radiologist for eGrayscale Radiology, PLLC.
     
    He has published multiple articles in various peer-reviewed journals and has been invited as a platform presenter at several professional organizations/meetings including the American College of Chiropractic Radiology (ACCR), the American Society of Spine Radiology (ASSR), and the Association of Chiropractic Colleges' Research Agenda Conference (ACC-RAC). Most recently Dr. Gilbert was invited to speak internationally at the 2nd Annual Latin American Chiropractic Federation Conference in Santiago, Chile.
     
    Dr. Gilbert is a dedicated family man; husband to his wife Sara of ten years and father to his three children: Micheala, Jack, and Kellison. He is passionate about radiology and teaching, and is honored to have the opportunity to play a role in training future Doctors of Chiropractic.

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