Course Calendar

Soft Tissue Pathology - XR 5613

Trevor Foshang, DC, DACBR

Fall 2006




 



Week

Topic

1

 

Introduction to class and the textbook

Clinical Imaging     
Objectives:    
Students should gain a working knowledge of imaging techniques as it relates to chest radiology specifically: Plain film, Tomography, Computed tomography, Radionuclide scanning, Angiography, Bronchography, Magnetic resonance imaging, Fine needle biopsy, and Ultrasound


 
 

 

How to approach a chest x-ray and normal anatomy    
Objectives:   
To gain a working knowledge / review of normal radiographic anatomy of the chest and a logical approach to looking at the chest radiograph, specifically: Chest search pattern, Radiographic anatomy (structures outside the chest, Osseous structures, Major lung divisions, Airways, Boyden;s  lung classification)

 

How to approach a chest x-ray and normal anatomy    
Objectives:   
To gain a working knowledge / review of normal radiographic anatomy of the chest and a logical approach to looking at the chest radiograph, specifically: Chest search pattern, Radiographic anatomy (structures outside the chest, Osseous structures, Major lung divisions, Airways, Boyden;s  lung classification)

2

How to approach a chest x-ray and normal anatomy    
Objectives:   
To gain a working knowledge / review of normal radiographic anatomy of the chest and a logical approach to looking at the chest radiograph, specifically: Chest search pattern, Radiographic anatomy (structures outside the chest, Osseous structures, Major lung divisions, Airways, Boyden lung classification)

 

Normal anatomy continued   

Objectives:

To gain a working knowledge / review of normal radiographic anatomy of the chest, specifically: Hemidiaphragm, Eventration, tenting, Hilum, Lymph, Interstitium, Heart shadow, Sagittal dimensions of the thoracic cage, Clear spaces, and Mediastinum 

 

Radiographic signs   

Objectives:

These lectures also provides the student with the radiographic signs to be used in describing pathology such as: Silhouette sign, Air-bronchogram, Extrapleural sign, Cavitiation, Meniscus sign, Atelectasis

 

3

 

Radiographic signs continued   

Objectives:

These lectures also provides the student with the radiographic signs to be used in describing pathology such as: Tracheal deviation, unilateral elevation of the diaphragm, Pleural effusions, Radiographic signs of Mediastinal abnormalities, Pneumothorax


 
 

 

Pattern approach to chest radiology    
Objectives:   
These lectures also provide the student with the radiographic patterns to be used in describing differential diagnoses.  Master of the patterns is essential for success in up coming lectures.  The patterns discussed will be: Mass and consolidation 

 

Pattern approach to chest radiology continued.   

Objectives:

These lectures also provide the student with the radiographic patterns to be used in describing differential diagnoses.  Master of the patterns is essential for success in up coming lectures.  The patterns discussed will be: Interstitial, airway, and mixed

4

Pattern approach to chest radiology continued.   

Objectives:

These lectures also provide the student with the radiographic patterns to be used in describing differential diagnoses.  Master of the patterns is essential for success in up coming lectures.  The patterns discussed will be: Interstitial, airway, and mixed.

 

Imaging infectious diseases of the lung    
Objectives:   
To master the classifications schemes in classifying infectious disorders of the chest specifically: Clinical classifications of pneumonia, Radiographic patterns of pneumonia (Alveolar, Bronchopneumonia, Interstitial pneumonia)

 

 

Infectious diseases of the lung: specific causes    
Objectives:   
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of specific causes of pneumonia, specifically: Pneumococcal, Klebsiella, Staph. Aureus, Asperation pneumonia, Pseudomonas, Actinomycosis, Viral pneumonia, Pneumocystis carinii pneumonia, Granulomatous diseases(Endemic fungal

infections) 

5

Imaging infectious diseases of the lung    
Objectives:   
To master the classifications schemes in classifying infectious disorders of the chest specifically: Clinical classifications of pneumonia, Radiographic patterns of pneumonia (Alveolar, Bronchopneumonia, Interstitial pneumonia)

 

 

Infectious diseases of the lung: specific causes continued    
Objectives:   
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of specific causes of pneumonia, specifically: Aspergillosis, Candidiasis, Tuberculosis 

 

 

6

Pneumoconiosis    
Objectives:   
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the occupational inhalation disorders of the lung, specifically: Silicosis, Asbestosis, Mesothelioma, Coal workers, Hypersensitivity pneumoconiosis 

 

Pneumoconiosis  (Continued)  
Objectives:   
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the occupational inhalation disorders of the lung, specifically: Silicosis, Asbestosis, Mesothelioma, Coal workers, Hypersensitivity pneumoconiosis

7

 

 

Chronic obstructive pulmonary diseases 

Objectives:   
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the chronic obstructive pulmonary diseases, specifically: Emphysema, Bronchiectasis, Chronic bronchitis, Asthma 

 

Primary neoplasms of the lung   
Objectives:   
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the neoplastic disorders of the chest, specifically: Squamous cell carcinoma, Adenocarcinoma, Small cell carcinoma, Large cell carcinoma, Bronchoalveolar cell carcinoma, General radiographic presentations of bronchogenic carcinomas

 

Metastatic disease and benign chest neoplasms

Objectives:   
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the secondary neoplastic disorders of the chest and benign neoplasms, specifically: Hematogenous spread, Lymphatic spread, Hamartoma, Adenoma

8

Inflammatory, non infectious diseases of the chest

Objectives:   
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the Inflammatory, non infectious diseases of the chest, specifically: Sarcoidosis, SLE, RA, AS, Wegener's granulomatosis

 

Vascular disorders of the lung
Objectives:
  
 
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of the Vascular disorders of the lung, specifically: Pulmonary edema, Pulmonary hypertension, Disorders occurring in the aorta

9

Examination and normal anatomy of the abdomen    
Objectives:   
Students should gain a working knowledge of imaging techniques and anatomy as it relates to abdominal radiology specifically: Plain film examination, Normal abdominal structures 

 

Plain film gas patterns, Contrast studies of the bowel

Objectives:   
Students should gain a working knowledge of the different types of gas patterns and basic contrast examinations, specifically: Gas patterns, Make-up of intestinal gas, Single contrast studies, Double contrast studies, Pathologic patterns seen on contrast studies

 

Esophagus, Duodenum, Small bowel

Objectives:   
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of basic disorders of the esophagus, duodenum, and small bowel, specifically: Zenker's Diverticulum, Epiphrenic diverticulum, Achalasia, Gastroesophageal reflux, Barrett's esophagus, Duodenal ulcers, Complication of ulcers, Mechanical bowel obstruction, Inguinal hernias

10

Abdominal calcifications    
Objectives:   
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of abdominal calcifications, specifically: Patterns of abdominal calcifications, Concretions (Appendicolith, Cholelithiasis, Pancreatic Calculi, Phleboliths, Prostate Calculi, Urinary tract Calculi)

 

Calcifications of the abdomen (continued)    
Objectives:   
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of abdominal calcifications, specifically: Conduit wall, Cyst, Mass

 

Urinary tract    
Objectives:   
Students should gain a working knowledge of imaging techniques and anatomy as it relates to urinary tract radiology specifically: Examination, Normal anatomy

11

Urinary tract continued    
Objectives:   
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of variants and calculi of the urinary tract, specifically: Variants, Urinary stones, Bladder stones 

 

Urinary tract continued    
Objectives:   
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of variants and calculi of the urinary tract, specifically: Variants, Urinary stones, Bladder stones 

 

Urinary tract continued    
Objectives:   
To master the epidemiological, clinical symptoms, pathological, and radiographic manifestations of variants and calculi of the urinary tract, specifically: Variants, Urinary stones, Bladder stones 

12

Introduction to MRI

Objectives:

Review basic MR physics applicable to soft tissue injury.

 

Tendon Injury

Objectives:

Basic understanding of tendon related injuries, epidemiological, clinical and imaging findings.

 

Muscle Injury

Objectives:

Basic understanding of muscle injuries, epidemiological, clinical and imaging findings.

13

Knee Injury

Objectives:

Basic understanding of knee related injuries, mechanics of injury, sports related injury, clinical and imaging findings.

14

Shoulder Injury

Objectives:

Basic understanding of shoulder related injuries, mechanism of injury, sports related, clinical and imaging finding.

 

Case studies if time permitting

15

Final is comprehensive of all material in class