Medicine and Surgery

- General principles of the main diagnostic methods: RX (X-ray tube and Digital Radiology), Ultrasound and Eco-color-Doppler, spiral CT, MRI, Interventional Radiology. Nuclear Medicine. - The request for a radiological examination in relation to the clinical picture. The different methods for the study of the various organs and systems: methods of execution, information obtainable, flow chart - Normal and pathological anatomo-radiographic aspects in the various morbid conditions of the nervous, respiratory, hepato-biliary-pancreatic-splenic, digestive, urogenital, cardiovascular, endocrine, osteo-articular, blood and lymphatic systems and of the breast - Diagnostic flow charts in the main pathological conditions. Indications for different diagnostic tests. - Recognition of the main anatomical findings in radiographic examinations and possibly identification of the pathology. - Nuclear Medicine: technical aspects of the main methods (scintigraphy, SPET, SPECT, PET). Indications and normal and pathological aspects in the various organs and systems (CNS, thyroid, parathyroids, lung, heart, breast, abdominal organs with particular regard to the kidney and adrenal gland, skeleton). - Oncological radiotherapy: cancer and its biological-clinical problems. Radiotherapy methods and techniques - Radiotherapy of tumors of various organs and systems

To effectively follow the activities and achieve the intended outcomes, the student should have knowledge of: • human anatomy and physiology (essential); • general and clinical pathology (important); • basic radiation physics and radioprotection (essential); • pharmacology of contrast agents and management of adverse reactions (useful); • clinical method and basic image interpretation (useful). Formal prerequisites: as established by the Degree Programme Board.

The teaching materials used by the instructors will be provided. These materials serve as support and guidance for studying and preparing for the exam. Suggested texts: Manuale di Diagnostica per Immagini P. Torricelli, M. Zompatori Società Editrice Eusculapio 2016 Diagnostica per Immagini e radioterapia G. Cittadini, G. Cittadini, F. Sardanelli Società Editrice EDRA 2015 Manuale di Diagnostica per Immagini nella pratica medica F. Giovagnorio Società Editrice Eusculapio 2021 Compendio di Diagnostica Medico Nucleare Ambrosini Fanti Lopci Società Editrice Eusculapio 2022 The following texts are also interesting for further consultation: Capire la radiologia: le basi della diagnostica per immagini W. Heering (ed. italiana A.Giovagnoni) Società Editrice Piccin 2020 Netter’s - Introduzione all’Imaging LR. Cochard et al Società Editrice Piccin 2022 Felson. Principi di Radiologia del Torace LR. Goodman Verduci Editore, 2018 Nozioni fondamentali di TC Body Weeb-Brant-Major Editrice Universo, 2023 Mettler & Guiberteau, Essentials of Nuclear Medicine and Molecular Imaging, 7ª ed., 2018 ACR BI-RADS Atlas, 5ª ed. Risorse online: ACR Appropriateness Criteria®, ESR iGuide, Radiopaedia.

Mandatory (>67% hours). Checked by signature sheets/roll call. Certificate required to sit final exam.

The exam is divided into two parts, one for Radiology and one for Nuclear Medicine. Both exams include the evaluation of a radiological picture (X-Ray, CT, MR) and Nuclear Medicine (scintigraphies of various organs) and some oral questions on the program topics. The final grade is given by the average of the marks in each of the two parts of the exam.

Classes are held in person during the hours set out in the Course C Calendar. Academic year-round learning (ADE/AFP) sessions with case studies, seminars on innovative topics, and elective internships (25 hours - 1 credit) are also available upon student request.

The student must have acquired the knowledge of the following topics: RADIODIAGNOSTICS - DEFINITION OF RADIOLOGY Principles of technique and methodology, radiological equipment (planar methods, computed tomography, magnetic resonance, ultrasound, gamma-camera, positron emission tomography, angiograph), contrast media. The structured radiology report: prescriber-reporting communication. Appropriateness in diagnostic imaging Radiological clinical methodology: diagnostic pathways. Multiparametric radiological anatomy of thorax, abdomen, male and female pelvis neck, shoulder joint, hip and knee joint. The fundamental radiological semeiotics Recalls of radiation physics and their interactions with matter Overview of radiobiology. Deterministic and stochastic damage of ionizing radiation The fundamental principles of radioprotection in adults, in women of childbearing age, in children, and reference legislation. RADIODIAGNOSTICS EQUIPMENT Radiology - Radiological Semeiotic - Radiological Anatomy - Investigation Indication - Benefits / Disadvantages TC - Semeiotics TC - CT Anatomy - Investigation Indication - Benefits / Disadvantages MRI - MRI Semeiotics - MRI Anatomy - Investigation Indication - Benefits / Disadvantages Ultrasound - Semeiotics - Indication to investigation - Benefits / Disadvantages 3d Cone Beam Semeiotics - Investigation Indication - Advantages / Disadvantages DEXA Employment And Reference Values The means of contrast RADIODIAGNOSTICS EMPLOYMENT IN THE MEDICAL ROUTINE Guidelines in the Diagnostic Management of Major Thorax Pathologies Guidelines in the Diagnostic Management of the Principles of the Abdomen-Pelvis Diseases Guidelines in the Diagnostic Management of Musculoskeletal Diseases Guidelines in the Diagnostic Management of the Principal Lymphoproliferative Disorders Guidelines in the Diagnostic Management of the Principles of the Disease in Nervous System Guidelines in the Diagnostic Management of Major Head-Neck Disorders: Paranasal sinus, Larynx, Pharynx, OSAS and temporal bone Guidelines in the Diagnostic Management of Major Endocrinology Pathologies NUCLEAR MEDICINE General principles of nuclear medical diagnostics. Insights into single photon emission (SPECT) and positron emission (PET) scintigraphy in oncology, cardiology and neurology. Outline: (a) Radiometabolic Therapy; (b) diagnostics in the nefro-urological, infectiological, endocrinological and pneumological fields). DEFINIZIONI E PRINCIPI DI RADIOTERAPIA

The student must have completed the first three years' exams.

Ralph Weissleder, Jack Wittenberg Primer of Diagnostic Imaging, Elsevier Mosby,2011

Il docente eroga la didattica frontale con modalità tradizionale, con ausili audiovisivi e con calendarizzazione delle lezioni come riportato sul Sistema del GOMP. Salvo organizzazione sule piattaforme messe a disposizione dalla Sapienza.

According to the Didactic Regulations of the Degree in Medicine and Surgery, the student is required to compulsorily attend the didactic and professionalizing activities of the MSc. Attendance of face-to-face lectures of a number of hours equal to or greater than 67 percent of the hours assigned to individual modules is required, in accordance with the relevant European regulations. Attendance is verified by lecturers by means of signature/appearance sheets on updated lists provided by the Teaching Secretariat as established by the CdS, on the recommendation of the Bureau. The certificate of attendance at the compulsory teaching activities of a Course is necessary for the student to take the relevant examination.

The exam consists of oral exams. To pass the exam you must obtain a grade of not less than 18/30. The student must demonstrate that he has acquired enough knowledge of the training objectives. To achieve a score of 30/30 cum laude, the student must demonstrate that he has acquired excellent knowledge of all the topics covered during the course, being able to link them in a logical and consistent way. This is an integrated course the average will be evaluated with the other teachings of the course. 67% attendance at class is required.

Il docente eroga la didattica frontale con modalità tradizionale, con ausili audiovisivi e con calendarizzazione delle lezioni come riportato sul Sistema del GOMP. Salvo organizzazione sule piattaforme messe a disposizione dalla Sapienza.

Knowledge of the most important diseases of the genitourinary system and the gastroenterological system

weekly

Questions and clinical cases presentation with image interpretation practice exams (RX TC MRI)

lessons, clinical cases presentations, discussion and open questions with the students

Frontal lessons