Study-Unit Description

Study-Unit Description


CODE RAD3406

 
TITLE Interventional Procedures in Radiography

 
UM LEVEL 03 - Years 2, 3, 4 in Modular Undergraduate Course

 
MQF LEVEL 6

 
ECTS CREDITS 4

 
DEPARTMENT Radiography

 
DESCRIPTION The study-unit presents radiography students with the theoretical principles and their application in medical imaging and radiotherapy practice when dealing with interventional procedures including; radioisotope therapy, brachytherapy, operating theatre, ultrasound vascular imaging and image-guided biopsies and other interventions.

Angiographic and cardiac procedures will be presented and discussed. This will include:
- Clinical indications;
- Selection of the appropriate procedure;
- Preparation for the procedure including, setting up of the sterile trolley;
- Use of the various guide wires and biopsy needles and related devices;
- Application of health and safety regulations; and
- Optimisation of doses and application of national legislation and hospital protocols and procedures.

Study-Unit Aims:

This study-unit aims to:

- Discuss the therapeutic applications of various interventional procedures including; brachytherapy, radiotherapy isotope therapy, image guided biopsies, vascular and other procedures;
- Discuss the role of various image techniques used to guide interventional procedures;
- Introduce the student to the process involved during an interventional procedure and the importance of multidisciplinary collaboration;
- Provide an overview of risks associated with interventional procedures, including handling of radiation sources and radiation from imaging equipment; and
- Enable the students to understand the needs of the patient and the respect and care necessary to be given.

Learning Outcomes:

1. Knowledge & Understanding
By the end of the study-unit the student will be able to:

- Appreciate the design of a typical surgical theatre and any adaptations required in the setting of devices according to the interventional procedure;
- Evaluate and set up the equipment required to perform a surgical procedure including the sterile trolley and imaging equipment;
- Discuss the use of the various interventional procedures including; brachytherapy, radiotherapy isotope therapy, image guided biopsies, vascular, operating theatre and other procedures;
- Discuss the role of the radiographer as part of a multidisciplinary team during an interventional procedure;
- Identify and discuss the radiation risks associated with the interventional procedures;
- Discuss the safe use of modalities in terms of protocol optimisation and use of administered medicinals;
- Discuss the use of various imaging modalities used to guide interventional procedures;
- Explain technical, patient and pathological factors influencing preparation and choice of technique for specific interventional examinations; and
- Apply knowledge of imaging and therapeutic systems and radiation protection principles to ensure optimisation of dose and image quality;
- Discuss how to optimise the imaging parameters and surgical technique for different types of patients, pathologies/conditions and/or circumstances so as to minimise exposure to radiation to both staff and patients;
- Describe how to correctly undertake interventional examinations, giving due consideration to: patient preparation and selection of appropriate protocols;
- Explain how the patient must be treated with respect and care appropriate to their physical and psychological needs, before, during and after performing the intervention;
- Identify and describe, using the correct anatomical terminology, the relevant anatomical structures;
- Reflect and discuss the potential impact image quality may have on the patient’s management and care;
- Discuss the use of imaging contrast agents, therapeutic agents and their potential risks;
- Discuss different techniques used to deliver brachytherapy and their role in the management of various malignancies.

2. Skills
By the end of the study-unit the student will be able to:

- Provide for the physical and psychological needs of the patient;
- Evaluate and select the correct safety procedures and protocols in interventional procedures;
- Critically evaluate and optimise protocols and radiation dose during interventional procedures;
- Demonstrate the necessary patient care and communication skills according to the different patient needs and circumstances during and after the intervention;
- Evaluate images and treatment outcomes and discuss the criteria for a good interventional procedure;
- Identify anatomy and pathological conditions and explain the appearance of all relevant structures, positioning errors and artefacts;
- Identify risk factors associated with contrast agents and therapeutic agents and assess signs and symptoms of possible reactions and suggest appropriate action in accordance with established procedures;
- Evaluate the advantages and limitation of various imaging modalities according to the interventional procedure;
- Set up devices correctly; and
- Set up the sterile trolley as required.

Main Text/s and any supplementary readings:

Main Texts:

- Brandt C. Wible (2017) Diagnostic Imaging: Interventional Procedures, Elsevier - Health Sciences Division, USA.
- Gervais D and Sabharwal T (2011) Interventional Radiology Procedures in Biopsy and Drainage, Springer London Ltd, UK.
- Hoskin, P. & Coyle, C. (editors) (2005) Radiotherapy in Practice: Brachytherapy. Oxford: Oxford University Press

Supplementary Readings:

- Kadir S (2006) Teaching Atlas of Interventional Radiology : Non-Vascular Interventional Procedures. Thieme Medical Publishers Inc, USA.
- Cherie M. Kuzmiak (2019) Interventional Breast Procedures : A Practical Approach, Springer Nature Switzerland AG.

 
STUDY-UNIT TYPE Lecture, Independent Study, Placement & Tutorial

 
METHOD OF ASSESSMENT
Assessment Component/s Assessment Due Sept. Asst Session Weighting
Assignment SEM2 Yes 50%
Examination (1 Hour) SEM2 Yes 50%

 
LECTURER/S David Degiorgio
Pierre Demicoli
Susan Mercieca

 

 
The University makes every effort to ensure that the published Courses Plans, Programmes of Study and Study-Unit information are complete and up-to-date at the time of publication. The University reserves the right to make changes in case errors are detected after publication.
The availability of optional units may be subject to timetabling constraints.
Units not attracting a sufficient number of registrations may be withdrawn without notice.
It should be noted that all the information in the description above applies to study-units available during the academic year 2024/5. It may be subject to change in subsequent years.

https://www.um.edu.mt/course/studyunit