Special Radiographic Procedures and Concepts: A Comprehensive Review for the Working Technologist

Special Radiographic Procedures and Concepts gives the practicing radiographer, and the computed tomography, magnetic resonance, cardiovascular-interventional, and vascular-interventional technologist, a working review of the fluoroscopically guided and image-guided procedures in which something is introduced into the patient to make visible what plain radiography cannot see. Four integrated sections cover the foundations every procedure stands on: pre-procedure screening, laboratory thresholds, metformin and anticoagulant guidance, consent and the time-out, moderate sedation, surgical asepsis, the fluoroscopic imaging chain and digital subtraction angiography, injectors, needles, guidewires, catheters, and the Seldinger technique, contrast media, reaction recognition and management, and fluoroscopic dose management; the gastrointestinal and biliary tract, from the esophagram and modified barium swallow to the barium enema, pediatric fluoroscopy, ERCP, and percutaneous biliary procedures; the genitourinary, reproductive, neurologic, and musculoskeletal systems, from urography and the pediatric voiding cystourethrogram to hysterosalpingography, myelography, arthrography, and vertebroplasty; and vascular and interventional procedures, from arterial and venous access and diagnostic angiography through angioplasty and stents, embolization, thrombectomy, vena cava filters, TIPS, dialysis access, drainage and biopsy, hemostasis, recovery, and the quality practices of the interventional suite. Each section opens and closes with a patient, names a weakness in taught practice and the habit that corrects it, and collects its numbers in tables; the course ends with a twelve-step pathway for a femoral arteriogram from order to discharge.

Approvals & Acceptance

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  ASRT Approved, Category A

  Accepted by the ARRT^® toward your CE requirement
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  ARDMS Accepted

  Counts for ARDMS credential holders
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  NMTCB Accepted

  Counts for NMTCB credential holders
• ✓
  California

  Accepted for CRTs, XTs, Supervisors and Operators
• ✓
  Florida

  Approved for Technical Category A for Florida technologists
• ✓
  Texas: Directly Related

  Counts toward the directly related hours Texas MRTs need (at least 12 of 24)
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  We Report for You: Florida, Texas, Kansas and New Hampshire

  Completions are reported in the first week of each month for the previous month: Florida directly to the Florida Department of Health, Bureau of Radiation Control; Texas, Kansas and New Hampshire to CE Broker. Your state license number must be entered in your dashboard for us to report your credits.
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  All other states

  Accepted

Applicable Disciplines

Learning Objectives

• 1Screen the patient before a contrast or image-guided procedure, including laboratory thresholds, metformin and anticoagulant guidance, informed consent, the time-out, moderate sedation and monitoring, and surgical asepsis
• 2Describe the fluoroscopic imaging chain, digital subtraction angiography, the power injector, and the needles, guidewires, catheters, and sheaths of the Seldinger technique
• 3Classify contrast media, recognize and manage contrast reactions, post-contrast acute kidney injury, and extravasation, and manage fluoroscopic dose for the patient and the team
• 4Perform and critique the gastrointestinal and biliary examinations, from the esophagram and modified barium swallow to the barium enema, pediatric fluoroscopy, ERCP, and percutaneous biliary procedures
• 5Perform and critique genitourinary, reproductive, neurologic, and musculoskeletal procedures, including urography, the voiding cystourethrogram and reflux grading, hysterosalpingography, myelography, arthrography, vertebroplasty, and mobile C-arm work
• 6Describe the vascular and interventional suite from access through diagnostic angiography, angioplasty, embolization, thrombectomy, filters, TIPS, dialysis access, drainage and biopsy, hemostasis, recovery, complications, and quality practices

Course Outline

• •Section 1: Foundations: The Patient, the Room, and the Contrast Agent
• •Section 2: The Gastrointestinal and Biliary Tract
• •Section 3: Genitourinary, Reproductive, Neurologic, and Musculoskeletal Procedures
• •Section 4: Vascular and Interventional Procedures
• •Course Summary