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About This Seminar
The growth in technology of nuclear medicine imaging and the emerging field of
molecular imaging are driving an increased utilization of nuclear medicine clinical
procedures and the expansion of facilities. This creates a challenge for clinical
medical physicists to stay up-to-date on this technology, participate in equipment
performance surveys and acceptance tests and establish quality control programs for
these systems. Beginning in 2012, nuclear medicine services (including PET), falling
under the MIPPA regulations, are required to be accredited to receive reimbursement
under Part B for Medicare patients. The American College of Radiology (ACR) has an
accreditation program for Nuclear Medicine facilities consisting of four modules:
General Nuclear Medicine, SPECT, Nuclear Cardiology and PET Imaging.
The ACR has also established continuing education requirements for medical
physicists and others working with these facilities.
This 3-day seminar
will provide a comprehensive series of presentations covering the four
modules of ACR accreditation. Recommended surveying and QC procedures
will be emphasized along with a review of the technology, instrumentation and
radiation safety for this field. Accreditation requirements by ICANL and JCAHO will
also be covered.
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Educational Objectives
At the completion of this program,
participants should have learned:
- About the calibration and radiation safety of radiopharmaceuticals used in nuclear medicine.
- The technology of state-of-the-art gamma cameras, SPECT and PET units.
- Acceptance testing and quality assurance procedures for nuclear medicine equipment.
- Cardiac nuclear medicine clinical applications using various technologies.
- Shielding requirements for PET facilities.
- ACR and ICANL accreditation requirements and procedures for nuclear medicine facilities.
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Locations & Dates
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Seminar Format
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Each session/presentation in the seminar will be given in
lecture format using audio-visual materials. A syllabus with
supporting material for each presentation will be provided to
all attendees. The exchange of practical experience between
faculty members and attendees will be encouraged.
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Seminar Credit
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This activity is designed to provide continuing education for
the practicing clinical medical physicist and for the Nuclear
Medicine Technologist.
An application to CAMPEP for up to 20.5 hours of
Medical Physics Continuing Education Credit (MPCEC) for
qualified medical physicists, has been filed. This program has also been
submitted to the SNMT for Voice Credits for Nuclear Medicine
Technologists.
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Faculty
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Mark Madsen, PhD
Professor
University of Iowa
Iowa City, IA
James Halama, Ph.D.
Associates Professor of Radiology
Loyola University
Maywood, IL
James Botti, MS
Radiological Physicist
Medical Physics Consultants
Ann Arbor, MI
Tim Turkington, Ph.D.
Associate Research Professor
Duke University
Durham, NC
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Acknowledgement
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Seminar Schedule
Day One
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7:00 am
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Registration and Coffee
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Module 1 - Radiopharmaceuticals and Radiation Safety
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8:00 am
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Review of Nuclear Medicine Physics and Equipment
..... Botti
- Historical development
- Equipment overview
- Technology evolution
- Clinical applications of nuclear medicine
- Roles and responsibilities of the physicist
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8:50 am
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Radiation Safety in Nuclear Medicine
..... Botti
- Generators
- Dose Calibration QC
- Radiation safety
- Acceptance of Packages
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9:35 am
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Informal Discussion and Break
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10:00 am
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Dosimetry of Radiopharmaceuticlas used in NM
..... Halama
- Dose calculation techniques
- Internal organ doses
- Typical clinical doses
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11:00 am
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NM Therapy Administration
..... Halama
- Agents and therapy protocols
- Radiation dosimetry
- Radiation safety
- Patient instruction
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12:00 pm
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Questions and Answers
..... Faculty
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12:15 pm
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Lunch (on your own)
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Module 2 - NM Imaging and QC
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1:30 pm
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Physics of SPECT Imaging
..... Madsen
- Review of SPECT technology
- Clinical applications of SPECT
- Review of SPECT equipment
- Reconstruction algorithms
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2:30 pm
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Camera Detector Technology
..... Botti
- Camera design characteristics - NaI(T1) and new materials
- Gamma camera performance characteristics
- Image quality parameters and artifacts
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3:15 pm
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Informal Discussion and Break
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3:45 pm
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Acceptance Testing of NM Systems
..... Botti
- Phantoms and testing procedures
- ACR phantom - Tc, Tl, Ga
- Need for multiple isotope testing
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4:45 pm
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Questions and Answers
..... Faculty
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5:00 pm
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Adjourn for the Day
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Day Two
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8:00 am
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Hybrid SPECT/CT Systems
..... Madsen
- Clnical applications
- Image fusing
- QC procedures
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9:00 am
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Accreditation of Nuclear Medicine Facilities
..... Botti
- ACR and ICANL requirements
- Role of the medical physicist
- CE requirements
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10:15 am
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Informal Discussion and Break
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10:30 am
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Standard QC Recommendations
..... Halama
- Physicists QC
- Technologists QC
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Module 3 - Cardiac Imaging
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11:30 am
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Nuclear Cardiology Clinical Studies
..... Halama
- Gated blood imaging
- Myocardial perfusion imaging
- - specialized software (cedars, Emory, 4DM)
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12:15 pm
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Lunch (on your own)
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1:15 pm
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Specialized Cardiac Camera Systems
..... Madsen
- Features and specifications
- Attenuation correction
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2:15 pm
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Quality Control and Accreditation of Cardiac SPECT Systems
..... Madsen
- Motion correction
- Planar QC
- SPECT QC
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3:00 pm
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Informal Discussion and Break
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3:20 pm
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Panel Discussion on Cardiac NM
..... Faculty
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Module 4 - PET Imaging
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3:45 pm
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Handling PET Radiopharmaceuticals
..... Turkington
- Production and storage
- Radiation safety
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4:40 pm
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Questions and Answers
..... Faculty
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5:00 pm
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Adjourn for the Day
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Day Three
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8:00 am
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Review of the Physics of PET Imaging
..... Turkington
- Positron annihilation, coincidence detection
- Degrading factors
- Scanner design requirements
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9:15 am
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PET Instrumentation
..... Turkington
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10:15 am
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Informal Discussion and Break
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10:30 am
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Acceptance Testing and QC Procedures of PET Units
..... Turkington
- Calibration
- Phantoms and testing procedures, NEMA tests
- QC testing frequency
- Role of the technologist
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11:45 am
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Lunch (on your own)
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12:45 pm
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Shielding PET Facilities
..... Madsen
- Calculating shielding requirements
- Shielding installation considerations
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1:45 pm
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Clinical Applications of PET Imaging
..... Turkington
- Oncology
- Neurology
- Radiation safety and patient handling
- Image quantitation
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2:30 pm
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Informal Discussion and Break
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2:45 pm
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Cardiac PET
..... Madsen
- FDG
- Rubidium
- Other agents
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3:45 pm
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Questions and Answers
..... Faculty
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4:00 pm
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Adjourn Seminar
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Registration
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