MTMI--The Physics of Nuclear Medicine

Medical Technology Management Institute

Phone: 1-800-765-MTMI (6864)

The Physics of Nuclear Medicine

Three Day Seminar

20.5 Hours CAMPEP Credit

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.

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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Seminar Format
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.
Seminar Credit
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.
Faculty
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
Acknowledgement

Seminar Schedule

Day One

7:00 am	Registration and Coffee
	Module 1 - Radiopharmaceuticals and Radiation Safety
8:00 am	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
8:50 am	Radiation Safety in Nuclear Medicine ..... Botti Generators Dose Calibration QC Radiation safety Acceptance of Packages
9:35 am	Informal Discussion and Break
10:00 am	Dosimetry of Radiopharmaceuticlas used in NM ..... Halama Dose calculation techniques Internal organ doses Typical clinical doses
11:00 am	NM Therapy Administration ..... Halama Agents and therapy protocols Radiation dosimetry Radiation safety Patient instruction
12:00 pm	Questions and Answers ..... Faculty
12:15 pm	Lunch (on your own)
	Module 2 - NM Imaging and QC
1:30 pm	Physics of SPECT Imaging ..... Madsen Review of SPECT technology Clinical applications of SPECT Review of SPECT equipment Reconstruction algorithms
2:30 pm	Camera Detector Technology ..... Botti Camera design characteristics - NaI(T1) and new materials Gamma camera performance characteristics Image quality parameters and artifacts
3:15 pm	Informal Discussion and Break
3:45 pm	Acceptance Testing of NM Systems ..... Botti Phantoms and testing procedures ACR phantom - Tc, Tl, Ga Need for multiple isotope testing
4:45 pm	Questions and Answers ..... Faculty
5:00 pm	Adjourn for the Day

Day Two

8:00 am	Hybrid SPECT/CT Systems ..... Madsen Clnical applications Image fusing QC procedures
9:00 am	Accreditation of Nuclear Medicine Facilities ..... Botti ACR and ICANL requirements Role of the medical physicist CE requirements
10:15 am	Informal Discussion and Break
10:30 am	Standard QC Recommendations ..... Halama Physicists QC Technologists QC

	Module 3 - Cardiac Imaging
11:30 am	Nuclear Cardiology Clinical Studies ..... Halama Gated blood imaging Myocardial perfusion imaging - specialized software (cedars, Emory, 4DM)
12:15 pm	Lunch (on your own)
1:15 pm	Specialized Cardiac Camera Systems ..... Madsen Features and specifications Attenuation correction
2:15 pm	Quality Control and Accreditation of Cardiac SPECT Systems ..... Madsen Motion correction Planar QC SPECT QC
3:00 pm	Informal Discussion and Break
3:20 pm	Panel Discussion on Cardiac NM ..... Faculty

	Module 4 - PET Imaging
3:45 pm	Handling PET Radiopharmaceuticals ..... Turkington Production and storage Radiation safety
4:40 pm	Questions and Answers ..... Faculty

5:00 pm	Adjourn for the Day

Day Three

8:00 am	Review of the Physics of PET Imaging ..... Turkington Positron annihilation, coincidence detection Degrading factors Scanner design requirements
9:15 am	PET Instrumentation ..... Turkington Vendors PET/CT Detectors
10:15 am	Informal Discussion and Break
10:30 am	Acceptance Testing and QC Procedures of PET Units ..... Turkington Calibration Phantoms and testing procedures, NEMA tests QC testing frequency Role of the technologist
11:45 am	Lunch (on your own)
12:45 pm	Shielding PET Facilities ..... Madsen Calculating shielding requirements Shielding installation considerations
1:45 pm	Clinical Applications of PET Imaging ..... Turkington Oncology Neurology Radiation safety and patient handling Image quantitation
2:30 pm	Informal Discussion and Break
2:45 pm	Cardiac PET ..... Madsen FDG Rubidium Other agents
3:45 pm	Questions and Answers ..... Faculty
4:00 pm	Adjourn Seminar

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