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Thoracic Imaging

Elective Number: 2908 (lottery)

Rotation Supervisor: Dr. Juan Olazagasti

Coordinator: Sandy Kerns (sk9ef@virginia.edu); 924-9484

Rotation Duration: 2 weeks

Rotation Location: UVA Medical Center, Main Hospital, Cardiovascular-Thoracic Reading Room, G901, MRI Annex (Ground Level)

Available: 4a, 6 -9, 10b, 11, 12, 13a & 14

Time to Report: 8:00 am

Place to Report: Residency/Student Elective Office - Room 1832

Typical day: 8:30 am - 4:00 pm

Attendance: Attendance at elective activities is mandatory.

Dress Code: Professional attire, no tie required
Attitude: Students are expected to be active participants during the rotation. The student will participate in film read-outs with radiology residents. Knowledge of main clinical history of patients with interesting radiologic findings is encouraged, as association of clinical and radiologic findings will facilitate the understanding of the pathology. Avoiding disruptive behavior, such as chatting with peers or electronic device usage for non-education purposes is expected.

Number of students per rotation: 2

Course Requirements: 
Lecture Attendance: Students will attend the lectures and tutorials given by radiology faculty, fellows, and residents and any conferences within thoracic imaging. Micropath conference on Thursday evenings, (every other week; ask attending) is required. Thoracic tumor board on Tuesday at 7 am in the Cancer Center is recommended, but optional.
Additional Requirements: Students are encouraged to add cases to the teaching files. All students are encouraged to participate in departmental activities, including numerous case-based and didactic conferences, seminars, and ground rounds.

Course Description:
A two and four week rotation is available for students to enhance their understanding of the imaging characteristics of pathologic processes in the thorax. This will include, but is not limited to mostly CXR and CT, with occasional chest MRIs. A basic understanding of chest pathology including cardiac, mediastinal and pulmonary diseases, congestive failure, pulmonary infection, malignancy and pleural effusions and their respective etiologies is required. Additionally, rotating students should make themselves comfortable with common supporting devices used in the critically ill patient, including pleural and enteric tubes, ETT, as well as central lines.

Rotation Goals:
As a whole, the rotation must provide the students a basic but sufficient and solid knowledge on the fundaments of thoracic imaging, in order to serve as a foundation to their internship and forthcoming specialty training.
Additional time will be devoted to self-study of images, slide and web-based interactive learning modules, which have been prepared as teaching materials.

General Learning Objectives:

Specific Learning Objectives:
Knowledge -
Conventional Radiography:

Cross-sectional imaging (CT/MRI):

Name basic radiologic terminology used in the description of infiltrates and common lesions in the lungs:

Skills –

Preparatory Reading:
A Diagnostic Approach to Mediastinal Abnormalities Camilla R. Whitten, Sameer Khan, Graham J. Munneke, Sisa Grubnic. RadioGraghics, 2007, Vo1.27: 657-671, 10.1148/rg.273065136

Fleischner Society: Glossary of Terms for Thoracic Imaging. David M. Hansell, Alexander A. Bankier, Heber MacMahon, Theresa C. McLoud, Nestor L. Muller, Jacques Remy. Radiology, 2008, Vol 246: 697-722.

Lines and Stripes: Where Did They Go? -From Conventional Radiography to CT Jerry M Gibbs, Chitra A. Chandrasekhar, Emma C. Ferguson, Sandra A. Oldham. RadioGraghics, 2007, Vo1.27: 33-48,
10.1148/rg.271065073

Other online resources:

 

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