Official Course Description: MCCCD Approval: 04/22/03
MRT255 19954-20032	LEC	2 Credit(s)	2 Period(s)
Special Procedures and Contrast Media
Advanced diagnostic radiographic procedures and equipment. Functions and applications of contrast media in diagnostic procedures. Prerequisites: MRT244.

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MCCCD Official Course Competencies:
MRT255   19954-20032	Special Procedures and Contrast Media

1.	Classify various types of positive contrast media including Barium Sulfate, Iodinated compounds and solutions, Nonionic contrast, Oily base solutions, and Negative contrast media. (I)
2.	Explain the applications of the various types of contrast media. (I)
3.	Describe the various characteristics of contrast media to include their advantages and disadvantages, chemical composition, atomic number, application and photon absorption qualities. (I)
4.	Explain the potential hazards, contraindications and patient considerations when utilizing contrast media. (I)
5.	State the preparation, dosages and methods of administering contrast media. (I)
6.	Explain reaction theories, reactions and reaction types. (I)
7.	Describe the medical/legal responsibilities of the technologist when administering a contrast medium. (I)
8.	List the physical requirements and equipment for advanced fluoroscopy procedures and interventional studies. (II-XIV)
9.	Describe advanced fluoroscopy procedures and interventional studies including: clinical indications, imaging systems, contrast media, patient care, visualized anatomy, potential hazards and safeguards. (II-XIV)
10.	Explain the construction, types, applications, and limitations of needles, guides wires, and catheters utilized for interventional studies. ((XII-XIV)
11.	List the physical requirements and equipment necessary for the operation of a special procedures suite. (XII)
12.	Describe special procedures studies including: clinical indications, imaging systems, contrast media, patient care, visualized anatomy, potential hazards and safeguards. (XII-XIV)
13.	Explain the construction, types, applications, and limitations of needles, guides wires, and catheters utilized in angiography. (XII-XIV)
14.	Describe the different types of film changes utilized for angiography and the application of digital subtraction. (XII-XIII)
15.	Differentiate between the components and describe the precautions, operations and maintenance of power injectors. (XII-XIV)

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MCCCD Official Course Outline:
MRT255   19954-20032	Special Procedures and Contrast Media

I. Contrast Media A. Definition 1. Positive media 2. Negative media B. Applications 1. Indications 2. Contraindications C. Characteristics 1. Chemical composition 2. Chemical bases 3. Atomic number 4. Photon absorption D. Unsafe media foe certain procedures 1. Contrast media- Manufacturer's warnings 2. Patient considerations/preparation E. Preventative measure for reactions- side effects excepted 1. Side effects 2. Other F. Preparation of contrast media G. Administration of contrast H. Technical consideration alteration I. Emergency drug kit J. Reaction 1. Theories 2. Types 3. Forms K. Medicolegal Responsibilities II. Mammography A. Anatomy and Pathology B. Quality Control C. Positioning D. Localizations E. Needle Biopsies III. Myelography A. Anatomy and Pathology B. Contract media and contraindications C. Equipment/Procedure D. Routine Positions E. Pre/post Patient Care IV. Lymphangiography A. Anatomy and Pathology B. Contract media and contraindications C. Equipment/Procedure D. Routine Positions E. Pre/post Patient Care V. Bronchography A. Anatomy and Pathology B. Contract media and contraindications C. Equipment/Procedure D. Routine Positions E. Pre/post Patient Care VI. Hysterosalpingography A. Anatomy and Pathology B. Contract media and contraindications C. Equipment/Procedure D. Routine Positions E. Pre/post Patient Care VII. Arthrography A. Anatomy and Pathology B. Contract media and contraindications C. Equipment D. Procedure 1. Knee 2. Shoulder 3. Hip 4. Wrist 5. Temperomandibular Joint (TMJ) E. Routine Positions F. Pre/post Patient Care VIII. Abscess Drainage A. Fistulogram B. Sinogram IX. Biliary System A. Anatomy and Pathology B. Percutaneous Cholangiogram 1. Contract media and contraindications 2. Equipment/Procedure 3. Routine Positions 4. Pre/post Patient Care C. Stents and Drains 1. Contract media and contraindications 2. Equipment/Procedure 3. Routine Positions 4. Pre/post Patient Care D. Endoscopic Retrograde Cholangiopancreatogram (ERCP) 1. Contract media and contraindications 2. Equipment/Procedure 3. Routine Positions 4. Pre/post Patient Care X. Urinary System A. Anatomy and Pathology B. Percutaneous Nephrostomy 1. Contract media and contraindications 2. Equipment/Procedure 3. Routine Positions 4. Pre/post Patient Care C. Lithotripsy 1. Equipment/Procedure 2. Routine Positions 3. Pre/post Patient Care XI. Biopsies A. Core tissue B. Aspiration XII. Special Procedures Suite- Anigography A. Equipment 1. Film changes 2. Injectors 3. Needles 4. Seldinger Technique 5. Catheters 6. Guide Wires 7. Anatomy and Pathology B. Procedures 1. Cerebral 2. Upper Extremity 3. Thoracic Arch 4. Aortography 5. Abdominal/selective 6. Femoral XIII. Special procedures studies A. Percutaneous Transhepatic Angiogram (PTA) B. Thormbolitics C. Embolization D. Foreign Body Retrieval XIV. Venogram A. Lower Extremity B. Upper Extremity

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