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RAD 361: Digital Radiography and Fundamentals III
Instructor: Frank A. Zaleski, LMSW, MBA, BS, RT (R) – Director - fzaleski@northwell.edu
Prerequisite Courses: All First Year courses and Quarters #5 and #6 of 2nd Year
Quarter: 7
Meeting Times: Tuesdays, 9:30 – 10:30AM 10 HOURS TOTAL FOR QUARTER
Course Description: The use of computers in Radiologic Technology has increased exponentially throughout the years. Students will A basic understanding of the components of a computer and their function are included in this course. The course defines and explains the concept of digital radiography. The course describes differences between analog and digital imaging with emphasis on technique considerations regarding patient dose reduction. Students will define and describe all the components of the PSP technology and flat-panel technologies. The student will develop an understanding of the PACS system utilized in current imaging modalities. The student will be expected to apply the knowledge from Radiographic Physics and Image Production and Radiographic Technique to this course.
Required Textbooks:
Digital Radiography and PACS, 4th Edition, Carter & Veale’.
Library: An electronic journal library is available on all Northwell computers for student use.
Required Materials: Pens, pencils, notebook, calculator
Methods of Instruction: Lectures, Class Participation, Homework, Classwork
Course Objectives:
1. The student should be able to describe the major components of a computer.
2. The student should develop a working vocabulary of the components of a computer.
3. The student should distinguish between hardware and software.
4. The student should define networks and DICOM.
5. The student should be able to describe the construction of a computed radiography cassette and a computed radiography imaging plate.
6. The student should define the process of computed radiography.
7. The student should become familiar with the importance of proper computed radiography image acquisition.
8. The student should be able to describe cassette-less equipment and image acquisition.
9. The student should define the differences between indirect and direct cassette-less systems.
10. The student should describe digital radiographic image processing and manipulation.
RAD 363: Senior Review for the ARRT Certification Exam
Program: Peconic Bay School of Radiologic Technology
Course Number/Title: RAD 363: Senior Review for ARRT Certification Exam
Instructor’s Name: Frank A. Zaleski, LMSW, MBA, BS, RT ( R )
Meeting Times: Tuesdays, 1:00 – 3:00PM – Quarter #7, Various Thursdays – Quarter #7, Time TBD - Quarter #8
Prerequisite: All 1st Year Fall and Spring Courses & 2nd Year Quarters #5, #6
Course Hours: 30 Hours – Quarter #7, 75 Hours – Quarter #8
Semester: Spring 2026 & Summer 2026
Contact Phone #: 631-548-6183 Contact Email: fzaleski@northwell.edu
Course Description: This course provides preparatory measures for the American Registry of Radiologic Technologists Certification Examination in Radiography. The student will take simulated exams and be required to pass three (3) of them with a minimum grade of 80. The student will also review each course with the faculty.
Required Textbooks: Mosby’s Comprehensive Review of Radiography: The Complete Study Guide and Career Planner, 8th Edition. Callaway, William J. 2022.
Additional Textbooks: (None)
Required Materials: Pens, pencils, notebook, calculator
Methods of Instruction: Lectures and diagrams
Course Objectives:
1. The student will review the ARRT Content Specifications (Effective January 1, 2022) distributed with the syllabus. The breakdown of the exam is as follows:
· Patient Care (33 Questions)
· Safety (50 Questions)
· Image Production (51 Questions)
· Procedures (66 Questions)
· 30 Unscored Pilot Questions (You will not be able to determine/distinguish the pilot questions from content questions).
TOTAL = 230 Questions
2. The student will review Safety – Radiation Physics and Radiation Biology (21 Questions on ARRT Certification Exam).
3. The student will review Safety – Radiation Protection (29 Questions on ARRT Certification Exam).
4. The student will review Image Production – Image Acquisition and Evaluation (26 Questions on ARRT Certification Exam).
5. The student will review Image Production – Equipment Operation and Quality Assurance (25 Questions on ARRT Certification Exam).
6. The student will review Imaging Procedures, including Anatomy, Positioning, Procedures, Pathology and Terminology.
a. Head, Spine and Pelvis Procedures (18 Questions on ARRT Certification Exam)
b. Thorax and Abdomen Procedures (20 Questions on ARRT Certification Exam)
c. Extremity Procedures (28 Questions on ARRT Certification Exam)
7. The student will review Patient Care – Patient Interactions and Management (33 Questions on ARRT Certification Exam.
Radiation Biology Western Campus
Radiation Biology
Sonography Scanning Lab I
Course Description
This hands-on sonography scanning lab reinforces the development of the psychomotor and critical thinking skills required to perform abdominal and female pelvic diagnostic sonographic examinations. Students will build upon their knowledge of the anatomical landmarks, used for imaging of the abdominal vasculature, intraperitoneal and retroperitoneal organs, along with the female pelvis, the first and second trimester obstetrics. Scanning planes, image orientation and Northwell protocols are emphasized. In addition, patient care, ergonomics, transducer selection, transducer placement, and ultrasound equipment care, and cleaning are included.
Learning Outcomes
Upon successful completion of this course, the students will be able to:
· Image the following abdominal vessels in the sagittal and transverse planes.
o Arteries
§ Aorta
§ Celiac axis
§ Hepatic
§ Splenic
§ Superior mesenteric artery (SMA)
§ Renal
o Veins
§ Inferior vena cava (IVC)
§ Portal – including the porta hepatis
§ Hepatic
§ Superior mesenteric vein (SMV)
§ Renal
· Follow the protocol (no Doppler or color), including, labeling, and measurements for the following sonographic exam:
o Liver
o Gall bladder
o Biliary system
o Pancreas
o Spleen
o Kidneys
o RUQ
o Complete abdomen
o Uterus
§ Transabdominal and Transvaginal (transvaginal images assessments will be using the phantom and simulator)
o Ovaries Transabdominal and Transvaginal (transvaginal images assessments will be using the phantom and simulator)
· Obstetrics – (transvaginal images assessments will be using the phantom and simulator)
o First trimester
o Second trimester –presentation, position, placenta localization, anatomy
· Demonstrate basic knob required to obtain optimal diagnostic images.
o Power On/Off
o Inputting patient data
o Presets
o Proper transducer selection
o Depth
o Focal Zone(s)
o Time Gain Compensator (TCG)
o Overall Gain
o Freeze
o Annotation
o Calipers/Measurements
o Harmonics
o Calculation Packages
· Demonstrate proper scanning ergonomics.
· Demonstrate scanning protocols.
· Demonstrate proper care of the transducers, ultrasound machine and accessories.
Prerequisites
AOS 100 Cross Sectional Anatomy
AOS 100L Introduction to Sonography Scanning
DMS 100 Foundations of Sonography and Patient Care
Corequisites
DMS 101 Ultrasound Physics I
AOS 101 Abdominal Sonography I
AOS 101L Abdominal Sonography I
AOS 131 Clinical I
AOS 111 Obstetrical/Gynecology Sonography I
Required Resources
· Hagen-Ansert, S.: Textbook of Diagnostic Sonography, 9th Edition. Publisher: Elsevier, 2022
Sonography Scanning Lab II
Course Description:
This hands-on sonography scanning lab reinforces the development of the psychomotor and critical thinking skills required to perform diagnostic sonographic examinations. You will build upon the knowledge from prior scanning labs, clinical site placement, and classroom learning. This scanning lab incorporates phantoms, simulation, and volunteers. The focus of this scanning lab includes superficial soft-tissue structures, Gi tract, abdominal wall, OB 1st trimester, OB 2nd trimester, visceral, extremity and cerebrovascular duplex imaging.
Learning Outcomes:
Upon completion of this course, you will be able to:
· Acquire, identify, locate, and use Doppler appropriately and critique images of the following:
o Scrotum
o Thyroid
o Salivary Glands
o Neck Levels
o Appendix Landmarks
o Hernia
o Abdominal Wall
o Breast
o Prostate
o OB 1st Trimester
o OB 2nd Trimester
o Liver Doppler
o Renal Artery
o Mesenteric/Celiac Doppler
o Carotid Doppler
o Lower and Upper Extremity Venous
· Utilize system settings required to perform color and spectral Doppler.
· Demonstrate proper scanning ergonomics
· Demonstrate scanning protocols
· Demonstrate proper care of the ultrasound machine and transducer
· Demonstrate proper patient care
Ultrasound Physics I (Spring 2024)
Course Description
This course reviews mathematical skills necessary for the study of sonographic physics and defines basic concepts. The mathematical review includes unit conversions, scientific notation, the metric system, decimals, binary numbers, and algebraic equations. The focus of the course is on tissue properties and the interaction with sound waves, attenuation, impedance, reflection, refraction, scattering, transducer function and an introduction to transducer design are also included.
Educational Outcomes
At the completion of this course, you will be able to:
1. Describe the physical properties of ultrasounds.
2. Perform mathematical functions and algebraic equations.
3. Describe the parameters of sound waves:
a. period d. amplitude
b. wavelength e. intensity
c. propagation period
4. Recognize and apply the following functions:
a. pulse repetition c. rate duty factor
b. pulse duration d. spatial pulse length
5. Define acoustic waves (sound production and the propagation of mechanical energy through a medium by cyclic pressure variations)
6. Describe and differentiate between several types of waves:
a. longitudinal c. continuous
b. transverse d. pulsed
7. Recognize and describe the parameters that describe the strength of the sound:
a. intensity
- power per unit area
- concept of peak intensity versus average intensity, spatial and temporal variations.
b. amplitude
- attenuation in tissue
- amplitude as a function of direction (scattering index)
- variations created by propagation through biologic materials.
8. Recognize the parameters that describe propagation speed, i.e., wavelength & frequency:
a. to understand the relationship between wavelength, frequency, and velocity
9. Determine factors of propagation speed, i.e., density and compressibility of the medium.
10. Describe the basic processes of attenuation:
a. absorption c. scattering and reflection
b. relaxation d. divergence
11. Describe the phenomena that occur with normal incidence and oblique incidence (interaction of sound and matter).
12. Describe the phenomena when sound is refracted at a boundary between media where propagation speeds are different, oblique incidence.
13. Describe all the parameters of frequency:
a. properties of material e. pulse repetition rate
b. resonance thickness f. penetration
c. wavelength comparison g. resolution
d. independence of intensity and frequency
14. Describe transducer construction.
15. Describe the functions of the instrumental controls for 2D imaging.
16. Describe the focusing and shaping of the sound beam.
17. Describe image storage devices.
Prerequisite Courses
DMS 100 Foundations of Sonography and Patient Care
Plus
AOS 100L Introduction to Sonography Scanning
AOS 100 Introduction to Sonography Scanning
or
CVS 100 Introduction to Cardiovascular Imaging
CVS 100L Introduction to Cardiovascular Imaging
Corequisites
AOS 101 Abdominal Sonography I
AOS 111 Obstetrical/Gynecology Sonography I
AOS 101L Sonography Scanning Lab I
AOS 131 Clinical I (3 days a week)
or
CVS 101 Adult Cardiac Sonography I
CVS 101L Cardiac Scanning Lab I
CVS 111 Vascular Scanning I
CVS 111L Vascular Scanning Lab I
Required Resources/Text
Miele, F. R. (2006). Ultrasound Physics and Instrumentation (2 Volume Set), Pegasus Lectures.Penny, Steven: Introduction to Sonography and Patient Care,2nd Edition. Publisher, Walter Kluwer, 2021, ISBN-13: 978-1975120108
Edelman, Sidney: Understanding Ultrasound Physics,4th Ed. Publisher ESP, (2012) INC PO Box 7439, Woodlands, TX, 77387 ISBN 0-96264444-5
Vascular Scanning Lab I
Course Description:
In this course you will continue hands-on training in the sonographic evaluation of the peripheral vascular and extracerebral vascular system. This course will include 2 D, color Doppler and spectral Doppler imaging techniques and optimization. The use of non-invasive physiologic testing will be included to complete the evaluation of the peripheral vascular system. Emphasis will also be placed on the prevention of musculoskeletal injuries (MSI).
Learning Outcomes:
Upon completion of this course, you will be able to identify and image anatomy of the carotid arteries, peripheral arterial and venous system. You will be able to perform segmental pressures and sonographic evaluations of the arteries and/or veins discussed in this course according to practice parameters established by national professional organizations and protocols of the clinical affiliates.
You will be able to:
1. Demonstrate in long axis utilizing gray scale, color Doppler and spectral Doppler (angle corrected) of the following right and left:
a. CCA-proximal, mid, and distal
b. Bifurcation
c. ICA-proximal, mid, and distal
d. ECA-proximal
e. Vertebral artery
f. Measures peak systolic and end diastolic velocities of the above vessels
2. Identify and image with and without compressions the right and left:
a. Common femoral veins
b. Saphenofemoral junction
c. Deep Femoral vein proximal
d. Femoral vein: upper, mid, and lower
e. Popliteal vein
f. Tibioperoneal trunk
g. Posterior tibial veins-upper
h. Peroneal veins upper
i. Gastrocnemius veins
3. Demonstrate in the long axis utilizing color and spectral Doppler of the following:
a. Common femoral veins
b. Saphenofemoral junction
c. Deep Femoral vein proximal
d. Femoral vein: upper, mid, and lower
e. Popliteal vein
4. Identify and image with and without compressions the right and left:
a. Internal Jugular vein
b. Axillary vein
c. Branchial veins: upper mid, lower
d. Radial and ulnar veins
e. Basilic vein at antecubital fossa
f. Cephalic vein at antecubital fossa
5. Demonstrate in long axis utilizing color and spectral Doppler of the following right and left:
a. Internal jugular vein- lower (evaluates contralateral IJV)
b. Innominate vein
c. Subclavian vein - medial and lateral (evaluates contralateral subclavian vein)
d. Axillary vein
e. Brachial vein -upper, mid, lower
f. Radial and ulnar veins
6. Demonstrate in long axis utilizing gray scale, color Doppler and spectral Doppler (angle corrected) of the following arteries:
a. Common femoral artery
b. Proximal Deep femoral artery (profunda femoris)
c. Superficial femoral artery proximal, mid, and distal
d. Popliteal artery proximal and distal
e. Anterior tibial artery
f. Peroneal Artery
g. Posterior tibial artery
h. Dorsalis pedis artery
i. Measures peak systolic velocity of the above vessels
7. Demonstrate in long axis utilizing gray scale, color Doppler and spectral Doppler (angle corrected) of the following arteries:
a. Subclavian artery (medial and lateral)
b. Axillary artery
c. Brachial arteries (proximal, mid, and distal)
d. Radial arteries (proximal, mid, and distal)
e. Ulnar arteries (proximal, mid, and distal)
8. Image the carotid artery in transverse at the following locations:
a. CCA-proximal, mid, and distal
b. Bulb and bifurcation with and without Color Doppler
9. Perform Ankle brachial index
10. Perform Lower extremity and digital arterial physiologic testing
11. Perform Upper extremity and digital arterial physiologic testing
Prerequisites:
Successful completion of Semester 1
Corequisites:
|
DMS-101 |
Ultrasound Physics I |
|
CVS-101 |
Adult Cardiac Sonography I |
|
CVS-101L |
Cardiac Scanning Lab I |
|
CVS-111 |
Vascular Sonography I |
|
CVS-131 |
Clinical I |
Required Texts:
Pellerito, John S., and Joseph F. Polak. Introduction to Vascular Ultrasonography. Elsevier, Saunders, 2020. ISBN: 9780323428828 (available electronically in the library)
Daigle, Robert J. Techniques in Noninvasive Vascular Diagnosis 5th ed Summer Publishing, LLC. ISBN 978-0-9899329-
Vascular Sonography I
This course builds upon the foundational knowledge from Introduction to Cardiovascular Imaging. It includes 2-D imaging and Doppler evaluation of the normal and abnormal peripheral and extracerebral vascular system. Non-invasive physiological testing of the extremities will also be introduced.
Learning Outcomes:
Upon completion of this course, you will be able to identify the vascular anatomy of the upper and lower extremities and the extracerebral vessels. You will be able to demonstrate knowledge of sonographic appearances, sonographic techniques, measurements, and Doppler flow characteristics in both normal and abnormal upper and lower extremities vessels as well as the carotid arteries. You will gain understanding of physiologic testing for lower extremity arterial disease.
You will be able to:
· Describe the factors that affect arterial and venous blood flow in the circulatory system.
· Describe the etiology, risk factors, signs, symptoms, and diagnostic modalities utilized for vascular diseases encountered in the vascular lab.
· Explain the normal and abnormal color Doppler and spectral Doppler waveforms of the vascular system.
· Identify the vascular anatomy of the upper and lower extremities and the extracerebral vessels.
· Describe the ultrasound techniques used to image the vessels of upper and lower extremities and the carotid arteries.
· Describe normal and abnormal finding in 2-D, color Doppler, and spectral Doppler observed during:
o Carotid duplex examination
o Lower extremity arteries
o Lower extremity veins
o Upper extremity arteries
o Upper extremity veins
· Explain non-invasive physiologic testing for lower extremity arterial disease.
· Describe the protocol used when a performing ankle-brachial index.
· Identify normal and abnormal ankle-brachial index results.
Prerequisites:
Successful completion of Semester 1
Corequisites:
DMS-101: Ultrasound Physics I
CVS-101: Adult Cardiac Sonography 1
CVS-101L: Cardiac Scanning Lab I
CVS-111L: Vascular Scanning Lab I
CVS-131: Clinical I