Extremity Imaging, a Multi Modality Approach: A Comprehensive Review for the Working Technologist

Extremity Imaging, a Multi Modality Approach gives radiographers, CT technologists, MRI technologists, and sonographers a complete review of upper and lower extremity imaging across the diagnostic modalities, with nuclear medicine and bone densitometry at the awareness level. Section 1 builds the shared foundation: imaging anatomy of the appendicular and growing skeleton, the vocabulary of fracture and of arthritis, infection, avascular necrosis, stress injury, and bone lesions, how each modality sees bone and soft tissue, appropriateness and the sequence of examinations, and patient care and safety across the modalities, including MR screening, implant clearance, and contrast screening. Section 2 covers the upper extremity from shoulder to fingers: standard and trauma projections with central ray logic and evaluation criteria, CT, MRI, MR arthrography, and ultrasound of the shoulder, the elbow fat pad sign and pediatric elbow, the scaphoid pathway, and small-part imaging of the hand. Section 3 covers the lower extremity from pelvis to foot: the occult hip fracture pathway, the pediatric hip, MRI of the knee and CT of the tibial plateau, the ankle and foot decision rules, the Lisfranc injury, the diabetic foot, and weight-bearing status. Section 4 integrates the modalities around the child and the skeletal survey, the older adult and the insufficiency fracture, the athlete, the postoperative extremity and metal artifact, image-guided procedures, protocol and technique principles, and multimodality image critique. Written as fresh review material rather than textbook excerpts, the course follows recurring patients through the department, names a common weakness of practice in each section, and closes with a comprehensive summary built for retention.

Approvals & Acceptance

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  ASRT Approved, Category A

  Accepted by the ARRT^® toward your CE requirement
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  ARDMS Accepted

  Counts for ARDMS credential holders
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  NMTCB Accepted

  Counts for NMTCB credential holders
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  California

  Accepted for CRTs, XTs, Supervisors and Operators
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  Florida

  Approved for Technical Category A for Florida technologists
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  Texas: Directly Related

  Counts toward the directly related hours Texas MRTs need (at least 12 of 24)
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  We Report for You: Florida, Texas, Kansas and New Hampshire

  Completions are reported in the first week of each month for the previous month: Florida directly to the Florida Department of Health, Bureau of Radiation Control; Texas, Kansas and New Hampshire to CE Broker. Your state license number must be entered in your dashboard for us to report your credits.
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  All other states

  Accepted

Applicable Disciplines

Learning Objectives

• 1Describe the imaging anatomy of the appendicular and growing skeleton and the vocabulary every modality uses for fractures, arthritis, infection, avascular necrosis, stress injury, and bone lesions
• 2Explain how radiography, CT, MRI, ultrasound, and nuclear medicine each image bone and soft tissue, and apply appropriateness principles to choose the first examination and the one that follows
• 3Apply patient care and safety across the modalities, including extremity radiation protection, MR screening and zone control, implant clearance, and iodinated and gadolinium contrast screening
• 4Position and evaluate standard and trauma projections of the upper and lower extremity, and describe the CT, MRI, and ultrasound examinations of each region and the clinical questions they answer
• 5Adapt extremity imaging for pediatric, geriatric, athletic, and postoperative patients, including the skeletal survey, insufficiency fractures, overuse injury, and metal artifact management
• 6Describe the technologist role in image-guided procedures, protocol and technique decisions across modalities, and deliberate multimodality image critique

Course Outline

• •Section 1: Foundations: Anatomy, Vocabulary, and the Modalities
• •Section 2: The Upper Extremity
• •Section 3: The Lower Extremity
• •Section 4: Integration: Special Populations, Procedures, and Critique
• •Course Summary