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Outline12.1 MRI Registry Review What is on the content specifications?Part IWhat do the Content Specificationssay about the “MRI Boards”&What are the Clinical Requirements?Carolyn Kaut Roth, RT (R)(MR)(CT)(M)(CV) FSMRTCEO Imaging Education Associatescandi@imaginged.comwww.imaginged.com- Post primary examination- Primary examination What are the clinical requirements?- Post primary examination- Primary examination How do I prepare for the boards?Slide # 2ObjectivesMRI Boards - PathwaysUpon completion of this course, the attendeeshould 1. Know what is on the content specifications?Post primary examinationPrimary examination2. Understand how to complete the clinicalrequirements for the boards?Post primary examinationPrimary examination3.Learn how to prepare for the boards? Primary Pathway–Not yet registered–Completed an approved course–Met the clinical and didactic requirements Post Primary Pathway–Already Registered in X-ray or Radiography (R), Radiation Therapy (RT),Nuclear Medicine (N) or Nuclear Medicine (CNMT)–Met the clinical experience requirements–Be able to pass the written portion of the examinationSlide # 3Primary Pathway:Clinical & Didactic RequirementsSlide # 5Slide # 4Primary Pathway:Clinical & Didactic RequirementsSlide # 61
Content Specifications - ThenCategories of Questions - NowNOWThenSlide # 7Slide # 8Where did the board questions & the bookscome from ?Let’s dissect the Categories Who wrote them?–Radiologists–MRI Techs–Experts ARRT–Committees Of techs Of other experts ?Westbrook & RothSlide # 9Patient Care & Safety Category, Then (only MR)Slide # 10Patient Care Category (30 questions) Only 18 questions of 180total questions on the test Only questionspertaining to MRI safetyand patient care Categories–Screening–Assessment & Monitoring–Safety precautions–Biological considerationsNew ContentSlide # 11Slide # 122
Patient Care Category New ContentPatient Care Category, MRI Safety IssuesSlide # 13MRI Safety What could they ask? Safety Questions What could they ask?Slide # 14Where could the questions have come from? Safety Questions Look to the experts–Only 30 total questions–Review content specs–Questions came from theexperts in MRI Safety Study FDA regulations–Bo 8.0T & 4.0T–B1 4.0 watts/kg–Gradients - discomfort Publications & lecturesby Shellock & Kanal Review Patient Care Review MRI Safety Study guides–Look for their books–Or look for their web m–Review books–www.mrisafety.com–Look at package insertsSlide # 15Imaging Procedures Then Only 54 questions of 180total questions on the test Categories–Head & skeletal Questions pertaining to–Clinical protocols–Anatomy–Contrast–Patient positioningSlide # 16Imaging Procedures Now Slide # 17Slide # 183
Imaging Procedures & AnatomyWhere did the board questions appear to comefrom? Anatomy Imaging Procedures Questions What could they ask?–Only 62 total questions–Review content specs StudySagittal–Anatomy–General protocols Planes for pathology Image contrast (T1, T2) Contrast mediaAxialCoronal Study guides–Review books–www.protocols.com Anatomy Questions Look to the experts Questions probablycame from the experts inAnatomy Applegate / Peterson Look for their booksMRASlide # 19Slide # 20Data Acquisition and Processing Data Acquisition &Processing Questions What could they ask?–Only 65 total questions–Review content specs Study–Pulse sequences–Data manipulation–Special procedures–Imaging parameters–Imaging options–Artifacts–QC Study guides–Review booksParameters That Influence Image Quality (SNR & CNR)HardwareVoxelSamplingContrastOptionsStatic fieldThicknessNSATRSATRF coilFOVBandwidthTEGMNMatrix#PE’sTIGating# Slices (3D)FlipResp compRectangular FOVSNR “what we measure”CNR “what we perceive”Slide # 21Slide # 22Pixel / VoxelPhysical Principles of Image FormationPixelPixel Size Voxel Volume Isotropic VoxelMTanti-aliasingsesknicThFOV x FOVMatrixMatrixFOV X FOV X Slice ThicknessMatrixMatrixFOVFOV Matrix MatrixSlide # 23Slice Thickness Physical Principles of ImageFormation Questions What could they ask?–Only 43 total questions–Review content specs –QC Study guides–Review books–Videos (on-line courses)–Live CoursesSlide # 244
Where did the board questions appear to come from?MRI Physics Physics Questions Look to the experts Questions probably camefrom those who teach MRIPhysics Faulkner, Kaut, Roth,Westbrook, Friemarck Look for their books Or look for their web pages www.imaginged.comOutline What is on the content specifications?- Post primary examination- Primary examination What are the clinical requirements?- Post primary examination- Primary examination How do I prepare for the boards?Slide # 25Slide # 26What are the Prerequisites? (post primary exam)Clinical Experience RequirementsWhat are the Categories, Sub-categories? 5 Categories 4 Sub-categories 3 Repetitions Let the categories chose you Document everything!Slide # 27Slide # 28Clinical Experience DocumentationDocumenting Clinical Documentation for clinical comps Documentation for who knowsTheir WayCategory & ProcedureDateTimeFacility NameVerified By(Initials)Head & Neck / Routine Brain5/5/068:00 amHosp. Univ. Of PACKRThorax / Breast1/1/0512:00pmHosp. Univ. Of PACKRMusculoskeletal / Knee2/5/064:00 pmHosp. Univ. Of PACKROur Way Let the categories chose you Document everything!Slide # 29Category & ProcedureBrainDateTimeFacility NameMagnetVerified By(Initials)Patient ID1Routine Brain5/5/068:00 amU of P / HUP IIICKR0000012Routine Brain3Routine Brain4Routine Brain5Routine Brain6Routine Brain7Routine Brain8Routine Brain9Routine Brain10Routine BrainSlide # 305
Primary ProgramsPrimary Program RequirementsThe ARRT Magnetic Resonance Imaging (MRI) primary pathway to certification requires candidates to complete an educational programthat is accredited by a mechanism acceptable to the ARRT.The current acceptable accreditation mechanisms for MRI are:The Joint Review Committee on Education in Radiologic Technology (JRCERT)Regional Institutional Accrediting Agency for post-secondary degree-granting institutions.To verify the accreditation status of other programs or institutions, please consult the appropriate accrediting agency.MAGNETIC RESONANCE IMAGING PROGRAMNORTHERN ALBERTA INST OF TECH11762 106TH ST NWEDMONTON, AB T6C 1J1 CANADA, ABProgram Director: CRAIG BRIGGS Telephone: 780-378-5260Magnetic Resonance Imaging SchoolsMAGNETIC RESONANCE IMAGING PROGRAMBRITISH COLUMBIA INST OF TECH3700 WILLINGDON AVEMAGNETIC RESONANCE IMAGING PROGRAMBURNABY,BC V5G 3H2 CANADA, BCMA COLLEGE OF PHAM &HEALTH SCIProgram Director: EUCLID SEERAM Telephone: 604-432-8231179 LONGWOOD AVEBOSTON, MA 02115-5896Program Director: MARYANN BLAINE Telephone: 617-732-2138MAGNETIC RESONANCE IMAGING PROGRAMRED RIVER COLLEGE2055 NOTRE DAME AVEMAGNETIC RESONANCE IMAGING PROGRAMWINNIPEG, MB R3H 0J9 CANADA, MBMICHENER INSTITUTEProgram Director: LARRY KUSTRA Telephone: 204-632-2241222 SAINT PATRICK STTORONTO, ON M5T 1V4 CANADA, ONProgram Director: LORRAINE RAMSAY Telephone: 416-596-3101MRI PROGRAM/DPT OF RADIOLOGIC SCIENCESTHOMAS JEFFERSON UNIVERSITY130 S 9TH ST SUITE 1005 EDISONPHILADELPHIA, PA 19107-0000Program Director: RICHARD H WEENING Telephone: 215-503-0059Slide # 31Primary Program Clinical RequirementsSlide # 32Outline What is on the content specifications?- Post primary examination- Primary examination What are the clinical requirements?- Post primary examination- Primary examination How do I prepare for the boards?Slide # 33What’s the best Study Material?Slide # 34Are there any Short-Cuts? Books–Text Books–Study guides–Flash cards–Q & AYes&NO Video Tapes CD’s Mock Tests LecturesMRIYes, this was my Office!Slide # 35Slide # 366
What About Courses?What About Videos? Principles Pulse Sequences Parameters Safety etc Slide # 37Tips for taking the exam D-Day Don’t tell anyone! Get rest Carefully read question– ONLY the question– Don’t add anything– It’s not about YOU, or your site Carefully read all of the answers(distracters) Don’t change your answers– Always go with your 1st guess– Your 1st answer is generally right Upon completion count your guesses Find a Happy Place!Slide # 39 Face time Ask questions See where you are weak Good for auditory learners Get from the lecture what you didn’t getfrom reading Learn the tricks Bond with other techs Learn from their mistakesSlide # 38Do it today! The longer you wait The more they stuff put on it The more information you forget The more it costs The more pressure–It will become mandatory–They will make you do it–This will add stress The more the requirements–Now clinical (documented cases)–Maybe classes (JRCERT approved)HowMuch?Morenextyear!Slide # 40Outline12.1 MRI Registry Review What is on the content specifications?- Post primary examination- Primary examination What are the clinical requirements?- Post primary examination- Primary examination How do I prepare for the boards?Part I - What do the Content Specifications say about the “MRI Boards”&What are the Clinical Requirements?Thank you for your attention!Click to take your post test and get your creditsCarolyn Kaut Roth, RT (R)(MR)(CT)(M)(CV) FSMRTCEO, Imaging Education e # 417
Review MRI Safety Study guides –Review books –www.mrisafety.com –Look at package inserts Slide # 16 Where could the questions have come from? Safety Questions Look to the experts –Questions
