DIAGNOSTIC APPLICATIONS OF IONISING RADIATION PHYSICS - 2024/5

Module code: PHYM043

Module Overview

Ionising radiation is widely used for diagnostic purposes, and multi-modality imaging is now becoming ubiquitous. The majority of hospital physicists work with ionising radiation and hence the topic is fundamental for anyone entering the profession.

In this module, an introduction is given to imaging systems and image perception. Detailed lectures then cover X-radiography, X-ray computed tomography, radiopharmaceuticals, nuclear medicine. The lectures will be supported by an assessed nuclear medicine practical and by tutorials in image processing and image registration.

Module provider

Mathematics & Physics

Module Leader

PANI Silvia (Maths & Phys)

Number of Credits: 15

ECTS Credits: 7.5

Framework: FHEQ Level 7

Module cap (Maximum number of students): N/A

Overall student workload

Independent Learning Hours: 91

Lecture Hours: 33

Tutorial Hours: 2

Laboratory Hours: 4

Guided Learning: 10

Captured Content: 10

Module Availability

Semester 2

Prerequisites / Co-requisites

For students on the MSc Physics programme, having attended PHYM032 Radiation Physics in Semester 1 or having covered equivalent content in previous studies (to be discussed with the Programme Director). For students on the Biomedical Engineering MEng, having attended PHY3045 - Medical Imaging at FHEQ Level 6.

Module content

Indicative content includes:

X-ray imaging and analysis

The X-ray tube construction and operational needs.
X-ray scatter in diagnostic imaging and scatter reduction methods.
Applications of medical X-ray imaging.

 

X-ray Mammography

Attenuation and scattering of x-ray photons by breast tissues. Contrast, resolution, dose, noise and dynamic range in mammography. The design and performance of the components of the mammographic imaging system: X-ray tube (focal spot size, choice of X-ray spectrum), anti-scatter grid, compression paddle, automatic exposure control and image receptor (screen film, DR and CR systems). Comparison of digital and analog systems for mammography. New developments in mammography: digital breast tomosynthesis and spectral imaging. The NHS Breast Screening Programme - organisation, facts and figures. Quality assurance. Risk/benefit analysis in mammography.


X-ray Computed Tomography

Fundamental principles of x-ray computed tomography.  Reconstruction algorithms.  CT equipment and instrumentation: x-ray tube design, filtration, collimation, x-ray detectors.  Axial and spiral CT, multi-slice CT.  Quality control and performance tests for diagnostic CT.  Radiation safety, room design and optimisation of exposure.  CT artefacts.  Clinical applications of x-ray CT.


Nuclear Medicine

Radionuclide calibrators, sample counters, in-vitro nuclear medicine tests.  Gamma camera components, signal processing and corrections. SPECT imaging, reconstruction and corrections. Clinical applications of single photon scintigraphy. Quality assurance in nuclear medicine. Positron Emission Tomography: principles and equipment. Clinical applications of PET.

Radiopharmacy and molecular imaging: Radionuclides - review of decay modes and production methods.  Preparation of radiopharmaceuticals - Pharmacopoeial requirements.  Overview of radiopharmaceuticals - labelling methodologies.  Diagnostic radiopharmaceuticals - selection of radionuclide, localisation mechanisms, clinical applications, protein and peptide based radiopharmaceuticals.

 

Equipment management

Quality assurance, quality control. Equipment life cycle. PACS monitors. Considerations for phantom design. 

 

Patient dosimetry

Protection of the patient in gamma ray and X-ray imaging in the context of IRR and IRMER.

Guest lecture on a clinician's perspective.

 

Hospital visits

X-ray department: students will tour the department and observe system for planar X-rays and CT.

Nuclear medicine department: students will tour a nuclear medicine department and participate in experiments using gamma cameras and non-imaging equipment.

 

 

 

 

Assessment pattern

Assessment type Unit of assessment Weighting
Coursework Online quiz 30
Examination End of Semester Examination (2 hours) 70

Alternative Assessment

n/a

Assessment Strategy

The assessment strategy is designed to provide students with the opportunity to demonstrate their understanding of both the theory and the practice of the use of ionising radiation for clinical imaging.

Thus, the summative assessment for this module consists of:



  • A coursework assignment, under the form of an online quiz, related to the nuclear medicine visit.


  • 2 hour examination, with three questions to be answered out of five.



 

Formative assessment and feedback

The formative assessment will consist of problems and exam-like questions.
Feedback will be given verbally during classes and the hospital practical. 

 

Module aims

  •  Give students both theoretical foundations and practical experience on the main imaging modalities based on ionising radiation.
  • Provide students with an awareness of the issues in image processing and registration.

Learning outcomes

Attributes Developed
001 Describe and compare the physical principles and key technologies which determine the performance of medical X-ray and gamma ray imaging systems KC
005 Gain an understanding of patient dosimetry and assess the risks involved in each application KCP
002 Describe and compare the physical principles and key technologies of transmission and emission tomography KC
003 Appraise the quality assurance cycle required for diagnostic X-ray and nuclear medicine equipment and to be familiar with test equipment commonly used for the most important measurements undertaken by physicists in an imaging department KPT
004 Describe the properties, production processes and uptake mechanisms of radiopharmaceuticals for diagnostic applications KC

Attributes Developed

C - Cognitive/analytical

K - Subject knowledge

T - Transferable skills

P - Professional/Practical skills

Methods of Teaching / Learning

The learning and teaching strategy is designed to:

provide students with the theoretical foundations of the current imaging modalities as well as knowledge about instrumentations, procedures and regulations.

give students practical experience in calibration and quality assurance in nuclear medicine

 

The learning and teaching methods include:

• Formal lectures and occasional large group tutorial/question sessions (typically in 2-3 hour sessions). Teaching given by handouts and white board presentations and notes.

• Hospital visits (Nuclear medicine + X-ray imaging units).

 

Indicated Lecture Hours (which may also include seminars, tutorials, workshops and other contact time) are approximate and may include in-class tests where one or more of these are an assessment on the module. In-class tests are scheduled/organised separately to taught content and will be published on to student personal timetables, where they apply to taken modules, as soon as they are finalised by central administration. This will usually be after the initial publication of the teaching timetable for the relevant semester.

Reading list

https://readinglists.surrey.ac.uk
Upon accessing the reading list, please search for the module using the module code: PHYM043

Other information

Digital capabilities: during the hospital visits students will have the opportunity to perform image reconstruction using 

Employability: the module will provide students with an understanding of the theoretical and practical working principles of state-of-the-art medical equipment, essential for a future career in healthcare or in research. 

Global and Cultural Capabilities: through a guest clinical lecture, the students will appreciate a different perspective from a physicists', thus gaining an understanding of the broader context in which they will operate as medical physicists.

Sustainability: the module will introduce students to the quality assurance/quality control processes, aimed at appraising the life cycle of biomedical equipment and at optimising its usage and performance.

Programmes this module appears in

Programme Semester Classification Qualifying conditions
Nuclear Science and Applications MSc 2 Compulsory A weighted aggregate mark of 50% is required to pass the module
Nuclear Science and Radiation Protection MSc 2 Compulsory A weighted aggregate mark of 50% is required to pass the module
Physics MSc 2 Optional A weighted aggregate mark of 50% is required to pass the module
Biomedical Engineering MEng 2 Optional A weighted aggregate mark of 50% is required to pass the module
Medical Physics MSc 2 Compulsory A weighted aggregate mark of 50% is required to pass the module

Please note that the information detailed within this record is accurate at the time of publishing and may be subject to change. This record contains information for the most up to date version of the programme / module for the 2024/5 academic year.