Con ten ts
01 Multidisciplinary collaboration
02 Patient experience and patient participation
03 Research Imaging Core Center
04 Cerebrovascular anatomy and endovascular treatment
05 PET image processing and quantification
06 Image-guided tumor ablation ‘interventional oncology’ (NOT EXAM MATERIAL)
07 Radiotherapy in breast cancer – imaging
08 Diffusion weighted imaging
09 Imaging in breast cancer
10 Head and Neck cancer
11 Clinical SPECT – Parkinson’s Disease (NOG DOEN)
12 Clinical PET – Dementias and neuro-oncology (NOG DOEN)
13 Image processing MRI – 1
14 Clinical MRI
15 Image processing MRI – 2
16 Machine learning
17 What is atherosclerosis
18 CT coronary angiography – the basics
19 AI in medical image analysis
20 SPIMED-AI
21 Predicting cardiovascular risk
22 The role of flow in coronary stenosis assessment
23 Hamstring injuries
24 Radiology of the ankle
25 Added value of weight-bearing CT
26 Knee prosthesis loosening
27 Image guided RT
28 PET/CT imaging in cervical cancer
29 PET as a non-invasive diagnostic procedure NSCLC
30 Imaging of Upper GI tumors
31 PET imaging in malignant lymphoma
, lecture 01
Multidisciplinar y collabor ation
Medical Imaging 1
Interprofessional Collaboration (IPC)
IPC has various definitions, so clarity is essential when discussing it. Evidence shows
that collaboration in healthcare enhances patient outcomes, satisfaction, and
reduces preventable events like adverse drug reactions.
Key Elements for Effective Collaboration:
- Ambition: Shared goals.
- Process: Organized workflows.
- Organizing: how do we organize working together.
- Relations: Strong team relationships.
- Values: Common values and understanding.
Team Dynamics:
- One team focuses on a single goal (e.g., diagnosis or treatment).
- Clear, shared goals and well-defined roles are crucial.
o E.g. agreements on registration/attendance/time management are essential.
Bovenstroom (Upstream) Concepts:
- Goals, roles, and processes (bovenstroom) should be explicit and supported.
- When these are clear, it leads to tranquility and better group dynamics.
MDTM (Multidisciplinary Team Meetings are the binding of network care.
lecture 02
Patien t exper ien ce and patien t par ticipation
Medical Imaging 1
Improving Patient Experience with Scans
- Communication and Preparation:
o Provide clear explanations in simple language.
o Use visual aids and digital tools to enhance understanding.
o Send appointment reminders and guide patients to the facility.
- At the Time of Investigation:
o Build trust by engaging with patients face-to-face, maintaining a
caring/peaceful environment, etc.
o Encourage feedback and ensure all staff communicate openly.
o Adapt to patient needs, especially when delivering sensitive news.
- Post-Scan Communication:
o Relay results through the referring physician.
o Use standardized reports and infographics for clarity.
, lecture 03
Resear ch Im aging Cor e Cen ter
Medical Imaging 1
Research Imaging Core Center (RICC)
RICC, a core facility at UMC, supports (pre-)clinical imaging research by providing
administrative, logistical, and expert services to assure quality and professionalize
scientific research. All new studies must be submitted to RICC for protocol and
logistics handling.
Data Anonymization:
Imaging data often contains personal information. It's crucial to anonymize or
pseudonymize data to comply with GDPR.
- Anonymization: Removes all identifiable information.
- Pseudonymization: Allows re-identification using separate stored data.
DICOM is the standard format for storing imaging information.
WMO Obligations:
- Imaging studies are WMO plichtig when involving additional data acquisition
beyond patient care, such as extended scanning time or different protocols.
- Non-WMO studies usually involve retrospective research with previously acquired
data
lecture 04
Cer ebr ovascular anatom y and endovascular
tr eatm en t
Medical Imaging 1
Embryological Development and Variations:
- Aortic Arches: The first three aortic arches form connections between the ventral
and dorsal aorta, with the internal and external carotid arteries originating from
this system through regression.
- Midline Fusion: Around 6 weeks gestationally, the left and right systems fuse at
the midline, potentially leading to issues like vertebrobasilar non-fusion.
Circle of Willis:
- Components: Includes the posterior communicating artery (PCOM), anterior
communicating artery (ACOM), internal carotid artery, and others.
- Function: Acts as a roundabout connecting the vertebral and anterior cerebral
arteries.
, o Subclavian artery goes into the carotid artery, which bifurcates into
the external and internal carotid artery. At the base of the
brain, the internal carotid splits into middle cerebral artery
(MCA) and anterior cerebral artery (ACA). The middle
cerebral artery gives of small branches to supply basal
ganglia with blood (striate arteries, around the brain’s
circumference). The anterior cerebral artery runs in between
the hemispheres (interhemispheric fissure). There is a small
connection between the two anterior cerebral arteries called
the ACOM (anterior communicating artery). Coming backwards
of the internal carotid artery, you have the PCOM (posterior
communicating artery), which connects the internal carotid
artery to the posterior cerebral artery (where blood is supplied
by the vertebrobasilar system. Provides the posterior
circulation. The basilar artery (runs in front of the midline of the
pons in the brainstem) is formed by the union of two vertebral
arteries. Around the height of the midbrain, the basilar artery
splits into the posterior cerebral arteries. The superior cerebellar
artery (branch that supplies the cerebellum) are two branches that come of
the basilar artery just before it terminates to divide into the posterior cerebral
arteries.
The A1 segment is the first part of the ACA. The transition between the A1
and A2 segments is where the Anterior Communicating Artery (ACOM) is
located.
The A1 segment cannot fuse with its counterpart on the opposite side,
but the A2 segment can. When the A2 segments from both
hemispheres fuse into a single artery, this is referred to as the azygos
configuration.
Middle cerebral artery has nothing to do with circle of Willis. It is a branch.
If it closes, nothing happens with the circle.
Anterior Circulation:
- Lenticulostriate and Recurrent Artery of Heubner: Small arteries crucial for
cortical spinal connections, with significant impact if occluded.
- Aneurysms: Common at branching points, especially in the ACOM, which can
have asymmetrical configurations.
Coiling and Stent-Assisted Coiling:
- Coiling: Involves placing coils within an aneurysm, sometimes with a balloon to
prevent coil migration (when the neck of the occlusion is bigger). Fill about 25%
of the aneurysm with coils, the rest will thrombose.
- Stent-Assisted Coiling: Uses a stent to guide coils into the aneurysm while
keeping the vessel open. Patients require antiplatelets to prevent clotting, posing
risks if recently hemorrhaged.
01 Multidisciplinary collaboration
02 Patient experience and patient participation
03 Research Imaging Core Center
04 Cerebrovascular anatomy and endovascular treatment
05 PET image processing and quantification
06 Image-guided tumor ablation ‘interventional oncology’ (NOT EXAM MATERIAL)
07 Radiotherapy in breast cancer – imaging
08 Diffusion weighted imaging
09 Imaging in breast cancer
10 Head and Neck cancer
11 Clinical SPECT – Parkinson’s Disease (NOG DOEN)
12 Clinical PET – Dementias and neuro-oncology (NOG DOEN)
13 Image processing MRI – 1
14 Clinical MRI
15 Image processing MRI – 2
16 Machine learning
17 What is atherosclerosis
18 CT coronary angiography – the basics
19 AI in medical image analysis
20 SPIMED-AI
21 Predicting cardiovascular risk
22 The role of flow in coronary stenosis assessment
23 Hamstring injuries
24 Radiology of the ankle
25 Added value of weight-bearing CT
26 Knee prosthesis loosening
27 Image guided RT
28 PET/CT imaging in cervical cancer
29 PET as a non-invasive diagnostic procedure NSCLC
30 Imaging of Upper GI tumors
31 PET imaging in malignant lymphoma
, lecture 01
Multidisciplinar y collabor ation
Medical Imaging 1
Interprofessional Collaboration (IPC)
IPC has various definitions, so clarity is essential when discussing it. Evidence shows
that collaboration in healthcare enhances patient outcomes, satisfaction, and
reduces preventable events like adverse drug reactions.
Key Elements for Effective Collaboration:
- Ambition: Shared goals.
- Process: Organized workflows.
- Organizing: how do we organize working together.
- Relations: Strong team relationships.
- Values: Common values and understanding.
Team Dynamics:
- One team focuses on a single goal (e.g., diagnosis or treatment).
- Clear, shared goals and well-defined roles are crucial.
o E.g. agreements on registration/attendance/time management are essential.
Bovenstroom (Upstream) Concepts:
- Goals, roles, and processes (bovenstroom) should be explicit and supported.
- When these are clear, it leads to tranquility and better group dynamics.
MDTM (Multidisciplinary Team Meetings are the binding of network care.
lecture 02
Patien t exper ien ce and patien t par ticipation
Medical Imaging 1
Improving Patient Experience with Scans
- Communication and Preparation:
o Provide clear explanations in simple language.
o Use visual aids and digital tools to enhance understanding.
o Send appointment reminders and guide patients to the facility.
- At the Time of Investigation:
o Build trust by engaging with patients face-to-face, maintaining a
caring/peaceful environment, etc.
o Encourage feedback and ensure all staff communicate openly.
o Adapt to patient needs, especially when delivering sensitive news.
- Post-Scan Communication:
o Relay results through the referring physician.
o Use standardized reports and infographics for clarity.
, lecture 03
Resear ch Im aging Cor e Cen ter
Medical Imaging 1
Research Imaging Core Center (RICC)
RICC, a core facility at UMC, supports (pre-)clinical imaging research by providing
administrative, logistical, and expert services to assure quality and professionalize
scientific research. All new studies must be submitted to RICC for protocol and
logistics handling.
Data Anonymization:
Imaging data often contains personal information. It's crucial to anonymize or
pseudonymize data to comply with GDPR.
- Anonymization: Removes all identifiable information.
- Pseudonymization: Allows re-identification using separate stored data.
DICOM is the standard format for storing imaging information.
WMO Obligations:
- Imaging studies are WMO plichtig when involving additional data acquisition
beyond patient care, such as extended scanning time or different protocols.
- Non-WMO studies usually involve retrospective research with previously acquired
data
lecture 04
Cer ebr ovascular anatom y and endovascular
tr eatm en t
Medical Imaging 1
Embryological Development and Variations:
- Aortic Arches: The first three aortic arches form connections between the ventral
and dorsal aorta, with the internal and external carotid arteries originating from
this system through regression.
- Midline Fusion: Around 6 weeks gestationally, the left and right systems fuse at
the midline, potentially leading to issues like vertebrobasilar non-fusion.
Circle of Willis:
- Components: Includes the posterior communicating artery (PCOM), anterior
communicating artery (ACOM), internal carotid artery, and others.
- Function: Acts as a roundabout connecting the vertebral and anterior cerebral
arteries.
, o Subclavian artery goes into the carotid artery, which bifurcates into
the external and internal carotid artery. At the base of the
brain, the internal carotid splits into middle cerebral artery
(MCA) and anterior cerebral artery (ACA). The middle
cerebral artery gives of small branches to supply basal
ganglia with blood (striate arteries, around the brain’s
circumference). The anterior cerebral artery runs in between
the hemispheres (interhemispheric fissure). There is a small
connection between the two anterior cerebral arteries called
the ACOM (anterior communicating artery). Coming backwards
of the internal carotid artery, you have the PCOM (posterior
communicating artery), which connects the internal carotid
artery to the posterior cerebral artery (where blood is supplied
by the vertebrobasilar system. Provides the posterior
circulation. The basilar artery (runs in front of the midline of the
pons in the brainstem) is formed by the union of two vertebral
arteries. Around the height of the midbrain, the basilar artery
splits into the posterior cerebral arteries. The superior cerebellar
artery (branch that supplies the cerebellum) are two branches that come of
the basilar artery just before it terminates to divide into the posterior cerebral
arteries.
The A1 segment is the first part of the ACA. The transition between the A1
and A2 segments is where the Anterior Communicating Artery (ACOM) is
located.
The A1 segment cannot fuse with its counterpart on the opposite side,
but the A2 segment can. When the A2 segments from both
hemispheres fuse into a single artery, this is referred to as the azygos
configuration.
Middle cerebral artery has nothing to do with circle of Willis. It is a branch.
If it closes, nothing happens with the circle.
Anterior Circulation:
- Lenticulostriate and Recurrent Artery of Heubner: Small arteries crucial for
cortical spinal connections, with significant impact if occluded.
- Aneurysms: Common at branching points, especially in the ACOM, which can
have asymmetrical configurations.
Coiling and Stent-Assisted Coiling:
- Coiling: Involves placing coils within an aneurysm, sometimes with a balloon to
prevent coil migration (when the neck of the occlusion is bigger). Fill about 25%
of the aneurysm with coils, the rest will thrombose.
- Stent-Assisted Coiling: Uses a stent to guide coils into the aneurysm while
keeping the vessel open. Patients require antiplatelets to prevent clotting, posing
risks if recently hemorrhaged.
