Neuroradiology and Interventional Radiology: Techniques

A.Y. 2020/2021
5
Max ECTS
50
Overall hours
SSD
MED/36 MED/37 MED/41 MED/50
Language
Italian
Learning objectives
The course intends to provide the student with:
- technical interventional methods in breast and angiography
- knowledge of diagnostic techniques applied in neuroradiology.
Expected learning outcomes
- To provide the essential elements for the methodological approach and the technical parameters of the CT and MRI exams in the main pathologies of the central nervous system according to the image quality
- acquire knowledge of normal neuroradiological anatomy and of the main pathological conditions
- acquire knowledge of the study protocols of the main pathological conditions.
Course syllabus and organization

Single session

Responsible
Didactic methods.
Half of the students, according to pre-established shifts, will participate from time to time in face-to-face lessons in classrooms suitably equipped for the Covid emergency, where safety conditions allow it.
Furthermore, to allow them to be used both in synchronous and asynchronous mode for students not present in the classroom, the lessons will be held simultaneously on the Microsoft Teams platform and can be followed both in synchrony on the basis of the first semester and in asynchronous mode, because they will be registered and left on the same platform available to students not present in the classroom.
Lessons may also include pre-recorded materials.
If the situation worsens, the lessons will be delivered through the Microsoft Teams platform and can be followed both in synchronous according to the scheduled time and asynchronously, because they are recorded through the same platform.

Program and reference material.
The program and reference material will not change. The teaching material (slides displayed during the lectures) will be available on the Ariel platform dedicated to teaching.

Methods for verifying learning and evaluation criteria.
The exam will take place in writing in the presence or in the event of an aggravation of the pandemic, with the moodle + seb + webconference modality to be activated in collaboration with the Center for educational innovation and multimedia technologies of the University of Milan.
Prerequisites for admission
In-depth knowledge of the contents of the course "Morphological and functional Basis of Life".
Assessment methods and Criteria
Written exam with 30 quizzes (with 3 or 4 answer options). Each exact answer will be assigned 1 point. There are no penalties for unanswered or incorrect answers. The test can also be taken twice in the same session.
The final exam aims to assess the achievement of the set educational objectives.
The booking on the UNIMIA portal, within the dates established for each appeal, is mandatory for the examination.
Invasive radiography imaging
Course syllabus
Interventional vascular radiology.
Angiography with MRI.
Interventional ultrasound.
Teaching methods
The course is divided into a series of lectures with slide shows in Power Point. The lectures slides are uploaded to the Ariel website.
Teaching Resources
DONDELINGER: Interventional Radiology - 1990
Neuroradiology
Course syllabus
What is Neuroradiology: a brief history, what it does, where it is needed.
Anatomy of CNS 1: definitions, anatomy of the brain with Computed Tomography.
Anatomy of CNS 2: anatomy through Magnetic Resonance.
Anatomy of CNS 3: anatomy of intracranial vessels, cranial nerves, spine and marrow.
Introduction to advanced techniques in MRI and their use in clinical practice, introduction to post processing.
Neurological Assistive Diagnostic Therapeutic Protocols: practical examples; stroke, multiple sclerosis, degenerative diseases.
Teaching methods
The course is divided into a series of lectures with slide shows in Power Point. The lectures slides are uploaded to the Ariel website.
Teaching Resources
VANZULLI, TORRICELLI, RAIMONDI: Manuale di RM per TSRM - Poletto editore, 2018 (2a edizione)
COLOSIMO: Neuroradiologia - Edra Masson editore, 2013
Emergencies in radiology and first aid
Course syllabus
Notions of anatomy, physiology and pathophysiology of the circulatory system.
The heart and the large vessels: functional anatomy.
Concepts of hemodynamics: cardiac contractility, volume and vascular tone.
Cardiovascular monitoring.
Notions of anatomy, physiology and pathophysiology of the respiratory system.
The airway respiratory tract structure, innervation and relationships, with particular reference to the possible anatomical and functional causes of obstruction.
The lung and the chest wall. Structure and functional interactions.
Ventilation and oxygenation.
Respiratory monitoring and outline of physiopathology.
Anesthesiological pharmacology.
Local anesthetics.
Hypnotic drugs and general anesthetics.
Major analgesics.
Minor analgesics.
Teaching methods
The course is divided into a series of lectures with slide shows in Power Point. The lectures slides are uploaded to the Ariel website.
Teaching Resources
COEN, ANDREONI, CHIARA, VESCONI: Diagnosi e trattamento delle emergenze medico-chirurgico - Elsevier, 2009
Invasive and haemodynamic techniques
Course syllabus
Outline of interventional radiology equipment; radiation protection in interventional radiology: materials.
Iodinated contrast medium: side effects. Patient preparation and positioning. Patient safety.
Survey technique and interventional technique body.
Neurological technique of investigation and interventional technique.
Digital angiography: technique, interventionist, indications and execution according to the districts.
Teaching methods
The course is divided into a series of lectures with slide shows in Power Point. The lectures slides are uploaded to the Ariel website.
Teaching Resources
MAGLIONE, NIOLA: Manuale di radiologia interventistica per TT.SS.RR.MM - Idelson-Gnocchi, 2001 (ISBN 8879473433, 9788879473439, 162 pagine)
SIMONETTI, GANDINI: Diagnostica per immagini e radiologia interventistica del cuore e del sistema arterioso - Idelson-Gnocchi, 2003 (ISBN 8879473530, 9788879473538, 236 pagine)
Neuro-radiology techniques
Course syllabus
Diagnostic and interventional cerebral angiography: technique, intra- and extra-cranial vascular anatomy.
Intravascular procedures: carotid stenting, intra-arterial thrombolysis, thrombectomy, aneurysm occlusion (coils and flow diversion stents).
Endovascular embolization treatment in the arteriovenous malformations, cavernous carotid fistulas, dural arteriovenous fistulas, epistaxis: ONYX, GLUBRAN, Particles.
Diagnostic and interventional medullary angiography.
Magnetic Resonance in neuroradiology: main sequences used
MRI study of the brain, orbits, facial massif, pituitary gland, cranial nerves, petrous rock, temporal lobe: sequences used, orientation of the reference planes.
MRI study of the spine and spinal cord: main sequences used, orientation of the reference planes
Magnetic Resonance Angiography: TOF technique, Phase Contrast, MRI Angiography Contrast Enhancement
Magnetic Susceptibility Imaging: SWI single-echo and multi-echo technique
Advanced MRI Techniques: DWI, DTI and tractography, MRI Perfusion (DSC technique), Spectroscopy (Single-Voxel and Multi-Voxel technique), references to fMRI.
Teaching methods
The course is divided into a series of lectures with slide shows in Power Point. The lectures slides are uploaded to the Ariel website.
Teaching Resources
GIANNI BORIS BRADAC: Cerebral Angiography. Normal anatomy and vascular pathology - Edizioni Springer
KIERAN MURPHY, FERGUS ROBERTSON (a cura di): Interventional Neuroradiology - Edizioni Springer
JAMES C. CARR, TIMOTHY J. CARROLL: Magnetic Resonance Angiography - Edizioni Springer
PETER B. BARKER, XAVIER GOLAY, GREG ZAHARCHUK: Clinical Perfusion MRI - Edizioni Cambridge
SUSUMU MORI: Introduction to Diffusion Tensor Imaging - Edizioni Elsevier
MARIO CORIASCO, OSVALDO RAMPADO, GIANNI BORIS BRADAC: Elementi di Risonanza Magnetica. Dal protone alle sequenze per le principali applicazioni diagnostiche - Edizioni Springer
A.L. BAERT, M. KNAUTH, K. SARTOR: Spinal imaging. Diagnostic Imaging of the spine and spinal cord - Edizioni Springer
E. MARK HAACKE, JÜRGEN R. REICHENBACH: Susceptibility Weighted Imaging in MRI. Basic concepts and clinical application - Edizioni Wiley-Blackwell
Emergencies in radiology and first aid
MED/41 - ANAESTHESIOLOGY - University credits: 1
Lessons: 10 hours
Professor: Zanella Alberto
Invasive and haemodynamic techniques
MED/50 - APPLIED MEDICAL TECHNOLOGY AND METHODOLOGY - University credits: 1
Lessons: 10 hours
Invasive radiography imaging
MED/36 - IMAGING AND RADIOTHERAPY - University credits: 1
Lessons: 10 hours
Neuro-radiology techniques
MED/50 - APPLIED MEDICAL TECHNOLOGY AND METHODOLOGY - University credits: 1
Lessons: 10 hours
Neuroradiology
MED/37 - NEURORADIOLOGY - University credits: 1
Lessons: 10 hours