Central Maine Medical Center

Course Descriptions

NM 100 Orientation

The orientation course will provide the student with an introduction to the department of Nuclear Medicine Technology. The department procedures will be reviewed. The policies and procedures of the School of Nuclear Medicine, including the student handbook, will be given to the student and the student will be held responsible for abiding by the procedures. The student will be given instruction on basic patient care skills and Venipuncture and starting IV’s, which includes both classroom instruction and clinical practice. The student will also be taught basic radiation safety, time, distance and shielding concepts and how they apply to Nuclear Medicine.

NM 110 Fundamentals of Nuclear Medicine

An introduction to the nuclear medicine department will be given with a tour and description of each piece of equipment and the routine exams performed. A review of ALARA and basic radiation safety will be provided with emphasis placed on radiation protection specific to the nuclear medicine department. Routine patient care will be reviewed with competency required. Emergency procedures for the nuclear medicine department will be presented with emphasis on the Code 99 procedure and location of emergency equipment and supplies. A review of the mathematic principles used in nuclear medicine will be provided. A review of computer language with instruction in nuclear medicine computer literacy will also be included. Extra practice with starting IV’s will be provided along with basic EKG.

NM 120 Physics I

Physics I will include a review of the structure of atoms and molecules, electromagnetic forces, mass/energy conversion, ionization, and excitation. A study of radionuclides will include nuclear structure, stabilities, radioactive series, radioactive decay and conversion laws and decay schemes. Radioactivity will be studied in terms of the exponential decay law, calculation of the mass of a radioactive sample, specific activity, half-life, and statistics of radioactive decay. The production of radionuclides will be presented with emphasis on methods of production and principles of a generator. Detection of radiation with gas-filled detectors and scintillation detectors will be presented. In-vitro radiation detection will be studied including well-type detectors and liquid scintillation detectors. In-vivo radiation detection will include a study of uptake probes, bone densitometers, gamma cameras, and interfacing with a computer. The gamma camera will include detail on the collimators, crystal, position determining circuit, and display. The basic principles of PET will also be covered.

NM 130 Principles Of Chemistry and Radiochemistry

This course will cover pH,the pH concept, acids, bases and buffers. It will also cover the principles of dilutions and dilution calculations. It will cover solutions, colloids and types of bonds as well as the periodic table. It will also cover different methods of labeling radiopharmaceuticals.

NM 140 Nuclear Medicine Procedures I

During this course, the student will study all aspects of nuclear imaging related to skeletal, cardiac, respiratory and gastrointestinal, genitourinary and endocrine systems. A review of the anatomy and physiology of these systems will be included. A study of the pathologic conditions imaged in nuclear medicine will be presented. The procedures, protocols, instrumentation and radiopharmaceuticals used in nuclear medicine imaging of these systems will be studied in detail.

NM 150 Clinical Practicum I

Clinical practice is used throughout the semester to acquaint the student with the clinical environment and the nuclear medicine equipment and procedures performed. The student will perform nuclear medicine examinations during all phases of the clinical practicum. At first the students will observe and assist the nuclear medicine technologists. The student must demonstrate competency in performing nuclear medicine imaging as specified. As the student progresses through the practicum and gains experience, supervision will be limited providing the student has passed the appropriate progress checks.

NM 160 Radiobiology I

The radiobiology course will begin with a review of radiobiology including LET, radiation effects on cell components, cellular response, tissue response, total body response and late effects. Biological effect, Equivalent dose and Dose Equivalent will be discussed along with weighting factors and quality factors. Clinical nuclear medicine will be studied in terms of the risks, terminology used, and nuclear medicine specifics such as exposure facts, biological variables, carcinogenesis, and genetic risks, risks to the embryo and fetus, and therapeutic use of radionuclides. Occupational exposure will also be studied with emphasis on the basis for MPD limits.

NM 170 Radiopharmacy I

Radiopharmacy I will consist of a review of the different modes of radioactive decay. It will include a study of radionuclide production, principles of radionuclide generators and types of generators, production of radiopharmaceuticals and quality control of radiopharmaceuticals along with labeling radiopharmaceuticals with different isotopes. Radiopharmaceuticals used in clinical use along with the kit preparation and adverse effects will be reviewed.

NM 180 Nuclear Medicine Procedures II

During this course, the student will study all aspects related to nervous system, infection and tumor imaging and in-vitro procedures in nuclear medicine. A review of the anatomy and physiology of these systems will be included. A study of the pathologic conditions imaged in nuclear medicine will be presented. The procedures, protocols, and radiopharmaceuticals used in nuclear medicine imaging of these systems will be studied in detail. Therapy procedures will be covered to include regulations, purposes of therapy, precautions and procedure for the therapies. A brief overview of PET/CT will be included. Pediatric Imaging and imaging considerations for elderly patients will be focused on in more detail during this course. A review of previous Nuclear Medicine procedures taught will be given.

NM 190 Clinical Practicum II

Clinical practice is used throughout the semester to acquaint the student with the clinical environment and the nuclear medicine equipment and procedures performed. The student will perform nuclear medicine examinations during all phases of the clinical practicum. At first the students will observe and assist the nuclear medicine technologists. The student must demonstrate competency in performing nuclear medicine imaging as specified. As the student progresses through the practicum and gains experience, supervision will be limited providing the student has passed the appropriate progress checks.

CT 100 Multiplanar Anatomy

This cross sectional anatomy course will cover cross sectional anatomy to include the head, neck, chest, abdomen, pelvis, spine and extremities. Axial views of all of these areas with major bones, organs and vascular structures identified will be a part of this course. In addition pathology will be covered as it relates to its presentation on axial images.

CT 110 Patient Care and Radiation Safety in CT scanning

This course will cover the patient preparation instructions that are necessary to perform a CT scan. IV procedures and assessment and monitoring of the patient will be reviewed. In addition the types of contrast, special considerations with the use of contrast and the adverse reactions related to contrast administration will be covered. The technical factors related to radiation safety and ways to minimize the patient dose will be taught. Education on the special circumstances such as pediatric and pregnant patients will also be included.

NM 200 Nuclear Medicine Procedures III

More information on PET, to include oncology, cardiology and neurology will be provided. Acquisition procedures, radiopharmaceuticals, SUV’s and other quantitative data related to PET imaging will also be covered. Information on new research in the field of Nuclear Medicine Technology will be discussed.

CT 120 CT Procedures I

This course in CT procedures will include instruction on positioning the patient, setting up a scout view, setting up the equipment to include slice thickness, pitch, rotation factors and other technical aspects of acquisition set up. When and how contrast is used to acquire the study and what dose will be used will be discussed. The various types of reconstruction for CT images will be taught. In addition special CT procedures such as CTA and biopsies will be included. Reviewing images for technical quality and the assessment of the need for additional views will also be included in this course.

CT 130 CT Physics and Instrumentation I

This course will include the basics of x-ray production, the nature of x-rays and the interaction with matter. The construction of the CT scanner and the evolution from the beginning CT units to modern day units will be discussed. Image processing and display to include reconstruction, data management and review of images to determine quality and recognize artifacts will also be covered. Quality control of the CT scanner will also be included in this course.

NM 210 Clinical Practicum III

Clinical practice is used throughout the course to enhance the student's clinical skills and re-enforce academic material. The student will perform nuclear medicine and CT examinations during all phases of the clinical practicum. Much more emphasis will be placed on Nuclear Medicine than CT at this point in the program. As the student progresses through the practicum and gains experience, more responsibility will be given to the student.

NM 220 Mathematics in Nuclear Medicine I

This course will cover direct and inverse proportions, converting pounds to kilograms, converting between different units of radioactive decay, using logs and natural logs and graphing. It will also cover statistics related to nuclear medicine, calculations related to radiation protection, calculations related to instrumentation and calculations related to Radiopharmacy such as radiopharmaceutical preparation and dispensing of doses. Mathematics related to Nuclear Medicine procedures will be covered and will include ejection fraction calculations, gastroesophageal and gastric emptying calculations, calculations for voiding cystograms, lung quantification calculations, thyroid uptake calculations, Schilling’s calculations and plasma, red cell volume and blood volume calculations.

NM 230 Radiopharmacy II

Radiopharmacy II is a continuation of Radiopharmacy I. This course will cover the design considerations related to a nuclear pharmacy. It will cover radiation dosimetry and radiation regulations and radiation protection. The therapeutic uses of radiopharmaceuticals will be reviewed and an overview of molecular imaging will be given. A review of adverse reactions and altered biodistribution will be given.

Safe handling of radionuclides and biohazard material will be presented. The student will receive instruction and have the opportunity to observe and assist in the hot lab at Pharm Corp.

NM 240 Computer Applications in Nuclear Medicine

This course reviews processing and display of images. It also includes filters used in processing SPECT data. An overview of the four major quantitative cardiac perfusion software packages, as well as Gated acquisition and processing considerations are included in this course. This course will also cover computer networking, DICOM and PACS. Students will need to complete a computer lab as part of this course which will be completed at a clinical site and brought to class.

NM 250 Nuclear Medicine Procedures IV

During this course, the student will study journal articles in the fields of general nuclear medicine and PET and PET/CT. In addition to learning the latest information in the field, students will learn to look at articles critically and point out possible biases in the articles. This course will cover some of the research that is continuing in Nuclear Medicine technology and will include hybrid imaging and molecular imaging. Research methods will be discussed as well as ethics. Information of research ethics will be given. A review of Nuclear Medicine procedures previously covered will be given. There will also be discussion on cultural diversity to include imaging considerations. There will also be discussion of interesting or difficult cases encountered in the clinical setting and the resolution or constructive feedback that was given.

NM 260 Clinical Practicum IV

Clinical practice is used throughout the course to enhance the student's clinical skills and re-enforce academic material. The student will perform nuclear medicine and CT examinations during all phases of the clinical practicum. As the student progresses through the practicum and gains experience, more responsibility will be given to the student.

NM 270 Administrative Procedures

This course will include a description of scheduling and clerical issues specific to nuclear medicine. Quality Assurance procedures will be demonstrated with rationale provided. The budgeting and purchasing procedures will be discussed. Regulating agencies and requirements for compliance will be studied. A discussion of good public relations with rationale will be included. Te managed care environment will also be studied. This course will also provide a brief overview of management styles, types of management and marketing of nuclear medicine. A review of HIPAA and radiation safety requirements will be given. This course will aid in preparing the student to perform administrative functions in the event that they find themselves in an administrative position in the nuclear medicine department.

NM 280 Registry Review

This course will review everything covered in Nuclear Medicine and PET imaging as well as physics and radiopharmacy. In addition there will be several tests and comprehensive exams given during this course to prepare the students for the national registry exams.

NM 290 Clinical Practicum V

Clinical practice is used throughout the course to enhance the student's clinical skills and re-enforce academic material. The student will perform nuclear medicine and CT examinations during all phases of the clinical practicum. Much more focus will be given to CT than Nuclear Medicine at this point in the program. As the student progresses through the practicum and gains experience, more responsibility will be given to the student.


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Ariana Libby







70 Middle Street, Lewiston, Maine 04240 | (207) 795-2840 | admissions@cmhc.org