Central Maine Medical Center

Course Descriptions


NM 110: Fundamentals of Nuclear Medicine
Credits 2
Pre or Co-Requisites: NM 120, NM 130, NM 140, NM 150

This course will provide the student with an introduction to the department of Nuclear Medicine Technology. Nuclear Medicine Department procedures will be reviewed. The student will be given instruction on basic patient care skills, EKG, venipuncture and starting IV’s, which includes both classroom instruction and clinical practice. The application of radiation safety in the Nuclear Medicine Department will be presented. Routine patient care will be reviewed with competency required. Emergency procedures for the Nuclear Medicine Department will be presented. The student will review and demonstrate competency in the following content areas to be successful in more advanced courses: Anatomy and Physiology, basic mathematic applications, Chemistry and Basic Computer information. The policies and procedures of the School of Nuclear Medicine Technology, including the student handbook, will be distributed and the student will be held responsible for abiding by the policies.

NM 120: Nuclear Medicine Physics
Credits 2
Pre or Co-Requisites: NM 110, NM 130, NM 140, NM 150

Nuclear Medicine Physics 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. Positron emission tomography (PET) imaging and hybrid imaging equipment with components will also be covered.

NM 130: Radiochemistry and Radiopharmacy
Credits 3
Pre or Co-Requisites: NM 110, NM 120, NM 140, NM 150

This course will cover the structure of the nucleus and radioactive decay. Production of radionuclides and radionuclide generators will be included. Labeling and characteristics of various radiopharmaceuticals to include radiopharmacology and biodistribution will be presented. Quality control of generators, radionuclides and radiopharmaceuticals will be studied. The design consideration of a Nuclear Pharmacy will be presented. Radiation dosimetry, regulations and protection will be covered. The therapeutic uses of radiopharmaceuticals will be studied. The students will receive instruction and have the opportunity to observe in the clinical setting at Pharmalogic of Maine.  Students will demonstrate competency in the simulated hot lab to include eluting the generator, preparing basic radiopharmaceuticals and drawing patient doses from elution vials.


NM 140: Nuclear Medicine Procedures I

Credits 4
Pre or Co-Requisites: NM 110, NM 120, NM 130, NM 150

The student will study all aspects of nuclear imaging related to skeletal, cardiac, respiratory, gastrointestinal, genitourinary, endocrine, nervous, and hematopoietic systems as well as therapy procedures, oncology imaging and infection imaging procedures. The procedures, protocols, instrumentation and radiopharmaceuticals used in nuclear medicine imaging of these systems will be studied in detail. Pathologic conditions imaged in Nuclear Medicine will be presented. In addition, the basics of PET imaging and hybrid imaging will be studied.

NM 150: Clinical Practicum I
Credits 4
Pre or Co-Requisites: NM 110, NM 120, NM 130, NM 140

Clinical practice is used throughout the course 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 outlined in the clinical guidelines. As the student progresses through the practicum and gains experience, supervision will be limited as outlined in the handbook providing the student has passed the appropriate progress checks.

NM 160: Radiobiology
Credits 1
Pre-Requisites: NM 110, NM 120, NM 130, NM 140, NM 150
Co-Requisites: NM 170, NM 180, NM 190, NM 210

Radiobiology will begin with a review of radiobiology including linear energy transfer, 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 maximum permissible dose limits.

NM 170: Nuclear Medicine Procedures II

Credits 2
Pre-Requisites: NM 110, NM 120, NM 130, NM 140, NM 150
Co-Requisites: NM 160, NM 180, NM 190, NM 210

This course is a continuation of Nuclear Medicine Procedures I. More information on positron emission tomography (PET) imaging to include oncology, neurology and cardiology PET imaging will be provided. Acquisition procedures, radiopharmaceuticals, standard uptake values 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. Hybrid imaging techniques will be discussed to include PET/CT. Pediatric imaging and imaging considerations for elderly patients will be covered in detail during this course. Students will be writing papers in APA format and presenting information on pathologic conditions related to Nuclear Medicine Technology and procedures in the field of Nuclear Medicine, PET and Molecular Imaging. Students will also complete pathology case reviews related to Nuclear Medicine Technology.

NM 180: Introduction to Research Methods

Credits 3
Pre-Requisites: NM 110, NM 120, NM 130, NM 140, NM 150
Co-Requisites: NM 160, NM 170, NM 190, NM 210

This course will cover the basic types of research, research methods and the components of a research study. The course will include conducting a literature search, refining the research problem to be studied and methods of conducting the research. Data analysis techniques will be covered as well as reading and evaluating research articles. Ethical and legal principles of research will be covered as well as information on writing research reports for publication in a clear and concise way. Biostatistics and computer analysis techniques will be included. Important considerations in conducting clinical research will be incorporated. In addition, avoiding bias and statistical errors in research will be covered.

NM 190: Clinical Practicum II
Credits 4
Pre-Requisites: NM 110, NM 120, NM 130, NM 140, NM 150
Co-Requisites: NM 160, NM 170, NM 180, NM 210

Clinical practice is used throughout the course 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 outlined in the clinical guidelines. As the student progresses through the practicum and gains experience, supervision will be limited as outlined in the handbook, providing the student has passed the appropriate progress checks. This clinical practicum is performed in the diagnostic nuclear medicine department as well as in the PET/CT department.


NM 210: Mathematics and Statistics for Nuclear Medicine
Credits 2
Pre-Requisites: NM 110, NM 120, NM 130, NM 140, NM 150
Co-Requisites: NM 160, NM 170, NM 180, NM 190

This course will cover statistics used in Nuclear Medicine Technology and the healthcare field. Mathematics related to radiation protection, radiopharmaceutical preparation and radionuclide decay will be included. Calculations related to ensuring proper equipment accuracy, precision and set up will be covered. Calculations related to clinical procedures will also be covered. Statistical applications related to equipment precision will be included. In addition, statistics related to clinical data collection and research will be covered.

CT 100: Multiplanar Anatomy
Credits 3
Pre-Requisites: BIO 111, BIO 112

This 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
Credits 2
Pre-Requisites: BIO 111, BIO 112
Co-Requisites: CT 100

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
Credits 2
Pre-Requisites: NM 160, NM 170, NM 180, NM 190, NM 210
Co-Requisites: CT 100, CT 110, NM 205, NM 220

Information on new research in the field of Nuclear Medicine Technology will be discussed. Molecular imaging and advances in Nuclear Medicine Technology procedures will be covered. Students will be writing papers in APA format and presenting the information as well as completing pathology case reviews related to Nuclear Medicine Technology or PET imaging. A discussion of cultural diversity to include imaging considerations will be included. Problem solving of interesting and difficult cases encountered in the clinical setting will be included with resolutions and constructive feedback given. Ethical and legal issues related to patient care will be reviewed.

NM 205: Clinical Practicum III
Credits 4
Pre-Requisites: NM 160, NM 170, NM 180, NM 190, NM 210
Co-Requisites: CT 100, CT 110, NM 200, NM 220

NM 205 is a continuation of NM 190.  Clinical practice is used throughout the course 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 outlined in the clinical guidelines. As the student progresses through the practicum and gains experience, supervision will be limited as outlined in the handbook, providing the student has passed the appropriate progress checks. This clinical practicum is performed in the diagnostic nuclear medicine department as well as in the PET/CT department. 

NM 220: Radiopharmacy and Pharmacology II
Credits 3
Pre-Requisites: NM 160, NM 170, NM 180, NM 190, NM 210
Co-Requisites: CT 100, CT 110, NM 200, NM 205

This course will include adverse reactions and altered biodistribution of radiopharmaceuticals. An overview of the principles of molecular imaging including various probes used and radiopharmaceutical design will be discussed. This course will include the production of PET radionuclides and radiopharmaceuticals. Regulations and specific uses of PET radiopharmaceuticals will also be included. Pharmacology of various radiopharmaceuticals and pharmaceuticals will be covered including the adverse reactions. The generators used in PET imaging, their characteristics and quality control will be studied.  Students will demonstrate competency in the simulated hot lab to include eluting the generator, preparing more complex radiopharmaceuticals and drawing patient doses from elution vials. Students will demonstrate the ability to account for decay and pediatric populations when drawing patient doses.

CT 120: CT Procedures
Credits 3
Pre-Requisites: CT 100, CT 110
Co-Requisites: CT 130, CT 200

This course in CT procedures will include instruction onpositioning 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

Credits 2
Pre-Requisites: CT 100, CT 110
Co-Requisites: CT 120, CT 200

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 230: Nuclear Medicine Procedures IV
Credits 3
Pre-Requisites: CT 100, CT 110, NM 200, NM 205, NM 220
Co-Requisites: CT 120, CT 130, CT 200, NM 240, NM 250, NM 260

Scheduling and clerical issues specific to nuclear medicine will be reviewed. 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. The 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 cover an overview of emerging technologies, such as optical imaging and bioluminescence. In addition, factors affecting the future of healthcare will be reviewed. The course will include information about the changing healthcare environment. This course will also review ethical and legal considerations for Nuclear Medicine Technologists.

NM 240: Computers and Medical Informatics
Credits 2
Pre-Requisites: CT 100, CT 110, NM 200, NM 205, NM 220
Co-Requisites: CT 120, CT 130, CT 200, NM 230, NM 250, NM 260

This course reviews processing and display of images including filters used in processing single photon emission computed tomography (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. Data processing programs used will also be covered. Computers used in the hot lab and pharmacy will also be included. This course will also cover computer networking, digital imaging and communications in medicine (DICOM) and picture archiving and communications systems (PACS). Additionally included will be the health insurance and portability act (HIPAA) and other legal issues related to medical informatics, charting and documenting patient information. Students will complete a computer lab as part of this course which will be completed at a clinical site.

NM 270 NM/CT Clinical Practicum IV
Credits 5
Pre-Requisites: CT 100, CT 110, NM 200, NM 205, NM 220
Co-Requisites: CT 120, CT 130, NM 230, NM 240, NM 250, NM 260

NM 270 is a continuation of NM 205.  This course is a combination of CT and NM clinical practice for the Nuclear Medicine Technology student. Clinical practicum will be used to acquaint students with the clinical environment and the Computed Tomography equipment in that environment. In all phases of the practicum students will perform CT examinations. At first, these examinations will be performed under direct supervision. As the students progress through the practicum and gain experience, supervision will be limited providing the student has passed the appropriate progress checks. Students will begin to observe, and then perform the variety and volume of studies required to apply to take the ARRT CT certification examination. All the studies required to take the ARRT CT certification exam and the appropriate number of clinical hours as outlined in the syllabus must be completed to successfully complete this course. Students having remaining nuclear medicine competencies to complete, must complete them in this semester. Students will gain additional practice throughout the course to enhance the student’s clinical skills and reinforce academic material in nuclear medicine and PET procedures. The student will perform the final competencies required to graduate from the Nuclear Medicine program. Students will gain efficiency in functioning as a part of the Nuclear

Medicine department while being supervised as outlined in the student handbook.


NM 275 Clinical Practicum IV-a (for CT certified technologists)

NM 275 is a continuation of NM 205 for nuclear medicine students who are already nationally certified in computed tomography. This course includes 90 clinical hours in nuclear medicine and PET/CT. Students having remaining nuclear medicine competencies to complete, must complete them in this semester. Students will gain additional practice throughout the course to enhance the student’s clinical skills and reinforce academic material in nuclear medicine and PET procedures. The student will perform the final competencies required to graduate from the Nuclear Medicine program. Students will gain efficiency in functioning as a part of the Nuclear
Medicine department while being supervised as outlined in the student handbook.


NM 260: Registry Review
Credits 1
Pre-Requisites: CT 100, CT 110, NM 200, NM 205, NM 220
Co-Requisites: CT 120, CT 130, CT 200, NM 230, NM 240, NM 250

This course will review content 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.


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2014 - 2015

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