Thorax Team - Cardiothoracic Radiology

Methods: conventional chest X-ray, cross-sectional imaging diagnostics

Basic rotation Duration 3-6 months

Learning objectives

General learning objectives

  • Conventional chest X-ray, basic knowledge of cross-sectional imaging diagnostics
  • Fitness for duty

Specific learning objectives

  • Anatomy and relevant physiology of the thorax and heart

  • Pathologies of the thorax and heart such as tumors, inflammation, pulmonary congestion, fracture, pneumothorax, embolism or pleural effusion

  • Checking iatrogenic installations such as tracheal tubes, CVCs, drains, electrodes or pumps

  • Conventional chest radiographs: Indication, setting technique, radiation protection, systematic image analysis, reporting, communication/demonstration of findings to referring physicians, quality assurance

  • Computed tomography of the thorax and heart: post-processing, systematic image analysis, reporting/demonstration of findings to referring physicians, written structured findings

  • Magnetic resonance imaging: basic knowledge of MR technology, indications, contraindications and safety aspects; options for obtaining information and independent further training

Practical activity

  • Conventional thorax imaging: Indication setting, patient positioning and radiation protection (2 hours production of chest images, in consultation with MTR management)

  • Conventional chest radiography: only practice makes perfect

  • Computed tomography: data analysis;

  • Magnetic resonance imaging: indication check, planning, safety aspects, execution, acceptance, patient discussion, data analysis;

  • Learning MRI operation and practical implementation of 5 MRI examinations with support from the MTR (3 days in consultation with MTR and team management)

In-depth rotation Duration 3-12 months

General objectives

  • Attainment of specialist level
  • DRG certifications
  • Fellowship

Specific objectives

  • Deepening the content of the basic rotation
  • Complex pathologies of the thorax such as congenital malformations or interstitial pneumopathies
  • Magnetic resonance imaging of the thorax and heart: Indication, systematic review of contraindications, information, patient preparation, complications associated with contrast media and their treatment, discussion of findings with referring physician, written structured findings
  • Continuous quality control and optimization of processes, e.g. with regard to examination protocols

Practical activity

  • Learning CT-supported biopsy and drainage procedures

  • Diagnosis of conventional diagnostics, sectional images

  • Computed tomography: secondary reconstruction of vessels including coronary arteries. Quantification of stenoses

  • Magnetic resonance tomography: administration of medication, e.g. for drug-induced stress tests, secondary reconstructions, quantification of the heart's pumping function, flow measurements, wall motion analysis.