Goals:

• Understand Concept of "Incidental Finding" and ACR guidelines for management of common incidental findings, with attention to the rationale for tailoring CT protocols to optimize imaging of common liver, adrenal and renal incidental findings:
  • Management of Incidental Liver Lesions on CT: A White Paper of the ACR Incidental Findings Committee
  • Management of Incidental Adrenal Masses: A White Paper of the ACR Incidental Findings Committee
  • Management of the Incidental Renal Mass on CT: A White Paper of the ACR Incidental Findings Committee
• Familiarize yourself with the contents of the ACR Contrast Policy. Give attention to oral contrast media, administering contrast in the setting of chronic renal insufficiency, end stage renal disease with dialysis, and acute kidney injury (AKI)
• Read the 2 introductory articles on basic technique for performing esophagram and causes of dysphagia:
  • Imaging Tips for Performing a Perfect Barium Swallow
  • Dysphagia Revisited: Common and Unusual Causes

Goals:

• Read about common causes for esophageal perforation and post operative leaks and imaging options for evaluating for leaks.
  • Esophagectomy and Gastric Pull-Through procedures: Surgical techniques, Imaging Features, and Potential Complications
• Know indications for Ivor Lewis vs McKEown esophagectcomy and where and why anastomotic leaks can occur.
  • Ivor Lewis vs Mckeown esophagectomy: analysis of operative outcomes from the ACS NSQIP database
• Understand rationale and technique for evaluating for leak with CT Esophagrams.
  • Postoperative Imaging of Esophageal Cancer: What Chest Radiologists Need to Know
• Know most common contemporary bariatric surgeries (sleeve gastrectomy and Roux and Y) and findings of common complications under fluoroscopy
  • Imaging of bariatric surgery: normal anatomy and postoperative complications
• Know normal postoperative appearance following gastric fundoplication and appearance of common complications under fluoroscopy.
  • Imaging Findings of Successful and Failed Fundoplication
• Understand core principles of radiation safety in fluoroscopy suite.
  • Radiation Protection for the Fluoroscopy Operator and Staff