Computed Tomography Applications II

Course Details

Course Number
Section Number
Spring 2018
Days & Times


Kimberly Onstott (view Profile)

Course Attachments


CT Teaching Manual
Computed Tomography
Seeram 4th ed
Any Current CT Registry Review Book
CT & MRI Pathology: Pocket Atlas (2nd Ed.)
Highly Recommended

Course Objectives

Upon completion of this course, the student will be able to:

  • Demonstrate knowledge of patient care interactions and management in computed tomography
  • Demonstrate a basic knowledge of contrast media used in computed tomography
  • Identify the correct imaging parameters for a computed tomographic examination
  • Explain the rational for particular imaging parameters
  • Describe the result of changes in the imaging parameters
  • Identify pathology related to computed tomography examinations


Course Expectations

Course Overview

Prerequisite(s): RADS 4783

This course is a continuation of the use of computed tomography as an imaging tool from the technologist's perspective. Topics include a review of patient care, contrast media and adverse reactions, and imaging protocols for the chest, abdomen, pelvis, extremities, and special considerations in pediatric imaging and critical care imaging. Access to a CT scanner or instructor consent required.

Independent reading assignments, Internet searches, Video presentations, Desire2Learn (D2L) modules, Module assignments, Discussion threads, Open book module quizzes, Lab assignment, and a Comprehensive exam is used in this course.

Course Requirements

The student must:

  • Have access to CT imaging equipment (access to equipment is the responsibility of the student). Extenuating circumstances may be considered and an equivalent assignment may be allowed at the discretion of the instructor (inform the instructor as soon as possible).
  • Complete reading assignments, watch instructional videos, visit selected internet websites
  • Successfully complete the required online examinations, including a non- proctored comprehensive exam.
  • Complete case studies and other course activities.
  • Participate in asynchronous discussion threads.
  • Perform internet searches.
  • Meet all submission deadlines.

Class Activities and Assignments

Order of content

Since this course is highly interactive between students with much of the learning occurring in the discussion boards, students are required to complete the course content in the order presented in the course by the dates listed in the course schedule.

Semester Long Activities

The Lab Assignment, Scavenger Hunt, Mock Registry Assignment, and parts of the Reflection Assignment should be done throughout the course to avoid a compilation of work at the end of the semester. Reminders will be given in each of the module instructions.

If extenuating circumstances occur that may cause a delay in completing an assignment or quiz by the deadline the student should contact the instructor before the assignment is due (see the section on late work above); such cases will be dealt with onan individual basis.

HIPAA requirement: Do not place ANY patient name on your assignments. Any proper name that appears on an assignment, other than yours will be considered a HIPAA violation and the assignment grade may be dropped to as low as a zero, depending on the severity of the violation.


Introduce yourselves in the introduction discussion board and reply to at least two of your peers by the due date in the course schedule. After your introductions, you may use the discussion as an area to talk with your classmates. Introductions are required, and are part of your participation grade.

Pre-Course Survey 2%

The purpose of this survey is to familiarize you with the layout of this course and to get an idea of where you are in your CT Program progress. This will give you a good idea of what you need to accomplish before attempting the CT registry examination and it will give me some insight of what you may need guidance with throughout this course. After looking over the D2L Course Shell, Module 1 and the Syllabus, complete this Pre-course Survey.

Laboratory Assignment- 20%

Throughout this course, you will be logging clinical experiences you have completed. A total of 20 must be complete by the end of this course, but you may complete as many as you are able. Try to average at least 2 per week. Remember the ARRT requires 125 logged experiences to sit for the registry. For those of you who completed the CT clinical experience log in Principles of CT and/or in CT Applications I, this assignment is a continuation of that assignment. It is highly recommended students complete the clinical experiences as they are taking this course, however, I understand some facilities either do not have a scanner or may not allow a student to obtain these experiences at their facility.

If you are unable to complete these exams an alternative assignment will be assigned to you. You must contact me as soon as possible if your situation does not permit you to complete the clinical experiences at this time.

You may log your experiences using the ARRT website (via the online tool accessible through My ARRT Info account on, or you may use a paper log by using the form provided below. The ARRT is no longer accepting paper logs, so if you use them in this class do not forget to log them on the ARRT website before you apply to sit for your registry examination. I will accept scanned paper logs or screen shots of online logs as proof of your experiences for this class. See Module 1 for specific instructions for this assignment.


The course content is divided by modules. Additional resource material is available through the Internet. Each module requires readings, video presentations, activities, and a quiz. See the Course Schedule at the end of the syllabus for deadlines.

Module 1 -CT Pediatric Imaging

Module 2 -CT Contrast Media Injection Considerations

Module 3 -CT Pathology of the Head, Neck, and Spine

Module 4-Data Acquisition and Image Quality

Module 5 -CT Pathology of the Chest, Abdomen, and Pelvis

Module 6 -CT Pathology of the Musculoskeletal Anatomy, Vascular System, and Other CT Procedures

Module 7 -Research, Review, and Reflections

Module Quizzes -10%

When a student has reviewed a module and is ready for the quiz, he or she will log on to D2L and receive a customized timed module quiz consisting of randomized multiple choice questions. See the course schedule for the due dates for the quizzes.

It is important to know the module content before attempting the module quizzes because they are timed. Quiz questions will be from information learned in the modules. Be sure to read all required reading assignments, watch all video presentations, and perform all of the internet searches for each module. Quiz scores will be available immediately after a student submits his orher quiz for grading.

The quizzes are designed to encourage practice with the material, so you may take each quiz up to 3 times before the due date of each quiz (this does not include the comprehensive exam in Module 6).  The grade will be an average of all attempts. Note: Only one attempt is required so you do not have to complete the quiz 3 times, however, it is highly recommended as it will give you additional practice with the material for your CT registry exam. Quizzes not completed by the due dates, may receive a zero (0). If extenuating circumstances have occurred that will prevent you from meeting the due dates, please let me know as soon as possible.

If students have technical difficulties during a quiz, they should use the Help link at the top toolbar in D2L, contact the MSU Information Systems Support Staff (, and send an email to the course instructor explaining what happened. Screen shots and/or taking a picture of your screen may help in diagnosing the problem

If a student finds a faulty quiz test item or believes that a quiz question has been scored incorrectly, he or she shouldsend an email to the course instructor that includes the following:

  • Module Quiz Number (I -VI)
  • Answer the Student Thinks Should be Correct
  • Rationale Supporting Why the Student's Answer is Correct
  • Page numbers must be included when referencing the textbook in a rationale

After reviewing the case, if the course instructor thinks a revision is justified, the student's quiz score will be revised to reflect the additional points and the test bank will be updated.

Case Studies -20%

After completing your readings and reviews in five of the modules  you will be documenting, researching, and discussing a CT imaging exam surrounding material learned in the perspective modules. These will be abbreviated case studies due to the time constraints of this course. However, these should be meaningful as they will provide a pathway for discussions with your peers. There is a template that must be used for each topic to speed things up a little.

Optimally, each case will be a case describing a CT patient exam that you have personally scanned, however, you may use an exam you have observed or researched if the case aligns with your learning in the module. You must consider HIPAA laws when completing these assignments. Do not include any identifying information. Any case that is so unique that it may be traced back to the actual patient should not be used! HIPAA violations in this course may result in a grade of zero for the assignment.

Specific instructions are included in each module. Each of them is a little different, so be sure to read the requirements thoroughly and follow the templates.


You will be including at least one CT image of the anatomy or pathology scanned, depending on the module. Remember, you must obtain permission from the facility if you will be using an image from the actual scan. Do not do this without permission. Most likely you will have to find an equivalent image available on the internet or in your textbooks.


You may also include a YouTube video link if you find a good explanatory video of the CT pathology. If you are so inclined, you may even create an explanatory video of your own (if you do, and you need help publishing as a private video to YouTube, please let me know).

    Writing Intent

When writing these case studies, please remember two items. 1. You are writing to convey that you understand how to apply the knowledge you have learned, and 2. You are writing to inform your classmates of the techniques they may be able to use if they encounter a similar case which requires them to perform a CT exam. Make sure your information is accurate, supported by evidence if needed (cited in APA format), and of course interesting. If you find disparities in the scanning techniques of studies you observed or researched, or in protocols that were used, please point this out with an explanation of what you think should have been done differently. The intent here is to approach these as learning opportunities, so provide as much support from your learning resources as you can.

You will drop each of these studies into both the appropriate dropbox and in the appropriate discussion board. You will then discuss these with your peers. View the discussion board guidelines for further instructions.

Module 1: CT Pediatric Imaging Case Study

Module 2: CT Contrast Media Case Study

Module 3: CT Pathology Case Study Assignment-CT Pathology of the Head, Neck, and Spine

Module 5: CT Pathology Case Study Assignment-CT Pathology of the Chest, Abdomen, and Pelvis

Module 6: CT Pathology Case Study Assignment- Musculoskeletal Anatomy, Vascular System, and Other CT Applications

Optional: You may complete an additional case study for each of the first five modules for an additional 1% added to your grade for each additional case study. You could earn as much as a 5% increase in your final grade in this course if you completed one for each of the first five modules.

Discussions -18%

There are 7 discussion topics in this course. The first six require an original post and at least two replies to two of your peers. The last discussion topic is a scavenger hunt that will require replies only as needed (see below).

Introductions (original post and 2 replies) -Introduce yourselves in the introduction discussion board and reply to at least two of your peers by the due date in the course schedule. After your introductions, you may use the discussion as an area to talk with your classmates. Introductions are required, and are part of your participation grade.

Case study discussions (original post and 2 replies) -Post a copy of your completed case study to the discussion board. Review and reply to at least two of your classmates' case studies. These replies must contain substantial information that will provide your classmate with something they can use to aid in their scanning techniques in the future. This may be a suggestion or current research about the pathology. Pretend you were in the CT suite helping your classmate with this patient. You can provide suggestions for alternative techniques, such as a protocol or a technique used in another facility, or you can provide a resource, such as a website, an article, or a book. Provide something your classmate can walk away with, and something they can include in their final reflection assignment in the last module of this course. Once someone has replied to your post, please acknowledge them with a short reply and/or further discussion if needed.

Scavenger hunt discussion (original post and reply as needed) -Note, the document for this discussion should be built throughout this course to avoid a last minute crunch at the end of the semester. The purpose of this assignment is to gather as many helpful resources as possible for both CT clinical practice help and for studying for the CT registry examination. Ultimately, you will be creating a working document that you can continue to add to once you leave this course. You will be using the template provided as a guide in your search and it will also help keep things organized. My suggestion is that once you have completed your document, upload it to an online personal account that is accessible to you at any time. Google Docs is great for this, however, there are many more programs available. Use what you are comfortable with.

Once you feel you have a sufficient amount of information on your document share your document in the discussion board. This can be a Word document or Google Docs link (be sure to set your settings so everyone with the link can view). Review your peers' documents, and copy any resources you feel would help you in your future practice and registry exam review. Provide any explanations needed in the discussion area and respond to any discussions if necessary. Your completed document will be included in your final reflection assignment.

Comprehensive Exam- 10%

This exam will cover all of the coursework you have completed in this course. This is essentially your final exam. It is not proctored, is timed, and can only be completed once for a grade. It will only be open during the times and dates in the course schedule.

Exam Format

  • The comprehensive examination is of multiple-choice questions. The exam is a timed, sixty minute (60 min) test.
  • To prepare for this exam, start with a review of your quizzes, then review your textbook readings, and then review your sectional anatomy.
  •  The comprehensive exam will be administered using Desire2Learn (D2L) with NO proctor required

Technical problems

  •  If you are disconnected during your exam, you must immediately send an email to your professor
  •  The exam must be taken within the scheduled test dates, regardless of any technical issues that may arise.  This is the student’s responsibility!
  •  Late submissions will not be accepted.
  •  My suggestion is to take the exam during the first days it is available (listed below) to avoid receiving a zero due to technical issues.  

Portfolio Assignment - 10%

Note, this document should be built throughout this course to avoid a last minute crunch at the end of the semester.

In this assignment, you will compile all of your course assignments, helpful links, research, clinical experiences, and reflections, into one document. This document will then serve as a working portfolio to be able to use for future research, clinical practice, for help in reviewing for your CT registry exam, and it can also be a good way to keep track of your CT clinical experience requirements and completed exams.  Add to this document as needed when you leave this course.

There are several specific components that are required for this portfolio assignment that are located in the instructions for Module 7. Once you complete the assignment, you will submit this assignment to the Portfolio Assignment Dropbox.


Note: All course requirements must be completed before a grade is awarded. Students must complete all course work by the dates published in the course schedule.

All assignments received are considered complete and will be graded as such. Any decision of the instructor is final and there will be no further changes made.


Grading Standards


  • Pre-Course Survey                       =2%
  • Case studies (5)                           =20%
  • Discussions (7)                            =18%
  • Module Quizzes (6)                     = 10%
  • Comprehensive Exam (1)           = 10%
  • Mock Registry Assignment          =10%
  • Lab Assignment (or alternate)    = 20%
  • Reflection Assignment                =10%

Grade Scale

A = 100 - 90

B = 89 - 80

C = 79 - 70

D = 69 - 60

F = 59 and below

Submission Format Policy

Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Late Paper Policy

Due Dates: Most assignments are due on Tuesdays except for the last week of class (see the course schedule). Assignments must be submitted by 23:59 (11:59 pm) Central time, on scheduled due dates in the course schedule.

Emergency Extension: If you have a major event such as a death in the family, illness, hospitalization, or other extenuating circumstances, email the instructor at as soon as possible and on or before the scheduled due date. I will grant extensions on an individual basis. If an extension is granted, typically the following guidelines will be followed.

  1. The assignment may be up to one week late and still qualify for full credit. After the one week extension has passed ten points per day can be deducted until the assignment is no longer worth any credit.
  2. When the assignment is completed, you must send a follow-up email to let the instructor know it is ready to grade. Failure to notify the instructor could lead to a grade of zero.
  3. Avoid End of Course Late Work: Please note there are University deadlines for submitting grades at the end of the semester. All work must be turned in at least a week before grades must be posted.
  4. Since this course relies heavily on interaction between students in the discussion board, if extenuating circumstances will prevent you from participating, an alternate assignment may be considered at the discretion of the instructor.

Plagiarism Policy

Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.

Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, (940) 397-4140.

Safe Zones Statement

The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor

All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Attendance Requirements

This is an online course and there are no mandatory sessions. However, the student should be vigilant in logging in to D2L. Regular checks will ensure that messages from the instructor are received in a timely manner.

Writing Proficiency Requirement

All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed the 6 hours of Communication Core and and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at, or call 397-4131.

Campus Carry

Senate Bill 11 passed by the 84th Texas Legislature allows licensed handgun holders to carry concealed handguns on campus, effective August 1, 2016. Areas excluded from concealed carry are appropriately marked, in accordance with state law. For more information regarding campus carry, please refer to the University’s webpage at

If you have questions or concerns, please contact MSU Chief of Police Patrick Coggins at