CT Colonography

Module A — CTC Technique

A 16-week evidence-based training programme in CTC examination technique for Radiographers and Radiologists. Written by national CTC experts, covering everything from first principles to diagnosis, through an award-winning blend of online and in-person training.

Who is it for?

• Radiographers who perform CT colonography
• Radiology Registrars (online only)

What we offer:

• Access your own account on the digital campus hosting all online learning, portfolio material, and information about in-person activities
• Complete 17 CPD-accredited online units and CTC case studies with ongoing virtual support and feedback from experts
• Personally assigned accredited CTC Trainers and Assessors either locally or at regional Centres of Excellence to guide progress
• Additional option to apply for postgraduate credit at participating universities on successful completion of the programme

eLearning modules:

Pre-procedure

• CTC Standards and Guidelines - This unit details how standards and guidelines influence our everyday practice, providing links to the latest relevant research and publications.
• Normal and Post-surgical Colonic Anatomy - This unit explores normal colonic anatomy and how different surgeries can impact CTC quality, technique and risk.
• Physiology - This unit takes a deep dive into each layer of the colon and how it is impacted by elements of CTC such as bowel preparation and insufflation.
• Carcinogenesis - This unit defines different pathways of colorectal carcinogenesis, classification of polyps, and the important role of CTC in polyp detection.
• Indications, Risks and Complications in CTC - This unit covers the indications, contraindications, risks, complications, and escalation policies surrounding normal and complex patients.
• CTC Limitations - This unit covers when CTC may not be the best choice of test, how to avoid inappropriate referrals, and how polyp and patient factors can limit CTC quality.
• Pre- and Post-CTC Patient Information - This unit details the significance of accurate and accessible patient information, providing examples, video demonstrations, and tips on best methods and common pitfalls.

Procedure

• Communicating Benefit and Radiation Risk for CTC - This unit covers the laws and ethics surrounding radiation risk, with tips on how to effectively facilitate informed decisions with patients and carers.
• Patient Safety and Consent - This unit covers legal and ethical aspects of different types of consent, providing case scenarios and and tips to help uphold patient rights during CTC.
• Rectal Tube Insertion and Removal - This unit contains detailed video guidance covering the safe use of rectal tubes, as well as the different standards and guidelines that inform technique.
• Drugs and Contrast Administration - This unit covers the actions and indications of the specific drugs and contrasts administered during CTC as well as specific regulations, policies, and side effects related to their use.
• Patient Positioning - This unit describes and demonstrates the impact of patient positioning during CTC on optimising quality and diagnosing pathologies, including case studies and video guidance on best practice.
• Gas Insufflation - This unit contains detailed video guidance on the use of gas insufflation equipment, covering topics of safety, optimisation of CTC quality and equipment regulations.

Post-procedure

• On-table Review: Navigation - This unit contains interactive guidance and live video demonstrations on how to optimise navigation through the colon during on-table CTC review as well as expert tips and tricks.
• On-table Review: Pathology - This unit provides detailed descriptions, demonstrations and interactive case scenarios to solidify knowledge of cancerous pathology appearance during CTC review, and when to seek same-day staging and guidance.
• Same Day Staging - This unit provides a definition of same day CTC staging, how and when to complete same day staging, and reminders on how to recognise potential malignancy.
• Software Review - This unit provides software terminology definitions and explores the impact of 3D CTC, covering research on advantages and disadvantages, and providing video demonstrations of different CTC software.

For more information please go to https://www.nationalctctrainingprogramme.org/module-a