NMTCB(CT) study materials
NMTCB(CT) study resources

NMTCB(CT) study plan

NMTCB(CT) · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Patient Care, Safety, and Radiopharmaceutical/Contrast Considerations

  • Classify iodinated contrast agents by osmolality and ionic/nonionic character, and match each class to its typical clinical use

  • Identify patient risk factors that trigger a pre-contrast screening hold (renal impairment, prior reaction, asthma, thyroid disease, metformin use)

  • Describe the step-by-step management of a contrast reaction by severity level and of an IV extravasation

  • Differentiate indications for oral, IV, and rectal contrast in abdominal and pelvic protocols

  • Explain patient-education and consent points before contrast administration

Your checkpoint

A one-page contrast decision flowchart covering agent selection, screening holds, reaction tiers, and extravasation steps, plus a 25-question self-quiz scored at 80% or better with every miss annotated

Week 2

Patient Care, Safety, and Radiopharmaceutical/Contrast Considerations & Radiation Protection and Dose Optimization

  • Apply a patient-screening checklist to pregnancy, lactation, renal function, and pediatric cases and state the appropriate modification for each

  • Define CTDIvol, DLP, SSDE, and effective dose and explain how each is derived and where each is displayed on the scanner console

  • Calculate effective dose from DLP using published conversion factors for at least three body regions

  • List dose-reduction strategies tied to tube current modulation, kV selection, pitch, and reconstruction algorithm choice

  • State occupational and public dose limits and the ALARA/ALADA principles that govern them

Your checkpoint

A dose-calculation worksheet with 10 worked cases (DLP to effective dose, SSDE estimation, comparison of two protocols) showing all units, plus a written justification of which protocol is lower dose

Week 3

Radiation Protection and Dose Optimization & CT Imaging Procedures and Cross-Sectional Anatomy

  • Compare how mA, kVp, pitch, rotation time, and collimation each change patient dose and image noise

  • Explain gantry shielding, scatter, and technologist positioning practices that reduce occupational exposure

  • Label major abdominal and pelvic structures (liver segments, kidneys, bowel, vasculature) on axial, coronal, and sagittal reformats

  • Trace the path of a contrast bolus through arterial and venous phases and match each phase to the anatomy it opacifies

Your checkpoint

A timed 30-question mixed block across Domains 2 and 3 scored at 75% or better, with an error log classifying each miss by domain and root cause (knowledge gap vs. misread)

Week 4

CT Imaging Procedures and Cross-Sectional Anatomy

  • Identify thoracic anatomy on axial CT, including mediastinal compartments, great vessels, and hilar structures

  • Describe standard protocol design for routine chest, abdomen/pelvis, and CTA studies, including timing, coverage, and reconstruction thickness

  • Differentiate indications for multiphase liver, renal mass, and pulmonary embolism protocols

  • Recognize the appearance of common pathologies (effusion, mass, dissection, obstruction) at a screening level sufficient to answer anatomy-and-pathology items

Your checkpoint

An anatomy self-test of 40 labeled structures across neuro, chest, and abdomen scored at 85% or better, with a re-test of missed items completed one week later

Week 5

CT Imaging Procedures and Cross-Sectional Anatomy & Image Production, Instrumentation, and Quality Assurance

  • Describe the function of the tube, detector array, slip ring, and gantry in acquiring a helical dataset

  • Relate pitch, collimation, and reconstruction interval to slice sensitivity profile and z-axis resolution

  • Explain Hounsfield unit calibration and how window width and level change displayed contrast

  • Compare filtered back projection with iterative and model-based reconstruction in terms of noise, dose, and image texture

Your checkpoint

A written explainer of one scan parameter set (kVp, mAs, pitch, collimation, kernel) at two dose levels, predicting the resulting noise and resolution changes, verified against a case set of 15 images

Week 6

CT Imaging Procedures and Cross-Sectional Anatomy & Image Production, Instrumentation, and Quality Assurance

  • Differentiate beam-hardening, photon-starvation, motion, metal, and ring artifacts and state one correction for each

  • Describe MPR, MIP, and volume-rendered post-processing and select the appropriate one for a given clinical question

  • Explain how automatic exposure control adapts tube current across the z-axis and angularly, and its interaction with pitch

  • Identify the anatomy tested most often in neuro and musculoskeletal cross-sections (sinuses, orbits, spine levels, joints)

Your checkpoint

An artifact-and-post-processing matrix covering 8 artifact types with cause, appearance, and mitigation, plus 20 correctly identified neuro/MSK structures

Week 7

Image Production, Instrumentation, and Quality Assurance

  • Describe the components and tolerances of a CT quality-assurance program: CT number accuracy, uniformity, noise, spatial resolution, slice thickness, and laser alignment

  • Explain the purpose of the dosimetry phantom and how to interpret a CTDI measurement

  • Sequence the daily, weekly, monthly, and annual QA tasks and state what triggers a service call

  • Evaluate an out-of-tolerance QA result and propose the corrective action

Your checkpoint

A completed mock QA log for one scanner with all tests, measured values, pass/fail against stated tolerances, and a written corrective-action note for one simulated failure

Week 8

Patient Care, Safety, and Radiopharmaceutical/Contrast Considerations & Radiation Protection and Dose Optimization & CT Imaging Procedures and Cross-Sectional Anatomy & Image Production, Instrumentation, and Quality Assurance

  • Integrate all four domains in a full-length timed practice examination under test conditions

  • Re-teach the five weakest topics identified by the practice exam using original summary sheets

  • Recite the dose metrics, limits, contrast thresholds, and QA tolerances from memory without notes

  • Build a one-page pre-exam recall sheet of numbers, formulas, and decision rules

Your checkpoint

A full-length timed practice exam scored at 80% or better, plus a one-page recall sheet and a dated list of remaining weak areas with a re-study plan for the final 72 hours

Milestones

Week 3: Score 75% or better on the Domain 2/3 mixed block and show a complete error log; if below 75%, repeat Weeks 1-2 dose and safety drills before advancing

Week 4: Achieve 85% or better on the 40-structure anatomy self-test, with missed items re-tested in Week 5

Week 6: Correctly match cause, appearance, and mitigation for at least 7 of 8 artifact types without notes

Week 7: Complete the mock QA log with all tolerances stated from memory and a defensible corrective action for the simulated failure

Week 8: Score 80% or better on the full-length timed practice exam with no domain below 70%; schedule the exam only after this threshold is met