NMTCB(CT) study plan
NMTCB(CT) · Give each week a clear focus.
8 weeks · About 6 hours per week
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
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
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)
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
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
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
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
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