OMSB Diagnostic Radiology (OEDR) study plan
OMSB Diagnostic Radiology (OEDR) · Give each week a clear focus.
8 weeks · About 8 hours per week
Neuroradiology (Brain, Head and Neck, Spine) & Physics, Instrumentation and Radiation Safety
Map the OMSB OEDR blueprint to a personal checklist, tagging each neuroradiology and physics topic as known, shaky, or unknown
Derive the CT Hounsfield unit scale and window/level effects from first principles and calculate window width/level for brain, bone, and soft-tissue settings
Explain MRI T1, T2, FLAIR, DWI, and ADC signal behavior for acute infarct, edema, and hemorrhage, and state which sequence best detects each
Review CT and MRI dose metrics (CTDIvol, DLP, SSDE, SAR) and state one practical protocol adjustment that lowers dose without losing diagnostic quality
Interpret 15 brain CT cases covering stroke, hemorrhage, mass effect, and herniation, writing a one-line finding and diagnosis for each
Your checkpoint
A 20-row neuroradiology/physics error log with the missed concept, correct principle, and a corrected one-sentence explanation for each row
Neuroradiology (Brain, Head and Neck, Spine) & Physics, Instrumentation and Radiation Safety
Differentiate extra-axial from intra-axial lesions using dural displacement, CSF cleft, and gray-white junction signs on 10 cases
Classify head and neck masses by compartment (parapharyngeal, masticator, carotid, retropharyngeal) and list the key differential for each
Describe the degenerative, infectious, and neoplastic spine patterns on MRI and state which findings mandate urgent communication
Apply MRI safety screening rules: implant categories, gadolinium contraindications, and pregnancy considerations
Explain radiographic artifacts (beam hardening, partial volume, aliasing, motion) and identify them on provided case descriptions
Your checkpoint
A completed 25-question self-test on brain, head and neck, and spine imaging with a written rationale for every wrong answer
Gastrointestinal and Abdominal Imaging & Genitourinary and Pelvic Imaging
Build a systematic search pattern for abdominal CT covering liver, biliary tree, pancreas, spleen, adrenals, kidneys, bowel, and peritoneum
Distinguish the common focal liver lesions (hemangioma, FNH, adenoma, HCC, metastasis) by multiphasic enhancement pattern
Outline the acute abdomen pathways for appendicitis, cholecystitis, diverticulitis, and bowel obstruction, including the preferred modality and key signs
Interpret renal and pelvic imaging: hydronephrosis grading, renal mass characterization, and adnexal lesion risk stratification
Explain when to choose ultrasound, CT, or MRI for abdominal and pelvic indications, factoring in radiation and contrast risk
Your checkpoint
A one-page abdominal/pelvic search-pattern card plus 20 annotated case vignettes with the leading diagnosis and the single most discriminating finding
Gastrointestinal and Abdominal Imaging & Genitourinary and Pelvic Imaging & Contrast Agents, Patient Safety and Quality Improvement
Compare iodinated contrast and gadolinium agents by osmolality, concentration, and excretion route, and select the right agent for renal impairment
Apply contrast premedication, renal function thresholds, and metformin/thyroid precautions to clinical scenarios
Recognize and manage contrast reactions by severity, including the first-line drugs and doses for anaphylaxis
Describe quality-improvement methods (audit, PDSA, root-cause analysis) and apply one to a radiology reporting or workflow problem
Review radiation protection principles (ALARA, shielding, dose reference levels) and calculate effective dose for a common CT examination
Your checkpoint
A contrast-safety and QI one-pager with a decision table for renal impairment, reaction management steps, and one worked effective-dose calculation
Thoracic Imaging & Cardiovascular Imaging
Develop a structured reading approach for chest radiographs and CT, and apply it to 20 cases of consolidation, effusion, pneumothorax, and mediastinal widening
Classify interstitial lung disease patterns (UIP, NSIP, organizing pneumonia, hypersensitivity) and match each to typical CT findings
Stage lung cancer using TNM principles and identify the key CT features that change management
Interpret coronary CTA, cardiac MRI, and CT pulmonary angiography for stenosis, pulmonary embolism, and cardiomyopathy, including when each test is indicated
Explain aortic dissection, aneurysm, and intramural hematoma on CT angiography and state the urgent findings to report
Your checkpoint
A thoracic/cardiovascular case portfolio of 15 cases, each with a structured report line (findings, impression, recommendation) and a self-grade against a model answer
Musculoskeletal Imaging & Breast Imaging
Apply a systematic approach to bone and joint radiographs, including fracture description, alignment, and joint-space assessment
Differentiate benign from aggressive bone lesions using margin, matrix, periosteal reaction, and soft-tissue components
Describe the MRI patterns of ligament, meniscal, rotator cuff, and tendon injury and state the most sensitive sequence for each
Explain BI-RADS categories, mammographic density, and the workup pathway for a screen-detected abnormality
Compare mammography, tomosynthesis, ultrasound, and MRI for breast screening and diagnosis, including their limitations
Your checkpoint
A musculoskeletal and breast rapid-review sheet covering 10 fracture/lesion descriptors and the full BI-RADS category table with management for each
Pediatric Radiology & Nuclear Medicine and Molecular Imaging
Adapt imaging choices to pediatric patients: modality selection, sedation avoidance, and radiation-sparing strategies
Recognize pediatric-specific patterns such as intussusception, pyloric stenosis, malrotation, and non-accidental trauma
Explain radiopharmaceuticals, biodistribution, and common artifacts for bone scan, PET/CT, V/Q, and thyroid imaging
Interpret PET/CT staging and response patterns for common cancers and distinguish physiologic from pathologic uptake
Apply radiation dosimetry concepts in nuclear medicine and compare risk communication for pediatric and adult studies
Your checkpoint
A pediatric/nuclear medicine comparison table of 12 examinations with indication, dose category, and key interpretation pitfall for each
Interventional Radiology and Vascular Procedures & Contrast Agents, Patient Safety and Quality Improvement
Outline indications, contraindications, and complications for image-guided biopsy, drainage, angiography, embolization, and venous access
Describe pre-procedure coagulation and medication thresholds and post-procedure monitoring for common IR procedures
Explain radiation safety for the operator and patient during fluoroscopically guided procedures, including dose-reduction techniques
Integrate patient-safety and QI principles into an IR or contrast-related adverse event scenario and propose system fixes
Complete a timed 60-question mixed mock examination across all 12 domains and review every error
Your checkpoint
A timed mock-exam score report with a domain-by-domain accuracy breakdown and a prioritized list of the five weakest topics to revisit
Milestones
Week 2: Score at least 70% on a 25-question neuroradiology/physics self-test and explain every missed item in writing
Week 4: Correctly answer 18 of 20 abdominal/pelvic case vignettes and pass a contrast-safety decision table self-check with no critical errors
Week 6: Complete the musculoskeletal/breast review sheet and score at least 75% on a 20-question combined self-test
Week 8: Achieve at least 70% overall on the timed 60-question mock exam with no domain below 60%