Psychoradiology

Targeted CE per ARRT’s Discipline, Category, and Subcategory classification for enrollments starting after January 30, 2024:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Computed Tomography: 1.50
Procedures: 1.50
Head, Spine, and Musculoskeletal: 1.50

Magnetic Resonance Imaging: 3.00
Procedures: 3.00
Neurological: 3.00

Nuclear Medicine Technology: 1.50
Procedures: 1.50
Other Imaging Procedures: 1.50

Registered Radiologist Assistant: 3.50
Procedures: 3.50
Neurological, Vascular, and Lymphatic Sections: 3.50

Outline

1. Introduction
2. Methodologic Considerations
3. Revealing the Neural Substrate of Psychiatric Disorders
   1. Major Depressive Disorder
   2. Schizophrenia
   3. Bipolar Disorder
   4. Attention Deficit Hyperactivity Disorder
   5. Posttraumatic Stress Disorder
4. Critical Challenges and Future Directions

Objectives

Upon completion of this course, students will:

1. describe the traditional classification system for psychiatric disorders
2. describe the role of radiology in diagnosing psychiatric disorders
3. list the factors that accelerated using brain imaging to elucidate the profile of brain abnormalities associated with different psychiatric disorders
4. identify the source of the definition of psychiatric illness
5. describe the factor to which cerebral deficits primarily relate
6. describe the imaging technique used to detect changes in cortical thickness
7. describe the imaging technique used to evaluate white matter deficits
8. identify the imaging technique that was almost exclusively used in early psychiatric imaging studies
9. identify the imaging technique used to obtain information about brain metabolism
10. list the neurotransmitters evaluated by MR spectroscopy in psychiatric disorders
11. compare the clinical usefulness of multiple imaging modalities
12. identify the imaging modality that has proved to be the most widely used and informative strategy for psychiatric imaging
13. describe the psychiatric disorder for which CT has been used to depict ventricular enlargement
14. identify the imaging modality that is more sensitive to perfusion changes in the brain
15. identify the imaging modality that is used for noninvasive measurement of changes in hemoglobin concentration
16. describe the technique that is used to quantify topologic properties of brain networks
17. identify the variable that appears to moderate the degree of hippocampal volume loss in MDD patients
18. describe the regions of the brain in which cortical thickness changes should be analyzed in MDD patients
19. list the regions of the brain that demonstrate substantially lower white matter FA values in patients with MDD
20. define the only major cause of mortality in psychiatry
21. list the brain circuitries that demonstrate abnormalities in patients with depression
22. describe the tool that was used to distinguish MDD from bipolar disorder and schizophrenia in a multisite study
23. identify the region of the brain that yielded the greatest diagnostic classification accuracy for distinguishing first-episode adults with MDD from controls
24. identify the region of the brain used for treatment response prediction in depression
25. describe the percentage of the population affected by schizophrenia
26. list the negative symptoms demonstrated by schizophrenia patients with greater temporal gray matter volume loss
27. list the factors that likely contributed to the non-overlapping and scattered white matter tract findings seen in 23 published articles on schizophrenia
28. identify the brain regions that demonstrate volume reduction schizophrenia patients
29. describe the previous name for bipolar disorder
30. identify the component of the limbic system that may be involved in the pathophysiology of affective disorders
31. identify the region of the corpus callosum in which patients with bipolar disorder demonstrate white matter deficits
32. describe the imaging modality that has proven to have high value in understanding and evaluating brain alterations in pediatric patients with psychiatric disorders
33. describe a potential target for development of novel bipolar disorder treatments
34. define the psychiatric disorder that has an onset during childhood
35. describe a central neurobehavioral impairment feature of ADHD
36. list the proposed targets for therapeutic interventions in patients with ADHD
37. identify the most studied brain structure in patients with PTSD
38. describe the patient groups that have demonstrated smaller hippocampal volumes in PTSD studies
39. identify the specific brain networks affected by PTSD
40. describe a reported familial risk factor for PTSD after psychologic trauma
41. list the psychiatric disorders that share anatomic and functional deficits in the default mode, salience, emotional regulation, and central executive networks
42. list the brain networks considered to be the most vulnerable in all of the psychiatric disorders
43. describe the criticism of current symptom-based subtyping strategies for schizophrenia, depression, and autism
44. list the programs that contain very large imaging data sets that required new analysis methods to integrate multimodal information
45. list the nonpharmacologic treatments that have been used to modulate the function of emotional circuitry