Ohio Chiropractic Continuing Education

• Conduct and evidence-based assessment of the diagnostic, therapeutic and clinical utility of routine and repeat radiographs (without red flags) for the structural and functional assessment of the spine by chiropractors
• Summarize the current evidence for the use of spinal x-rays within chiropractic practice, with consideration to the related risks and benefits
• Determine if diagnostic imaging influences clinical outcomes in patients with low back pain presenting for chiropractic care
• Analyze whether an association between vertebral endplate structural defects and back pain exists
• Assess the relationship between movement-related pain in the shoulder and the number or severity of rotator cuff MRI findings

Hour 1

• Select the appropriate imaging modality for suspected foreign bodies
• Identify foreign bodies on radiographs
• Identify foreign bodies CT
• Identify foreign bodies MRI
• Identify foreign bodies Ultrasound

Hour 2

• List various indications for radiographic evaluation in relationship to specific clinical scenarios
• List various limitations for radiographic evaluation in relationship to specific clinical scenarios
• Identify fracture patterns on radiographic imaging
• Identify radiographic abnormalities within the soft tissues

 Hour 3

• List various indications for MRI and CT imaging evaluation in relationship to specific clinical scenarios
• List various limitations for MRI and CT imaging evaluation in relationship to specific clinical scenarios
• Identify osseous landmarks on MRI and CT imaging
• Identify abnormalities within the bones and soft tissues on MRI and CT imaging

 Hour 4

• List various indications for ultrasound imaging evaluation in relationship to specific clinical scenarios
• List various limitations for ultrasound imaging evaluation in relationship to specific clinical scenarios
• Identify osseous landmarks on ultrasound imaging
• Identify abnormalities within the bones and soft tissues on ultrasound imaging

Hour 1

• Identify the radiographic features which aid in lesion recognition, to distinguish between benign or aggressive skeletal neoplasia.
• Expand overall radiographic interpretation skills with respect to diagnosis of benign skeletal neoplasia.
• Assess a variety of benign skeletal neoplasia for clinical significance, by reviewing which ones are merely incidental findings.
• Recognizing those benign conditions which possess malignant potential, by gaining familiarity with the clinical and radiographic changes that suggest malignant degeneration.
• Apply improved patient management when patients present with these conditions.

• Review the radiographic features which aid in lesion recognition, to distinguish between benign or aggressive skeletal neoplasia.
• Expand overall radiographic interpretation skills with respect to diagnosis of primary versus secondary (metastatic) malignant skeletal neoplasia.
• Assess a variety of primary malignant skeletal neoplasia for radiographic identification and clinical significance.
• Study metastatic disease as it relates to the skeleton, including lytic and blastic varieties, common sites of involvement, methods of spread, and the various primary carcinomas which tend to metastasize to bone.
• Employ improved patient management when patients present with these conditions.

• Define common fracture types and describe their radiographic characteristics.
• Describe fracture orientation and spatial relationships used in radiographic interpretation and documentation of skeletal trauma.
• Explain mechanisms and radiographic features associated with common joint dislocations.
• Outline stages of fracture repair and factors that influence the rate of bone healing.
• Analyze potential complications of fractures and their clinical implications.
• Compare mechanisms and radiographic presentations of traumatic injuries affecting the axial and appendicular skeleton, with an emphasis on anatomical regions.