Teaching files are integral to radiological training. Digital Imaging and Communication in Medicine compatible digital radiological data and technological advances have made digital teaching files a desirable way to preserve and share representative and/or unusual cases for training purposes. The Medical Imaging Resource Community (MIRC) system developed by the Radiological Society of North America (RSNA) is a robust multi-platform digital teaching file implementation that is freely available. An emergency radiology training curriculum developed by the American Society of Emergency Radiology (ASER) was incorporated to determine if such an approach might facilitate the entry, maintenance, and cataloguing of interesting cases. The RSNA MIRC software was obtained from the main MIRC website and installed. A coding system was developed based on the outline form of the ASER curriculum. Weekly reports were generated tallying the number of cases in each category of the curriculum. Resident participation in the entry and maintenance of cases markedly increased after incorporation of the ASER curriculum. The coding schema facilitated progress assessment. Ultimately, 454 total cases were entered into the MIRC database, representing at least 42% of the subcategories within the ASER curriculum (161 out of 376). The incorporation of the ASER emergency radiology curriculum greatly facilitated the location, cataloguing, tracking, and maintenance of representative cases and served as an effective means by which to unify the efforts of the department to develop a comprehensive teaching resource within this subspecialty. This approach and format will be extended to other educational curricula in other radiological subspecialties.
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Siegel E, Channin D, Perry J, Carr C, Reiner B: Medical Image Resource Center 2002: an update on the RSNA’s Medical Image Resource Center. J Digit Imaging 15:2–4, 2002
Siegel E, Reiner B: The Radiological Society of North America’s Medical Image Resource Center: an update. J Digit Imaging 14:77–79, 2001
Yang GL, Aziz A, Narayanaswami B, Anand A, Lim CC, Nowinski WL: Informatics in radiology (infoRAD): multimedia extension of medical imaging resource center teaching files. Radiographics 25:1699–1708, 2005
Siegel E, Reiner B: Electronic teaching files: seven-year experience using a commercial picture archiving and communication system. J Digit Imaging 14:125–127, 2001
Roth CJ, Weadock WJ, Dipietro MA: A novel application of the MIRC repository in medical education. J Digit Imaging 18:85–90, 2005
Gentili A, Chung CB, Hughes T: Informatics in radiology: use of the MIRC DICOM service for clinical trials to automatically create teaching file cases from PACS. Radiographics 27:269–275, 2007
Yang GL, Lim CC: Singapore National Medical Image Resource Centre (SN.MIRC): a world wide web resource for radiology education. Ann Acad Med Singapore 35:558–563, 2006
Main Page—MircWiki. Available at http://mircwiki.rsna.org/index.php?title=Main_Page Accessed 18 November 2007
MIRC: Medical Imaging Resource Center. Available at http://www.rsna.org/mirc/ Accessed 18 November 2007
Jakarta Tomcat. Available at http://tomcat.apache.org/ Accessed 8 November 2007
Complete Tomcat. Available at http://www.serverlogistics.com/tomcat.php Accessed 10 November 2007
The Jakarta Site—Jakarta Downloads. Available at http://jakarta.apache.org/site/downloads/ Accessed 10 November 2007
No-IP—Dynamic DNS, Static DNS for Your Dynamic IP. Available at http://www.no-ip.com/ Accessed 10 November 2007
Novelline RA: Core Curriculum in Emergency Radiology: American Society of Emergency Radiology, 2006
Emergency Radiology Educational Resources. Available at http://www.erad.org/newweb/education.htm Accessed 11 November 2007
Minati L, et al: Bio-image warehouse system: concept and implementation of a diagnosis-based data warehouse for advanced imaging modalities in neuroradiology. J Digit Imaging 20:32–41, 2007
RadPix—Radiology Presentation Software and MIRC Authoring Tool. Available at http://www.radpix.com/ Accessed 11 November 2007
Langlotz CP: RadLex: a new method for indexing online educational materials. Radiographics 26:1595–1597, 2006
RadLex: A Lexicon for Uniform Indexing and Retrieval of Radiology Information Resources. Available at http://www.rsna.org/Radlex/index.cfm Accessed 25 May 2008
RadLex Term Browser. Available at http://radlex.org/viewer Accessed 25 May 2008
Radlex Wiki. Available at http://radlexwiki.rsna.org/index.php?title=Main_Page Accessed 25 May 2008
FastStone Image Viewer. Available at http://www.faststone.org/
XSL Transformations (XSLT). Available at http://www.w3.org/TR/xslt Accessed 1 January 2008
TestXSLT. Available at http://www.entropy.ch/software/macosx/#testxslt Accessed 1 January 2008
Extensible Markup Language (XML). Available at http://www.w3.org/XML/ Accessed 1 January 2008
Word Histogram. Available at http://ipucu.enderunix.org/view.php?id=1234&lang=en Accessed 1 January 2008
MIRC2PPT. Available at http://www.mypacs.net/repos/mpv3_repo/static/m/Solutions/mirc2ppt.htm Accessed 10/20/2008 2008
The authors wish to acknowledge Dr. J. Robert Kirkwood, MD, FACR for his support of this project. We also thank the many residents and faculty members who contributed cases to the database and Ms. Lindsay Coughlin for data input and case management. We thank the MIRC community on the RSNA MIRC users’ forums and John Perry and Drs. William Weadock and Trongtum Tongdee in particular for useful conversations and suggestions. We also thank Ms. Sharon Wayne for proofreading the manuscript.
The authors state that they have no competing interests.
FJW developed the project, installed the necessary software, analyzed the data, entered cases into the database, and wrote and reviewed the manuscript.
SK entered cases into the database, participated in coordination of the project, and reviewed and edited the final manuscript.
DD entered cases into the database, participated in coordination of the project, and reviewed and edited the final manuscript.
SOC contributed to the conceptual development of the project, case entry, coordination of the project, faculty and resident recruitment, and reviewed and edited the final manuscript.
BC contributed to the conceptual development of the project, case identification, faculty and resident recruitment, and reviewed and edited the final manuscript.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Additional File 1—Sample Data Report. This PDF file contains a sample report that was distributed to section Chiefs and residents to inform them of which case types were still missing from the archive. The report also contains a list of all of the modified ASER codes used to tag cases as they were entered for later tracking. (PDF 177 KB)
Additional File 2—MIRC Case Entry Guide. This PDF file contains a detailed step-by-step guide specific to our site for authoring cases. This guide was distributed to all participating physicians via e-mail for reference. (PDF 4.44 MB)
(AVI 38.4 MB)
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Welte, F.J., Kim, S.C., Doshi, D.J. et al. Incorporation of a Formalized Emergency Radiology Curriculum to Facilitate Population of a MIRC-based Digital Teaching File. J Digit Imaging 23, 226–237 (2010) doi:10.1007/s10278-009-9178-8
- Medical Imaging Resource Center (MIRC)
- electronic teaching file
- emergency radiology
- Extensible Markup Language (XML)
- web technology
- computers in medicine
- computer communication networks
- data mining
- database management systems
- digital libraries
- image libraries
- radiology teaching files