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三维/四维超声对甲状腺的可视化:解剖实验室中的综合实践成像

Thyroid gland visualization with 3D/4D ultrasound: integrated hands-on imaging in anatomical dissection laboratory.

作者信息

Carter John L, Patel Ankura, Hocum Gabriel, Benninger Brion

机构信息

Medical Anatomy Center, Western University of Health Sciences, COMP-Northwest, 200 Mullins Drive, Lebanon, OR, 97355, USA.

Medical Anatomy Center, Department of Medical Anatomical Sciences, Western University of Health Sciences, COMP-Northwest, Lebanon, USA.

出版信息

Surg Radiol Anat. 2017 May;39(5):567-572. doi: 10.1007/s00276-016-1775-x. Epub 2016 Dec 1.

Abstract

PURPOSE

In teaching anatomy, clinical imaging has been utilized to supplement the traditional dissection laboratory promoting education through visualization of spatial relationships of anatomical structures. Viewing the thyroid gland using 3D/4D ultrasound can be valuable to physicians as well as students learning anatomy. The objective of this study was to investigate the perceptions of first-year medical students regarding the integration of 3D/4D ultrasound visualization of spatial anatomy during anatomical education.

METHODS

108 first-year medical students were introduced to 3D/4D ultrasound imaging of the thyroid gland through a detailed 20-min tutorial taught in small group format. Students then practiced 3D/4D ultrasound imaging on volunteers and donor cadavers before assessment through acquisition and identification of thyroid gland on at least three instructor-verified images. A post-training survey was administered assessing student impression.

RESULTS

All students visualized the thyroid gland using 3D/4D ultrasound. Students revealed 88.0% strongly agreed or agreed 3D/4D ultrasound is useful revealing the thyroid gland and surrounding structures and 87.0% rated the experience "Very Easy" or "Easy", demonstrating benefits and ease of use including 3D/4D ultrasound in anatomy courses. When asked, students felt 3D/4D ultrasound is useful in teaching the structure and surrounding anatomy of the thyroid gland, they overwhelmingly responded "Strongly Agree" or "Agree" (90.2%).

CONCLUSION

This study revealed that 3D/4D ultrasound was successfully used and preferred over 2D ultrasound by medical students during anatomy dissection courses to accurately identify the thyroid gland. In addition, 3D/4D ultrasound may nurture and further reinforce stereostructural spatial relationships of the thyroid gland taught during anatomy dissection.

摘要

目的

在解剖学教学中,临床影像已被用于补充传统的解剖实验室教学,通过可视化解剖结构的空间关系来促进教育。对医生以及学习解剖学的学生而言,使用三维/四维超声观察甲状腺可能具有重要价值。本研究的目的是调查一年级医学生对解剖学教育中三维/四维超声可视化空间解剖整合的看法。

方法

通过一个详细的20分钟小组教程,向108名一年级医学生介绍甲状腺的三维/四维超声成像。学生们随后在志愿者和供体尸体上练习三维/四维超声成像,然后通过采集并识别至少三张经教师验证的甲状腺图像进行评估。培训后进行了一项调查,以评估学生的印象。

结果

所有学生都使用三维/四维超声观察到了甲状腺。学生们表示,88.0%的人强烈同意或同意三维/四维超声有助于显示甲状腺及其周围结构,87.0%的人将体验评为“非常容易”或“容易”,这表明在解剖学课程中使用三维/四维超声有好处且易于操作。当被问及三维/四维超声是否有助于教授甲状腺的结构及其周围解剖学时,绝大多数学生回答“强烈同意”或“同意”(90.2%)。

结论

本研究表明,在解剖学解剖课程中,医学生成功使用了三维/四维超声,并且相较于二维超声,他们更喜欢使用三维/四维超声来准确识别甲状腺。此外,三维/四维超声可能有助于培养并进一步强化解剖学解剖课程中教授的甲状腺的立体结构空间关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00f5/5406427/5a95ecb3eb3a/276_2016_1775_Fig1_HTML.jpg

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