Department of Anatomy, Faculté de médecine Lyon-Est, Université de Lyon, Université Claude Bernard Lyon I, 8 Avenue Rockefeller, 69003, Lyon, France.
Skull Base Multi-Disciplinary Unit, Department of Neurosurgery, Neurological Hospital Pierre Wertheimer, Hospices Civils de Lyon, 59 Bd Pinel, 69677, Lyon, France.
Surg Radiol Anat. 2020 Jun;42(6):719-727. doi: 10.1007/s00276-020-02442-6. Epub 2020 Feb 29.
The anatomy of both the brain and the skull is particularly difficult to learn and to teach. Since their anatomical structures are numerous and gathered in a complex tridimensional (3D) architecture, classic schematical drawing or photography in two dimensions (2D) has difficulties in providing a clear, simple, and accurate message. Advances in photography and computer sciences have led to develop stereoscopic 3D visualization, firstly for entertainment then for education. In the present study, we report our experience of stereoscopic 3D lecture for neuroanatomy teaching to early medical school students.
High-resolution specific pictures were taken on various specimen dissections in the Anatomy Laboratory of the University of Lyon, France. Selected stereoscopic 3D views were displayed on a large dedicated screen using a doubled video projector. A 2-h stereoscopic neuroanatomy lecture was given by two neuroanatomists to third-year medicine students who wore passive 3D glasses. Setting up lasted 30 min and involved four people. The feedback from students was collected and analyzed.
Among the 483 students who have attended the stereoscopic 3D lecture, 195 gave feedback, and all (100%) were satisfied. Among these, 190 (97.5%) reported a better knowledge transfer of brain anatomy and its 3D architecture. Furthermore, 167 (86.1%) students felt it could change their further clinical practice, 179 (91.8%) thought it could enhance their results in forthcoming anatomy examinations, and 150 (76.9%) believed such a 3D lecture might allow them to become better physicians. This 3D anatomy lecture was graded 8.9/10 a mean against 5.9/10 for previous classical 2D lectures.
DISCUSSION-CONCLUSION: The stereoscopic 3D teaching of neuroanatomy made medical students enthusiastic involving digital technologies. It could improve their anatomical knowledge and test scores, as well as their clinical competences. Depending on university means and the commitment of teachers, this new tool should be extended to other anatomical fields. However, its setting up requires resources from faculties and its impact on clinical competencies needs to be objectively assessed.
大脑和颅骨的解剖结构特别难以学习和教授。由于它们的解剖结构众多且聚集在复杂的三维(3D)结构中,因此经典的二维(2D)示意图或摄影在提供清晰、简单和准确的信息方面存在困难。摄影和计算机科学的进步导致了立体 3D 可视化的发展,首先用于娱乐,然后用于教育。在本研究中,我们报告了我们在神经解剖学教学中使用立体 3D 讲座的经验,对象是早期医学院学生。
在法国里昂大学解剖实验室对各种标本进行高分辨率特定拍摄。选择的立体 3D 视图使用双视频投影仪显示在大型专用屏幕上。两位神经解剖学家向三年级医学生进行了 2 小时的立体神经解剖学讲座,学生们戴着被动式 3D 眼镜。设置过程持续 30 分钟,涉及 4 人。收集并分析了学生的反馈。
在参加立体 3D 讲座的 483 名学生中,有 195 名学生提供了反馈,所有人(100%)都表示满意。其中,190 名(97.5%)学生报告说,他们对大脑解剖结构及其 3D 结构的知识转移有了更好的理解。此外,167 名(86.1%)学生认为这可能会改变他们未来的临床实践,179 名(91.8%)学生认为这可能会提高他们即将到来的解剖考试成绩,而 150 名(76.9%)学生认为这样的 3D 讲座可能会使他们成为更好的医生。这种 3D 解剖学讲座的平均评分为 8.9/10,而之前的经典 2D 讲座平均评分为 5.9/10。
立体 3D 神经解剖教学使医学生对数字技术产生了浓厚的兴趣。它可以提高他们的解剖知识和考试成绩,以及他们的临床能力。根据大学的资源和教师的投入,应该将这种新工具扩展到其他解剖领域。然而,它的设置需要教师投入资源,并且需要客观评估其对临床能力的影响。