Rabushka L S, Fishman E K, Goldman S M, Hennessey J G, Nixon M S
Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Invest Radiol. 1993 Feb;28(2):169-74. doi: 10.1097/00004424-199302000-00018.
Using a personal computer and a commercially available "authoring" application, the authors constructed an interactive hypermedia teaching tool for the evaluation and management of renal masses.
Through a series of questions, images, illustrations, hypertext, and graphical flow charts, the user reviews the spectrum of renal masses, including neoplasms, inflammatory disease, cysts, and "pseudomasses." The various imaging modalities (computed tomography [CT], ultrasound [US], magnetic resonance imaging [MRI], and angiography) are illustrated, with selective advantages and disadvantages to each technique highlighted. Selected algorithms for evaluation and treatment of masses are provided. Text, questions, a teaching file, and algorithms form the major sections of the program. Numerous links within and between the major sections of the program, a capacity unique to hypermedia, allow for nonlinear entry into the program, tailored to the individual user.
Preliminarily, medical students and residents have responded positively to this hypermedia project. Furthermore, their comments and criticism have provided important feedback for future updates and enhancements.
作者使用个人电脑和一款市售的“创作”应用程序，构建了一个用于肾肿块评估与管理的交互式超媒体教学工具。
通过一系列问题、图像、插图、超文本和图形流程图，用户可浏览肾肿块的种类，包括肿瘤、炎性疾病、囊肿和“假肿块”。文中展示了各种成像方式（计算机断层扫描[CT]、超声[US]、磁共振成像[MRI]和血管造影），并突出了每种技术的优缺点。提供了用于肿块评估和治疗的选定算法。文本、问题、教学文件和算法构成了该程序的主要部分。程序主要部分内部和之间的众多链接是超媒体独有的功能，允许非线性进入程序，以满足个人用户的需求。
初步来看，医学生和住院医师对这个超媒体项目反应积极。此外，他们的意见和批评为未来的更新和改进提供了重要反馈。
