AtTheViewBox: Scrolling Past PowerPoints to a Novel Web-Based Solution for Interactive Case-Based Presentations

Traditional radiology education relies heavily on PowerPoint presentations with static 2D images, which fail to replicate the interactive nature of reading radiological studies at a workstation. There is a growing need for an interactive, case-based platform that enables real-time collaboration in presentations. This study introduces AtTheViewBox, a web-based application designed to integrate DICOM images into presentations, offering a more dynamic and interactive learning experience. AtTheViewBox was developed using open-source libraries, including React, CornerstoneJS, and Supabase. The application allows users to embed DICOM images in slide presentations via iframes, enabling standard functionalities at a radiology workstation like scrolling, zooming, and windowing. A survey was conducted among radiology residents and educators from four academic institutions to assess the utility and ease of use of AtTheViewBox compared to traditional teaching methods. Among 27 radiology residents surveyed, 100% agreed that AtTheViewBox would enhance their case-based learning experience, with 93% preferring it over static images or videos. Among 30 educators, the application received an average usefulness rating of 9.5/10. Additionally, 63% of educators found AtTheViewBox as easy or easier to use than their current methods. AtTheViewBox effectively modernizes radiology education by enabling interactive DICOM integration in presentations. This tool enhances learning by mimicking workstation experiences and fostering real-time collaboration. The overwhelmingly positive reception suggests that AtTheViewBox addresses key limitations in current teaching methodologies and has the potential to become a standard in radiology education.