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Injuries to the Craniocervical Junction: A 3D Approach to Resident Education for Radiological Imaging
Talia Mastalski1, Elana B Smith2, Andrew Sinensky2
1Department of Art as Applied to Medicine, Johns Hopkins University, 1830 E Monument St, Suite 7000, Baltimore, Maryland 21205 (T.M, J.D.).
Academic Radiology
|July 20, 2026
Summary
Visual aids for craniocervical junction (CCJ) injuries improve learning. While animation didn't significantly boost test scores, trainees preferred combined still images and animation for engagement and knowledge retention in diagnosing CCJ injuries.
Area of Science:
- Medical Education
- Radiology
- Anatomy
Background:
- Craniocervical junction (CCJ) injuries are difficult to diagnose via imaging, leading to potential misdiagnosis and adverse outcomes.
- A lack of accessible learning resources hinders resident training in identifying CCJ injuries.
Purpose of the Study:
- To develop novel visual training materials for CCJ injuries.
- To compare the effectiveness of still images versus animated multimedia for learning CCJ injuries.
- To assess trainee engagement with different visual learning formats.
Main Methods:
- Created 3D-model-based still images and animations of CCJ injuries, linking them to CT/MR imaging.
- Administered a survey to medical students and trainees diagnosing CCJ injuries.
- Randomized participants into groups viewing either still images or still images plus animation, followed by pre-tests, modules, and post-tests.
Main Results:
- Significant learning improvement (p = 0.000064) was observed in both still image and combined groups.
- Animation did not significantly impact learning (p = 0.52) or engagement (p = 0.18).
- A majority preferred combined visuals (66.07% for retention, 69.64% for engagement).
Conclusions:
- Combined still images and animation can enhance trainee engagement and conceptual understanding of CCJ injuries.
- Visual learning tools are crucial for improving the diagnosis of challenging CCJ injuries.
