Assessing the neuroanatomy knowledge and spatial ability of radiotherapy technologist undergraduates using an interactiv

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RADIOLOGICAL EDUCATION

Assessing the neuroanatomy knowledge and spatial ability of radiotherapy technologist undergraduates using an interactive volumetric simulation tool—the RadioLOG project Guillaume Vogin 1,2,3 & Marc Fauvel 4 & Gabriela Hossu 4 & Marine Beaumont 4 & Emilien Micard 4 & Karine Feltgen 5 & Marie-Line Androni 5 & Elisabeth Moerschel 6 & Nicolas Gillet 7 & Florence Beuret 8 & Romain Tonnelet 8 & Pedro Texeira 4,9 Received: 17 May 2020 / Revised: 24 August 2020 / Accepted: 24 September 2020 # European Society of Radiology 2020

Abstract Objective To assess the use of a volumetric image display simulation tool (VDST) for the evaluation of applied radiological neuroanatomy knowledge and spatial understanding of radiotherapy technologist (RTT) undergraduates. Methods Ninety-two third-year RTT students from three French RTT schools took an examination using software that allows visualization of multiple volumetric image series. To serve as a reference, 77 first- and second-year undergraduates, as well as ten senior neuroradiologists, took the same examination. The test included 13 very-short-answer questions (VSAQ) and 21 exercises in which examinees positioned markers onto preloaded brain MR images from a healthy volunteer. The response time was limited. Each correct answer scored 100 points, with a maximum possible test score of 3,400 (VSAQ = 1,300; marker exercise = 2,100). Answers were marked automatically for the marker positioning exercise and semi-automatically for the VSAQs against prerecorded expected answers. Results Overall, the mean test score was 1,787 (150–3,300) and the standard deviation was 781. Scores were highly significantly different between all evaluated groups (p < 0.001). The interoperator reproducibility was 0.90. All the evaluated groups could be discriminated by VSAQ, marker, and overall total scores independently (p ≤ 0.0001 to 0.001). The test was able to discriminate between the three schools either by VSAQ scores (p < 0.001 to 0.02) or by overall total score (p < 0.001 to 0.05). Conclusion This software is a high-quality evaluation tool for the assessment of radiological neuroanatomy knowledge and spatial understanding in RTT undergraduates. Key Points • This VDST allows volumetric image analysis of MR studies. • A high reliability test could be created with this tool. • Test scores were strongly associated with the examinee expertise level. Keywords Anatomy, cross sectional . Neuroanatomy . Software design . Program evaluation

Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00330-020-07351-1) contains supplementary material, which is available to authorized users. * Guillaume Vogin [email protected] 1

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Department of Radiation Therapy, Institut de Cancérologie de Lorraine, Vandoeuvre Les Nancy, France Centre François Baclesse, Centre National de Radiothérapie du Grand-Duché de Luxembourg, Boîte postale 436, L-4005, Esch sur Alzette, Luxembourg UMR 7365 CNRS-UL, IMoPA, Vandoeuvre Les Nancy, France

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INSERM C