Preserving the value of legacy film-based teaching files in pediatric radiology

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Preserving the value of legacy film-based teaching files in pediatric radiology Richard I. Markowitz 1

&

Janet R. Reid 1 & Thor P. Hee 1 & Jacob Zweig 1 & Jonathan Lilley 1

Received: 7 April 2020 / Revised: 1 July 2020 / Accepted: 18 August 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020

Abstract Senior pediatric radiologists who have spent a major portion of their careers interpreting conventional film–screen radiographic studies have collected a wealth of hard-copy teaching material that is at risk of becoming obsolete. The teaching value and usefulness of analog film teaching files can be preserved using available hardware and standard software. The final product can be made available in a high-quality digital format to students, trainees and faculty without complicated search-and-retrieval methodology. This paper describes a relatively simple and low-cost procedure to preserve and use this source of wisdom and experience. It also emphasizes the role that such a resource can play as part of a comprehensive educational program. Keywords Digitization . Education . Legacy . Pediatric radiology . Teaching file

Introduction In many seasoned radiologists’ offices lie dusty film jackets containing analog radiographs that were collected over many years and depict an eclectic variety of classic and sometimes rare diagnostic examples. Film-screen quality during those years was often superior to current digital imaging because of higher signal-to-noise ratio. Because imaging is now almost entirely digital, film and view boxes have faded into obsolescence, and so old teaching files have become nearly impossible to use and are of little enduring value in their present state. While cross-sectional image quality has rapidly progressed commensurate with improved digital technology, highquality plain film radiography in these older cases depicting classic pathologies still remains educationally pertinent and useful. One of the educational goals of radiology training for residents and fellows is to expose the trainee to a maximum range and depth of knowledge of radiologic findings found in common and rare entities, as well as provide the trainees with some historical perspective of the field and its development.

* Richard I. Markowitz [email protected] 1

Department of Radiology, Children’s Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Blvd., Philadelphia, PA 19104, USA

Therefore, it is desirable to selectively preserve legacy analog teaching files and make the material accessible so that knowledge and experience gained over the years is not lost or discarded. This report describes a simple process to modernize legacy teaching file cases through analog-to-digital conversion to create a workable, usable and low-cost archive in a flash card format. The purpose of this project was to preserve valuable teaching materials through analog-to-digital conversion and create a workable archival system to ensure an enduring learning resource f