Application of 3D reconstruction digital model combined with PBL teaching for the training of tumor radiotherapy target delineation

doi:10.3760/cma.j.cn115259-20210531-00701

Abstract

Abstract: Objective To discuss the application outcomes of a 3D reconstruction digital model combined with problem-based learning (PBL) in the training of tumor radiotherapy target delineation. Methods Using the experimental control method. From January 2020 to January 2021, 30 trainees from the program of standardized residents training of oncology radiotherapy in Harbin Medical University Cancer Hospital were selected as the research objects. Random sampling was used to divide them into an experiment group and a control group with 15 in each. The experiment group adopted PBL method supported by 3D reconstruction digital model, and the control group was trained by the PBL teaching method only. After the training, the two groups of trainees were evaluated on theoretical knowledge, clinical practice, and investigated by questionnaire surveys. Results The experimental group's theoretical evaluation score is (89.19±4.59) , which is higher than the control group's (85.21±2.32), and the practical skills score is (88.01±3.16) , which is also higher than the control group's (81.05±4.12), (all P<0.01). The results of the questionnaire survey showed that the trainees in the experimental group scored significantly higher on their teaching methods to improve learning efficiency than those in the control group [(3.75±0.62) vs. (2.89±0.53)]. The scores of skill for radiotherapy target delineation in experiment group were also higher than those of the control group [(4.03±0.56) vs. (3.53±0.67)], and the differences were statistically significant (all P<0.05). Conclusions Three-dimensional reconstruction digital model combined with PBL method in the training of tumor radiotherapy target delineation significantly improves the trainees' clinical practice skill through enhancement of the learning outcomes.

Key words: Three-dimensional reconstruction digital model, Problem-based learning, Radiotherapy, Standardized training for residents, Target delineation

CLC Number:

R-4
R192.3

Liu Guohui, Wang Yanbo, Lan Tian, He Yunlong, Wang Chunbo, E Mingyan. Application of 3D reconstruction digital model combined with PBL teaching for the training of tumor radiotherapy target delineation[J]. Chinese Journal of Medical Education, 2021, 41(12): 1118-1121.

References

[1] 王悦华, 王亚军, 赵宏, 等. 临床诊断与鉴别诊断PBL教学课程的设计与思考[J].北京医学,2021,43(3):268-270. DOI: 10.15932/j.0253-9713.2021.03.021.
[2]刘贤称,季斌,陈不尤,等. 放射治疗学教学改革与实践[J]. 中外医疗,2013,32(15):125,128. DOI:10.3969/j.issn.1674-0742.2013.15.075.
[3]谷阳, 张喜文. PBL教学模式结合3D打印技术在住院医师规范化培训教学中的应用[J].中国病案,2020,21(11):85-87. DOI: 10.3969/j.issn.1672-2566.2020.11.031.
[4]杜雪婷, 杨洋, 黄文华, 等. 基于医学影像技术的3D打印临床应用与突破[J].中国组织工程研究,2021,25(18):2887-2894.
[5]曾宁,范应方,杨剑,等. 数字虚拟技术在肝胆外科临床教学中的应用研究[J].中国继续医学教育,2018,10(33):16-19.
[6]刘磊, 支修益, 张毅, 等. CT仿真虚拟内镜在肺部疾病教学中的应用[J].中华医学教育杂志,2017,37(5):713-715. DOI: 10.3760/cma.j.issn.1673-677X.2017.05.017.
[7]贺小平, 苗重昌, 李蕾, 等. 微信结合PBL教学法在放射科住院医师规范化培训中的应用[J].卫生职业教育,2020,38(19):140-142.
[8]张烨, 李晔雄, 王绿化, 等. 放射肿瘤学专业住院医师规范化培训初步实践与思考[J].中华放射肿瘤学杂志,2017,26(2):119-122. DOI: 10.3760/cma.j.issn.1004-4221.2017.02.001.
[9]江浩. 辩证思维在肿瘤放射治疗学临床教学中的应用探讨[J].中华全科医学,2015,13(8):1346-1347,1350.
[10]冯俊波, 胡运涛, 李俊涛, 等. 三维重建技术在心脏外科教学中的应用[J].现代医药卫生,2019,35(18):2907-2909. DOI: 10.3969/j.issn.1009-5519.2019.18.050.
[11]Kumar M, Kumar M, Sheshadri HS. Computer aided detection of clustered microcalcification: a survey[J]. Curr Med Imaging Rev, 2019,15(2):132-149. DOI: 10.2174/1573405614666181012103750.
[12]鲁媛媛, 李俊来, 宋丹绯. 三维重建及打印技术在乳腺肿瘤中的研究进展[J].中国医学影像技术,2018,34(1):149-151. DOI: 10.13929/j.1003-3289.201706129.

[1]	Chen Junhan, Li Yujing, Chen Weicheng, Cai Kaiyu, Lyu Wenqi, Chen Xiangrong, Lin Zhenzhen. Exploration of the application of virtual simulation technology combined with problem-based learning in neurology internship and practice [J]. Chinese Journal of Medical Education, 2021, 41(9): 835-838.
[2]	Xia Qianqian, Zhu Jiying, Zhu Xiangwen, Ding Zhongxiang, Han Zhijiang. Application of SPARK mode in the training of non-medical imaging residents at department of radiology [J]. Chinese Journal of Medical Education, 2021, 41(8): 699-702.
[3]	Fu Mengzhu, Wang Xun, Hu Zhenzhen, You Chunyuan, Xu Xin, Li Xing, Feng Xuehong, Sun Danqin. Application of an in vitro dynamic cardiac model in the residents' training of echocardiography [J]. Chinese Journal of Medical Education, 2021, 41(7): 611-615.
[4]	Zhao Yajun, Zhang Fangyan, Tian Jiupeng, Gong Jizhang, Ge Xuhua. Critical thinking capacity and its influencing factors in the training of general practice residents [J]. Chinese Journal of Medical Education, 2021, 41(3): 247-250.
[5]	Chen Yongxi , Zhu Jianyi. Problem-based learning in McMaster University School of Medicine and its inspiration [J]. Chinese Journal of Medical Education, 2021, 41(3): 284-288.
[6]	Qi Xin, Jin Zhe, Han Xiaoning, Zhang Hong, Li Yuan, Dong Aimei, Qi Jianguang, Lu Ye, Jiang Zhehan, Li Yan, Liu Jiashuai, Wang Ying, Li Haichao. Establishment of the entrustable professional activities for the residents [J]. Chinese Journal of Medical Education, 2021, 41(2): 104-108.
[7]	Pu Dan, Zhang Rong, Pan Yan, Wu Liling, Zhang Yan, Wang Yun. Evaluation of PBL-based online teaching program [J]. Chinese Journal of Medical Education, 2021, 41(2): 139-142.
[8]	Liu Huidong, Zhang Yafang, Xu Fengyan, Wang Geng, Kong Jian. The exploration of humanities education in online anatomy teaching for international medical students [J]. Chinese Journal of Medical Education, 2021, 41(2): 147-150.
[9]	Wang Xin, Han Xianshun, Zheng Qianjin, Hu Xiang, Tao Shengxiang. Application of team-based learning teaching mode in standardized training of microsurgery residents [J]. Chinese Journal of Medical Education, 2021, 41(11): 1017-1020.
[10]	Wang Fengjiao, Li Xuexin, Zhang Lei, Lan Tian, Xu Haitao. The application of laparoscopic virtual simulator combined with simple simulation box in the thoracoscopy training for resident doctors [J]. Chinese Journal of Medical Education, 2021, 41(1): 44-48.
[11]	Chen Yanglin, Shen Lin, Cui Shuang, Wang Qing, Wu Hao, Zhang Yibao. Exploration on master's cultivation mode of radiotherapy physics in Peking University [J]. Chinese Journal of Medical Education, 2020, 40(9): 709-712.
[12]	Wang Zhongzhao, Sun Jingchuan, Wang Yuan, Sun Kaiqiang, Zhu Jian, Guo Yongfei, Shi Jian'gang, Xu Ximing. Application of virtual reality technology in standardized training of orthopedic resident [J]. Chinese Journal of Medical Education, 2020, 40(7): 557-560.
[13]	Wang Dengqin, Song Guohong, Sui Ping, Zhang Fan, Liu Kun,Chen Ting. The application of virtual cases in clinical diagnosis and treatment combined with PBL in diagnostic experiments teaching [J]. Chinese Journal of Medical Education, 2020, 40(2): 88-91.
[14]	Zhang Yifan, Wang Yuan, Li Wenfei, Jia Yue, Zhang Ming. Analysis of reasearch hotspots and trends of problem-based learning in medical education [J]. Chinese Journal of Medical Education, 2020, 40(10): 757-761.
[15]	Bao Tingting, Yin Yuan, Lin Haitao, Song Dan. Practice and effect evaluation of training mode for resident standardized training base of tumor radiotherapy specialty [J]. Chinese Journal of Medical Education, 2020, 40(1): 70-73.