Implementation of a Dynamic Teaching File Using the Software Application Microsoft OneNote in an Academic Neuroradiology Division

Susana Calle, Eliana E Bonfante-Mejia, Roy F Riascos- Castaneda



Background: As a neuroradiology section it came to our attention that each member of our group was independently saving cases encountered during daily practice in their own personal manner. This wealth of information was essentially being underutilized as it was not readily available among the other members of the team. The need for a teaching file to collectively archive all these cases brought on the idea of developing a teaching file using Microsoft OneNote. Methods: Microsoft OneNote is a note-taking program that provides access using an online portal or free-to-download mobile application. The program allows the user to create unlimited folders and subfolders that can be subclassified at the group’s discretion. In our case we have organized it according to etiology of the condition, i.e. infectious, congenital, etc. We propose the development of a template for the purposes of maintaining uniformity. The template includes space for demographic information, symptoms, four illustrative images, imaging findings, differential diagnoses, pearls and pitfalls, and embedded multimedia.
Results: Ultimately, a dynamic, customizable, and continually- expanding teaching file was created to suit the specific needs and objectives of our department. As part of their neuroradiology rotation, medical students and visiting trainees are encouraged to contribute to the file.
Conclusion: The potential applications of the Microsoft OneNote program as a teaching file, as well as its design flexibility and the ability to access the file from virtually any mobile device represent a truly innovative take on radiologic teaching files. The format, classification and customization options can adapt to the department’s individual needs.



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Wilkinson LE, Gledhill SR. An integrated approach to a teaching file linked to PACS. J Digit Imaging. 2007;20:402-10. Doi:


System offers one-click DICOM teaching file harvest | Diagnostic Imaging [Internet]. Cranbury, New Jersey: Modern Medicine Network; c2007 [cited 6 December 2018]. Available from: http://

Rojas CA, Jawad H, Chung JH. The new era of radiology teaching files. AJR Am J Roentgenol. 2012;198:773-6. Doi: 10.2214/ajr.11.7409

Gentili A, Chung CB, Hughes T. Use of the MIRC DICOM service for clinical trials to automatically create teaching file cases from PACS. RadioGraphics. 2007;27:269-75. Doi: 10.1148/rg.271065110

Brody AS, Zerin JM. Internet teaching files in radiology: a call to action. Acad Radiol. 2000;7:748-9. Doi: 10.1016/S1076-6332(00)80536-X

Brody AS, Mayo-Smith WW, Ngan KK, Hou D, Gupta H, Dupuy DE, et al. Digitizing your hard-copy teaching file with inexpensive, commercially available software. Acad Radiol. 2001;8:273-7. Doi:


Ernst RD, Baumgartner BR, Tamm EP, Torres WE. Development of a teaching file by using a DICOM database. Radiographics. 2002;22:217-21. Doi:10.1148/radiographics.22.1.g02ja10217

Hostetter J, Khanna N, Mandell JC. Integration of a zero-footprint cloud-based picture archiving and communication system with customizable forms for radiology research and education. Acad

Radiol. 2018;25:811-8. Doi: 10.1016/j. acra.2018.01.031

Mehta A, Dreyer KJ, Novelline RA, Schultz TJ, Bell TV. Facilitating the production of digital radiology teaching files with the radiology annotation and publishing system: A software tool for radiology

educators. Acad Radiol. 1999;6:496-501. Doi: 10.1016/S1076-6332(99)80169-X.


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