{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:00:05Z","timestamp":1792256405698,"version":"4.4.0"},"reference-count":59,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2027,1,20]],"date-time":"2027-01-20T00:00:00Z","timestamp":1800403200000},"content-version":"am","delay-in-days":353,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"NIH NCI","doi-asserted-by":"publisher","award":["U01CA190214"],"award-info":[{"award-number":["U01CA190214"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"NIH NCI","doi-asserted-by":"publisher","award":["U01CA142555"],"award-info":[{"award-number":["U01CA142555"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"NIH NCI","doi-asserted-by":"publisher","award":["U01CA187947"],"award-info":[{"award-number":["U01CA187947"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["academicradiology.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Academic Radiology"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.acra.2025.11.040","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T20:25:49Z","timestamp":1766780749000},"page":"312-324","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Creation of Radiology Teaching Content with STELLA\u2014A STandardized Electronic Learning Library and Application Platform"],"prefix":"10.1016","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6036-1962","authenticated-orcid":false,"given":"Christopher F.","family":"Beaulieu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bao","family":"Do","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4437-0019","authenticated-orcid":false,"given":"Margaret","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eddy","family":"Zandee van Rilland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Rigas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emel","family":"Alkim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozge","family":"Yurtsever","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Robertson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5057-4369","authenticated-orcid":false,"given":"Daniel L.","family":"Rubin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"5","key":"10.1016\/j.acra.2025.11.040_bib1","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1097\/00001888-199805000-00052","article-title":"A program to create and exchange teaching cases in radiology","volume":"73","author":"Collins","year":"1998","journal-title":"Acad Med"},{"issue":"2","key":"10.1016\/j.acra.2025.11.040_bib2","doi-asserted-by":"crossref","first-page":"479","DOI":"10.2214\/ajr.164.2.7839993","article-title":"A World-Wide Web radiology teaching file server on the Internet","volume":"164","author":"Richardson","year":"1995","journal-title":"AJR Am J Roentgenol"},{"issue":"3_1","key":"10.1016\/j.acra.2025.11.040_bib3","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1007\/BF03168277","article-title":"Web technology in the integration of a digital teaching file at the diagnostic workstation","volume":"11","author":"Tellis","year":"1998","journal-title":"J Digit Imaging"},{"key":"10.1016\/j.acra.2025.11.040_bib4","first-page":"279","article-title":"Enabling clinicians, researchers, and educators to build custom web-based biomedical information systems","author":"Jakobovits","year":"2001","journal-title":"Proc AMIA Symp"},{"issue":"2_1","key":"10.1016\/j.acra.2025.11.040_bib5","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1007\/BF03190302","article-title":"The Radiological Society of North America's Medical Image Resource Center: an update","volume":"14","author":"Siegel","year":"2001","journal-title":"J Digit Imaging"},{"issue":"3","key":"10.1016\/j.acra.2025.11.040_bib6","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/s10278-004-1014-6","article-title":"OsiriX: an open-source software for navigating in multidimensional DICOM images","volume":"17","author":"Rosset","year":"2004","journal-title":"J Digit Imaging"},{"issue":"1","key":"10.1016\/j.acra.2025.11.040_bib7","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1148\/rg.271065110","article-title":"Informatics in radiology: use of the MIRC DICOM service for clinical trials to automatically create teaching file cases from PACS","volume":"27","author":"Gentili","year":"2007","journal-title":"Radiographics"},{"issue":"4","key":"10.1016\/j.acra.2025.11.040_bib8","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1148\/rg.284075210","article-title":"Informatics in radiology: IHE teaching file and clinical trial export integration profile: functional examples","volume":"28","author":"Kamauu","year":"2008","journal-title":"Radiographics"},{"key":"10.1016\/j.acra.2025.11.040_bib9","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/j.clinimag.2021.05.003","article-title":"On-call radiology 2020: where trainees look for help in a high stakes and time sensitive environment","volume":"77","author":"Derakhshani","year":"2021","journal-title":"Clin Imaging"},{"issue":"1","key":"10.1016\/j.acra.2025.11.040_bib10","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1186\/s12909-023-04190-8","article-title":"Electronic platform-based education for radiology residents: results of a two-year survey","volume":"23","author":"Quaia","year":"2023","journal-title":"BMC Med Educ"},{"key":"10.1016\/j.acra.2025.11.040_bib11","unstructured":"STATdx Support Center. Available at: \u3008https:\/\/service.elsevier.com\/app\/home\/supporthub\/statdx\/\u3009. Accessed December 12, 2024."},{"key":"10.1016\/j.acra.2025.11.040_bib12","unstructured":"CaseStacks LLC. 2024. CaseStacks: Learn & Practice Radiology. Available at: \u3008https:\/\/www.casestacks.com\/\u3009. Accessed December 12, 2024."},{"issue":"1","key":"10.1016\/j.acra.2025.11.040_bib13","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1007\/s00247-020-04818-7","article-title":"Preserving the value of legacy film-based teaching files in pediatric radiology","volume":"51","author":"Markowitz","year":"2021","journal-title":"Pediatr Radiol"},{"issue":"4","key":"10.1016\/j.acra.2025.11.040_bib14","first-page":"389","article-title":"Radiology teaching files: an assessment of their role and desired features based on a National Survey","volume":"28","author":"Dashevsky","year":"2015","journal-title":"J\u00a0Digit\u00a0Imaging"},{"issue":"8","key":"10.1016\/j.acra.2025.11.040_bib15","doi-asserted-by":"crossref","first-page":"1284","DOI":"10.1016\/j.acra.2021.09.028","article-title":"Case-based learning: its importance in medical student education","volume":"29","author":"Fromke","year":"2022","journal-title":"Acad Radiol"},{"issue":"1","key":"10.1016\/j.acra.2025.11.040_bib16","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1067\/j.cpradiol.2023.08.011","article-title":"Enhancing radiology education with a case-based intro to radiology on the UF WIDI e-Learning platform","volume":"53","author":"Pierre","year":"2024","journal-title":"Curr Probl Diagn Radiol"},{"issue":"12","key":"10.1016\/j.acra.2025.11.040_bib17","doi-asserted-by":"crossref","first-page":"5503","DOI":"10.1007\/s00261-021-03147-z","article-title":"Bridging the gap: interactive, case-based learning in radiology education","volume":"46","author":"Sugi","year":"2021","journal-title":"Abdom Radiol"},{"issue":"4","key":"10.1016\/j.acra.2025.11.040_bib18","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.acra.2021.02.017","article-title":"Web-based radiology learning module design: the author perspective","volume":"29","author":"Belfi","year":"2022","journal-title":"Acad Radiol"},{"issue":"6","key":"10.1016\/j.acra.2025.11.040_bib19","doi-asserted-by":"crossref","first-page":"1595","DOI":"10.1148\/rg.266065168","article-title":"RadLex: a new method for indexing online educational materials","volume":"26","author":"Langlotz","year":"2006","journal-title":"Radiographics"},{"issue":"6","key":"10.1016\/j.acra.2025.11.040_bib20","article-title":"Imaging AI in practice: a demonstration of future workflow using integration standards","volume":"3","author":"Wiggins","year":"2021","journal-title":"Radiol Artif Intell"},{"issue":"10","key":"10.1016\/j.acra.2025.11.040_bib21","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1016\/j.acra.2019.02.012","article-title":"The power of design thinking in medical education","volume":"26","author":"Deitte","year":"2019","journal-title":"Acad Radiol"},{"key":"10.1016\/j.acra.2025.11.040_bib22","first-page":"626","article-title":"iPad: semantic annotation and markup of radiological images","volume":"2008","author":"Rubin","year":"2008","journal-title":"AMIA Annu Symp Proc"},{"issue":"2","key":"10.1016\/j.acra.2025.11.040_bib23","first-page":"217","article-title":"The caBIG\u2122 annotation and image markup project","volume":"23","author":"Channin","year":"2010","journal-title":"J\u00a0Digit\u00a0Imaging"},{"key":"10.1016\/j.acra.2025.11.040_bib24","unstructured":"Meta Platforms, Inc 2024. React Documentation. Version 19. Available at: \u3008https:\/\/react.dev\/\u3009. Accessed December 12, 2024."},{"key":"10.1016\/j.acra.2025.11.040_bib25","unstructured":"Node.js Foundation. 2024. Node.js Documentation. Version 23.4.0. Available at: \u3008https:\/\/nodejs.org\/en\/docs\u3009. Accessed December 12, 2024."},{"key":"10.1016\/j.acra.2025.11.040_bib26","unstructured":"Apache Software Foundation. Apache CouchDB Documentation. Available at: \u3008https:\/\/docs.couchdb.org\/\u3009. Accessed December 12, 2024."},{"key":"10.1016\/j.acra.2025.11.040_bib27","unstructured":"DICOM. Available at: \u3008https:\/\/www.dicomstandard.org\/current\u3009. Accessed July 2, 2025."},{"key":"10.1016\/j.acra.2025.11.040_bib28","unstructured":"JSON.org. \u201cIntroducing JSON.\u201d. Available at: \u3008https:\/\/www.json.org\/json-en.html\u3009. Accessed December 12, 2024."},{"key":"10.1016\/j.acra.2025.11.040_bib29","unstructured":"Cornerstone.js Contributors. 2024. Cornerstone.js Documentation. Version 2.0. Available at: \u3008https:\/\/www.cornerstonejs.org\/\u3009. Accessed December 12, 2024."},{"key":"10.1016\/j.acra.2025.11.040_bib30","unstructured":"Docker, Inc Docker Documentation. Version 24.0. Available at: \u3008https:\/\/docs.docker.com\/\u3009. Accessed December 12, 2024."},{"issue":"5","key":"10.1016\/j.acra.2025.11.040_bib31","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10278-024-01098-7","article-title":"A method for efficient de-identification of DICOM metadata and burned-in pixel text","volume":"37","author":"Macdonald","year":"2024","journal-title":"J Imaging Inform Med"},{"issue":"3","key":"10.1016\/j.acra.2025.11.040_bib32","first-page":"353","article-title":"Standard lexicons, coding systems and ontologies for interoperability and semantic computation in imaging","volume":"31","author":"Wang","year":"2018","journal-title":"J\u00a0Digit\u00a0Imaging"},{"issue":"3","key":"10.1016\/j.acra.2025.11.040_bib33","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1007\/s10278-020-00331-3","article-title":"Ontology-based radiology teaching file summarization, coverage, and integration","volume":"33","author":"Deshpande","year":"2020","journal-title":"J Digit Imaging"},{"issue":"6","key":"10.1016\/j.acra.2025.11.040_bib34","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1007\/s10278-021-00527-1","article-title":"Biomedical ontologies to guide AI development in radiology","volume":"34","author":"Filice","year":"2021","journal-title":"J Digit Imaging"},{"issue":"9","key":"10.1016\/j.acra.2025.11.040_bib35","doi-asserted-by":"crossref","first-page":"2017","DOI":"10.1093\/jamia\/ocab084","article-title":"The use of SNOMED CT, 2013-2020: a literature review","volume":"28","author":"Chang","year":"2021","journal-title":"J Am Med Inform Assoc"},{"issue":"3","key":"10.1016\/j.acra.2025.11.040_bib36","doi-asserted-by":"crossref","first-page":"200","DOI":"10.3414\/ME16-01-0085","article-title":"Relating complexity and error rates of ontology concepts. More complex NCIt concepts have more errors","volume":"56","author":"Min","year":"2017","journal-title":"Methods Inf Med"},{"issue":"6","key":"10.1016\/j.acra.2025.11.040_bib37","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1007\/s10278-014-9710-3","article-title":"The National Cancer Informatics Program (NCIP) Annotation and Image Markup (AIM) Foundation model","volume":"27","author":"Mongkolwat","year":"2014","journal-title":"J Digit Imaging"},{"issue":"3","key":"10.1016\/j.acra.2025.11.040_bib38","first-page":"277","article-title":"BioPortal as a dataset of linked biomedical ontologies and terminologies in RDF","volume":"4","author":"Salvadores","year":"2013","journal-title":"Semant Web"},{"key":"10.1016\/j.acra.2025.11.040_bib39","first-page":"1223","article-title":"BioPortal: ontologies and data resources with the click of a mouse","author":"Musen","year":"2008","journal-title":"AMIA Annu Symp Proc"},{"issue":"3","key":"10.1016\/j.acra.2025.11.040_bib40","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1007\/s10278-020-00325-1","article-title":"Cinebot: creation of movies and animated GIFs directly from PACS-efficiency in presentation and education","volume":"33","author":"Talati","year":"2020","journal-title":"J Digit Imaging"},{"issue":"11","key":"10.1016\/j.acra.2025.11.040_bib41","doi-asserted-by":"crossref","first-page":"1471","DOI":"10.1097\/ACM.0000000000000939","article-title":"Acquisition and maintenance of medical expertise: a perspective from the expert-performance approach with deliberate practice","volume":"90","author":"Ericsson","year":"2015","journal-title":"Acad Med"},{"issue":"11","key":"10.1016\/j.acra.2025.11.040_bib42","doi-asserted-by":"crossref","first-page":"1438","DOI":"10.1097\/ACM.0000000000000911","article-title":"Mastery learning: it is time for medical education to join the 21st century","volume":"90","author":"McGaghie","year":"2015","journal-title":"Acad Med"},{"key":"10.1016\/j.acra.2025.11.040_bib43","series-title":"Quantification of improved resident performance on trauma radiographs with the standardized electronic learning library and application platform (STELLA)","author":"Zandee van Rilland","year":"2025"},{"issue":"1","key":"10.1016\/j.acra.2025.11.040_bib44","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1007\/s10278-020-00405-2","article-title":"The time has come: a paradigm shift in diagnostic radiology education via simulation training","volume":"34","author":"Shu","year":"2021","journal-title":"J Digit Imaging"},{"key":"10.1016\/j.acra.2025.11.040_bib45","unstructured":"ClariPACS Available at: \u3008https:\/\/www.claripacs.com\/\u3009. Accessed September 28, 2025."},{"key":"10.1016\/j.acra.2025.11.040_bib46","unstructured":"Medality. Available at: \u3008https:\/\/medality.com\/\u3009. Accessed September 28, 2025."},{"issue":"2_1","key":"10.1016\/j.acra.2025.11.040_bib47","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/BF03190314","article-title":"Electronic teaching files: seven-year experience using a commercial picture archiving and communication system","volume":"14","author":"Siegel","year":"2001","journal-title":"J Digit Imaging"},{"key":"10.1016\/j.acra.2025.11.040_bib48","unstructured":"Sectra Education Portal. Available at: \u3008https:\/\/medical.sectra.com\/product\/sectra-education-portal\/\u3009. Accessed September 28, 2025."},{"key":"10.1016\/j.acra.2025.11.040_bib49","unstructured":"AuntMinnie. Available at: \u3008https:\/\/auntiminnie.com\u3009. Accessed September 28, 2025."},{"key":"10.1016\/j.acra.2025.11.040_bib50","unstructured":"Collective Minds. Available at: \u3008https:\/\/collectiveminds.health\u3009. Accessed September 28, 2025."},{"key":"10.1016\/j.acra.2025.11.040_bib51","unstructured":"Radiopaedia. Available at: \u3008https:\/\/radiopaedia.org\u3009. Accessed September 28, 2025."},{"key":"10.1016\/j.acra.2025.11.040_bib52","unstructured":"ACR-AIRP-Implements-RadPix-Software-to-Enhance-Radiology-Residency-Education. American College of Radiology; 2024."},{"key":"10.1016\/j.acra.2025.11.040_bib53","unstructured":"Weadock W.J. RadPix. Available at: \u3008https:\/\/radpix.com\u3009. Accessed September 28, 2025."},{"key":"10.1016\/j.acra.2025.11.040_bib54","unstructured":"RSNA Case Collection. Available at: \u3008https:\/\/cases.rsna.org\/\u3009. Accessed September 28, 2025."},{"issue":"4","key":"10.1016\/j.acra.2025.11.040_bib55","doi-asserted-by":"crossref","first-page":"773","DOI":"10.2214\/AJR.11.7409","article-title":"The new era of radiology teaching files","volume":"198","author":"Rojas","year":"2012","journal-title":"AJR Am J Roentgenol"},{"issue":"1","key":"10.1016\/j.acra.2025.11.040_bib56","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1186\/s12909-025-06859-8","article-title":"Integration of artificial intelligence in radiology education: a requirements survey and recommendations from faculty radiologists, residents, and medical students","volume":"25","author":"Li","year":"2025","journal-title":"BMC Med Educ"},{"key":"10.1016\/j.acra.2025.11.040_bib57","unstructured":"DICOM TID 1500 Measurement Report. \u3008https:\/\/www.dicomstandard.org\/news\/supplements\/view\/json-representation-of-dicom-structured-reports\u3009. Accessed December 23, 2025."},{"key":"10.1016\/j.acra.2025.11.040_bib58","doi-asserted-by":"crossref","DOI":"10.1148\/ryai.240631","article-title":"The evolution of radiology image annotation in the era of large language models","author":"Flanders","year":"2025","journal-title":"Radiol Artif Intell"},{"issue":"1","key":"10.1016\/j.acra.2025.11.040_bib59","first-page":"1","article-title":"The importance of body part labeling to enable enterprise imaging: a HIMSS-SIIM enterprise imaging community collaborative white paper","volume":"34","author":"Towbin","year":"2021","journal-title":"J\u00a0Digit\u00a0Imaging"}],"container-title":["Academic Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1076633225011286?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1076633225011286?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T19:47:26Z","timestamp":1773949646000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1076633225011286"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":59,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["S1076633225011286"],"URL":"https:\/\/doi.org\/10.1016\/j.acra.2025.11.040","relation":{},"ISSN":["1076-6332"],"issn-type":[{"value":"1076-6332","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Creation of Radiology Teaching Content with STELLA\u2014A STandardized Electronic Learning Library and Application Platform","name":"articletitle","label":"Article Title"},{"value":"Academic Radiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.acra.2025.11.040","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Association of Academic Radiology. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}