NLM Resources for Images, August 18, 2020
Sponsored by NNLM MAR, this one-hour webinar tailored to health sciences librarians covered how to use several resources from the National Library of …
It is the top of the hour, I've
started the recording.
So I'm going to go ahead and start
Before we begin I will cover a few
The captioning link for this webinar
is available in the chat box.
TESSA has been kindly pasting it in
there for us.
Like I said this webinar is being
recorded and a link to the captioned
recording will be sent to all you
via email once we processed and
This can take a couple of weeks
Today's slides and the resources
guide for today's session are
available for download on the class
The link to this will be pasted in
the chat box and I will also send
link to that along with recording
link when I send that out.
On the class page scroll down to
course materials and you can find
those files for download.
For today's session you are all
So please use the chat box to
communicate your questions and
I'm going to be asking for lots of
audience input today since I'll
be doing some
I will basically be searching for
what you want me to search for.
We will try to keep it PG so our
recording can be family friendly
start brainstorming fun image
searches you might want me to do.
After I have done live demo of the
resources, I will send you on a
scavenger hunt and you can report
back what you find on the chat.
Also answer audience questions I
didn't get to earlier so if I missed
yours the first time around, just ask
again during the scavenger hunt.
This webinar grants one MLA CE hour
to claim the CE please complete the
short evaluation that will open once
you leave the webinar.
If this doesn't pop up for some reason,
send me an email which I will have
the final closing slide, and I will
get you the link to that.
It's no problem.
Please also do fill out the
evaluation even if not seeking CE
because it gives feedback on how
we can improve offerings.
Now that the housekeeping is out
the way, again let me just say
welcome and I'm so glad you could
join me today for the August
installment of the NNLM health
sciences libraries webinar series.
This series is tailored specifically
to health sciences librarians, and
giving you new tools for your tool box
or sharpening old tools.
That you can use in your day to day
work and introduce to the faculty,
students, researchers or healthcare
providers that you work with as well.
Our next installment will be in
October, so keep an eye out at
NNLM.gov/calendar for that to open
The health sciences libraries webinar
series is presented by a small team of
NNLM staff from several regional
My name is Kelsey Cowles I will be your
tour guide today.
I'm at the University of Pittsburgh
health sciences library system, which
hosts the NNLM regional medical
library Middle Atlantic region.
Which serves Pennsylvania, New York,
New Jersey and Delaware.
I'm the academic coordinator, I work
primarily with academic librarians
working with the health science in
some way, whether these are community
college librarians or those who work
at large academic medical center
even in hospital.
NNLM serves as outreach and
engagement arm for the national
library of medicine which is part
the the NIH.
And NNLM provides training, funding
materials and more, all of which
free to our member organization.
Most of you probably are aware of
NNLM's work or work at NNLM member
institution, but if not you can
always visit NNLM.gov to learn more
about the services we offer.
On to the fun stuff.
So today I'm going to be talking
about using NLM resources and
actually a couple of other resources
that I felt were worth including
to find images.
First though I will spend a few
minutes talking the importance of
visual communication, especially in
instruction, but I think these lessons
can be applied to all sorts context.
Faculty to student instruction,
librarian to student instruction,
student presentation, conference
presentations and posters, print or
virtual informational materials
Additionally, images from these resources
are great for aiding in diagnosis,
can be used for continuing education and
After I talk about that I will go
into live demoing these resources.
I will spend the most time on MedPix
I will also introduce you to four other
resources that I want to share with
Those are NLM's digital collections,
the visible human project,
the National Cancer Institutes
visuals online database, and Centers for
Disease control public health image
library or PHIL.
Now I want to engage you all in a
which I will open.
And I would love to see which of
the resources that I'm going to talk
about today you have used before.
I'm hoping all of you will learn
about at least one new resource
that you can take back with youo
utilize or share with your audiences.
So the poll results with are coming
in and I will give you a minute to
These results are so interesting.
I should have put a none option.
I apologize Melissa.
If you used none that's totally,
you don't have to answer the poll.
These results are interesting.
I will hit close which I think should
give you a count down.
Maybe it's not but I will — it looks
like only six of seventy respondents
Five out of seventy
The digital collection and visible
human project are more popular-
31 out of 70, and 19 out of 70.
And only a few — only one used NCI
visuals online and only 15 of 70
Public Health Image Library.
So that's actually really exciting.
I thought these numbers would be
higher but I'm excited about this
because that means hopefully you'll
all learn new resources today today
you will find useful.
That's my goal.
So as promised, first I will spend a
few minutes talking about the
importance of images.
I'm sure I will say this again, but
this is not necessarily just you
of the importance of visual
communication, but also give you
ideas for communicating that to your
audiences who maybe aren't so excited
about learning about yet another
place to look for information.
So I thought I would go for some
irony here talking by talking about the importance
images on a slide with only text.
Some citations for these are located
in the speaker notes on these slides
so if you download them you can see
the foot notes that are on the
Images are really useful for a few
First visuals can increase retention
of the information they are paired
People often remember a fact better
if it's associated with a relevant
For instance, studies have shown
people who use visual memory device
can remember word lists better than
those who try to remember the
lists just by repetition.
So for example, it's easier to remember
the words dog horse road if you
picture or are shown a picture of a
dog riding a horse down a road than
just repeating dog horse road to
You may have heard the old wisdom,
this came up a lot on the internet
when I was doing some research for this.
You see it everywhere.
People say, people remember 10%
of what they read, 20% of what
they hear, then depending on where you
get these numbers, 50 to 100% of
what they see.
These percentages, I want to be
upfront, are basically a myth.
There are many other factors at play.
And regardless these numbers can vary
widely because individuals.
However, there is truth to the
general idea that visuals can enhance
Especially when visuals are easy to
understand, relevant, visually
striking, elicit emotional response,
or some combination of the above.
In other words, learners aren't
usually helped by decorative but
boring stock photos.
Second, humans process visuals much
more quickly than text.
So MIT researchers found that the
human brain can process and identify
images seen for as little as 13
milliseconds, or that the brain can process
an image something like 60,000 times
faster than text.
The portions of the brain dedicated
to processing visual input are much
larger than those devoted to
So images can help you get your
message across quickly and efficiently
Third, visuals can elicit emotional
Some studies have found that
heightened emotional states are tied
to improved information retention.
But emotion also helps on a simpler
level with attention and audiene
engagement in general.
So images that elicit an emotional
response, whether that's disgust,
humor, fear, happiness or something
else, can help people pay attention
and therefore remember more.
In addition to the fact that images
associated with information can aid the
retention of that information
recordless of any emotional response.
So it's sort of a two for one deal.
Finally, there's a reason saying a
picture is worth a thousand words
For some images it really might
take a thousand words or more to
An image can often convey information
much more efficiently and faithfully
This is why it pays to be smart about
where to use figures, diagrams, and
images in written articles.
So for late fun example, last summer
I was on a sports team and we played
a sort of team building game
So we sat back to back with a
teammate, one person was given a
simple drawing they had to describe
to the other person verbally who had
to draw it without seeing the drawing
So for most pairs the drawing didn't
quite look like the original image,
some folks were close, some were just
comically far off.
And while I question the usefulness
of this as a team building activity,
it does do a good job of illustrating
the idea that images can get information
across more efficiently and
faithfully than just words.
I do want to take a moment to pause
here and point out major caveat
That's that images are not accessible
So it's really important to consider
that when using images and make sure
that the information conveyed by an
image is also conveyed with words or
text in some way.
For online materials this often means
adding ALT text to image and adding
captions to your videos.
There's some nice automatic
captioning options out there like on
Images from some resources like many
images on open-i come with alt text
already when you an copy image and paste it
into, say, Powerpoint, which I actually
found out when making this
Regardless, it's not that hard to add
ALT text to your images in a
presentation or just on the internet.
I highly recommend you do so.
Also if you are just presenting in
person and you have images, try to
describe those verbally alongside
So now that I spent time talking
you with words and not a lot of
pictures, I want to give some examples
that are a little more visual.
As we look at these think about
whether these are sticking with you
more or less than all the words that
I just said to you.
So on the left here is a radiograph
and on the right is descriptive text
describing the injury and image.
Share your thoughts in the chat.
Think about which side do you thing
gets the message across faster?
Are you more likely to remember the
image or the text?
Does seeing the image help you
understand or remember the text?
Does the image give you any sort of
I'll give you a moment to observe
react in the chat box.
Look we are getting some responses,
Curtis says ouch and Margo says
painful, Jeanette says image gives me
a visceral reaction.
That's the exact reaction I had.
So I chose this image because I used
to be really interested in osteology
and I studied lots of broken bones
and what not.
I love this because I can picturee
this image in my head days after I
put it in this presentation.
I know exactly what it's
Whereas when I read that text, I
really have to think about it to
And yeah, the picture shows that
there is a problem and words tell
what problem is.
So in a way they are sort of working
together and sort of building on
each other as well.
So I think this is a good
illustration of how images can geta
message across quickly and really
elicit a response, but sometimes the
text is also helpful and they can
work together to convey information.
Thank you for your reactions to that.
Next example, so this is an image
showing temperature trends across the
globe since 1990.
And I think this is a good
illustration of how an image can
faithfully convey information that
would probably take me hundreds or
thousands of words to describe
and would be less effective.
So I was trying to think about how I
would go about describing this image
more than just saying something
really general like well most of
map is yellow, orange or red.
And I was having a hard time, there's
a lot of information conveyed here.
I think this type of image, kind
like the first one, can also be a
little bit of a gut punch and elicit
emotional reaction like surprise that
might make this information more
On the topic of emotional responses,
I think this 1980 anti-smoking
advertisement is a good example.
So I've covered up the image and the
advertisement so you can just see
the text for now.
It's not English but the textual
message reads "stop smoking, improve
That's a mild message.
I don't think reading that alone
would have a huge effect on me.
But if we uncover the rest of the
image, it's pretty striking.
This is a pretty morbid image with a
skeletal hand holding a cigarette.
The association between death and
smoking is obvious.
And at least for me this elicits a
bit of feeling of dread or fear.
I don't recall if these particular
ads made their way into the U.S. or
not, I know there was a proposal
last year to do so.
But this made me think of those
really graphic warnings on cigarette
packaging around the world that shows
some of the physical damage that can
occur due to tobacco use.
Some of these are pretty graphic.
I still remember some of the ones I
saw in like health class, which must
have been at least 15 years ago.
And this is actually an interesting
example for another reason.
Some studies have shown that the
graphic warnings are not as effective
in leading to smoking cessations
as many have thought or hoped.
Maybe due to several reasons, one
being smokers generally already know that
smoking is dangerous so the graphic
warnings don't always translate
This discussion is probably a little
bit outside of today's scope but I
will say there is evidence these
graphic warnings do increase
knowledge about the dangers of
smoking more effectively than text
Even if this knowledge doesn't
translate into action.
If you didn't come into
this presentation convinced by the
importance of visuals in communication and learning,
hopefully now I've convinced you.
If your next question is,
where do I go
to find high quality, relevant, scientific images?
Hold that thought for one second because I want
to take a moment to convince you that
when looking for pictures, Google
images might not be the best first
stop, even though it might be the most
obvious or very easy choice.
Again, I'm not just telling you this
to convince you because really i'm
fairly certain this audience is
probably one that would need very
little convincing of that concept.
I'm hoping to give you some tools to
utilize when talking about these
resources the faculty, students, or
healthcare providers you may work
I think students especially are
highly likely to just Google it.
So I think it's important to be able
to describe the value added by other
Even though those might take an
extra click to reach.
So when you go to Google to find
health information, what are you
going to find?
Probably going to find some good
You might find links to peer reviewed
articles, which you might want.
But there's a high likelihood you
will also find things like blog
posts, popular science news that
may or may not accurately reflect actual
research, quick bait headlines,
oversimplified information and
probably some absolute nonsense.
Then you have to do the work of
sifting through that.
The same holds true for Google image
Not every image you get is going
to be what you are looking for or even
related to your search.
You may get stock images.
I will show you this in a moment once
I switch to sharing my browser.
Like I mentioned before, people
recognize stock images and tend to
tune them out so they don't
necessarily add to learning like a
more relevant engaging image would.
They tend to be more decorative,
which is a consideration if you're thinking
about the accessibility of your presentation.
You can filter your Google image
search results by license type, but
this can unnecessarily narrow your
results if the license type of an
image isn't known or user searches
could be labeled inaccurately.
Images from the resources I will talk
about today are on the whole free
use with attribution, or in some
cases, which I will show you, you will
get more specific copyright
information available to you about a
Images found on Google results can be
distorted, edited, cropped, compressed,
and this lowers the quality and
Images can also be mislabeled.
By not even actually being pictures of
what you searched for. If the searcher
doesn't have the expertise to tell
the difference there, they can make a
Images in Google results could be
from a peer reviewed article or they
could be from a blog post.
Using Google means the searcher has
to add an extra layer of information
quality assessment as they determine
whether a source is reliable, whether
it has accurately described the image
and whether it's used that image
accurately in context.
Images can also be misattributed
unattributed, making it difficult to
determine their original source.
One nice thing about Open-i
specifically, which you will see in
action; if you pull an image from an
article in PubMed central, it show you
the other images from that article.
This can be nice if the first image isn't
what you need or you just want more
visuals for the same concept.
Although as librarians you are
probably good searchers on any
platform, some of the ones we will look at
have better, more relevant tools to
customize a search.
Open-i in particular has cool
filters that I will share with you.
They bring functionality that eoogle
doesn't quite match.
Finally, starting last year, Google
began adding ads to image results.
This means that sometimes when you
Google image search, you may have
seen this, you might see paid
advertisements or links to shop for
things on top of results.
This is annoying, yes, and it also
alters the actual search results
by pushing some things to the top of
results that might not be really
what you want.
As promised, I am now going to switch
over to some live demo.
The links to all of
the resources I am going to show you
plus short descriptions,
so you know which one is which,
can be found in the resources handout,
which is available for download
on the course page.
Once we get to the part of
the presentation where you're going to be able to
interact with these, we'll paste
links to them in the chat box
to make it easy for for you.
So I will start off with MedPix,
which I think only 9% of you used before, so
super cool and new resource for many
MedPix is a free open access online
database of medical images, teaching
cases and clinical topics.
So it's not just an image database,
it's actually a really nice education
tool for healthcare providers, health
sciences and medical students, and and
The site offers the ability to get
CME credits, so that may be
of particular interest to your
I see someone in the chat already
says our faculty use it and love it
so that is great to hear.
So on MedPix you can browse cases
by diagnosis, which I will show
you here. So you go to case and by diagnosis.
This brings up a not very visually
appealing all caps list of diagnoses.
I'm going to start here to show you
what a page looks like.
I will click one at random.
We have got the abdominal aortic aneurysm (AAA)
So here is a case for that.
What you can do is page through the
images and take a look at those.
On the right hand side, what you'll
see is some case history about the
patient, exam and findings.
Differential diagnosis, treatment and
follow-up, and then this is a
These are all submitted by the people
who submit these cases.
So doctors can go in and say I've
got an interesting case people could
learn from, I will put my information
in there with some images so others
can learn from that.
So sometimes these discussion
section, this is a good example, are really
They have got lots of details, i've
seen some that link out to literature
that gives information about
differential diagnosis for this
This one links to some related cases,
so this one is really nice. On others,
I will say you won't see a discussion
section at all.
There's variability there.
You can also like I said you can
contribute a case if you go to s
you can contribute case.
If you have got practitioner who
wants to share. There is also an API, which is offered
through open eye to download cases
that fit your specifications.
Ellen, I see your
question and I'm going to address
If you have someone who does who wants
to get CME,
you can go to CME, there is a guide
here for how to do it
or you can go to "choose a case"
and it's going to pull up a list
of cases that
offer those CME.
You can either view or view in quiz mode.
The first one we looked at we were
just viewing, so this one I will show
you what it looks like in quiz mode.
What happens is you see it blurs out
all the information so you can look
at the pictures and history and try
to come up with your own diagnosis
To get those CMEs, what you're going to do is
go to over quiz here, and again, not all
cases have quizzes, and not all cases
with quizzes offer CME.
But it will be very clear at the
So this says to record CME credits,
please log in.
So you will make your account on
MedPix, log in, and then get the credits.
If this quiz didn't give CME, there would
be a red warning at the top so you
wouldn't be "wasting
your time" taking a quiz that didn't
give credit if that's what you were
Now I want to point out the topic
So this is a way to browse case,
that are organized in three different
The first one is American college of
radiology numerical system.
So that just sorts them by basically
different body areas and systems.
You can sort by location and
So category we have anatomy,
aneurysm, et cetera.
For location this is funny, I want to
point it out.
I think these are probably pulled
from basically user submitted data.
That's why there's some weird ones
For instance, there's 171 generalized
There's also three in Bethesda,
So I think how people interpreted
location was a bit different.
I would say when in doubt just use
Let's do a demo search.
Type something in the chat box you
would like me to search for and I
will grab one at random and we can do
I will show you what that's going to
While those suggestions are coming
in, another good thing to know about
MedPix search, I did some testing
here and the and operator appears to
work as you would expect it to.
For some reason not an or, at let
right now, are both acting like and,
which is pretty goofy but something
to keep in mind if you are doing a
We have some suggestions.
I will grab kidney stone.
See if we can get results here.
Looks like we have some cases.
So I'll just click on one at random.
Then it will pull up some description
It will highlight your search terms
so you can see if that's something
you wanted to look at.
So again here is what another
case looks like.
This one again doesn't have a quiz
but you can turn on quiz mode by
Quiz not available, but if you go
to the case it will blur everything
for you so you can quiz yourself.
So Ellen, in response to your
question in the chat, if you are
interested in using these images, all of
the images, the case images on MedPix,
are available for personal use and
for teaching, so you can include
these in teaching materials, syllabi,
et cetera. You can post on your
course page like black board or
whatever for students.
For uses beyond that, they ask you to
contact the author for permission.
Luckily it is easy to find the author
because there will be this author tab
here and you can see image author,
affiliation, and then you can try to
find their contact information
and get any permissions that you
So I have not seen any other
questions about MedPix in the chat.
Does that include course packets?
I believe that does.
I know on here there's — I sort of
summarized the usage restrictions, but
there's more details, somewhere on
I believe they said that does include
So I don't see any other questions
Let me close a couple of these tabs.
Do they all require additional
All of the MedPix case images, basically when
you upload them, you agree to upload
them under a certain usage agreement
and that is what I described that folks
can use them for teaching purposes and
personal purposes, but anything other
than that, like publication or
something, you would want to get
permission from the author.
This is probably my favorite NLM
I always talk to people about it
because I find people don't know
about it and actually only like 7% of
our poll respondents used it before.
I'm super excited here.
This is Open-i.
Open-i is an open access biomedical
image search engine.
If you think of Medline Plus or PubMed as
alternatives to Dr. Google, then
Open-i is the alternative to Dr. Google Images.
So I mentioned earlier how
different your results can be on
Google images versus a specialized
resource for medical images.
And I promised a demonstration of
I'm going to deliver.
So here we have the Google search
results, Google image search results
Lots of very pretty stock photo of
people doing finger prick blood
We have diabetes spelled out in some cute
little letter beads.
If you're looking for something a little
more scientific or academic or
medical, this isn't probably quite
what you are looking for.
So I'm going to do that same search
As you can see the images look
What Open-i is doing is searching
articles in PubMed central and is
searching for several special image
collections, one is actually the
To pull in all these images.
So it's sort of like an umbrella
It's still good to know about mX
and the other collections it's
searching, one of which I will show
Because Open-i is showing images from
those, but doesn't have the
functionality so it won't give you
the quiz you would get on MedPix
about a particular image.
It'll just show you the image and then you can link
to MedPix and do that, but it's still good
to know about the individual
collections and resources themselves.
So let me show you some of the
features of open-i.
Most are pretty self-explanatory and
intuitive but let's get you involved
again. Let me run a new search with
something you want to look at.
Give me some new suggestions in the
chat box and I will use one of those
for a demo search.
Deer tick bite.
Let's try that one.
See what comes up.
That looks good.
So here is our sample search, let me
show you some of these features
you can use to modify your search.
Again, self-explanatory and intuitive for
the most part.
You can rank your results by newest,
oldest, diagnosis, etiology, outcome,
prevention, treatment, et cetera.
You can sort by article type, so maybe
you only want things that came from a
You can select for that.
A lot of times you won't get a ton of
results if you do that, but you can
even sort for obituary.
I haven't found many results from that,
but maybe as things are added you will
My favorite is filtering by image
So you can do CT scans, graphic,
MRIs, photographs, let me just
select photographs and see what comes
I want to point out that some of
these are very obviously not
The reason this is happening is
because these are done by an
algorithm so basically the computer
is looking at the pictures and saying
okay I think that looks like a
And I see a lot of cross-over when I
do — when I sort by MRI you get
x-rays, because they are both sort of like
black and white images that tend
look fairly similar.
So you will get a little bit of
cross over there.
But for the most part it does a
Let's see what else?
We have these subsets, for insstance
there are sub sets of journals in
PubMed central that are clinical
journals, ethics, et cetera, and it
will only search for those if you
want to use these subsets.
I don't use this one quite as much.
The other one I really like is
I will show you a couple of these.
Again, like I said, it's searching PubMed
images from the history of
medicine collection at NLM, which we'll look at next.
It's searching these two other ones – Indiana University
chest x-ray collection and this
Orthopedic surgical anatomy collection.
I'm going to click on chest x-raysknowing that
deer tick bite won't pull up anything,
but I'm just going to clear deer tick bite and
photograph and see if we can view.
Here we are basically looking at the entire
Ellen, I don't think there is a way to limit to
just limit to color or black and
Probably the closest thing you would
do would be to select a few of these
that are going to sort of mimic that
type of search.
So here is the chest x-ray
This this is cool, it reminds me of
MedPix a bit, it's a special collection
That give you some information the
the patient so here is age is unknown
but here is a male with chest pain so it'll
tell you a little bit about the
patient and if there is any pathology that
someone looking at this should be
If you got students or folks who want
to review a lot of radiographic
images, this is great place to start.
Other things to point out on this
page, there will be some information
about the copyright policy, this
open access and there's a link o
any license restrictions.
So each image will have those.
Let me go back and find you an image
that was in a PubMed central article.
Here is one.
So when you mouse over that what you
will see is some article information.
These are adorable little mice.
It will give you once you click on
that, it will give you sort of snippet
from the article.
This is computer generated so not
And it will also show you additional
figures from that article,
which I mentioned before.
Again, you can get the copyright
policy and license information .
For this it will probably be like
contact journal of publication to get
whatever permission you are looking
There's a question.
Can you select multiple categories
I believe yes, let me just confirm
Let's do photographs and graphics.
Some reason open-i likes to be slow
when I'm demoing it.
There we go.
You can select multiple things
simultaneously and there's an X if
you want to clear them.
Question: are the limits standardized
or do they depend on search topic?
As far as I'm aware they are
Do you have any other questions?
If so please type them in
You can filter by license type
If there are not further questions about
open-i, I will move to the NLM
Thank you, I agree, open-i is
fantastic and I'm pleased to share it
with you all today.
The digital collections, one of which is the
images from the history of medicine
collection, which I'm circling with my cursor here.
Open- isearches that but there's
other collections which are super
interesting if you are looking at the
history of medicine.
There is a world war 1, a world war 2.
This is my personal favorite, medicine
in the Americas, 1610 to 1920.
There's historical books and
journals, really cool.
I will focus on IHM history of
This is imagesand a lot of other
collections include lots of digitized
documents so books, other
publications, letters and things
I really want images for our purposes
I'm going to go to images from the history of medicine.
I'm going to do a search I want to do,
which is Pittsburgh. I like this
because the first result is mellon
institute which I used to work
directly across the Street from.
think this pictures from the early 1900s –
looks identical today which is cool.
But for an example, I'm going to look
at the third image here, I'll pull up
This is an anti-cocaine commercial
from the 1980s put out by the
University of Pittsburgh student
So this page will give you some
information about the image, it has
an abstract which is actually
nice if you want to use it for alt
It will have copyright information.
So because this is from the '80s,
it's likely that there's some
copyright protection on it.
Owner is probably University of
Pittsburgh in some regard and you can probably
contact them if you want to use it in
some way you wouldn't think be
covered by fair use.
Some are old and they will say NLM
believes this item is in public the public domain
and if it's in the public domain you can
pretty much do what you want with it.
Also want to point out you don't have
to browse the collection, let me go
back to the main page.
You can do a search of course and you
can limit by whatever formats you
So if you want just to still image,
you can do that.
And you can search for Pittsburgh
again, and we get some of those same
Any questions about this?
These I think are great if you havee
got faculty member or someone whose talking
about the history of a particular
illness or treatment or just the history
of medicine in general.
Even if you have a student who needs
to do a research project and they are
not sure what to do, maybe they can
browse some of these collections and
find a topic that really excites
I think this is really fun and I like
to just play around in here
Not seeing any questions about this
one, I will try to click — I did it
without disrupting the WebEx bar
Next is visible human project.
I always want to call it the visual
This is actually from the '90s, but I think it's
still cool and useful.
This is a collection of detailed
anatomical images of a human male
body and human female body.
The images available include cross
sectional cryosections, CT and MRI
All available for download and
considered digitally in the public
domain so you can use them hower
You can do sample images if you don't
want to download the whole data set.
So scroll down, we will look at a CT
sample image, it's a little bit dark,
hopefully you can see it a little bit.
I think there are like
thousands of these that you can
These are cool for folks who maybe
are teaching or learning anatomy,
so you can show certain anatomical
structures in various different views
so you can say here is what it looks
like in the fresh cadaver or frozen
Here is what it looks like in a CT
scan view and here is what it is
like as MRI.
So this is pretty straight forward,
basically an image collection that
you can download and use the images
in whatever way you like.
So I know the class is titled NLM
resources for images but there's
other resources too valuable to not
make you aware of, though not directly
from the NLM.
The first from the national cancerr
It's called visuals online, it's a
simple searchable page containing
images from NCI's collections.
These are sorted into some featured
image collections, science and
technology, childhood cancer. I like
this one – Spanish language diagrams.
Those could be useful.
Anatomy historical images and B roll videos,
which I haven't checked out yet, but i'm
You can browse image by topic.
So I'm going to pick one at randpm
Let's look at leukemia, it will pull
up a few pictures relating to
You can — if you get more results
you can limit by date, sort by image
type, this one you actually can sort
by black and white and color.
Then you can sort by date added.
One thing I like to point out here is
if you just use the search bar, i'm just
going to put in leukemia again,
you get more
results and I think the reason it just
pulled up these first four is they have a
higher relevance and that's why
they were added to that topic whereas some of these
other ones have a lower relevancy
But I would advise if you are not
finding quite what you want
to use by using the topic,
to just use the search bar and
see what you might find in addition
Are these usable in presentations?
I think most of these are — I want
to say they are freely available.
Let me check if there's specific
Here most of these are going to be
public domain, each image will have a
But since these are from the
government basically, most of themm
are going to be — most, if not all,
are public domain and are free to
reuse as needed.
They do ask that you credit the
source and creator if possible.
Then the final little resource I want
to share, this is PHIL. This is the
CDC Public Health Image Library.
PHIL offers a number of topics on
things like influenza, natural
disaster, bioterrorism, health
behaviors, lab science, a bunch.
And those are featured image
The thing that I actually like a lot
about PHIL that I think you folks
might find useful is this specific
audience page here.
There's a bunch of different
audiences, and what these different
sub pages are, are pages that
contain a few tailored image
collections for particular audiences.
The really cool thing, I will click
healthcare providers to show you.
Here is the featured images.
The cool thing they do is they
basically tell you how to pitch this
resource to that audience.
So you don't have to do any creative
thinking about it.
This makes it really easy and just
tells you that PHIL can help
healthcare providers by illustrating
the effects of disease or
supplementing case notes, assigning
diagnosis and hospital teaching.
So if you are like hey, doctors, you
should check out the PHIL, you
already have some talking points to
get across some ways they might bee
interested in using this resource.
This is just an easily, basic
searchable library you can narrow
down by photos and illustration.
But it's pretty straight forward.
So with our remaining time, I want to
re-emphasize during this time I'm
happy to answer questions.
But I want to give you folks so,e
time to have free play with these
resources and play with them because
I know sometimes questions can come
up or comments
Once you actually start using the
So we are going to be doing a little
scavenger hunt and we will look for
images on some certain topics.
Again, ask any questions you have
during this time.
I will answer.
What I want you to do, I
will give you a topic and I want you
to go to any resources, and find
image related to that topic, that you
think would be useful to one of your
audiences in some way.
Then come back in the chat box, give a brief
description of the image to say
I found this nice image of the
Coronavirus on the PHIL.
And I think my doctors would be
interested in using this because they
are giving lots of presentations
about the Coronavirus right now.
Something like that.
So what you found, where you found it,
and why you chose it for a particular
audience that you have in mind.
I have chosen really broad topics on
purpose because I want to see a
range of responses that are going to
illustrate the breadth of what's out
there in these resources and the different
uses for it.
If you can, try to use a different
resource for each prompt and I will
be here – probably going to mute for
a minute, but will be active in the
And your first topic to go search for
in any of these resources is
Let everyone know what you find.
I will be here to answer questions.
Very good, looks like we are starting
to have some responses coming in.
Looks like a lot of folks were
interested in the historical aspect
We have some things found in the
digital collections, very good, a
Chicago poster about the 1918
Run a public display, a run on
disinfectants is nothing new.
Another digital collections one,
Stewart found the same poster as
Looks like Bradley went to MedPix
and found a good picture for
And Ellen went to open-i.
X-rays from case reports – very good.
Someone went to PHIL.
Phil found a video
about symptoms of the flu.
Good job, Phil.
So — very cool.
Looks like just about every resource
I'm not surprised no one went to the
project, that wouldn't be probably the
best resource for this.
Pam, that's interesting.
Pam said that
she combined influenza with H1N1
with PHIL – produced no results th
some have H1N1 in the description.
I imagine that has to do with metadata
on the images.
So that's a good illustration of
why you might want to run multiple
different searches in these types of
resources to make sure you are
finding all the images you like.
Let's just do one more.
Let's do the topic is liver.
Jump into a different resource than
the one used before and share with me
what you came up with and who you
think might find it useful.
Looks like we have one response.
Lucy went to the NCI visuals
online and found a nice illustration
of liver anatomy that could be useful
for students or patient education.
Ellen, you are correct.
The visible human project does not
have a search box, it's more of just a bunch
of images that you can download.
It looks like the NCI visuals online
is a good resource.
Give you another minute or so if you
found something cool that you would like
share with everyone.
Claire brings up a great point.
The NCI portion on liver anatomy also
has Spanish language images, which is
Bradley went to Open-i.
Found some various liver MRIs that could
be great for med students or
residents to use.
Stewart found a fun one.
An advertisement for product to
disguise the taste of cod liver oil.
That's really something we all need
in our lives to be honest.
We all are trying to disguise the
taste of cod liver oil.
Pam says NLM digital collections
still and moving images.
Some restricts – copy available on-site
Having digitized or something like
that or maybe — yeah they need
someone to actually go to the site to
see it, which is unfortunate in
Hopefully in the future.
Instead of running us up against one
o'clock doing another one, I think you
all had a little chance to play
around with these and I really hope
that you learned some new resources
Mary, I see you have a question.
I'll say up front I'm not an
intellectual property expert.
The permissions — most of these
will give you a link to a license
that will give you some more
And free for use outside of open
access or public domain,
it can have some different varying
restrictions on what context you can
use it in.
For instance, if you can say I'm
using this for teaching, it's fair
use, I'm not widely distributing.
You may not need permission, and yes,
that is completely the hardest part.
Whereas if you are saying I am going to use
this in a publication, the odds are
much, much higher that you need to
get written permission or pay a
licensing fee or something to use an
For the most part, images in these
resources, some of them come from the
government, which means you are
mostly allowed to use them for
whatever purposes you need.
Or if they are coming from like
PubMed central article like on
Open-i, it will give you — it will
either tell you what the license
information is or it will say contact
the journal or author and they will
be able to help you out.
So unfortunately there's not a good
broad answer that, yes, you can use
every one of these images for
everything you want, I wish that were
But these are great resources because
probably the proportion of things you
can use here, these are way higher
than in other places
you will be looking.
Yeah, classroom teaching and webinar
teaching is different and the license
It is a constant struggle and you
always have to be a little careful.
So I'm going to wrap up a couple
minutes early so we can make sure you
can get to your two o'clock
Thank you so much for coming today.
I hope you learned something new that
you can apply.
I had a great time today showing you
Please join us in October for the
next installment of the series once that goes
live for registration.
If you have any further questions
today shoot me an email, I would love
to hear from you.
I love talking about open-i and
these other resources.
I would love to chat with you if you're interested in
talking more about any of these.
Have a great rest of your day.
Thanks for watching.
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