目的:分析图像存档和传输系统(PACS)–医院信息系统(HIS)影像数据库与多学科综合诊疗(MDT)联合以问题为基础的学习(PBL)教学法在儿童癫痫影像教学中的价值。方法:选取2022年1月~2024年2月于我院影像规培医师121人作为研究对象,随机分为对照组61人、观察组60人。教学过程中,对照组采用MDT模式下的PBL教学模式教学,观察组采用PACS-HIS影像数据库结合MDT模式下的PBL教学。分析不同的教学方式对住培生的学习行为、教学质量、教学效果、教学满意度的影响。结果:观察组的教学模式对住培生的学习行为、教学质量、教学效果、教学满意度明显优于对照组,差异均具有统计学意义(P 0.05)。结论:ACS-HIS影像数据库与MDT模式下的PBL教学并用可明显提高儿童癫痫影像教学质量、教学效果,改变规培生学习行为。适合在广大基层医疗单位推广,以提高基层医务人员对儿童癫痫的影像诊断水平。Objective: This paper aims to analyze the value of problem-based learning (PBL) teaching method combined with Picture Archiving and Communication System (PACS)-Hospital Information System (HIS) image database and Multidisciplinary Comprehensive Diagnosis and Treatment (MDT) in the teaching of pediatric epilepsy imaging. Methods: 121 radiologists trained in our hospital from January 2022 to February 2024 were selected as the research subjects and randomly divided into a control group of 61 and an observation group of 60. During the teaching process, the control group used PBL teaching mode under MDT mode, while the observation group used PACS-HIS image database combined with PBL teaching under MDT mode. This paper analyzed the impact of different teaching methods on the learning behavior, teaching quality, teaching effectiveness, and teaching satisfaction of resident trainees. Results: The teaching mode of the observation group had a significant impact on the learning behavior, teaching quality, teaching effective