MM Abuzaid, W Elshami Medical Diagnostic Imaging Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates Introduction: For many years, conventional radiographic films have been used for radiology education. Nevertheless, advances in imaging modalities, image quality, and the number of images produced by various methods have seen a move toward digital formats. Certainly, a patient’s case has a significant value in medical education; it can transfer theoretical knowledge to real experiences. The aim of this study is to evaluate the value of scenario-based simulations in radiology education and their impact on professional learning outcomes.Materials and methods: Patient scenarios were collected and converted to digital teaching files, each supported by clinical history, anatomy illustration, as well as medical and radiological investigation. The scenarios were presented online to radiology professionals for 6 months. At the end of the study, the scenarios were evaluated regarding design, content, and their role in improving critical thinking.Results: Twenty-two scenarios were published online covering various radiology areas. Two hundred and thirty-eight radiology professionals were invited, and 84% participated in the evaluation process. Each participant completed an average of 13 scenarios with an approximate time of 23 minutes for each. The majority of participants agreed or strongly agreed that the scenarios were well designed (94%), were appropriate to their level of knowledge (70%), and helped them in critical thinking and in understanding similar cases (79%). Conclusion: The integration of scenario-based simulations in radiology education led to a positive impact on learning outcomes, formative interactive learning, and filling the gap between theory and practice. Moreover, it promoted critical thinking skills and allowed radiology professionals to demonstrate their knowledge of similar cases. Keywords: radiology education, scenario-based simulations, digital teaching files, critical thinking