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International Journal of Computer Assisted Radiology and Surgery

Erschienen in:

01.10.2015 | Original Article

Comparative ergonomic workflow and user experience analysis of MRI versus fluoroscopy-guided vascular interventions: an iliac angioplasty exemplar case study

verfasst von: Fabiola Fernández-Gutiérrez, Santiago Martínez, Martin A. Rube, Benjamin F. Cox, Mahsa Fatahi, Kenneth C. Scott-Brown, J. Graeme Houston, Helen McLeod, Richard D. White, Karen French, Mariana Gueorguieva, Erwin Immel, Andreas Melzer

Erschienen in: International Journal of Computer Assisted Radiology and Surgery | Ausgabe 10/2015

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Abstract

Purpose

A methodological framework is introduced to assess and compare a conventional fluoroscopy protocol for peripheral angioplasty with a new magnetic resonant imaging (MRI)-guided protocol. Different scenarios were considered during interventions on a perfused arterial phantom with regard to time-based and cognitive task analysis, user experience and ergonomics.

Methods

Three clinicians with different expertise performed a total of 43 simulated common iliac angioplasties (9 fluoroscopic, 34 MRI-guided) in two blocks of sessions. Six different configurations for MRI guidance were tested in the first block. Four of them were evaluated in the second block and compared to the fluoroscopy protocol. Relevant stages’ durations were collected, and interventions were audio-visually recorded from different perspectives. A cued retrospective protocol analysis (CRPA) was undertaken, including personal interviews. In addition, ergonomic constraints in the MRI suite were evaluated.

Results

Significant differences were found when comparing the performance between MRI configurations versus fluoroscopy. Two configurations [with times of 8.56 (0.64) and 9.48 (1.13) min] led to reduce procedure time for MRI guidance, comparable to fluoroscopy [8.49 (0.75) min]. The CRPA pointed out the main influential factors for clinical procedure performance. The ergonomic analysis quantified musculoskeletal risks for interventional radiologists when utilising MRI. Several alternatives were suggested to prevent potential low-back injuries.

Conclusions

This work presents a step towards the implementation of efficient operational protocols for MRI-guided procedures based on an integral and multidisciplinary framework, applicable to the assessment of current vascular protocols. The use of first-user perspective raises the possibility of establishing new forms of clinical training and education.

Vorheriger Artikel An experimental evaluation of loads occurring during guided drilling for cochlear implantation

Nächster Artikel Application of 3D imaging in the real-time US–CT fusion navigation for minimal invasive tumor therapy

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Titel: Comparative ergonomic workflow and user experience analysis of MRI versus fluoroscopy-guided vascular interventions: an iliac angioplasty exemplar case study
verfasst von: Fabiola Fernández-Gutiérrez
Santiago Martínez
Martin A. Rube
Benjamin F. Cox
Mahsa Fatahi
Kenneth C. Scott-Brown
J. Graeme Houston
Helen McLeod
Richard D. White
Karen French
Mariana Gueorguieva
Erwin Immel
Andreas Melzer
Publikationsdatum: 01.10.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: International Journal of Computer Assisted Radiology and Surgery / Ausgabe 10/2015
Print ISSN: 1861-6410
Elektronische ISSN: 1861-6429
DOI: https://doi.org/10.1007/s11548-015-1152-y

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Abstract

Purpose

Methods

Results

Conclusions

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