Comparative ergonomic workflow and user experience analysis of MRI versus fluoroscopy-guided vascular interventions: an iliac angioplasty exemplar case study
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 tim...
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| Veröffentlicht in: | International journal for computer assisted radiology and surgery 2015-10, Vol.10 (10), p.1639-1650 |
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| creator | Fernández-Gutiérrez, Fabiola Martínez, Santiago Rube, Martin A. Cox, Benjamin F. Fatahi, Mahsa Scott-Brown, Kenneth C. Houston, J. Graeme McLeod, Helen White, Richard D. French, Karen Gueorguieva, Mariana Immel, Erwin Melzer, Andreas |
| description | 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. |
| doi_str_mv | 10.1007/s11548-015-1152-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1718914461</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1718914461</sourcerecordid><originalsourceid>FETCH-LOGICAL-c457t-121b19d462a45a1fe768d6ffc9d87c8aed3a02e817b5f8703a9f0a9b0e5355593</originalsourceid><addsrcrecordid>eNp9kc9u1DAQxiMEoqXwAFyQj1wCniROYm5oxZ9KRUgIzpbXHq9cnDh44i15GN4Vr7b0yGk-jX_zjcZfVb0E_gY4H94SgOjGmoOoi2rq7VF1CWMPdd818vGDBn5RPSO65bwTQyueVheNGDjvpbys_uzitOikV39EhukQ5zh5w-5i-ulCvGN6tiwTJoa_F0weZ4Olp8NGnlh07Mu3a3bERJmYCzmmSCYuW33I3qJlR00mB52Yn1dMR5xXH2d6VxyYD16bIg4-LkHTupUNOC0n2GhCRmu22_PqidOB8MV9vap-fPzwffe5vvn66Xr3_qY25aK1hgb2IG3XN7oTGhwO_Wh754y042BGjbbVvMERhr1w48BbLR3Xcs9RtEII2V5Vr8--S4q_MtKqJk8GQ9AzxkwKBhgldF0PBYUzasqtlNCpJflJp00BV6dU1DkVVVJRp1TUVmZe3dvn_YT2YeJfDAVozgCVp_mASd3GnMo3039c_wKAaZ0y</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1718914461</pqid></control><display><type>article</type><title>Comparative ergonomic workflow and user experience analysis of MRI versus fluoroscopy-guided vascular interventions: an iliac angioplasty exemplar case study</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Fernández-Gutiérrez, Fabiola ; Martínez, Santiago ; Rube, Martin A. ; Cox, Benjamin F. ; Fatahi, Mahsa ; Scott-Brown, Kenneth C. ; Houston, J. Graeme ; McLeod, Helen ; White, Richard D. ; French, Karen ; Gueorguieva, Mariana ; Immel, Erwin ; Melzer, Andreas</creator><creatorcontrib>Fernández-Gutiérrez, Fabiola ; Martínez, Santiago ; Rube, Martin A. ; Cox, Benjamin F. ; Fatahi, Mahsa ; Scott-Brown, Kenneth C. ; Houston, J. Graeme ; McLeod, Helen ; White, Richard D. ; French, Karen ; Gueorguieva, Mariana ; Immel, Erwin ; Melzer, Andreas</creatorcontrib><description>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.</description><identifier>ISSN: 1861-6410</identifier><identifier>EISSN: 1861-6429</identifier><identifier>DOI: 10.1007/s11548-015-1152-y</identifier><identifier>PMID: 25700699</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Angioplasty - methods ; Computer Imaging ; Computer Science ; Computer Simulation ; Ergonomics ; Fluoroscopy - methods ; Health Informatics ; Humans ; Iliac Aneurysm - surgery ; Imaging ; Magnetic Resonance Imaging - methods ; Medicine ; Medicine & Public Health ; Original Article ; Pattern Recognition and Graphics ; Radiology ; Retrospective Studies ; Surgery ; Surgery, Computer-Assisted - methods ; Vision ; Workflow</subject><ispartof>International journal for computer assisted radiology and surgery, 2015-10, Vol.10 (10), p.1639-1650</ispartof><rights>CARS 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c457t-121b19d462a45a1fe768d6ffc9d87c8aed3a02e817b5f8703a9f0a9b0e5355593</citedby><cites>FETCH-LOGICAL-c457t-121b19d462a45a1fe768d6ffc9d87c8aed3a02e817b5f8703a9f0a9b0e5355593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11548-015-1152-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11548-015-1152-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25700699$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fernández-Gutiérrez, Fabiola</creatorcontrib><creatorcontrib>Martínez, Santiago</creatorcontrib><creatorcontrib>Rube, Martin A.</creatorcontrib><creatorcontrib>Cox, Benjamin F.</creatorcontrib><creatorcontrib>Fatahi, Mahsa</creatorcontrib><creatorcontrib>Scott-Brown, Kenneth C.</creatorcontrib><creatorcontrib>Houston, J. Graeme</creatorcontrib><creatorcontrib>McLeod, Helen</creatorcontrib><creatorcontrib>White, Richard D.</creatorcontrib><creatorcontrib>French, Karen</creatorcontrib><creatorcontrib>Gueorguieva, Mariana</creatorcontrib><creatorcontrib>Immel, Erwin</creatorcontrib><creatorcontrib>Melzer, Andreas</creatorcontrib><title>Comparative ergonomic workflow and user experience analysis of MRI versus fluoroscopy-guided vascular interventions: an iliac angioplasty exemplar case study</title><title>International journal for computer assisted radiology and surgery</title><addtitle>Int J CARS</addtitle><addtitle>Int J Comput Assist Radiol Surg</addtitle><description>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.</description><subject>Angioplasty - methods</subject><subject>Computer Imaging</subject><subject>Computer Science</subject><subject>Computer Simulation</subject><subject>Ergonomics</subject><subject>Fluoroscopy - methods</subject><subject>Health Informatics</subject><subject>Humans</subject><subject>Iliac Aneurysm - surgery</subject><subject>Imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pattern Recognition and Graphics</subject><subject>Radiology</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgery, Computer-Assisted - methods</subject><subject>Vision</subject><subject>Workflow</subject><issn>1861-6410</issn><issn>1861-6429</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9u1DAQxiMEoqXwAFyQj1wCniROYm5oxZ9KRUgIzpbXHq9cnDh44i15GN4Vr7b0yGk-jX_zjcZfVb0E_gY4H94SgOjGmoOoi2rq7VF1CWMPdd818vGDBn5RPSO65bwTQyueVheNGDjvpbys_uzitOikV39EhukQ5zh5w-5i-ulCvGN6tiwTJoa_F0weZ4Olp8NGnlh07Mu3a3bERJmYCzmmSCYuW33I3qJlR00mB52Yn1dMR5xXH2d6VxyYD16bIg4-LkHTupUNOC0n2GhCRmu22_PqidOB8MV9vap-fPzwffe5vvn66Xr3_qY25aK1hgb2IG3XN7oTGhwO_Wh754y042BGjbbVvMERhr1w48BbLR3Xcs9RtEII2V5Vr8--S4q_MtKqJk8GQ9AzxkwKBhgldF0PBYUzasqtlNCpJflJp00BV6dU1DkVVVJRp1TUVmZe3dvn_YT2YeJfDAVozgCVp_mASd3GnMo3039c_wKAaZ0y</recordid><startdate>20151001</startdate><enddate>20151001</enddate><creator>Fernández-Gutiérrez, Fabiola</creator><creator>Martínez, Santiago</creator><creator>Rube, Martin A.</creator><creator>Cox, Benjamin F.</creator><creator>Fatahi, Mahsa</creator><creator>Scott-Brown, Kenneth C.</creator><creator>Houston, J. Graeme</creator><creator>McLeod, Helen</creator><creator>White, Richard D.</creator><creator>French, Karen</creator><creator>Gueorguieva, Mariana</creator><creator>Immel, Erwin</creator><creator>Melzer, Andreas</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20151001</creationdate><title>Comparative ergonomic workflow and user experience analysis of MRI versus fluoroscopy-guided vascular interventions: an iliac angioplasty exemplar case study</title><author>Fernández-Gutiérrez, Fabiola ; Martínez, Santiago ; Rube, Martin A. ; Cox, Benjamin F. ; Fatahi, Mahsa ; Scott-Brown, Kenneth C. ; Houston, J. Graeme ; McLeod, Helen ; White, Richard D. ; French, Karen ; Gueorguieva, Mariana ; Immel, Erwin ; Melzer, Andreas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c457t-121b19d462a45a1fe768d6ffc9d87c8aed3a02e817b5f8703a9f0a9b0e5355593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Angioplasty - methods</topic><topic>Computer Imaging</topic><topic>Computer Science</topic><topic>Computer Simulation</topic><topic>Ergonomics</topic><topic>Fluoroscopy - methods</topic><topic>Health Informatics</topic><topic>Humans</topic><topic>Iliac Aneurysm - surgery</topic><topic>Imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pattern Recognition and Graphics</topic><topic>Radiology</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgery, Computer-Assisted - methods</topic><topic>Vision</topic><topic>Workflow</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fernández-Gutiérrez, Fabiola</creatorcontrib><creatorcontrib>Martínez, Santiago</creatorcontrib><creatorcontrib>Rube, Martin A.</creatorcontrib><creatorcontrib>Cox, Benjamin F.</creatorcontrib><creatorcontrib>Fatahi, Mahsa</creatorcontrib><creatorcontrib>Scott-Brown, Kenneth C.</creatorcontrib><creatorcontrib>Houston, J. Graeme</creatorcontrib><creatorcontrib>McLeod, Helen</creatorcontrib><creatorcontrib>White, Richard D.</creatorcontrib><creatorcontrib>French, Karen</creatorcontrib><creatorcontrib>Gueorguieva, Mariana</creatorcontrib><creatorcontrib>Immel, Erwin</creatorcontrib><creatorcontrib>Melzer, Andreas</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal for computer assisted radiology and surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fernández-Gutiérrez, Fabiola</au><au>Martínez, Santiago</au><au>Rube, Martin A.</au><au>Cox, Benjamin F.</au><au>Fatahi, Mahsa</au><au>Scott-Brown, Kenneth C.</au><au>Houston, J. Graeme</au><au>McLeod, Helen</au><au>White, Richard D.</au><au>French, Karen</au><au>Gueorguieva, Mariana</au><au>Immel, Erwin</au><au>Melzer, Andreas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative ergonomic workflow and user experience analysis of MRI versus fluoroscopy-guided vascular interventions: an iliac angioplasty exemplar case study</atitle><jtitle>International journal for computer assisted radiology and surgery</jtitle><stitle>Int J CARS</stitle><addtitle>Int J Comput Assist Radiol Surg</addtitle><date>2015-10-01</date><risdate>2015</risdate><volume>10</volume><issue>10</issue><spage>1639</spage><epage>1650</epage><pages>1639-1650</pages><issn>1861-6410</issn><eissn>1861-6429</eissn><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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25700699</pmid><doi>10.1007/s11548-015-1152-y</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Angioplasty - methods Computer Imaging Computer Science Computer Simulation Ergonomics Fluoroscopy - methods Health Informatics Humans Iliac Aneurysm - surgery Imaging Magnetic Resonance Imaging - methods Medicine Medicine & Public Health Original Article Pattern Recognition and Graphics Radiology Retrospective Studies Surgery Surgery, Computer-Assisted - methods Vision Workflow |
| title | Comparative ergonomic workflow and user experience analysis of MRI versus fluoroscopy-guided vascular interventions: an iliac angioplasty exemplar case study |
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