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


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2015-10

AUTHORS

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

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. More... »

PAGES

1639-1650

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11548-015-1152-y

DOI

http://dx.doi.org/10.1007/s11548-015-1152-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1026414146

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/25700699


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Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11548-015-1152-y'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11548-015-1152-y'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s11548-015-1152-y'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11548-015-1152-y'


 

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293 schema:name Department of Clinical Radiology, Ninewells Hospital and Medical School, NHS Tayside, Dundee, UK
294 Medical Research Institute, The Institute of Cardiovascular Research, Ninewells Hospital and Medical School, University of Dundee, Dundee, UK
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296 https://www.grid.ac/institutes/grid.44361.34 schema:alternateName Abertay University
297 schema:name Centre for Psychology, Abertay University, Dundee, UK
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299 https://www.grid.ac/institutes/grid.8241.f schema:alternateName University of Dundee
300 schema:name Division of Imaging and Technology, Institute for Medical Science and Technology, University of Dundee, Wilson House, 1 Wurzburg Loan, DD2 21FD, Dundee, UK
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