University of Twente Student Theses
Implementation strategy of advanced software for cone-beam CT guided navigation bronchoscopy : an implementation study to improve overall user-experience
Wijma, I.N. (2023) Implementation strategy of advanced software for cone-beam CT guided navigation bronchoscopy : an implementation study to improve overall user-experience.
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| Abstract: | Introduction: Patients having a lesion that is suspected of early-stage lung cancer need a pathological-based diagnosis for considering adequate treatment options. Navigation bronchoscopy is a technology that guides endoscopic tools to pulmonary lesions while using the airways for navigation to obtain tissue. A main problem in navigation bronchoscopy is that it is associated with a high cognitive load due to the complex endobronchial anatomy. The Research Aim of this thesis is to design an implementation strategy for a technologically advanced software tool for CBCT-AF guided navigation bronchoscopy procedures to improve overall user-experience. Method: The implementation strategy consisted of a clinical study design with study parameters comprising both the planning and navigation of the procedure. Planning recordings, cognitive load, and radiation exposure were important study parameters. Results: A total of 51 patients have been included. An inter-observer agreement analysis showed that the bronchoscopists had ‘good’ agreement for planning. The mental demand and task complexity were the largest contributors to the cognitive load. The radiation exposure was structurally measured at the hand, but the eye had no detectable exposure in almost 68% of the cases. Conclusion: An implementation strategy for the navigation software tool has been developed by writing a clinical study protocol for METC approval. The parameters involved in this clinical study protocol form the basis of the baseline measurements to which later implementation effects will be compared. |
| Item Type: | Essay (Master) |
| Clients: | Radboudumc |
| Faculty: | TNW: Science and Technology |
| Subject: | 44 medicine |
| Programme: | Technical Medicine MSc (60033) |
| Link to this item: | https://purl.utwente.nl/essays/94613 |
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