Evidence map›Paper›PMID 30535865›Full record

ArticleJournal of medical systems2018

Mobile Workflow in Computed Tomography of the Chest.

Matthias Wetzl, Melanie Weller, Rafael Heiss, Eleni Schrüfer, Wolfgang Wuest, Carsten Thierfelder, Daniel Lerch, Alexander Cavallaro, Patrick Amarteifio, Michael Uder and 1 more

Abstract read
In one paragraph

Article in Journal of medical systems, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Matthias WetzlDepartment of Radiology, University Hospital Erlangen, Maximiliansplatz 3, 91054, Erlangen, Germany.ORCID http://orcid.org/0000-0002-2540-850X
Melanie WellerSiemens Healthcare GmbH, Siemensstr. 3, 91301, Forchheim, Germany.
Rafael HeissDepartment of Radiology, University Hospital Erlangen, Maximiliansplatz 3, 91054, Erlangen, Germany.
Eleni SchrüferDepartment of Radiology, University Hospital Erlangen, Maximiliansplatz 3, 91054, Erlangen, Germany.
Wolfgang WuestDepartment of Radiology, University Hospital Erlangen, Maximiliansplatz 3, 91054, Erlangen, Germany.
Carsten ThierfelderSiemens Healthcare GmbH, Siemensstr. 3, 91301, Forchheim, Germany.
Daniel LerchSiemens Healthcare GmbH, Siemensstr. 3, 91301, Forchheim, Germany.
Alexander CavallaroDepartment of Radiology, University Hospital Erlangen, Maximiliansplatz 3, 91054, Erlangen, Germany.
Patrick AmarteifioImaging Science Institute, University Hospital Erlangen, Ulmenweg 18, 91054, Erlangen, Germany.
Michael UderDepartment of Radiology, University Hospital Erlangen, Maximiliansplatz 3, 91054, Erlangen, Germany.
Matthias Stefan MayDepartment of Radiology, University Hospital Erlangen, Maximiliansplatz 3, 91054, Erlangen, Germany. Matthias.May@uk-erlangen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A CT system with a tablet as mobile user interface and a wireless remote control for positioning and radiation release has recently been presented. Our aim was to evaluate the effects of a mobile CT examination workflow on the radiographers' performance compared to conventional examinations. A prototype of a radiation protection cabin was installed besides the gantry of a CT system. The CT system was equipped with a simplified user interface on a portable tablet and a mobile remote control. 98 patients with an indication for CT of the chest were randomly assigned to examination using the mobile devices (study group, n = 47) or using the conventional stationary workflow on the console (reference group, n = 51). Three ceiling mounted fisheye cameras were used for motion tracking of the radiographers, two in the examination room and one in the control room. Relative density of detection heat-maps and area counts were assessed using a dedicated software tool to quantify radiographers' movements. Duration of each task of the examination was manually recorded using a stopwatch. In the reference group 25% of the area counts were located inside of the examination room, while it was 48% in the study group. The time spent in the same room with the patient increased from 3:06 min (29%) to 6:01 min (57%) using the mobile workflow (p < 0.05), thereof 0:59 min (9%) were spent in moderate separation with maintained voice and visual contact in the radiation protection cabin. Heat-maps showed an increase of the radiographer's working area, indicating a higher freedom of movement. Total duration of the examination was slightly less in the study group without statistical significance (median time: study 10:36, reference 10:50 min; p = 0.29). A mobile CT examination transfers the radiographers' interaction with the scanner from the control room into the examination room. There, radiographers' freedom of movement is higher, without any tradeoffs regarding the examination duration.

Indexed as

Computers, HandheldWorkflowHumansMovementPoint-of-Care SystemsRadiation ProtectionTask Performance and AnalysisThoraxTime FactorsTomography, X-Ray ComputedUser-Computer InterfaceHeatmapsMobile workflowTabletsThoraxX-ray computed tomography

Identifiers

PMID30535865
PMCPMC6290687

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.