Socio-Organizational Impact of Confocal Laser Endomicroscopy in Neurosurgery and Neuropathology: Results from a Process Analysis and Expert Survey
During brain tumor resection surgery, it is essential to determine the tumor borders as the extent of resection is important for post-operative patient survival. The current process of removing a tissue sample for frozen section analysis has several shortcomings that might be overcome by confocal la...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-11-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/11/11/2128 |
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| author | Marina L. Fotteler Friederike Liesche-Starnecker Maria C. Brielmaier Johannes Schobel Jens Gempt Jürgen Schlegel Walter Swoboda |
| author_facet | Marina L. Fotteler Friederike Liesche-Starnecker Maria C. Brielmaier Johannes Schobel Jens Gempt Jürgen Schlegel Walter Swoboda |
| author_sort | Marina L. Fotteler |
| collection | DOAJ |
| description | During brain tumor resection surgery, it is essential to determine the tumor borders as the extent of resection is important for post-operative patient survival. The current process of removing a tissue sample for frozen section analysis has several shortcomings that might be overcome by confocal laser endomicroscopy (CLE). CLE is a promising new technology enabling the digital in vivo visualization of tissue structures in near real-time. Research on the socio-organizational impact of introducing this new methodology to routine care in neurosurgery and neuropathology is scarce. We analyzed a potential clinical workflow employing CLE by comparing it to the current process. Additionally, a small expert survey was conducted to collect data on the opinion of clinical staff working with CLE. While CLE can contribute to a workload reduction for neuropathologists and enable a shorter process and a more efficient use of resources, the effort for neurosurgeons and surgery assistants might increase. Experts agree that CLE offers huge potential for better diagnosis and therapy but also see challenges, especially due to the current state of experimental use, including a risk for misinterpretations and the need for special training. Future studies will show whether CLE can become part of routine care. |
| first_indexed | 2024-03-10T05:34:51Z |
| format | Article |
| id | doaj.art-df3191c840114254afc13c692f8e9165 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-10T05:34:51Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-df3191c840114254afc13c692f8e91652023-11-22T23:02:46ZengMDPI AGDiagnostics2075-44182021-11-011111212810.3390/diagnostics11112128Socio-Organizational Impact of Confocal Laser Endomicroscopy in Neurosurgery and Neuropathology: Results from a Process Analysis and Expert SurveyMarina L. Fotteler0Friederike Liesche-Starnecker1Maria C. Brielmaier2Johannes Schobel3Jens Gempt4Jürgen Schlegel5Walter Swoboda6DigiHealth Institute, Neu-Ulm University of Applied Sciences, 89231 Neu-Ulm, GermanyDepartment of Neuropathology, Institute of Pathology, School of Medicine, Technical University Munich, 81675 Munich, GermanyDepartment of Neuropathology, Institute of Pathology, School of Medicine, Technical University Munich, 81675 Munich, GermanyDigiHealth Institute, Neu-Ulm University of Applied Sciences, 89231 Neu-Ulm, GermanyDepartment of Neurosurgery, School of Medicine, Klinikum Rechts der Isar, Technical University Munich, 81675 Munich, GermanyDepartment of Neuropathology, Institute of Pathology, School of Medicine, Technical University Munich, 81675 Munich, GermanyDigiHealth Institute, Neu-Ulm University of Applied Sciences, 89231 Neu-Ulm, GermanyDuring brain tumor resection surgery, it is essential to determine the tumor borders as the extent of resection is important for post-operative patient survival. The current process of removing a tissue sample for frozen section analysis has several shortcomings that might be overcome by confocal laser endomicroscopy (CLE). CLE is a promising new technology enabling the digital in vivo visualization of tissue structures in near real-time. Research on the socio-organizational impact of introducing this new methodology to routine care in neurosurgery and neuropathology is scarce. We analyzed a potential clinical workflow employing CLE by comparing it to the current process. Additionally, a small expert survey was conducted to collect data on the opinion of clinical staff working with CLE. While CLE can contribute to a workload reduction for neuropathologists and enable a shorter process and a more efficient use of resources, the effort for neurosurgeons and surgery assistants might increase. Experts agree that CLE offers huge potential for better diagnosis and therapy but also see challenges, especially due to the current state of experimental use, including a risk for misinterpretations and the need for special training. Future studies will show whether CLE can become part of routine care.https://www.mdpi.com/2075-4418/11/11/2128confocal laser endomicroscopyneurosurgeryneuropathologyfrozen sectionshealthcare processesclinical workflow analysis |
| spellingShingle | Marina L. Fotteler Friederike Liesche-Starnecker Maria C. Brielmaier Johannes Schobel Jens Gempt Jürgen Schlegel Walter Swoboda Socio-Organizational Impact of Confocal Laser Endomicroscopy in Neurosurgery and Neuropathology: Results from a Process Analysis and Expert Survey Diagnostics confocal laser endomicroscopy neurosurgery neuropathology frozen sections healthcare processes clinical workflow analysis |
| title | Socio-Organizational Impact of Confocal Laser Endomicroscopy in Neurosurgery and Neuropathology: Results from a Process Analysis and Expert Survey |
| title_full | Socio-Organizational Impact of Confocal Laser Endomicroscopy in Neurosurgery and Neuropathology: Results from a Process Analysis and Expert Survey |
| title_fullStr | Socio-Organizational Impact of Confocal Laser Endomicroscopy in Neurosurgery and Neuropathology: Results from a Process Analysis and Expert Survey |
| title_full_unstemmed | Socio-Organizational Impact of Confocal Laser Endomicroscopy in Neurosurgery and Neuropathology: Results from a Process Analysis and Expert Survey |
| title_short | Socio-Organizational Impact of Confocal Laser Endomicroscopy in Neurosurgery and Neuropathology: Results from a Process Analysis and Expert Survey |
| title_sort | socio organizational impact of confocal laser endomicroscopy in neurosurgery and neuropathology results from a process analysis and expert survey |
| topic | confocal laser endomicroscopy neurosurgery neuropathology frozen sections healthcare processes clinical workflow analysis |
| url | https://www.mdpi.com/2075-4418/11/11/2128 |
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