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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Autores principales:	Marina L. Fotteler, Friederike Liesche-Starnecker, Maria C. Brielmaier, Johannes Schobel, Jens Gempt, Jürgen Schlegel, Walter Swoboda
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	confocal laser endomicroscopy neurosurgery neuropathology frozen sections healthcare processes clinical workflow analysis Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/df3191c840114254afc13c692f8e9165
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spelling	oai:doaj.org-article:df3191c840114254afc13c692f8e91652021-11-25T17:21:51ZSocio-Organizational Impact of Confocal Laser Endomicroscopy in Neurosurgery and Neuropathology: Results from a Process Analysis and Expert Survey10.3390/diagnostics111121282075-4418https://doaj.org/article/df3191c840114254afc13c692f8e91652021-11-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/2128https://doaj.org/toc/2075-4418During 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.Marina L. FottelerFriederike Liesche-StarneckerMaria C. BrielmaierJohannes SchobelJens GemptJürgen SchlegelWalter SwobodaMDPI AGarticleconfocal laser endomicroscopyneurosurgeryneuropathologyfrozen sectionshealthcare processesclinical workflow analysisMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 2128, p 2128 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	confocal laser endomicroscopy neurosurgery neuropathology frozen sections healthcare processes clinical workflow analysis Medicine (General) R5-920
spellingShingle	confocal laser endomicroscopy neurosurgery neuropathology frozen sections healthcare processes clinical workflow analysis Medicine (General) R5-920 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
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.
format	article
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
title	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_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_sort	socio-organizational impact of confocal laser endomicroscopy in neurosurgery and neuropathology: results from a process analysis and expert survey
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/df3191c840114254afc13c692f8e9165
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Socio-Organizational Impact of Confocal Laser Endomicroscopy in Neurosurgery and Neuropathology: Results from a Process Analysis and Expert Survey

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