{"id":108,"date":"2022-10-04T17:53:45","date_gmt":"2022-10-04T16:53:45","guid":{"rendered":"https:\/\/blogs.imperial.ac.uk\/componc\/?p=108"},"modified":"2022-10-04T17:55:56","modified_gmt":"2022-10-04T16:55:56","slug":"introducing-microlens-using-a-design-approach-to-understand-what-brain-tumour-patients-want-from-their-images","status":"publish","type":"post","link":"https:\/\/blogs.imperial.ac.uk\/componc\/2022\/10\/04\/introducing-microlens-using-a-design-approach-to-understand-what-brain-tumour-patients-want-from-their-images\/","title":{"rendered":"Introducing MicroLens: Using a design approach to understand what brain tumour patients want from their images\u00a0"},"content":{"rendered":"<p><b><i><span data-contrast=\"auto\">\u00a0\u201cWhat if patients could see all of their images, whenever they wanted? What would they do with them? What would they need to make that useful?\u201d\u00a0<\/span><\/i><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">MicroLens started with that question and is an exploration of what that would mean for patients and carers, and the different ways it could\u00a0work, for different staff, patients and carers in our service. We are publishing this to summarise what we have done so far \u2013 but also to invite you to contribute! If you are interested in adding your thoughts, please see the link at the end of the blog post.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Specifically, we wanted to bring a design-led approach to thinking about some new technology. By that, we mean, instead of jumping in feet first and writing some code, we wanted to explore use and needs, and then let the technology follow, following the general Design-Centred AI Approach that we have outlined <a href=\"https:\/\/blogs.imperial.ac.uk\/componc\/2022\/10\/04\/towards-design-centred-ai-in-healthcare\/\">here<\/a>.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u00a0<\/span><b><i><span data-contrast=\"auto\">Starting point<\/span><\/i><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Historically, patients had images taken (X-rays, ultrasound, CT) at a hospital. These were then reported by a radiologist, and the report went to whoever had requested the imaging. Then the patient came back to discuss the results with their treating team. More recently, we have had the ability to show those images to patients in clinic, so we can explain and demonstrate what the report shows. Over the last few years, some centres now offer routine access to imaging reports for patients through \u201cPatient Portals\u201d which let patients see their blood tests results, letters, reports, etc. We have one of these at Imperial, and it is being rolled-out London wide (https:\/\/www.careinformationexchange-nwl.nhs.uk\/how-it-works).\u00a0 However, as computers have developed, patients can now easily look at their own imaging at home \u2013 taking the images home on CD, and downloading free software to view them.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Technology is currently at a place where patients can look at their own images outside of a clinical consultation but the evidence available shows that there is a mismatch between what patients and users want to what clinicians and medical teams think patients and users need\/ want.\u00a0\u00a0The MicroLens project is about us taking the time to hear from a wide range of people (patients, caregivers, researchers, multidisciplinary team members (radiologist, CNS, oncologists, surgeons), technical minded people) over a five month period to hear what would be practical, needed, feasible and how they would best use and understand their images instead of starting with the technical aspect. <\/span><span data-contrast=\"auto\">This is part of a wider move in the lab that we explore in this post on <a href=\"https:\/\/blogs.imperial.ac.uk\/componc\/2022\/10\/04\/towards-design-c\u2026ai-in-healthcare\/\">Design-Centered AI<\/a>.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">We looked at 6 main areas \u2013\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ol>\n<li data-leveltext=\"%1.\" data-font=\"Calibri\" data-listid=\"11\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559684&quot;:-1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><i><span data-contrast=\"auto\">Current tools being used by patients\/ caregivers to view images;\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"%1.\" data-font=\"Calibri\" data-listid=\"11\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559684&quot;:-1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><i><span data-contrast=\"auto\">Functionalities of the current tools\/ systems and their accessibility;\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"%1.\" data-font=\"Calibri\" data-listid=\"11\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559684&quot;:-1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><i><span data-contrast=\"auto\">Benefits of having images with the scan reports;<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"%1.\" data-font=\"Calibri\" data-listid=\"11\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559684&quot;:-1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><i><span data-contrast=\"auto\">When should the scans\/ images be made available for patients to view?<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"%1.\" data-font=\"Calibri\" data-listid=\"11\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559684&quot;:-1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><i><span data-contrast=\"auto\">Platform &#8211; Web based, app or hybrid approach? What security is needed and the sign up and access process;<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"%1.\" data-font=\"Calibri\" data-listid=\"11\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559684&quot;:-1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><i><span data-contrast=\"auto\">Professional\/ workforce views<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ol>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:2880,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">1. Current tools being used by patients\/ caregivers to view images;<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">How do people currently view their images?<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0ab\" data-font=\"Wingdings\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0ab&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Scans uploaded onto CDs<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0ab\" data-font=\"Wingdings\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0ab&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Linking CD player to bigger screen i.e. TV<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0ab\" data-font=\"Wingdings\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0ab&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">Screenshots of scans and viewing them as photos on their phone<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0ab\" data-font=\"Wingdings\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559684&quot;:-2,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Wingdings&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0ab&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">Platforms (e.g. Idonia)<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">2. Patient feedback on having access to their images:<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">\u201c<\/span><i><span data-contrast=\"auto\">This is what it looked like last time and this is what it looks like now and they\u2019re perfectly aligned, and we zoom through it, and you can see from here this is what\u2019s going on.\u201d<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">\u201cIt was me that wrote the comment about putting it on the telly, and I don\u2019t remember the technical technicalities of how we did it, but it was useful being able to put it on the bigger screen with my mum.\u00a0 She was at the time almost 80, so the fact that we were able to view the pictures in a bigger medium really helped to point things out to her.\u201d<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">3. Patients &amp; caregivers views on images being uploaded on to CDs <\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">\u201cNowadays many people don\u2019t have access to computers\/ laptops that have CD drives so when their images are provided on CDs if they want to view the images, they have had to purchase external CD drives.<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">\u201cThere is a variation across teams and services around the time taken for requesting your scans to receiving the scans on a CD.\u00a0 Having the images on a CD allows you to take your images to other consultations (worldwide) but can also be used to display your images on your TV to explain diagnosis to other family members\/ friends.\u201d<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1440,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">\u201cImages that are uploaded onto CDs have no anatomical signposting nor do they have information regarding which slices are the most appropriate to view or what is actually normal vs abnormal. Patients find it difficult to interpret the imaging as they don\u2019t have the training nor the knowledge for this. The current process doesn\u2019t allow for you to compare serial images at a time and each image needs to be looked at individually.\u201d\u00a0\u00a0\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">4. Platforms patients use to view images<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">We also discussed the use of a platform called Idonia (https:\/\/idonia.com\/access\/login) &#8211; designed to host medical image imaging.\u00a0 You register for free and access the platform and can then view your images. If you have your images on CD you can drag them into the platform so that all your images are stored in one place.\u00a0 You have the ability to share your images on the platform by sharing a pin code with no geographical limit. You are able to send images via email and the platform already has some in built tools that allow you to view the images in more detail and you can also store medical history on the platform too and make notes on the images.\u00a0 It can act as a repository for all your images to date.\u00a0 The disadvantage of such a platform is that the NHS trust or treating hospital needs to purchase the rights to use Idonia therefore limiting its outreach to all patients.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">5. Advantages and Disadvantages of different ways that are currently been used to view images outside of clinical appointments<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Overall having a type of platform to view images is more practical than CDs as it avoids the variability in time to access images across services but also avoids the issue around requiring a laptop\/ PC with a CD drive and the relevant software to then view the images.\u00a0 A platform allows for the user to add personalised notes and share with a wide range of people quickly and safely and could act as a form of repository for the scans to date.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"%1.\" data-font=\"Calibri\" data-listid=\"6\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559684&quot;:-1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Functionalities of the current tools\/ systems and their accessibility;<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">The group discussed the reasons that they would access their images outside of appointments and reasons and purposes to do so included:\u00a0 sharing images to other clinician\u2019s, viewing scans for own record\/ understanding, explaining diagnosis with family members\/ friends, and having a digital \u201cphoto album\u201d.\u00a0 THis highlighted that a tool would need to be personalised to a range of different needs but would need the common functionalities including ability to share images, place to store screenshots of images and key anatomical points.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"%1.\" data-font=\"Calibri\" data-listid=\"6\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559684&quot;:-1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Benefits of having images with the scan reports<\/span><\/b><b><span data-contrast=\"auto\">;<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Almost all the people present at this meeting agreed that having some notes\/ reports alongside the images are as beneficial as the image itself as it would help them to navigate what the area of concern is.\u00a0 There was a discussion around if the imaging team would be able to provide an additional imaging report which summarised the scan was written in lay terms so that it was accessible for all.\u00a0\u00a0 We also discussed the idea that if an area was mentioned on the report could that be highlighted on the scan or an arrow to indicate that region.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">\u201c For me the imaging report is equally as important. Images are all well and good, but the radiographers radiologists report is words are very important images to the uninitiated can be a dangerous thing, so it needs to be teamed up with something.<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559731&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"%1.\" data-font=\"Calibri\" data-listid=\"6\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559684&quot;:-1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"4\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">When should the scans\/ images be made available for patients to view?\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">The response to the questions was split amongst the group with some people wanting to have their images prior to the consultation whilst others would rather the images became available after consultation\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">For those that wanted the images prior to their consultations the felt the benefits were:\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">\u201cAble to come up with questions to ask my consultant rather than having to think of them in real time\u201d<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559731&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">\u201cGives me time to process images as opposed to being in shock and not fully understand what is being said to me.\u00a0 By seeing them earlier I feel less anxiety and feel more in control. I think if I&#8217;ve already seen them, I could be more prepared.<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559731&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">For those that wanted the images after their consultations the felt the benefits were:\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">\u201cThere was less anxiety or cause for concern between viewing the image and knowing the next steps in treatment therefore I would prefer for the MDT to decide on management and then for me to view scans at consultation and then know the next steps. I would however like to view my scans for a historical catalogue basis. I wouldn&#8217;t necessarily need to have that information before the appointment because I believe that would just fundamentally put a lot more stress on the team and myself.\u00a0 The purpose of having our images is not so that we go diagnosing ourselves, but it would be nice to have access to the images and information after you guys have done your work.\u201d<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"%1.\" data-font=\"Calibri\" data-listid=\"6\" data-list-defn-props=\"{&quot;335552541&quot;:0,&quot;335559684&quot;:-1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769242&quot;:[65533,0],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;%1.&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"5\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Platform &#8211; Web based, app or hybrid approach? What security is needed and the sign up and access process;<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">The group felt that a hybrid process would be the best type of platform for patients to access images remotely as it would allow for them to access the full series of images via the web but then view snapshots of images using an App.\u00a0 The patients and caregivers felt the advantage of access to images via the web allowed for easier access to comparing scans but also allowed for the images to be displayed on a TV screen to share with other family members.\u00a0 The benefits of the app were that it was convenient and allowed for quick access to images.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Again, the viewpoints of the group were variable with some of the group opting from a dual authentication process with others saying that is not needed and a sign-up process like Patient Know Best\/ the NHS app being sufficient.\u00a0\u00a0 There was also discussion around how should the other family members get access to the images \u2013 should the patient share access to their images through the platform or should only one access route be provided, and family members share the log in.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><span data-contrast=\"auto\">6. Professional\/ workforce views<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">There were concerns around the extra workload that may arise as a result of patients\/ caregivers having access to their own images.\u00a0 The imaging team provided some feedback from their experiences when patients\/ caregivers have had access to images.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">\u201cSome patients end up viewing their images and get themselves all worked up and get a lot more concerns as what is normal anatomy is perceived as something abnormal to them\u201d.\u00a0\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><i><span data-contrast=\"auto\">\u201cOther occasions where patients have access to their images and imaging reports and the reports states the scan is normal but then patient sees something \u201cabnormal\u201d so as a team we have to go back to radiologist to get to the bottom of what is actually the correct situation\u201d.\u00a0\u00a0<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><i><span data-contrast=\"auto\">What we have learned so far<\/span><\/i><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">I have spent the last 5 years in a range of roles across Imperial College and Imperial College NHS Trust, working in and around brain tumour patients. Across that, I have become more and more interested, and involved in, Patient &amp; Public Involvement (PPI). Some of that has felt difficult, and at times scary, but as a result I now lead most of the neuro-oncology PPIE work at both IC and ICHT.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">From this project it has helped us to understand that a tool for imaging is not going to be a one size fits all but that it will need to have elements of individualisation. It will be important to be able to provide tools within the platform that helps patients and caregivers to navigate through their own images and make some sense of them. The ability to link the scan to the image, highlighting key areas would also be of great value. One of the key concepts raised by most people that attended these groups is that this platform should at the minimum provide them with a chronological order photo-album of their images so that they can have it for their reference. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Following our PPI sessions, we were lucky enough to talk our ideas through with Rachel Coldicutt from Careful Industries (<\/span><a href=\"https:\/\/www.careful.industries\/).\"><span data-contrast=\"none\">https:\/\/www.careful.industries\/).<\/span><\/a> <span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">This helped us critically think about our project and asked us useful questions such as: \u201c<\/span><i><span data-contrast=\"none\">How they think they will use it? And how they then actually use it?\u201d<\/span><\/i><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">She also covered the concept of \u201cObject\u201d and what this means \u2013 no judgement and without emotion &#8211; allows patient\/ caregiver to add the contextual and emotional aspect to it<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"none\">She was able to provide us with a different outlook and prospective of how to view the project and the next steps: For instance, provide the patients with access to scan\/ images and ask them to provide daily input (voice memos\/ journals\/ thumbs up\/down) and then follow up with a face to face\/ virtual feedback on how they use it and why they rated it the way they did. This approach allows for more insightful feedback and sensitivity as it is hard for someone to comment on something until they actually have it or have used it. One of her really useful examples was around the idea of imaging in pregnancy, and what that means to expecting mothers and the effect of these scans and images on those who unfortunately experienced a miscarriage.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0NOTE: This post was written by our PPIE lead, Lillie Pakzad-Shahabi; it is being posted by MW for technical reasons<br \/>\n<\/span><\/p>\n<p><b><i><span data-contrast=\"auto\">How to get involved<\/span><\/i><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><b><i><span data-contrast=\"auto\">We would love to hear your view on what you would like from a tool that would give you access to your images. Please complete the survey <\/span><\/i><\/b><a href=\"https:\/\/imperial.eu.qualtrics.com\/jfe\/form\/SV_8zRCUEyZjgkJ3NA\"><b><i><span data-contrast=\"none\">https:\/\/imperial.eu.qualtrics.com\/jfe\/form\/SV_8zRCUEyZjgkJ3NA<\/span><\/i><\/b><\/a><b><i><span data-contrast=\"auto\">\u00a0 and if you would like us to send out a design box so you can get creative and go back to basics to create your \u201cideal platform\u201d please email me and I would be happy to arrange for a box to be sent out to you (l.pakzad-shahabi@imperial.ac.uk).<\/span><\/i><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0\u201cWhat if patients could see all of their images, whenever they wanted? What would they do with them? What would they need to make that useful?\u201d\u00a0\u00a0 MicroLens started with that question and is an exploration of what that would mean for patients and carers, and the different ways it could\u00a0work, for different staff, patients and [&hellip;]<\/p>\n","protected":false},"author":1506,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[48173],"tags":[307615],"class_list":["post-108","post","type-post","status-publish","format-standard","hentry","category-uncategorised","tag-design-ai-imaging-brain-tumour-cancer"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Introducing MicroLens: Using a design approach to understand what brain tumour patients want from their images\u00a0 - Computational Oncology<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.imperial.ac.uk\/componc\/2022\/10\/04\/introducing-microlens-using-a-design-approach-to-understand-what-brain-tumour-patients-want-from-their-images\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Introducing MicroLens: Using a design approach to understand what brain tumour patients want from their images\u00a0 - Computational Oncology\" \/>\n<meta property=\"og:description\" content=\"\u00a0\u201cWhat if patients could see all of their images, whenever they wanted? 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