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Medical image quality as a socio-technical phenomenon
M Aanestad1, B Edwin, R Mårvik
1Department of Informatics, P.O. Box 1080, Blindern, 0316 Oslo, Norway. margunn@ifi.uio.no
Objectives:
The study aims to interpret image quality in laparoscopic surgery not only as a technical parameter but also as the result of the situation of use.
Methods:
Observational studies of laparoscopy in use, semi-structured and informal interviews with laparoscopists.
Results:
When medical images are digitized to exploit novel technical possibilities, image quality becomes a paramount issue. Image quality is often discussed exclusively in technical terms, but the socio-technical study of image quality in surgical telemedicine presented in this paper showed that it is definitely more than a purely technical parameter.
Conclusions:
While the resulting quality of the image was significantly shaped by the persons involved, the concept of "quality" itself was also relative and changing with the situation of use. A given technology does not determine image quality. Rather than focusing only on the technical quality, the attention of designers and decision makers should also be directed to the socio-technical network surrounding the image and its use.
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