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Bronchoscopy
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Using the CustusX toolkit to create an image guided bronchoscopy application: Fraxinus.

Janne Beate Lervik Bakeng1, Erlend Fagertun Hofstad1, Ole Vegard Solberg1

  • 1Research Group for Medical Technology, Department of Health, SINTEF Technology and Society, Trondheim, Norway.

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Fraxinus, an open-source planning and guidance application, was developed on the CustusX platform for navigated bronchoscopy. This specialized tool enhances user-friendliness and automates steps to improve patient outcomes.

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Area of Science:

  • Medical Informatics
  • Software Engineering
  • Pulmonology

Background:

  • Open-source software platforms facilitate the development of specialized medical applications.
  • Image-guided intervention systems are crucial for minimally invasive procedures.
  • Navigated bronchoscopy requires tailored software solutions for planning and guidance.

Purpose of the Study:

  • To demonstrate the development of Fraxinus, a specialized planning and guidance application, on the CustusX platform.
  • To customize Fraxinus to meet the specific clinical needs of navigated bronchoscopy.
  • To leverage the CustusX open-source image-guided intervention software platform for specialized application development.

Main Methods:

  • Application requirements were defined collaboratively by scientists, developers, and pulmonologists.
  • Fraxinus was built upon the CustusX platform utilizing its superbuild system and plugin framework.
  • An iterative development process involved clinicians testing and providing feedback throughout.

Main Results:

  • Fraxinus was developed and released as an open-source application specialized for navigated bronchoscopy.
  • The user interface was modified for enhanced information, quality assurance, and user-friendliness.
  • The application automates certain procedural steps based on clinician-defined requirements to improve patient yield.

Conclusions:

  • The CustusX platform effectively supports the development of new, specialized applications.
  • CustusX provides essential extension and customization points for tailored medical software.
  • Fraxinus exemplifies a successful specialized application built on an open-source platform for clinical use.