Value based decision support to prioritize development of innovative technologies for image-guided vascular surgery in the hybrid operating theater

Friso G. Heslinga*, Hendrik Koffijberg, Robert H. Geelkerken, Robbert Meerwaldt, Thijs G. Ter Mors, Carine J.M. Doggen, Marjan Hummel

*Corresponding author for this work

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Abstract

Innovative technologies for minimally invasive interventions have the potential to add value to vascular procedures in the hybrid operating theater (HOT). Restricted budgets require prioritization of the development of these technologies. We aim to provide vascular surgeons with a structured methodology to incorporate possibly conflicting criteria in prioritizing the development of new technologies. We propose a multi-criteria decision analysis framework to evaluate the value of innovative technologies for the HOT based on the MACBETH methodology. The framework is applied to a specific case: The new HOT in a large teaching hospital. Three upcoming innovations are scored for three different endovascular procedures. Two vascular surgeons scored the expected performance of these innovations for each of the procedures on six performance criteria and weighed the importance of these criteria. The overall value of the innovations was calculated as the weighted average of the performance scores. On a scale from 0-100 describing the overall value, the current HOT scored halfway the scale (49.9). A wound perfusion measurement tool scored highest (69.1) of the three innovations, mainly due to the relatively high score for crural revascularization procedures (72). The novel framework could be used to determine the relative value of innovative technologies for the HOT. When development costs are assumed to be similar, and a single budget holder decides on technology development, priority should be given to the development of a wound perfusion measurement tool.

Original languageEnglish
Title of host publicationMedical Imaging 2020
Subtitle of host publicationImage-Guided Procedures, Robotic Interventions, and Modeling
EditorsBaowei Fei, Cristian A. Linte
PublisherSPIE Press
Number of pages10
Volume11315
ISBN (Electronic)9781510633971
DOIs
Publication statusPublished - 16 Mar 2020
EventSPIE Medical Imaging 2020: Image-Guided Procedures, Robotic Interventions, and Modeling - Marriott Marquis Houston, Houston, United States
Duration: 15 Feb 202020 Feb 2020

Publication series

NameProceedings of SPIE - The International Society for Optical Engineering
Volume11315
ISSN (Print)0277-786X
ISSN (Electronic)1996-756X

Conference

ConferenceSPIE Medical Imaging 2020
CountryUnited States
CityHouston
Period15/02/2020/02/20

Keywords

  • Hybrid operating theater
  • Innovative technologies
  • Multi-criteria decision analysis
  • Prioritization

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    Heslinga, F. G., Koffijberg, H., Geelkerken, R. H., Meerwaldt, R., Ter Mors, T. G., Doggen, C. J. M., & Hummel, M. (2020). Value based decision support to prioritize development of innovative technologies for image-guided vascular surgery in the hybrid operating theater. In B. Fei, & C. A. Linte (Eds.), Medical Imaging 2020: Image-Guided Procedures, Robotic Interventions, and Modeling (Vol. 11315). [1131525] (Proceedings of SPIE - The International Society for Optical Engineering; Vol. 11315). SPIE Press. https://doi.org/10.1117/12.2549486