Research Group for Medical Technology, Department of Health, SINTEF Technology and Society, Trondheim, Norway.
Department of Thoracic Medicine, St. Olavs hospital, Trondheim, Norway.
PLoS One. 2019 Feb 8;14(2):e0211772. doi: 10.1371/journal.pone.0211772. eCollection 2019.
The aim of this paper is to show how a specialized planning and guidance application called Fraxinus, can be built on top of the CustusX platform (www.custusx.org), which is an open source image-guided intervention software platform. Fraxinus has been customized to meet the clinical needs in navigated bronchoscopy.
The application requirements for Fraxinus were defined in close collaboration between research scientists, software developers and clinicians (pulmonologists), and built on top of CustusX. Its superbuild system downloads specific versions of the required libraries and builds them for the application in question, including the selected plugins. New functionality is easily added through the plugin framework. The build process enables the creation of specialized applications, adding additional documentation and custom configurations. The toolkit's libraries offer building blocks for image-guided applications. An iterative development process was applied, where the clinicians would test and provide feedback during the entire process.
Fraxinus has been developed and is released as an open source planning and guidance application built on top of CustusX. It is highly specialized for bronchoscopy. The proposed workflow is adapted to the different steps in this procedure. The user interface of CustusX has been modified to enhance information, quality assurance and user friendliness with the intention to increase the overall yield for the patient. As the workflow of the procedure is relatively constant, some actions are predicted and automatically performed by the application, according to the requirements from the clinicians.
The CustusX platform facilitates development of new and specialized applications. The toolkit supports the process and makes important extension and injection points available for customization.
本文旨在展示如何在 CustusX 平台（www.custusx.org）之上构建一个名为 Fraxinus 的专业规划和指导应用程序，该平台是一个开源的图像引导介入软件平台。Fraxinus 已针对导航支气管镜的临床需求进行了定制。
Fraxinus 的应用程序要求是在研究科学家、软件开发人员和临床医生（肺病学家）之间密切合作定义的，并构建在 CustusX 之上。它的超级构建系统下载特定版本的所需库，并为相关应用程序构建它们，包括选定的插件。新功能可以通过插件框架轻松添加。构建过程使创建专门的应用程序成为可能，增加了额外的文档和自定义配置。该工具包的库为图像引导应用程序提供了构建块。采用迭代开发过程，临床医生在整个过程中进行测试并提供反馈。
Fraxinus 已开发完成，并作为基于 CustusX 的开源规划和指导应用程序发布。它高度专业化，适用于支气管镜检查。所提出的工作流程适用于该程序的不同步骤。CustusX 的用户界面已修改，以增强信息、质量保证和用户友好性，旨在提高患者的整体收益。由于该过程的工作流程相对固定，因此根据临床医生的要求，应用程序会预测并自动执行某些操作。
CustusX 平台促进了新的和专业应用程序的开发。该工具包支持该过程，并提供重要的扩展和注入点，以实现自定义。
