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助力个性化肿瘤学:分子肿瘤委员会数字支持与可视化工具的发展

Empowering personalized oncology: evolution of digital support and visualization tools for molecular tumor boards.

作者信息

Strantz Cosima, Böhm Dominik, Ganslandt Thomas, Börries Melanie, Metzger Patrick, Pauli Thomas, Blaumeiser Andreas, Scheiter Alexander, Jung Ian-Christopher, Christoph Jan, Manuilova Iryna, Strauch Konstantin, Ustjanzew Arsenij, Reimer Niklas, Busch Hauke, Unberath Philipp

机构信息

Medical Informatics, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.

Medical Center for Information and Communication Technology, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.

出版信息

BMC Med Inform Decis Mak. 2025 Jan 16;25(1):29. doi: 10.1186/s12911-024-02821-8.

Abstract

BACKGROUND

Molecular tumor boards (MTBs) play a pivotal role in personalized oncology, leveraging complex data sets to tailor therapy for cancer patients. The integration of digital support and visualization tools is essential in this rapidly evolving field facing fast-growing data and changing clinical processes. This study addresses the gap in understanding the evolution of software and visualization needs within MTBs and evaluates the current state of digital support. Alignment between user requirements and software development is crucial to avoid waste of resources and maintain trust.

METHODS

In two consecutive nationwide medical informatics projects in Germany, surveys and expert interviews were conducted as stage 1 (n = 14), stage 2 (n = 30), and stage 3 (n = 9). Surveys, via the SoSci Survey tool, covered participants' roles, working methods, and support needs. The second survey additionally addressed requirements for visualization solutions in molecular tumor boards. These aimed to understand diverse requirements for preparation, implementation, and documentation. Nine semi-structured expert interviews complemented quantitative findings through open discussion.

RESULTS

Using quantitative and qualitative analyses, we show that existing digital tools may improve therapy recommendations and streamline MTB case preparation, while continuous training and system improvements are needed.

CONCLUSIONS

Our study contributes to the field by highlighting the importance of developing user-centric, customizable software solutions that can adapt to the fast-paced environment of MTBs to advance personalized oncology. In doing so, it lays the foundation for further advances in personalized medicine in oncology and points to a shift towards more efficient, technology-driven clinical decision-making processes. This research not only enriches our understanding of the integration of digital tools into MTBs, but also signals a broader shift towards technological innovation in healthcare.

摘要

背景

分子肿瘤委员会(MTB)在个性化肿瘤学中发挥着关键作用,利用复杂的数据集为癌症患者量身定制治疗方案。在这个面对快速增长的数据和不断变化的临床流程而迅速发展的领域,数字支持和可视化工具的整合至关重要。本研究弥补了在理解MTB内软件演变和可视化需求方面的差距,并评估了数字支持的当前状态。用户需求与软件开发之间的一致性对于避免资源浪费和维持信任至关重要。

方法

在德国连续开展的两个全国性医学信息学项目中,作为第1阶段(n = 14)、第2阶段(n = 30)和第3阶段(n = 9)进行了调查和专家访谈。通过SoSci Survey工具进行的调查涵盖了参与者的角色、工作方法和支持需求。第二次调查还涉及分子肿瘤委员会中可视化解决方案的要求。这些旨在了解在准备、实施和记录方面的各种要求。九次半结构化专家访谈通过开放式讨论补充了定量研究结果。

结果

通过定量和定性分析,我们表明现有数字工具可能会改善治疗建议并简化MTB病例准备工作,同时仍需要持续培训和系统改进。

结论

我们的研究通过强调开发以用户为中心、可定制的软件解决方案的重要性,为该领域做出了贡献。这些解决方案能够适应MTB的快节奏环境,以推动个性化肿瘤学的发展。在此过程中,它为肿瘤学个性化医疗的进一步发展奠定了基础,并指出了向更高效、技术驱动的临床决策过程的转变。这项研究不仅丰富了我们对数字工具融入MTB的理解,也标志着医疗保健领域向技术创新的更广泛转变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4450/11736948/7a11cb807419/12911_2024_2821_Fig1_HTML.jpg

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