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Investigations Of Device Use In Radiology / RORY CLARK

Swansea University Author: RORY CLARK

DOI (Published version): 10.23889/SUThesis.71090

Abstract

Radiologists are specialist doctors who examine visual medical information such as x-rays and CT scans to produce a diagnostic opinion for the treatment of a patient. Their work is extensively reliant on modern digital systems to generate scans, transfer and manipulate them for analysis, and communi...

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Published: Swansea 2025
Institution: Swansea University
Degree level: Doctoral
Degree name: Ph.D
Supervisor: Owen, T., and Jones, M.
URI: https://cronfa.swan.ac.uk/Record/cronfa71090
first_indexed 2025-12-04T15:35:37Z
last_indexed 2025-12-05T18:13:32Z
id cronfa71090
recordtype RisThesis
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There is, however, still a lack of holistic examination of precisely how &#x2013; from an HCI standpoint -the radiologist interacts with the tools and devices at their disposal when constructing diagnostic reports and communicating them to others. This presents di&#xFB03;culties for the design, evaluation and implementation of new and novel capabilities.This thesis examines the space in which a radiologist works from an ethnomethodological standpoint. We conduct studies in the form of ethnomethodologically informed ethnographies that examined the radiologist&#x2019;s interactions with digital and physical systems, allowing the reconstruction, analysis and critique of the design of the devices in-use from a holistic standpoint, with particular emphasis on the interoperability and usability from an outsider&#x2019;s perspective. These ethnographies utilise interactive and non-invasive observational techniques, allowing observers to gain an unbiased perspective on the interactional process without being ignorant to the medical and systemic in&#xFB02;uences in place. Supplementary to our ethnographies, we conducted a pair of focus groups with clinicians before and after examining the user&#x2019;s perspective on the issues they face and how they believe they can be addressed, thus allowing us to situate ourselves in the context and environment that we would be investigating and gather feedback on our &#xFB01;ndings and conclusions throughout.This work provides a much-needed reconstruction and presentation of the ways in which radiologists interact with and perceive digital devices when constructing and com-municating their diagnostic opinion. We contribute an ethnomethodological analysis of the reporting process to allow for digital designers and clinical leaders to properly account for the real-world aspects of interaction that a&#xFB00;ect design and implementation of devices.Through collaborative and participant-driven methods, we also contribute codi&#xFB01;ed and contextualised end-user clinical perspectives on how existing devices can be improved upon and how the design process can incorporate their domain expertise. 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spelling 2025-12-04T15:39:00.9924628 v2 71090 2025-12-04 Investigations Of Device Use In Radiology cdbdc0d979f1f6e43e503a772f2a33cf RORY CLARK RORY CLARK true false 2025-12-04 Radiologists are specialist doctors who examine visual medical information such as x-rays and CT scans to produce a diagnostic opinion for the treatment of a patient. Their work is extensively reliant on modern digital systems to generate scans, transfer and manipulate them for analysis, and communicate the findings to the relevant clinician. This means that radiology is often at the forefront of medical digitisation and implementation. There is, however, still a lack of holistic examination of precisely how – from an HCI standpoint -the radiologist interacts with the tools and devices at their disposal when constructing diagnostic reports and communicating them to others. This presents difficulties for the design, evaluation and implementation of new and novel capabilities.This thesis examines the space in which a radiologist works from an ethnomethodological standpoint. We conduct studies in the form of ethnomethodologically informed ethnographies that examined the radiologist’s interactions with digital and physical systems, allowing the reconstruction, analysis and critique of the design of the devices in-use from a holistic standpoint, with particular emphasis on the interoperability and usability from an outsider’s perspective. These ethnographies utilise interactive and non-invasive observational techniques, allowing observers to gain an unbiased perspective on the interactional process without being ignorant to the medical and systemic influences in place. Supplementary to our ethnographies, we conducted a pair of focus groups with clinicians before and after examining the user’s perspective on the issues they face and how they believe they can be addressed, thus allowing us to situate ourselves in the context and environment that we would be investigating and gather feedback on our findings and conclusions throughout.This work provides a much-needed reconstruction and presentation of the ways in which radiologists interact with and perceive digital devices when constructing and com-municating their diagnostic opinion. We contribute an ethnomethodological analysis of the reporting process to allow for digital designers and clinical leaders to properly account for the real-world aspects of interaction that affect design and implementation of devices.Through collaborative and participant-driven methods, we also contribute codified and contextualised end-user clinical perspectives on how existing devices can be improved upon and how the design process can incorporate their domain expertise. Finally, we offer a reflective methodological contribution through exploration and analysis of the strategies when conducting research in a healthcare space as an Early Career Researcher in HCI, allowing researchers to improve the quality of future research in this domain. E-Thesis Swansea HCI, Ethnography, Ethnomethodology, Radiology 7 11 2025 2025-11-07 10.23889/SUThesis.71090 COLLEGE NANME COLLEGE CODE Swansea University Owen, T., and Jones, M. Doctoral Ph.D EPSRC Centre For Doctoral Training EPSRC Centre For Doctoral Training 2025-12-04T15:39:00.9924628 2025-12-04T15:28:38.5215986 Faculty of Science and Engineering School of Mathematics and Computer Science - Computer Science RORY CLARK 1 71090__35769__70ee0f8506214dda9846b485480d5c1d.pdf 2025_Clark_R.final.71090.pdf 2025-12-04T15:34:41.0536948 Output 10882798 application/pdf E-Thesis – open access true Copyright: the author, Rory Stuart Clark, 2025 true eng
title Investigations Of Device Use In Radiology
spellingShingle Investigations Of Device Use In Radiology
RORY CLARK
title_short Investigations Of Device Use In Radiology
title_full Investigations Of Device Use In Radiology
title_fullStr Investigations Of Device Use In Radiology
title_full_unstemmed Investigations Of Device Use In Radiology
title_sort Investigations Of Device Use In Radiology
author_id_str_mv cdbdc0d979f1f6e43e503a772f2a33cf
author_id_fullname_str_mv cdbdc0d979f1f6e43e503a772f2a33cf_***_RORY CLARK
author RORY CLARK
author2 RORY CLARK
format E-Thesis
publishDate 2025
institution Swansea University
doi_str_mv 10.23889/SUThesis.71090
college_str Faculty of Science and Engineering
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hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Mathematics and Computer Science - Computer Science{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Mathematics and Computer Science - Computer Science
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description Radiologists are specialist doctors who examine visual medical information such as x-rays and CT scans to produce a diagnostic opinion for the treatment of a patient. Their work is extensively reliant on modern digital systems to generate scans, transfer and manipulate them for analysis, and communicate the findings to the relevant clinician. This means that radiology is often at the forefront of medical digitisation and implementation. There is, however, still a lack of holistic examination of precisely how – from an HCI standpoint -the radiologist interacts with the tools and devices at their disposal when constructing diagnostic reports and communicating them to others. This presents difficulties for the design, evaluation and implementation of new and novel capabilities.This thesis examines the space in which a radiologist works from an ethnomethodological standpoint. We conduct studies in the form of ethnomethodologically informed ethnographies that examined the radiologist’s interactions with digital and physical systems, allowing the reconstruction, analysis and critique of the design of the devices in-use from a holistic standpoint, with particular emphasis on the interoperability and usability from an outsider’s perspective. These ethnographies utilise interactive and non-invasive observational techniques, allowing observers to gain an unbiased perspective on the interactional process without being ignorant to the medical and systemic influences in place. Supplementary to our ethnographies, we conducted a pair of focus groups with clinicians before and after examining the user’s perspective on the issues they face and how they believe they can be addressed, thus allowing us to situate ourselves in the context and environment that we would be investigating and gather feedback on our findings and conclusions throughout.This work provides a much-needed reconstruction and presentation of the ways in which radiologists interact with and perceive digital devices when constructing and com-municating their diagnostic opinion. We contribute an ethnomethodological analysis of the reporting process to allow for digital designers and clinical leaders to properly account for the real-world aspects of interaction that affect design and implementation of devices.Through collaborative and participant-driven methods, we also contribute codified and contextualised end-user clinical perspectives on how existing devices can be improved upon and how the design process can incorporate their domain expertise. Finally, we offer a reflective methodological contribution through exploration and analysis of the strategies when conducting research in a healthcare space as an Early Career Researcher in HCI, allowing researchers to improve the quality of future research in this domain.
published_date 2025-11-07T05:32:17Z
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