Project 18: Human factors and ergonomics to evaluate and improve patient positioning for upright radiotherapy

Enrollment: Loughborough University

Host institution: Loughborough University
Planned secondments

1. Centre de Lutte Contre Le Cancer Leon Berard (France)
2. Cosylab (Slovenia)
3. Deutsches Krebsforschungszentrum Heidelberg (Germany)

Supervisor
Co-Supervisor
Tracy Underwood
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Project description

Delivering radiotherapy to patients positioned upright, rather than lying supine, represents a significant paradigm shift that could reduce treatment costs and improve clinical outcomes for certain patients. Many individuals struggle to tolerate, or feel uncomfortable, in supine radiotherapy positions: transitioning to upright body positioning presents a valuable opportunity to enhance patient comfort and make treatments more patient-centred. 

In this interdisciplinary project, the successful candidate will use ergonomics and human factors investigations to enhance upright positioning and treatment workflows for radiotherapy. The project will evaluate the comfort of new immobilization devices for upright radiotherapy, for example arm supports. Additionally, treatment devices will be assessed according to the principles of inclusive design, to determine whether they are accessible and usable for a wide range of patients and clinical staff. Using human factors frameworks, treatment workflows will be evaluated to consider any possible “pinch-points” or safety issues.

This project will be co-supervised by Leo Cancer Care, an innovative company founded in 2016 that specializes in medical devices for upright radiotherapy. The company is developing upright patient positioning systems, imaging scanners, and treatment delivery systems. (Leo Cancer Care’s technology is not yet available for clinical use). Leo Cancer Care has offices in Crawley, near London (UK) and Middleton, Wisconsin (USA).

Human factors studies are now a crucial aspect of medical device regulation, and pursuing a PhD in this area will equip the candidate with skills that are highly sought-after within the medical device industry. 

 

Goal:  

To consider ergonomics and human factors, as applied to the management of comfortable, accurate and repeatable patient positioning for upright radiotherapy. To help develop immobilisation solutions that accommodate a diverse range of needs and preferences (for both patients and clinical staff), promoting equality and usability for everyone. 

 

Tasks: 

  • To collaborate with the wider UPLIFT project group to evaluate technologies and immobilisation devices designed to physically support the patient (e.g arm supports), for the delivery of upright radiotherapy.  
  • To use anthropometric and range of motion data from different demographic groups to consider the accessibility and inclusivity of equipment designed for upright radiotherapy. 
  • To consider the comfort of various patient groups and staff (therapeutic radiographers). 
  • To investigate treatment workflows to identify any pinch-points from human factors perspectives. 
  • To conduct a series of controlled experiments to evaluate various immobilisation/medical devices and help to develop new and innovative systems, to improve treatment effectiveness. 
  • Based in Loughborough with visits to Leo Cancer Care in Crawley. 
  • 3 months secondment @Centre Leon Berard (leading radiotherapy clinical centre). 
  • Close collaboration with PhD students at Sheffield Hallam University, HZDR and CNAO. 
  • Presentation of research in the form of peer-reviewed publications, reports and oral presentations in workshops, symposiums and conferences. 
  • Participation in Consortium training activities and secondment projects.
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Nicole Caballero-Canchanya

Loughborough University

My name is Nicole Caballero Canchanya, and I am originally from Peru. I recently completed my Master’s in Biosciences and Bioengineering Innovations for Precision Medicine, an Erasmus Mundus joint degree delivered by Université Grenoble Alpes, the University of Barcelona, and the University of Naples Federico II. Prior to that, I obtained a Bachelor’s degree in Biomedical Engineering from the National University of San Marcos in Peru. My academic background sits at the intersection of engineering, healthcare, and innovation, with a strong focus on translating research into real clinical impact under interdisciplinary supervision.

I am currently hosted by Loughborough University in the United Kingdom, in collaboration with Leo Cancer Care, where I am supervised by Michael Fray and Tracy Underwood. I will be working on the UPLIFT project 18 titled “Human factors and ergonomics to evaluate and improve patient positioning for upright radiotherapy.” I chose this topic because I am deeply interested in how engineering and human factors can enhance patient experience while improving treatment effectiveness of medical technologies. Upright radiotherapy represents a promising shift toward more patient-centred cancer care, and I am motivated to help ensure that these emerging technologies are comfortable, inclusive, and ready for clinical translation. Through this project, I aim to apply ergonomics and human factors methodologies to assess comfort, usability, and accessibility, contributing to safer and more effective solutions for both patients and clinicians.

Beyond my academic work, I enjoy travelling, volunteering, and playing table tennis. My personal motivation is strongly tied to clinical translation, bridging the gap between laboratory innovation and real-world healthcare. Cancer care holds a profound personal meaning for me, which has reinforced my commitment to developing medical technologies that are more accessible, humane, and patient-centred.

Nicole Caballero Canchanya | LinkedIn

Loughborough University

Loughborough University is consistently ranked as a top ten UK university. It hosts a world recognised ergonomics and human factors team, which sits within the School for Design and Creative Arts. Loughborough is also renowned for research centres in transport safety and environmental ergonomics. It has a strong reputation in healthcare staff and patient safety and is currently delivering the education programme for all Patient Safety Specialists across NHS England.