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.
Diseño sin título (23)(2)

Nicole Caballero-Canchanya

Loughborough University

Where are you from: I’m from Peru

What were you studying: I recently completed my Master’s in Biosciences and Bioengineering Innovations for Precision Medicine, an Erasmus Mundus joint degree from Université Grenoble Alpes, University of Barcelona, and University of Naples Federico II. I also hold a Bachelor’s degree in Biomedical Engineering from the National University of San Marcos (Peru).

Why you decided for that topic: I’m interested in how engineering and human factors can improve patient experiences and the effectiveness of treatments. Upright radiotherapy represents an exciting step toward more patient-centred care, and I want to contribute to making these technologies comfortable, inclusive, and ready for clinical translation.


What are your expectations on that project: I aim to apply ergonomics and human factors methods to evaluate comfort, usability, and accessibility in upright radiotherapy systems. Through collaboration with clinical and industry partners, I hope to help develop safe, inclusive, and effective solutions that enhance both patient and clinician experience.


What is your personal motivation: I’m particularly interested in clinical translation, bringing innovations from the lab to real healthcare settings to benefit patients. The field of cancer care also holds a personal meaning to me, as I lost my father to cancer, which strengthened my commitment to making medical technology more accessible and patient-centered.

Additional:

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.