Summary
Objectives: The study aims to interpret image quality in laparoscopic surgery not only as a technical
parameter but also as the result of the situation of use.
Methods: Observational studies of laparoscopy in use, semi-structured and informal interviews
with laparoscopists.
Results: When medical images are digitized to exploit novel technical possibilities, image
quality becomes a paramount issue. Image quality is often discussed exclusively in
technical terms, but the socio-technical study of image quality in surgical telemedicine
presented in this paper showed that it is definitely more than a purely technical
parameter.
Conclusions: While the resulting quality of the image was significantly shaped by the persons
involved, the concept of “quality” itself was also relative and changing with the
situation of use. A given technology does not determine image quality. Rather than
focusing only on the technical quality, the attention of designers and decision makers
should also be directed to the socio-technical network surrounding the image and its
use.
Keywords
Laparoscopy - surgery - telemedicine - image quality - video quality