Telementoring: Use of Augmented Reality in Orthopaedic Education

Ponce, Brent A.; Jennings, Jonathan K.; Clay, Terry; May, Mathew; Huisingh, Carrie; Sheppard, Evan

doi:10.2106/jbjs.m.00928

Cited by 67 publications

(55 citation statements)

References 18 publications

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“…The average length of delay in communication was 237 milliseconds and there was no disruption in the quality of the image transmitted. Similarly, Ponce et al used the same tool to demonstrate effectiveness with orthopedic residents performing arthroscopic shoulder surgery [22]. In this study, both residents and attendings felt that the use of augmented reality was educational, was easy to use, and provided immediate feedback to the trainee without causing a significant lag or interference with the procedure.…”

Section: Resultsmentioning

confidence: 85%

Augmented Reality in Emergency Medicine: A Scoping Review

et al. 2019

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Background Augmented reality is increasingly being investigated for its applications to medical specialties as well as in medical training. Currently, there is little information about its applicability to training and care delivery in the context of emergency medicine. Objective The objective of this article is to review current literature related to augmented reality applicable to emergency medicine and its training. Methods Through a scoping review utilizing Scopus, MEDLINE, and Embase databases for article searches, we identified articles involving augmented reality that directly involved emergency medicine or was in an area of education or clinical care that could be potentially applied to emergency medicine. Results A total of 24 articles were reviewed in detail and were categorized into three groups: user-environment interface, telemedicine and prehospital care, and education and training. Conclusions Through analysis of the current literature across fields, we were able to demonstrate that augmented reality has utility and feasibility in clinical care delivery in patient care settings, in operating rooms and inpatient settings, and in education and training of emergency care providers. Additionally, we found that the use of augmented reality for care delivery over distances is feasible, suggesting a role in telehealth. Our results from the review of the literature in emergency medicine and other specialties reveal that further research into the uses of augmented reality will have a substantial role in changing how emergency medicine as a specialty will deliver care and provide education and training.

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Section: Resultsmentioning

confidence: 85%

Augmented Reality in Emergency Medicine: A Scoping Review

et al. 2019

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“…Intraoperative navigation systems can help surgeons to accurately perform surgeries and improve surgical results by displaying a virtual image designed before surgery. The benefits of image-guided surgery have been reported in several studies, and AR is currently being investigated for use in various surgical fields, including orthopedics 6 , spine surgery 7 , laparoscopic surgery 8 , neurosurgery 9 , and biopsy procedures 10 11 12 . Specifically, several authors describe the use of AR systems in craniomaxillofacial surgery to reconstruct post-traumatic defects 13 , analyze temporomandibular joint motion 14 , and resect tumors 15 .…”

Section: Discussionmentioning

confidence: 99%

A novel augmented reality system for displaying inferior alveolar nerve bundles in maxillofacial surgery

Zhu

Liu

Chai

et al. 2017

Sci Rep

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Augmented reality systems can combine virtual images with a real environment to ensure accurate surgery with lower risk. This study aimed to develop a novel registration and tracking technique to establish a navigation system based on augmented reality for maxillofacial surgery. Specifically, a virtual image is reconstructed from CT data using 3D software. The real environment is tracked by the augmented reality (AR) software. The novel registration strategy that we created uses an occlusal splint compounded with a fiducial marker (OSM) to establish a relationship between the virtual image and the real object. After the fiducial marker is recognized, the virtual image is superimposed onto the real environment, forming the “integrated image” on semi-transparent glass. Via the registration process, the integral image, which combines the virtual image with the real scene, is successfully presented on the semi-transparent helmet. The position error of this navigation system is 0.96 ± 0.51 mm. This augmented reality system was applied in the clinic and good surgical outcomes were obtained. The augmented reality system that we established for maxillofacial surgery has the advantages of easy manipulation and high accuracy, which can improve surgical outcomes. Thus, this system exhibits significant potential in clinical applications.

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“…In both instances, the value of a feasible paradigm permitting the digital presence of an expert surgeon within the operative field becomes clear. Telecollaboration has been demonstrated for the education of orthopedic surgery residents,(49) but has never been used for international surgical training. The VIPAR system is both practical and simple, and provides a visual adjunct to verbal description of complex surgical procedures and techniques.…”

Section: Discussionmentioning

confidence: 99%

“…(49) VIPAR has been shown to be feasible for long-distance telecollaboration in neurosurgical studies on cadaveric specimens,(61) but the use of long-distance VIPAR has never been reported in neurosurgical patients or for international collaboration.…”

Section: Introductionmentioning

confidence: 99%

Virtual Interactive Presence in Global Surgical Education: International Collaboration Through Augmented Reality

et al. 2016

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Introduction The global shortage of neurosurgeons demands tools to geographically extend the reach of expert surgeons. Technology allowing a remote, experienced surgeon to provide real-time guidance to local surgeons has great potential for training and capacity building in medical centers worldwide. Virtual interactive presence and augmented reality (VIPAR), an iPad®-based tool, allows surgeons to provide long-distance virtual assistance wherever a wireless internet connection is available. Local and remote surgeons view a composite image of video feeds at each station, allowing for intraoperative telecollaboration in real time. Methods Local and remote stations were established in Ho Chi Minh City, Vietnam, and Birmingham, Alabama, as part of an ongoing neurosurgical collaboration. An endoscopic third ventriculostomy with choroid plexus coagulation (ETV/CPC) utilizing VIPAR was used for subjective and objective evaluation of system performance. Results VIPAR allowed both surgeons to engage in complex visual and verbal communication during the procedure. Analysis of five video clips revealed video delay of 237msec (range: 93–391msec) relative to the audio signal. Excellent image resolution allowed the remote neurosurgeon to visualize all critical anatomy. The remote neurosurgeon could gesture to structures with no detectable difference in accuracy between stations, allowing for sub-millimeter precision. Both local and remote neurosurgeons felt the system improved procedural safety and efficacy. Conclusion Evolving technologies allowing long-distance, intra-operative guidance and knowledge transfer hold great potential for highly efficient international neurosurgical education. VIPAR is one example of an inexpensive, scalable platform for increasing global neurosurgical capacity. Efforts to create a network of Vietnamese neurosurgeons using VIPAR for collaboration are underway.

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Telementoring: Use of Augmented Reality in Orthopaedic Education

Cited by 67 publications

References 18 publications

Augmented Reality in Emergency Medicine: A Scoping Review

Augmented Reality in Emergency Medicine: A Scoping Review

A novel augmented reality system for displaying inferior alveolar nerve bundles in maxillofacial surgery

Virtual Interactive Presence in Global Surgical Education: International Collaboration Through Augmented Reality

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