Rojas-Muñoz Edgar, Andersen Dan, Cabrera Maria Eugenia, Popescu Voicu, Marley Sherri, Zarzaur Ben, Mullis Brian, Wachs Juan P
School of Industrial Engineering, Purdue University, 315N. Grant St., West Lafayette, IN.
Department of Computer Science, Purdue University, 305N. University St., West Lafayette, IN.
Mil Med. 2019 Mar 1;184(Suppl 1):57-64. doi: 10.1093/milmed/usy300.
Combat trauma injuries require urgent and specialized care. When patient evacuation is infeasible, critical life-saving care must be given at the point of injury in real-time and under austere conditions associated to forward operating bases. Surgical telementoring allows local generalists to receive remote instruction from specialists thousands of miles away. However, current telementoring systems have limited annotation capabilities and lack of direct visualization of the future result of the surgical actions by the specialist. The System for Telementoring with Augmented Reality (STAR) is a surgical telementoring platform that improves the transfer of medical expertise by integrating a full-size interaction table for mentors to create graphical annotations, with augmented reality (AR) devices to display surgical annotations directly onto the generalist's field of view. Along with the explanation of the system's features, this paper provides results of user studies that validate STAR as a comprehensive AR surgical telementoring platform. In addition, potential future applications of STAR are discussed, which are desired features that state-of-the-art AR medical telementoring platforms should have when combat trauma scenarios are in the spotlight of such technologies.
战斗创伤损伤需要紧急和专门的护理。当患者后送不可行时，必须在与前沿作战基地相关的严峻条件下，在受伤现场实时提供关键的救生护理。外科远程指导使当地的全科医生能够接受数千英里外专家的远程指导。然而，当前的远程指导系统注释功能有限，且专家无法直接可视化手术操作的未来结果。增强现实远程指导系统（STAR）是一个外科远程指导平台，它通过集成一个全尺寸的交互桌供指导者创建图形注释，并利用增强现实（AR）设备将手术注释直接显示在全科医生的视野中，从而改善医学专业知识的传递。除了对该系统功能的解释，本文还提供了用户研究结果，验证了STAR作为一个全面的增强现实外科远程指导平台的有效性。此外，还讨论了STAR未来可能的应用，这些是当战斗创伤场景成为此类技术的焦点时，先进的增强现实医学远程指导平台应具备的理想功能。
