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数字解剖学在医学科学中的机遇与挑战:叙事性综述

The Opportunities and Challenges of Digital Anatomy for Medical Sciences: Narrative Review.

作者信息

Wickramasinghe Nilmini, Thompson Bruce R, Xiao Junhua

机构信息

School of Health Sciences, Swinburne University of Technology, Victoria, Australia.

Epworth Healthcare, Melbourne, Australia.

出版信息

JMIR Med Educ. 2022 May 20;8(2):e34687. doi: 10.2196/34687.

Abstract

BACKGROUND

Anatomy has been the cornerstone of medical education for centuries. However, given the advances in the Internet of Things, this landscape has been augmented in the past decade, shifting toward a greater focus on adopting digital technologies. Digital anatomy is emerging as a new discipline that represents an opportunity to embrace advances in digital health technologies and apply them to the domain of modern medical sciences. Notably, the use of augmented or mixed and virtual reality as well as mobile and platforms and 3D printing in modern anatomy has dramatically increased in the last 5 years.

OBJECTIVE

This review aims to outline the emerging area of digital anatomy and summarize opportunities and challenges for incorporating digital anatomy in medical science education and practices.

METHODS

Literature searches were performed using the PubMed, Embase, and MEDLINE bibliographic databases for research articles published between January 2005 and June 2021 (inclusive). Out of the 4650 articles, 651 (14%) were advanced to full-text screening and 77 (1.7%) were eligible for inclusion in the narrative review. We performed a Strength, Weakness, Opportunity, and Threat (SWOT) analysis to evaluate the role that digital anatomy plays in both the learning and teaching of medicine and health sciences as well as its practice.

RESULTS

Digital anatomy has not only revolutionized undergraduate anatomy education via 3D reconstruction of the human body but is shifting the paradigm of pre- and vocational training for medical professionals via digital simulation, advancing health care. Importantly, it was noted that digital anatomy not only benefits in situ real time clinical practice but also has many advantages for learning and teaching clinicians at multiple levels. Using the SWOT analysis, we described strengths and opportunities that together serve to underscore the benefits of embracing digital anatomy, in particular the areas for collaboration and medical advances. The SWOT analysis also identified a few weaknesses associated with digital anatomy, which are primarily related to the fact that the current reach and range of applications for digital anatomy are very limited owing to its nascent nature. Furthermore, threats are limited to technical aspects such as hardware and software issues.

CONCLUSIONS

This review highlights the advances in digital health and Health 4.0 in key areas of digital anatomy analytics. The continuous evolution of digital technologies will increase their ability to reinforce anatomy knowledge and advance clinical practice. However, digital anatomy education should not be viewed as a simple technical conversion and needs an explicit pedagogical framework. This review will be a valuable asset for educators and researchers to incorporate digital anatomy into the learning and teaching of medical sciences and their practice.

摘要

背景

几个世纪以来,解剖学一直是医学教育的基石。然而,鉴于物联网的发展,在过去十年中这一局面有所拓展,逐渐更加注重采用数字技术。数字解剖学正在成为一门新兴学科,它为接受数字健康技术的进步并将其应用于现代医学科学领域提供了契机。值得注意的是,在过去5年中,增强现实或混合现实与虚拟现实以及移动平台和3D打印在现代解剖学中的应用显著增加。

目的

本综述旨在概述数字解剖学这一新兴领域,并总结将数字解剖学纳入医学科学教育和实践中的机遇与挑战。

方法

使用PubMed、Embase和MEDLINE书目数据库对2005年1月至2021年6月(含)发表的研究文章进行文献检索。在4650篇文章中,651篇(14%)进入全文筛选,77篇(1.7%)符合纳入叙述性综述的标准。我们进行了优势、劣势、机遇和威胁(SWOT)分析,以评估数字解剖学在医学和健康科学的学习与教学以及实践中所起的作用。

结果

数字解剖学不仅通过人体的3D重建彻底改变了本科解剖学教育,还通过数字模拟改变了医学专业人员的岗前和职业培训模式,推动了医疗保健的发展。重要的是,人们注意到数字解剖学不仅有利于现场实时临床实践,而且在多个层面上对临床医生的学习和教学也有诸多优势。通过SWOT分析,我们描述了优势和机遇,这些共同凸显了采用数字解剖学的益处,特别是合作领域和医学进步。SWOT分析还确定了与数字解剖学相关的一些劣势,主要是由于其尚处于初期阶段,目前数字解剖学的应用范围和广度非常有限。此外,威胁仅限于硬件和软件问题等技术方面。

结论

本综述突出了数字健康和数字解剖学分析关键领域中健康4.0的进展。数字技术的不断发展将增强其强化解剖学知识和推动临床实践的能力。然而,数字解剖学教育不应被视为简单的技术转换,需要一个明确的教学框架。本综述将成为教育工作者和研究人员将数字解剖学纳入医学科学学习、教学及实践的宝贵资源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d26/9166657/ec20f88709fa/mededu_v8i2e34687_fig1.jpg

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