Andrius Budrionis
Norwegian Centre for Integrated Care and Telemedicine, University Hospital of North Norway, Tromsø, Norway
Gunnar Hartvigsen
Norwegian Centre for Integrated Care and Telemedicine, University Hospital of North Norway, Tromsø, Norway
Johan Gustav Bellika
Norwegian Centre for Integrated Care and Telemedicine, University Hospital of North Norway, Tromsø, Norway
Ladda ner artikelIngår i: SHI 2015, Proceedings from The 13th Scandinavien Conference on Health Informatics, June 15-17, 2015, Tromsø, Norway
Linköping Electronic Conference Proceedings 115:1, s. 1-5
Publicerad: 2015-06-26
ISBN: 978-91-7685-985-8
ISSN: 1650-3686 (tryckt), 1650-3740 (online)
Advances in surgical telementoring systems open new grounds for enhancing the remote supervision and training of the sur-geons. Verbal communication links between the mentor and mentee are being upgraded with graphical annotation, medi-cal image and 3D model overlay capacities. While the advanc-ing setups are regulated as verbal communication systems, the potential patient safety risks introduced by the extra features are rarely evaluated. In this paper surgical camera movement is researched in the context of the advanced telementoring systems. The analysis of potential computational techniques to eliminate its impact on the quality of remote supervision is presented. Focusing on the mobile platforms as common re-mote side telementoring hardware, an architecture for distrib-uted telementoring system is proposed that eliminates the re-sources bottleneck for highly computationally intensive live video processing tasks.
telementoring; telestration; laparoscopic; endoscopic; annotation; camera movement; tracking; distributed architecture
[1] Society of American Gastrointestinal and Endoscopic Surgeons. Guidelines for the Surgical Practice of Telemedicine. 2010.
[2] Williams TE, Ellison EC. Population analysis predicts a future critical shortage of general surgeons. Surgery 2008;144:548–56. doi: 10.1016/j.surg.2008.05.019.
[3] Augestad KM, Bellika JG, Budrionis A, Chomutare T, Lindsetmo R-O, Patel H, et al. Surgical telementoring in knowledge translation--clinical outcomes and educational benefits: a comprehensive review. Surg Innov 2013;20:273–81. doi: 10.1177/1553350612465793.
[4] Budrionis A, Augestad KM, Patel HR, Bellika JG. An Evaluation Framework for Defining the Contributions of Telestration in Surgical Telementoring. Interact J Med Res 2013;2:e14. doi:10.2196/ijmr.2611.
[5] Budrionis A, Augestad K, Patel H, Bellika J. Towards Requirements for Telementoring Software. Scand Conf Health Inform 2012 2012.
[6] Budrionis A, Augestad KM, Bellika JG. Telestration in Mobile Telementoring. ETelemed 2013 Fifth Int. Conf. EHealth Telemed. Soc. Med., 2013, p. 307–9.
[7] European Commission. Guidelines on the Qualification and Classification of Stand Alone Software Used in Healthcare Within the Regulatory Framework of Medical Devices. 2012.
[8] Yin Y, Adel M, Bourennane S. Automatic Segmentation and Measurement of Vasculature in Retinal Fundus Images Using Probabilistic Formulation. Comput Math Methods Med 2013;2013:1–16. doi: 10.1155/2013/260410.
[9] Jiang Y, Bainbridge-Smith A, Morris AB. Blood vessel tracking in retinal images. Proc. Image Vis. Comput., 2007.
[10] Kirbas C, Quek F. A review of vessel extraction techniques and algorithms. ACM Comput Surv 2004;36:81–121. doi: 10.1145/1031120.1031121.
[11] Visentini-Scarzanella M, Merrifield R, Stoyanov D, Yang G-Z. Tracking of irregular graphical structures for tissue deformation recovery in minimally invasive surgery. Med Image Comput Comput-Assist Interv MICCAI Int Conf Med Image Comput Comput-Assist Interv 2010;13:261–8.
[12] Yip MC, Lowe DG, Salcudean SE, Rohling RN, Nguan CY. Real-Time Methods for Long-Term Tissue Feature Tracking in Endoscopic Scenes. In: Abolmaesumi P, Joskowicz L, Navab N, Jannin P, editors. Inf. Process. Comput.-Assist. Interv., vol. 7330, Berlin, Heidelberg: Springer Berlin Heidelberg; 2012, p. 3–43.
[13] Mountney P, Yang G-Z. Context specific descriptors for tracking deforming tissue. Med Image Anal 2012;16:550–61. doi: 10.1016/j.media.2011.02.010.
[14] Su L-M, Vagvolgyi BP, Agarwal R, Reiley CE, Taylor RH, Hager GD. Augmented Reality During Robotassisted Laparoscopic Partial Nephrectomy: Toward Real-Time 3D-CT to Stereoscopic Video Registration. Urology 2009;73:896–900. doi: 10.1016/j.urology.2008.11.040.
[15] Zhou Q, Liu D. Interactive visual content sharing and telestration: A novel network multimedia service, IEEE; 2010, p. 1–6. doi: 10.1109/ICIN.2010.5640915.
[16] Hollan J, Stornetta S. Beyond Being There. Proc. SIGCHI Conf. Hum. Factors Comput. Syst., New York, NY, USA: ACM; 1992, p. 119–25. doi: 10.1145/142750.142769.