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Augmented Reality as a Telemedicine Platform for Remote Procedural Training.

Shiyao Wang¹, Michael Parsons², Jordan Stone-McLean³

¹Department of Computer Science, Memorial University of Newfoundland, St. John's, NL A1B 3X5, Canada. sw7164@mun.ca.

Sensors (Basel, Switzerland)

|October 11, 2017

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This study introduces an Augmented Reality (AR) telemedicine system for remote medical training, enhancing rural healthcare access. The AR system effectively guided novice trainees in Point of Care Ultrasound (PoCUS) procedures.

Area of Science:

Medical Technology
Telemedicine
Augmented Reality

Background:

Rural healthcare access is limited by challenges in recruiting and retaining medical professionals.
Telemedicine offers a cost-effective solution by leveraging communication technology for remote medical services.
Augmented Reality (AR) presents a novel approach to enhance remote medical training and procedures.

Purpose of the Study:

To develop and evaluate a new telepresence application using an Augmented Reality (AR) system for remote medical training.
To explore the use of Microsoft HoloLens for facilitating complex procedures like Point of Care Ultrasound (PoCUS) in simulated rural emergency settings.
To assess the feasibility and utility of an AR-supported telemedicine platform compared to traditional methods.

Main Methods:

Keywords:

Augmented Reality HoloLens Leap Motion sensor remote mentoring telemedicine ultrasound training

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Development of an AR telepresence application using Microsoft HoloLens and Leap Motion for capturing and displaying mentor hand gestures.
Implementation of mixed reality capture (MRC) for a first-person view of a simulated rural emergency room environment.
Conducting a pilot user study with twelve novice medical trainees guided by a remote mentor through simulated ultrasound procedures.

Main Results:

The AR system enabled remote guidance for novice trainees performing simulated Point of Care Ultrasound (PoCUS) without visual interference.
The developed platform demonstrated novel telemedicine capabilities, including remote pointing and virtual display of mentor hand gestures.
User study feedback from trainees, mentors, and observers provided insights into the system's utility compared to multi-camera telemedicine.

Conclusions:

The developed AR-supported telemedicine platform shows promise for enhancing remote medical training and improving healthcare delivery in underserved rural areas.
AR technology, particularly with systems like HoloLens, can overcome visual interference and facilitate complex medical procedures remotely.
Further development of AR-based telemedicine solutions is warranted to address healthcare professional shortages and improve access to specialized medical training and care.