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Mobile internet-based mixed-reality interactive telecollaboration system for neurosurgical procedures: technical
Shiyu Zhang1,2, Fangye Li2, Yining Zhao3
11Medical School of Chinese PLA, Beijing, China.
Neurosurgical Focus
|August 3, 2022
Summary
A novel mobile mixed-reality system enables real-time, long-distance surgical collaboration for neuroendoscopy. This innovative telemedicine approach enhances surgical training and patient care in remote areas.
Area of Science:
- Neurosurgery
- Telemedicine
- Mixed Reality Technology
Background:
- Increasing access to healthcare in resource-limited settings requires innovative telemedicine strategies.
- Telecollaboration is a key component of surgical telemedicine, facilitating remote medical resource allocation.
- Existing systems face challenges in real-time interaction and image fidelity for complex procedures.
Purpose of the Study:
- To introduce and evaluate a novel mobile internet-based mixed-reality interactive telecollaboration (MIMIT) system.
- To validate the clinical feasibility and effectiveness of the MIMIT system for neuroendoscopic procedures.
- To explore the potential of MIMIT for enhancing surgical training and remote expert guidance.
Main Methods:
- The MIMIT system integrates a local workstation, head-mounted mixed-reality display, and mobile devices over 4G/5G networks.
- Twenty neuroendoscopic surgeries were performed using the MIMIT system to assess its performance.
- Evaluation included system setup, video latency, technical feasibility, clinical implementation, and business model potential.
Main Results:
- The MIMIT system facilitated real-time visual and verbal communication between surgeons during procedures.
- Average video latency was 184.25 ms on 4G and 23.25 ms on 5G, with excellent image resolution.
- The system was successfully used in 20 surgeries across different locations, with no technical complications reported.
Conclusions:
- The MIMIT system offers a practical and cost-effective solution for real-time, long-distance telecollaborative neuroendoscopic procedures and training.
- It enables remote experts to guide local surgeons, improving diagnosis, treatment, and the dissemination of advanced surgical techniques.
- The MIMIT system has the potential to expand access to high-quality neurosurgical endoscopy, benefiting more patients and surgeons globally.
