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Mixed Reality Platforms in Telehealth Delivery: Scoping Review.

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Summary

Digital reality technologies like augmented reality (AR), virtual reality (VR), and mixed reality (MR) are enhancing telehealth services. These immersive technologies offer new possibilities for remote patient care and clinical training.

Keywords:
augmented realityeHealthmHealthmixed realitiesmobile healthtelemedicinevirtual reality

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Area of Science:

  • Digital Health
  • Immersive Technologies
  • Telemedicine

Background:

  • Augmented reality (AR), virtual reality (VR), and mixed reality (MR) are digital reality platforms with applications in medical education, training, simulation, and patient care.
  • These technologies integrate with information and communication technology to create an advanced telehealth ecosystem.
  • Mixed reality (MR) platforms are increasingly being explored for delivering telehealth services in clinical settings.

Purpose of the Study:

  • To identify clinical applications of AR, VR, and MR technologies within telehealth.
  • To examine the technical characteristics, hardware, and software components of AR, VR, and MR systems used in telehealth.

Main Methods:

  • A scoping review was conducted following PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines.
  • Searches were performed on Embase, PubMed, and Web of Science databases using keywords such as 'augmented reality,' 'virtual reality,' 'mixed-reality,' 'telemedicine,' 'telehealth,' and 'digital health.'
  • Inclusion-exclusion criteria were applied to filter 4407 initial articles, with 134 full-text articles ultimately included in the review.

Main Results:

  • The review identified 134 articles detailing the use of AR, VR, and MR in various telehealth segments, including telerehabilitation, telementoring, teleconsultation, telemonitoring, telepsychiatry, telesurgery, and telediagnosis.
  • Virtual reality (VR) was most frequently applied in telerehabilitation, while AR and MR were primarily used for telementoring and teleconsultation.
  • Key technical features included virtual environments, exergaming, 3D avatars, telepresence, anchoring annotations, and first-person viewpoints, supported by systems involving 3D modeling, communication platforms, sensors, and high-fidelity displays.

Conclusions:

  • The integration of telehealth with AR, VR, and MR offers a modern approach to delivering clinical expertise remotely and advancing home-based treatments.
  • This review highlights the expanding technological landscape within digital health, presenting both opportunities and challenges for users.
  • The combination of these immersive technologies with telehealth facilitates the remote application of clinical knowledge and supports the development of remote patient care solutions.