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Technical Validation of a Spatial Tracking Configuration for Augmented and Co-Localized Medical Assistance Under
Séamus Thierry1, Ronan Querrec2,3, Cécile Isabelle Bernard4
1Anesthesiology Department, Groupe Hospitalier Bretagne Sud-Lorient, Lorient, France.
Wilderness & Environmental Medicine
|January 17, 2025
Summary
Augmented reality (AR) with colocalization was tested in weightlessness for remote medical assistance. Despite initial technical challenges, a stable AR system was achieved, showing promise for future space medicine applications.
Area of Science:
- Space Medicine
- Human-Computer Interaction
- Medical Technology
Background:
- Augmented reality (AR) offers enhanced remote medical assistance through colocalization, projecting virtual aid into the real world.
- Colocalization in AR has not been previously validated in the unique environment of parabolic flights.
- This study investigated AR's feasibility and effectiveness for simulated medical emergencies in weightlessness.
Purpose of the Study:
- To assess the technical feasibility of colocalized augmented reality in microgravity.
- To compare the efficacy of AR assistance versus traditional paper checklists during a simulated medical emergency.
- To evaluate the potential of AR for improving remote medical support in space.
Main Methods:
- A simulated abdominal pain scenario was conducted during parabolic flights.
- Participants used either a paper checklist or an AR device for procedural assistance.
- The study compared the performance and technical stability of the AR system under varying gravity conditions.
Main Results:
- Initial technical difficulties with AR headsets were encountered due to gravity variations affecting accelerometers.
- Clinical data interpretation was limited by a small sample size resulting from technical issues.
- A stable spatial tracking configuration for AR was successfully established by the final flight.
Conclusions:
- The study successfully demonstrated stable colocalized augmented reality assistance under varying gravity conditions for the first time.
- An external infrared camera tracking system and in-flight calibration were crucial for AR's spatial mapping independent of gravity.
- Further clinical validation is necessary to confirm the benefits of colocalized AR for space medicine.

