Clinical experience with interactive teleconsultation and teleassistance in craniomaxillofacial surgical procedures
Identifieur interne : 002550 ( Istex/Curation ); précédent : 002549; suivant : 002551Clinical experience with interactive teleconsultation and teleassistance in craniomaxillofacial surgical procedures
Auteurs : Arne Wagner [Autriche] ; Werner Millesi [Autriche] ; Franz Watzinger [Autriche] ; Michael Truppe [Autriche] ; Michael Rasse [Autriche] ; Georg Enislidis [Autriche] ; Christian Kermer [Autriche] ; Rolf Ewers [Autriche]Source :
- Journal of Oral and Maxillofacial Surgery [ 0278-2391 ] ; 1999.
Descripteurs français
- Wicri :
- geographic : Autriche.
- topic : Chirurgie, Réalité virtuelle.
English descriptors
- KwdEn :
- Austria, Clinic, Composite images, Consultant surgeon, Consulting surgeon, Craniomaxillofac surg, Digitizer, Digitizer accuracy, Digitizer space, Focal plane, Imaging, Imaging data, Interactive, Interactive teleconsultation, Interventional video tomography, Intraoperative, Intraoperative visualization, Magnetic resonance imaging, Maxillofacial, Medical information, Optical view, Orthognathic surgery, Osteotomized zygoma, Overlay, Real time, Remote computer, Remote expert, Remote experts, Remote location, Retrospective registration, Stereotactic, Stereotactic navigation data, Surg, Surgery, Surgical, Surgical instruments, Surgical procedure, Surgical telenavigation, Target structures, Teleconsultation, University clinic, Video, Video data, Video images, Video sequence, Vienna austria, Virtual, Virtual patient system, Virtual reality, Virtual structures, Visualization.
- Teeft :
- Austria, Clinic, Composite images, Consultant surgeon, Consulting surgeon, Craniomaxillofac surg, Digitizer, Digitizer accuracy, Digitizer space, Focal plane, Imaging, Imaging data, Interactive, Interactive teleconsultation, Interventional video tomography, Intraoperative, Intraoperative visualization, Magnetic resonance imaging, Maxillofacial, Medical information, Optical view, Orthognathic surgery, Osteotomized zygoma, Overlay, Real time, Remote computer, Remote expert, Remote experts, Remote location, Retrospective registration, Stereotactic, Stereotactic navigation data, Surg, Surgery, Surgical, Surgical instruments, Surgical procedure, Surgical telenavigation, Target structures, Teleconsultation, University clinic, Video, Video data, Video images, Video sequence, Vienna austria, Virtual, Virtual patient system, Virtual reality, Virtual structures, Visualization.
Abstract
Abstract: Purpose: The objective of this study was to evaluate the clinical value and feasability of surgical telenavigation and teleassistance technology in the field of Craniomaxillofacial surgery. Materials and Methods: The technology is based on the principles of augmented reality environment technology and remote stereotactic visualization. A consultant surgeon in a remote location receives video, audio, and stereotactic navigation data from the operation site almost in real-time and, using a headmounted display, is emerged in the surgical augmented reality environment. By telepresence or teleconsultation, the composite images and superimposed graphics (instruments, target structures, landmarks, contours) can be seen and discussed in connected clinics with the possibility of interactive manipulation and assistance. Results: Interactive teleassistance was used in 27 cases of various types Craniomaxillofacial surgery. The principles of computer-aided telenavigation were applied successfully. Technical problems in 6 cases did not cause a breakdown of overall system performance. Conclusion: Teleconsultation with remote experts is a useful tool, although some shortcomings exist. The financial and personal effort involved is considerable.
Url:
DOI: 10.1016/S0278-2391(99)90722-X
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level="a">Clinical experience with interactive teleconsultation and teleassistance in craniomaxillofacial surgical procedures</title><author><name sortKey="Wagner, Arne" sort="Wagner, Arne" uniqKey="Wagner A" first="Arne" last="Wagner">Arne Wagner</name><affiliation wicri:level="1"><mods:affiliation>Clinic of Maxillofacial Surgery, Vienna Medical School, University of Vienna, Austria</mods:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Clinic of Maxillofacial Surgery, Vienna Medical School, University of Vienna</wicri:regionArea></affiliation></author><author><name sortKey="Millesi, Werner" sort="Millesi, Werner" uniqKey="Millesi W" first="Werner" last="Millesi">Werner Millesi</name><affiliation wicri:level="1"><mods:affiliation>Clinic of Maxillofacial Surgery, Vienna Medical School, University of Vienna, Austria</mods:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Clinic of Maxillofacial Surgery, Vienna Medical School, University of Vienna</wicri:regionArea></affiliation></author><author><name sortKey="Watzinger, Franz" sort="Watzinger, Franz" uniqKey="Watzinger F" first="Franz" last="Watzinger">Franz Watzinger</name><affiliation wicri:level="1"><mods:affiliation>Clinic of Maxillofacial Surgery, Vienna Medical School, University of Vienna, Austria</mods:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Clinic of Maxillofacial Surgery, Vienna Medical School, University of Vienna</wicri:regionArea></affiliation></author><author><name sortKey="Truppe, Michael" sort="Truppe, Michael" uniqKey="Truppe M" first="Michael" last="Truppe">Michael Truppe</name><affiliation wicri:level="1"><mods:affiliation>ARTMA Biomedical Inc, Vienna, Austria</mods:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>ARTMA Biomedical Inc, Vienna</wicri:regionArea></affiliation></author><author><name sortKey="Rasse, Michael" sort="Rasse, Michael" uniqKey="Rasse M" first="Michael" last="Rasse">Michael 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surgeon</term><term>Consulting surgeon</term><term>Craniomaxillofac surg</term><term>Digitizer</term><term>Digitizer accuracy</term><term>Digitizer space</term><term>Focal plane</term><term>Imaging</term><term>Imaging data</term><term>Interactive</term><term>Interactive teleconsultation</term><term>Interventional video tomography</term><term>Intraoperative</term><term>Intraoperative visualization</term><term>Magnetic resonance imaging</term><term>Maxillofacial</term><term>Medical information</term><term>Optical view</term><term>Orthognathic surgery</term><term>Osteotomized zygoma</term><term>Overlay</term><term>Real time</term><term>Remote computer</term><term>Remote expert</term><term>Remote experts</term><term>Remote location</term><term>Retrospective registration</term><term>Stereotactic</term><term>Stereotactic navigation data</term><term>Surg</term><term>Surgery</term><term>Surgical</term><term>Surgical instruments</term><term>Surgical procedure</term><term>Surgical telenavigation</term><term>Target structures</term><term>Teleconsultation</term><term>University clinic</term><term>Video</term><term>Video data</term><term>Video images</term><term>Video sequence</term><term>Vienna austria</term><term>Virtual</term><term>Virtual patient system</term><term>Virtual reality</term><term>Virtual structures</term><term>Visualization</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Austria</term><term>Clinic</term><term>Composite images</term><term>Consultant surgeon</term><term>Consulting surgeon</term><term>Craniomaxillofac surg</term><term>Digitizer</term><term>Digitizer accuracy</term><term>Digitizer space</term><term>Focal plane</term><term>Imaging</term><term>Imaging data</term><term>Interactive</term><term>Interactive teleconsultation</term><term>Interventional video tomography</term><term>Intraoperative</term><term>Intraoperative visualization</term><term>Magnetic resonance imaging</term><term>Maxillofacial</term><term>Medical information</term><term>Optical view</term><term>Orthognathic surgery</term><term>Osteotomized zygoma</term><term>Overlay</term><term>Real time</term><term>Remote computer</term><term>Remote expert</term><term>Remote experts</term><term>Remote location</term><term>Retrospective registration</term><term>Stereotactic</term><term>Stereotactic navigation data</term><term>Surg</term><term>Surgery</term><term>Surgical</term><term>Surgical instruments</term><term>Surgical procedure</term><term>Surgical telenavigation</term><term>Target structures</term><term>Teleconsultation</term><term>University clinic</term><term>Video</term><term>Video data</term><term>Video images</term><term>Video sequence</term><term>Vienna austria</term><term>Virtual</term><term>Virtual patient system</term><term>Virtual reality</term><term>Virtual structures</term><term>Visualization</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Autriche</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term><term>Réalité virtuelle</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Purpose: The objective of this study was to evaluate the clinical value and feasability of surgical telenavigation and teleassistance technology in the field of Craniomaxillofacial surgery. Materials and Methods: The technology is based on the principles of augmented reality environment technology and remote stereotactic visualization. A consultant surgeon in a remote location receives video, audio, and stereotactic navigation data from the operation site almost in real-time and, using a headmounted display, is emerged in the surgical augmented reality environment. By telepresence or teleconsultation, the composite images and superimposed graphics (instruments, target structures, landmarks, contours) can be seen and discussed in connected clinics with the possibility of interactive manipulation and assistance. Results: Interactive teleassistance was used in 27 cases of various types Craniomaxillofacial surgery. The principles of computer-aided telenavigation were applied successfully. Technical problems in 6 cases did not cause a breakdown of overall system performance. Conclusion: Teleconsultation with remote experts is a useful tool, although some shortcomings exist. The financial and personal effort involved is considerable.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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