Abstract：
Background: Augmented reality enables the wearer to see both their physical environment and virtual objects. Holograms could allow 3D video of providers to be transmitted to distant sites, allowing patients to interact with virtual providers as if they are in the same physical space. Our aim was to determine if Tele-Stroke augmented with Holo-Stroke, compared with Tele-Stroke alone, could improve satisfaction and perception of immersion for the patient. Methods: Kinect cameras positioned at 90-degree intervals around the hub practitioner were used. Cameras streamed real-time optical video to a unity point-cloud program where the data were stitched together in a 360-degree view. The resultant hologram was positioned in 3D space and was visible through the head-mounted display by the patient. Radiology images were shared in Tele-Stroke and via hologram. Likert satisfaction questions were administered. Wilcoxon signed-rank testing was used. Results: Each of the 30 neurology clinic participants scored both Tele-Stroke and Holo-Stroke. Out of these, 29 patients completed the assessments (1 failure owing to computer reboot). Average age was 52 years, with 53.3% of the patients being female, 70.0% being White, and 13.3% being Hispanic. Likert scale score median \"Overall\" was 32 Tele-Stroke versus 48 Holo-Stroke (p < 0.00001), \"Immersion\" was 5 versus 10 (p < 0.00001), \"Beneficial Technique\" was 6 versus 10 (p < 0.00001), and \"Ability to See Images\" was 5 versus 10 (p < 0.00001). Discussion: Holo-Stroke 3D holographic Tele-Stroke exams resulted in feasibility, satisfaction, and high perception of immersion for the patient. Patients were enthusiastic for the more immersive, personal discussion with their provider and a robust way to experience radiology images. Though further assessments are needed, Holo-Stroke can help the provider \"be there, not just see there!\"
摘要：
背景技术增强现实使佩戴者能够看到他们的物理环境和虚拟对象。全息图可以将提供商的3D视频传输到远处的站点，允许患者与虚拟提供者互动，就好像他们在同一物理空间一样。我们的目标是确定远程卒中是否会增加全中风，与单独的远程卒中相比，可以提高患者的满意度和沉浸感。方法：使用以90度间隔放置在中心从业者周围的Kinect摄像机。摄像机将实时光学视频流传输到统一点云程序，在该程序中，数据以360度视图拼接在一起。所得到的全息图定位在3D空间中,并且患者通过头戴式显示器可见。放射学图像通过Tele-Stroke和全息图共享。进行了李克特满意度问题。使用Wilcoxon符号秩检验。结果：30名神经科门诊参与者中的每一个都对远程卒中和整体卒中进行了评分。在这些中，29例患者完成评估（1例由于计算机重启而失败）。平均年龄52岁,53.3%的病人是女性,70.0%是白人，13.3%是西班牙裔。Likert量表评分中位数“总体”为32个远程卒中与48个整体卒中（p<0.00001），“浸入”为5比10（p<0.00001），“有益技术”为6比10（p<0.00001），“看图像的能力”为5对10（p<0.00001）。讨论：全冲程3D全息远程卒中检查具有可行性，满意,和高感知的沉浸为病人。患者对更身临其境的事物充满热情，与他们的提供者进行个人讨论，并以强大的方式体验放射学图像。尽管需要进一步评估，全中风可以帮助提供者“在那里，不只是看到那里！”
