背景:数字现实平台的独特特征,即增强现实(AR),虚拟现实(VR)混合现实(MR)已经延伸到医学教育,培训,模拟,和病人护理。此外,这种数字现实技术与信息和通信技术无缝融合,创造了一个丰富的远程健康生态系统。这篇综述提供了在临床环境中使用MR平台提供的远程医疗前景的综合概述。
目的:这篇综述确定了高保真数字显示技术的各种临床应用,即AR,VR,MR,使用远程医疗功能交付。接下来,审查的重点是技术特点,硬件,和AR组成中使用的软件技术,VR,和远程医疗的MR。
方法:我们使用PRISMA-ScR(系统审查的首选报告项目和范围审查的Meta分析扩展)指南,使用方法学框架和报告设计进行了范围审查。从Embase获得了完整的英文文章,PubMed,和WebofScience数据库。搜索协议基于以下关键字和医学主题词,以获得相关结果:“增强现实,\"\"虚拟现实,\"\"混合现实,\"\"远程医疗,\"\"远程医疗,“和”数字健康。“在过滤获得的结果和最终选择文章时,制定了预定义的包含-排除标准,其次是数据的提取和建设审查。
结果:我们确定了4407篇文章,其中320人符合全文筛选条件。审查共包括134篇全文文章。远程康复,Telementoring,远距会诊,远程监测,心灵感应,远程外科手术,远程诊断是远程医疗部门探索AR使用的部分,VR,MR平台使用VR的远程康复是纳入研究中最常见的重复部分。AR和MR主要用于远程通话和远程会诊。随着远程医疗出现的数字现实技术最重要的技术特征是虚拟环境,exergaming,3D化身,远程呈现,锚定注释,第一人称观点。技术的不同安排-3D建模和查看工具,通信和流媒体平台,文件传输和共享平台,传感器,高保真显示器,和控制器构成了大多数系统的基础。
结论:这篇综述构成了使用远程医疗设置在各种临床应用中不断发展的数字AR和VR的最新概述。远程医疗与AR的结合,VR,和MR允许远程促进临床专业知识和进一步发展基于家庭的治疗。这篇综述探讨了数字医疗领域用户可获得的快速增长的技术套件,并探讨了它们带来的机遇和挑战。
BACKGROUND: The distinctive features of the digital reality platforms, namely augmented reality (AR), virtual reality (VR), and mixed reality (MR) have extended to medical education, training, simulation, and patient care. Furthermore, this digital reality technology seamlessly merges with information and communication technology creating an enriched telehealth ecosystem. This
review provides a composite overview of the prospects of telehealth delivered using the MR platform in clinical settings.
OBJECTIVE: This
review identifies various clinical applications of high-fidelity digital display technology, namely AR, VR, and MR, delivered using telehealth capabilities. Next, the
review focuses on the technical characteristics, hardware, and software technologies used in the composition of AR, VR, and MR in telehealth.
METHODS: We conducted a scoping
review using the methodological framework and reporting design using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. Full-length articles in English were obtained from the Embase, PubMed, and Web of Science databases. The search protocol was based on the following keywords and Medical Subject Headings to obtain relevant results: \"augmented reality,\" \"virtual reality,\" \"mixed-reality,\" \"telemedicine,\" \"telehealth,\" and \"digital health.\" A predefined inclusion-exclusion criterion was developed in filtering the obtained results and the final selection of the articles, followed by data extraction and construction of the review.
RESULTS: We identified 4407 articles, of which 320 were eligible for full-text screening. A total of 134 full-text articles were included in the
review. Telerehabilitation, telementoring, teleconsultation, telemonitoring, telepsychiatry, telesurgery, and telediagnosis were the segments of the telehealth division that explored the use of AR, VR, and MR platforms. Telerehabilitation using VR was the most commonly recurring segment in the included studies. AR and MR has been mainly used for telementoring and teleconsultation. The most important technical features of digital reality technology to emerge with telehealth were virtual environment, exergaming, 3D avatars, telepresence, anchoring annotations, and first-person viewpoint. Different arrangements of technology-3D modeling and viewing tools, communication and streaming platforms, file transfer and sharing platforms, sensors, high-fidelity displays, and controllers-formed the basis of most systems.
CONCLUSIONS: This review constitutes a recent overview of the evolving digital AR and VR in various clinical applications using the telehealth setup. This combination of telehealth with AR, VR, and MR allows for remote facilitation of clinical expertise and further development of home-based treatment. This review explores the rapidly growing suite of technologies available to users within the digital health sector and examines the opportunities and challenges they present.