Loading...
11 results
Search Results
Now showing 1 - 10 of 11
- Extended reality in the operating room: robot-assisted orthopedics surgery with live and interactive streaming for medical studentsPublication . Magalhães, Renato; Veloso, Rita; Gomes, Paulo Veloso; Marques, António; Pereira, JavierTraditionally, medical education comprises both theoretical learning in classrooms and clinical training in hospitals where students can gain clinical experience. This is mostly done on face-to-face teaching models, focused on the educational philosophy of “see one, do one, teach one”, was the standard teaching methodology in medical education. Medical education is transforming thanks to medical schools adopting innovations to new clinicians, such as immersive prepare techniques (extended reality): virtual reality, augmented reality and virtual reality. Immersive learning technologies, such as extended reality, can provide an engaging and interactive platform to generate a stimulating learning environment and with the recent development and increased accessibility of immersive technologies, educators have the potential to make simulation-based training more effective. By using holographic devices, such as Microsoft HoloLens 2®, and 5G wireless communications we intent to explore the innovative experience of a robot-assisted orthopaedic surgery, where the procedures were transmitted live stream to Pregraduate Medical Students using the Microsoft Remote Assist®. In addition, students had the opportunity to interact directly from a classroom to the operating room, asking to the surgeon about the procedures performed during surgery and get involved in the surgery, even remotely. At the end, students completed a questionnaire to evaluate the experience and the preliminary results made possible to assess the effectiveness of this experience and identify areas for improvement for future surgery transmission, revolutionizing the teaching and practice of surgery.
- Mixed reality in an operating room using hololens 2—The use of the remote assistance from manufacturers techinicians during the surgeriesPublication . Veloso, Rita; Magalhães, Renato; Marques, António; Gomes, Paulo Veloso; Pereira, JavierThe aim of this work is that the participants, using HoloLens 2 and Dynamics 365 Remote Assistance, can receive all the training and information necessary for the correct application of prosthesis and medical devices remotely, from a support center of the manufacturers, avoiding the displacement and presence of these technicians during surgeries. After implementing this method, an analysis will be made on its impact, avoiding displacement and the presence of technicians during surgery, in terms of increasing satisfaction and improving the experience of the participants, reduction of various risks (including the risk of infection) and on reduction of some economic and environmental costs.
- Autonomous creative learning strategy directed to higher education students in health areaPublication . Gomes, Paulo Veloso; Magalhães, Renato; Donga, João; Sá, Vítor J.; Ferreira, SandraAs digital native learners, Z and Alpha generation students upcoming new challenges for Higher Education Institutions. Their early contact with technological devices does not in itself confer the necessary digital skills to correctly apply technology in academic or professional contexts. Digital skills are fundamental to the future health professionals, improving their academic performance and prepares them for their integration into the labor market. The integration of information and communication technologies in the curricula of higher education courses in the health area is a differentiating factor for academic and professional enhancement. The Autonomous Creative Learning Strategy directed to higher education students in the health area is based on project-oriented approaches, combined with interactive and immersive based-gaming learning activities that appeal to creativity, autonomy and encourage proactivity, self-learning, and the constant search for continuous improvement.
- Applicability of mixed reality in operating roomPublication . Magalhães, Renato; Veloso, Rita; Vilaça, Adélio; Oliveira, Ana; Terroso, DavidMixed Reality (MR) technology has emerged as a promising tool for enhancing surgical procedures and training in the operating room (OR). The applicability of MR in the OR has potential benefits and challenges. In this study, we conducted a systematic review to comprehensively evaluate the use of MR in the OR, specifically focusing on training, remote support, and surgical planning. Additionally, we analysed available tools, assessing their usability and integration into existing workflows. The analysis highlights MR solutions that improve surgical precision, visualization, decision-making, and educational experiences. The conclusions derived from the systematic review are presented, emphasizing the applicability of MR in OR and its potential contributions to training and surgical planning.
- Creative project oriented learning strategy: teaching information and communication technologies for future health professionalsPublication . Veloso Gomes, Paulo; Donga, João; Magalhães, Renato; Sá, Vítor J.; Ferreira, SandraDigital native learners arrived at Higher Education Institutions. Digital skills are fundamental to the future health professionals, improving their academic performance and prepares them for their integration into the labor market.
- Mixed reality in surgery – a delphi studyPublication . Veloso, Rita; Magalhães, Renato; Lima, Ana; Gomes, Paulo Veloso; Marques, António; Pereira, JavierVirtual Reality, Augmented Reality and Mixed Reality all have useful applications in the field of medicine, but Mixed reality has great potential because it allows for interaction with both real and digital Objects. Based on a previous literature review, a preliminary Delphi study was performed to obtain the opinion of a panel of 22 experts from several hospitals on the use of Mixed Reality tools, such as the HoLoLens 2, in surgeries. After data collection, a consensus letter was signed. According to experts, the most useful areas are medical education and surgical planning.
- Mixed reality in the operating room: A systematic reviewPublication . Magalhães, Renato; Oliveira, Ana; Terroso, David; Vilaça, Adélio; Veloso, Rita; Marques, António; Pereira, Javier; Pereira da Silva Marques, António José; Magalhães, RenatoMixed Reality is a technology that has gained attention due to its unique capabilities for accessing and visualizing information, becoming a valuable tool for medicine, particularly for the operating room and surgical learning; A systematic review was conducted following the PRISMA guidelines to answer the research questions established using the PICO framework; Although implementation of Mixed Reality applications in the operations room presents some challenges, when used appropriately, it can yield remarkable results. It can make learning easier, flatten the learning curve for several procedures, and facilitate various aspects of the surgical processes; Technical complexity, equipment costs, and steep learning curves present significant obstacles to the widespread adoption of Mixed Reality and computer-assisted evaluation. The possibility of integration of distinct medical imaging modalities and innovative functionalities holds promise for clinical applications. However, it is important to consider issues related to usability, bias, and statistical analyses need consideration. Mixed Reality offers significant benefits, but there are still open challenges such as ergonomic issues, limited field of view, and battery autonomy that must be addressed to ensure widespread acceptance.
- How useful is mixed reality in surgical treatment? - a Delphi StudyPublication . Magalhães, Renato; Lima, Ana Carolina; Marques, António; Pereira, Javier; Pereira da Silva Marques, António José; Magalhães, RenatoMixed reality (MR) is a tool that integrates elements from both the real and virtual worlds. Its potential applications are manifold, with promising developments observed in diverse fields, including healthcare, particularly in the context of surgical procedures. A number of studies have been conducted on mixed reality headsets, including the Microsoft HoloLens 2®, which may be employed in surgical training, planning, and navigation. It is imperative to ascertain whether medical professionals consider this technology indispensable in their professional lives. This study employs the Delphi method to assess the utility of MR in surgical settings and utilizes the Welphi online platform to facilitate this process. Furthermore, a PRISMA-like approach is employed to analyze the results of the initial round. The objective of this study is to examine the feasibility and advantages of mixed reality technology in surgical contexts. The findings are intended to inform and direct healthcare professionals, researchers, and developers in the advancement of mixed reality integration in surgical environments, with the ultimate goal of optimizing the quality and safety of treatments. A Delphi approach comprising of three rounds was implemented to ascertain consensus on the utility of MR surgical treatment. Participants were purposefully selected from experts with professional experience with technologies that provide a more immersive or interactive experience, such as virtual reality (VR), augmented reality (AR), 3D laparoscopy, robotics, and other similar technologies applied in the surgical field. The initial round of the study was designed to allow surgeons to provide their insights into the potential applications of MR in surgical procedures. This phase employed a structured approach, with open-ended questions organized into five distinct sections. In the second round, the questions were derived from the analysis of the first round and organized according to main and sub-topics for hierarchical structuring. In the third round, the questions were identical to those posed in the second round, including the percentage results obtained in the previous round. This afforded the experts the opportunity to review their previous responses. A consensus round was subsequently conducted. In the analysis, Kendall's tau-b coefficient for correlation analysis was employed and significant correlations between distinct aspects were identified. Twenty-two of the invited experts provided responses in both the initial and subsequent rounds, representing a 100% response rate. In the third round and consensus round, 20 experts participated, representing 91% response rate. The consensus round was conducted to present the results that had achieved a level of majority consensus of 95% on the usefulness of MR in surgical treatment. The objective was to have experts validate the results. The primary benefits of MR in surgery were identified as surgical navigation (with 75% of consensus), surgical planning (with 75% of consensus), and teaching and training (with 70% of consensus). According to the Delphi study, the areas where MR technology is most beneficial in surgical contexts are surgical navigation, training, and planning. However, the costs and investments required for implementation may present a potential limitation for the integration of this technology in surgical procedures. Moreover, it is of crucial importance to comprehend the ethical implications associated with this matter, which may have implications for the security of patients.
- Mixed reality in surgery: Development of a mixed reality application for surgical trainingPublication . Lima, Ana Carolina; Vilaça, Adélio; Veloso, Rita; Marques, António; Pereira, Javier; Magalhaes, Renato; da Silva Veloso, Rita Sofia; Pereira da Silva Marques, António José; Magalhães, RenatoMixed reality (MR) technology combines the real and the virtual world in an innovative way, where the users can see and interact with both worlds at the same time, having several applications in surgical practice, planning, and training. A MR application was developed to be used in a head mounted display (Microsoft HoloLens 2) for surgical training of the anterior cruciate ligament reconstruction surgery, with the aim of indicating the position of the femoral tunnel. This application was tested by 11 surgeons of the Centro Hospitalar Universitário de Santo António, who have all completed the simulation successfully, with an average time of under a minute. These surgeons answered an inquiry of satisfaction, where they all highlighted the potential that MR has in surgical training.
- Segmentation of the bone structure from MRI Knee Joint - A use casePublication . Silva, Vasco; Vilaça, Adélio; Veloso, Rita; Coelho, Luís; Magalhães, Renato; Magalhães, RenatoManual and automatic segmentation techniques can be applied to DICOM medical images from magnetic resonance imaging (MRI) to extract certain structures, such as soft tissues, but the precise extraction of bone structures may be limited. This study studies these types of knee bone tissue segmentation on MRI, to avoid the need to resort to computed tomography (CT) for obtaining the desired bone structures. Manual segmentation was done using ITK-Snap and automatic segmentation algorithms were applied in Python and the ITK library. As a result of this study, it was found that although manual segmentation allowed for precise and consistent identification of the femur, tibia, fibula, and patella, the automatic segmentation needed to achieve the same level of accuracy.