增强现实技术在医学教育和临床实践中的应用及展望
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摘要
基于国内、外文献,应用举例的方法阐述了增强现实(augmented reality,AR)技术在医学教育和临床实践领域的应用现状,分析了AR技术应用于这2个领域存在的问题。指出了AR技术应用于教学领域时,应加强软件的开放性,提高授权工具的使用率,进一步增强个性化设置,提升平台的易用性和模拟环境质量,降低开发难度;应用于临床手术时,可结合生物光子技术、"自增强"技术、计算机导航技术、3D打印技术来弥补短板。
Augmented reality(AR) technique had its application and problems in medical education and clinical practice described by literature survey and exemplification.It's pointed out that software openness,licensing tools and individualized setup had to be strengthened to enhance availability of the platform and quality of the simulation environment when AR technique used for medical education.Biophoton technique,self-augmentation technique,computer-aided navigation technique and 3 D printing technique were suggested be involved in to enhance its clinical application of AR.
Augmented reality(AR) technique had its application and problems in medical education and clinical practice described by literature survey and exemplification.It's pointed out that software openness,licensing tools and individualized setup had to be strengthened to enhance availability of the platform and quality of the simulation environment when AR technique used for medical education.Biophoton technique,self-augmentation technique,computer-aided navigation technique and 3 D printing technique were suggested be involved in to enhance its clinical application of AR.
引文
[1]王宇希,张凤军,刘越.增强现实技术研究现状及发展趋势[J].科技导报,2018,36(10):75-81.
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[3]WU H K,LEE S W Y,CHANGH Y,et al.Current status,opportunities and challenges of augmented reality in education[J].Comput Educ,2013,62:41-49.
[4]贺治青,楚扬,吴宗贵,等.增强现实技术提高医学生心脏解剖认知的作用研究[J].中西医结合心脑血管病杂志,2017,15(16):2 030-2 031.
[5]MATTHEW C D,DANG D C,JONATHAN P,et al.Virtual interactive presence in global surgical education:international collaboration through augmented reality[J].World Neurosurg,2016,86:103-111.
[6]胥锦泉.AR医学教学系统:增强现实,实时交互,给医学教学更多想象[EB/OL].(2016-10-21)[2018-05-12].http://www.kejixun.com/chuangye/161021/238396.html.
[7]BEMHARDT S,NICOLAU S A,SOLER L,et al.The status of augmented reality in laparoscopic surgery as of 2016[J].Med Image Anal,2017,37:68-73.
[8]HoloLens带你一步洞悉人体奥秘[EB/OL].[2018-05-12].http://www.sohu.com/a/260540313_181341.
[9]OPOLSKI M P,MICHALOWSKA I M,BORUCKI B A,et al.Augmented-reality computed tomography-guided transcatheter pacemaker implantation in dextrocardia and congenitally corrected transposition of great arteries[J].Cardiol J,2018,25(3):412-413.
[10]HUANG H M,LIAW S S,LAI C M.Exploring learner acceptance of theuse of virtual reality in medical educationa case study of desktop and projection-based display systems[J].Interact Learn Enviro,2016,24(1):3-19.
[11]陈刚,汤炜.增强/混合现实技术在头颈外科的应用及展望[J].组织工程与重建外科杂志,2018,14(1):21-23.
[12]白雪,李志军,张少杰,等.虚拟现实技术在医学教育中的应用与探讨[J].卫生职业教育,2017,35(12):32-34.
[13]OKAMOTO T,ONDA S,YANAGA K,et al.Clinical application of navigation surgery using augmented reality in the abdominal field[J].Surg Today,2015,45(4):397-406.
[14]CABRILO I,SCHALLER K,BIJLENGA P.Augmented reality-assisted bypass surgery:embracing minimal invasiveness[J].World Neurosurg,2015,83(4):596-602.
[15]安福双.AR增强现实用于医疗的八大案例[EB/OL].[2018-05-12].http://www.chinaar.com/ARzx/5202.html.
[16]HANNA M G,AHMED I,NINE J,et al.Augmented reality technology using Microsoft HoloLens in anatomic pathology[J].Arch Pathol Lab Med,2018,142(2):638-639.
[17]CONRAD C,FUSAGLIA M,WEBER S,et al.Augmented reality navigation surgery facilitates laparoscopic rescue of failed portal vein embolization[J].J Am Coll Surg,2016,223(4):e31-e34.
[18]周森,伊满邦.增强现实技术及其在教育领域的应用现状与发展机遇[J].电化教育研究,2017,287(3):86-89.
[19]FRANZ A M,HAIDEGGER T,PETERS T M.Electromagnetic tracking in medicine-a review of technology,validation,and applications[J].IEEE Trans Med Imaging,2014,33(8):1 702-1 725.
[20]GENG J,XIE J.Review of 3-D endoscopic surface imaging techniques[J].IEEE Sensors J,2014,14(4):945-960.
[21]张楚茜,张诗蕾.增强现实技术的研究进展及临床应用概述[J].组织工程与重建外科杂志,2018,14(1):17-19.
[2]李潜.增强现实技术为医学教育开拓无限未来[J].电脑知识与技术,2012,18(2):481-482.
[3]WU H K,LEE S W Y,CHANGH Y,et al.Current status,opportunities and challenges of augmented reality in education[J].Comput Educ,2013,62:41-49.
[4]贺治青,楚扬,吴宗贵,等.增强现实技术提高医学生心脏解剖认知的作用研究[J].中西医结合心脑血管病杂志,2017,15(16):2 030-2 031.
[5]MATTHEW C D,DANG D C,JONATHAN P,et al.Virtual interactive presence in global surgical education:international collaboration through augmented reality[J].World Neurosurg,2016,86:103-111.
[6]胥锦泉.AR医学教学系统:增强现实,实时交互,给医学教学更多想象[EB/OL].(2016-10-21)[2018-05-12].http://www.kejixun.com/chuangye/161021/238396.html.
[7]BEMHARDT S,NICOLAU S A,SOLER L,et al.The status of augmented reality in laparoscopic surgery as of 2016[J].Med Image Anal,2017,37:68-73.
[8]HoloLens带你一步洞悉人体奥秘[EB/OL].[2018-05-12].http://www.sohu.com/a/260540313_181341.
[9]OPOLSKI M P,MICHALOWSKA I M,BORUCKI B A,et al.Augmented-reality computed tomography-guided transcatheter pacemaker implantation in dextrocardia and congenitally corrected transposition of great arteries[J].Cardiol J,2018,25(3):412-413.
[10]HUANG H M,LIAW S S,LAI C M.Exploring learner acceptance of theuse of virtual reality in medical educationa case study of desktop and projection-based display systems[J].Interact Learn Enviro,2016,24(1):3-19.
[11]陈刚,汤炜.增强/混合现实技术在头颈外科的应用及展望[J].组织工程与重建外科杂志,2018,14(1):21-23.
[12]白雪,李志军,张少杰,等.虚拟现实技术在医学教育中的应用与探讨[J].卫生职业教育,2017,35(12):32-34.
[13]OKAMOTO T,ONDA S,YANAGA K,et al.Clinical application of navigation surgery using augmented reality in the abdominal field[J].Surg Today,2015,45(4):397-406.
[14]CABRILO I,SCHALLER K,BIJLENGA P.Augmented reality-assisted bypass surgery:embracing minimal invasiveness[J].World Neurosurg,2015,83(4):596-602.
[15]安福双.AR增强现实用于医疗的八大案例[EB/OL].[2018-05-12].http://www.chinaar.com/ARzx/5202.html.
[16]HANNA M G,AHMED I,NINE J,et al.Augmented reality technology using Microsoft HoloLens in anatomic pathology[J].Arch Pathol Lab Med,2018,142(2):638-639.
[17]CONRAD C,FUSAGLIA M,WEBER S,et al.Augmented reality navigation surgery facilitates laparoscopic rescue of failed portal vein embolization[J].J Am Coll Surg,2016,223(4):e31-e34.
[18]周森,伊满邦.增强现实技术及其在教育领域的应用现状与发展机遇[J].电化教育研究,2017,287(3):86-89.
[19]FRANZ A M,HAIDEGGER T,PETERS T M.Electromagnetic tracking in medicine-a review of technology,validation,and applications[J].IEEE Trans Med Imaging,2014,33(8):1 702-1 725.
[20]GENG J,XIE J.Review of 3-D endoscopic surface imaging techniques[J].IEEE Sensors J,2014,14(4):945-960.
[21]张楚茜,张诗蕾.增强现实技术的研究进展及临床应用概述[J].组织工程与重建外科杂志,2018,14(1):17-19.