First ATM Networked 3-D Live Telesurgery



Live Presentation:

Synchronous teamwork in asynchronous modus

Prof. Dr. med. P. M. Schlag,
 
Head of the Dept. of Surgery and Surgical Oncology, Robert-R�ssle-Klinik, Virchow Klinikum,
Humboldt Universit�t zu Berlin, D-13122 Berlin
Prof. Dr. Dr. h.c. R. Felix
Head of the Dept. of Radiology, Virchow-Klinikum, Humboldt Universit�t zu Berlin, D-13353 Berlin
Prof. Dr. H. U. Lemke,
Technical University Berlin, Dept. of Computer Science, Computer Graphics Group, FR3-3, D-10587 Berlin
Prof. Dr. med. M. Dietel,
Head of the Dept. of Pathology, Charit�, Humboldt-Universit�t zu Berlin, D-10098 Berlin

TELESURGERY
and OP 2000

The pervasive use of computer, video, laser and communication technologies has supplied the impetus for optimizing diagnostic and therapeutic procedures. The concept OP 2000 integrates these new technologies into an ambitious blueprint for an operating room of the future that meets the clinical demands of modern surgery:

3-D Teleconsultation
 
Integrates the online second opinion of different medical experts into diagnosis and therapy
3-D Telemanipulation and 3-D Telenavigation
Provides interactive computer-assisted planning, consultation and assistance in diagnostic and therapeutic interventions during surgery
Optical Biopsy and Optical Tomography
Enhances intraoperative diagnosis by means of laser-induced fluorescence and infrared diaphanoscopy
Virtual Reality
Uses real-time imaging in the operating room and the superimposition of computer-generated images with other information to develop therapeutic strategies
Interactive Medical Education
Simulates various operative techniques (virtual reality, augmented reality)
Quality Control
Generates patient databases; analyzes and defines therapeutic efficiency criteria

The performance of the 34Mb/s and 17Mb/s satellite link was demonstrated at CAR'96 in Paris and by the first transatlantic 3-D teleconference between Chicago and Berlin (50th Annual Meeting of the American Society of Surgical Oncology, March 97). CAR'97 takes interactive telemedicine one step further by using a multipoint ATM link.

http://www.rrk-berlin.de/op2000/

In cooperation with: AVT, Carl Zeiss,
Deutsche Telekom, Hamamatsu, Ikegami, Leica, Silicon Graphics, Spectra Physics, VidiSys

DIGITAL RADIOLOGY

Strahlenklinik und Poliklinik, Virchow-Klinikum Humboldt Universit�t Berlin

For the past decade, digital image generation, communication and archiving as well as telemedicine and teleradiology have been major fields of research within the Dept. of Radiology at the Virchow-Klinikum Berlin. The overall objective has been to establish a department of digital radiology that should function as a fully integrated component within the advanced digital environment of the medical center itself, but also provide its services and medical expertise to a wider community of healthcare professionals outside the hospital.

Picture- and report infrastructure for a digital radiology

Several requirements were viewed as critical to achieving our objective: an open system architecture employing DICOM and HL7; the hospital-wide distribution of images in conjunction with reports; and of course the cost effectiveness of the system. All projects and efforts undertaken over the years have to be seen within this framework.

Today we are a few steps closer to our goal: a hospital-wide ATM backbone has been established for high-speed image transmission; the majority of the imaging devices has been integrated into a PACS system using DICOM; a WWW-enabled system has been attached to the PACS allowing the retrieval of images and reports from every computer within the hospital network; in addition, this system grants access to associated hospitals and medical practitioners. Although the results attained thus far are acceptable, everyone is aware that there is still a long way to go.

Digitale Radiologie: Dr. B. Bergh, D. Emmel, Dr. J. Ricke, I. Schramm, J. Thomsen, C. Zielinski, Contact: [email protected]

Strahlenklinik and Poliklinik Virchow-Klinikum Berlin

MediCAL

Dept. of Computer Science, Computer Graphics Group, TU Berlin

The MediCAL system
 
MediCAL (Medical Education by Dynamic Simulation and Interactive Computer Aided Learning) is a system that provides integration of all software application parts. Developed by the Computer Graphics Group of the Technical University Berlin in cooperation with several healthcare providers, MediCAL is an open, modular, portable, hypermedia-based, interactive software system for education and training in medicine, medical informatics and biomedical engineering.
Digital Multimedia Patient Record
All types of data (texts, images, volume datasets, stereoscopic videos) can be stored in the digital multimedia patient record. Retrieval is facilitated by a configurable but uniform mechanism that also integrates data protection and access control. The client-server principle offers distributed computing and integration of specialized databases. Educational scenarios are provided for application in medical education and training.
Visualization and Simulation
Surgical training for example will be supported by recording stereoscopic video sequences of laparoscopic procedures and physically based simulation of laparoscopy. Several steps are involved in the simulation:
  • preprocessing of the medical data for image enhancement and segmentation
  • 3-D reconstruction and modeling of anatomical structures
  • dynamic simulation of physical behavior
  • interaction via virtual reality methods
  • visualization of the 3-D anatomical model

http://www.cg.cs.tu-berlin.de/

MediCAL is supported by Hewlett Packard and Informix

 

AMBA Computer Vision in Pathology

Institute of Pathology, Rudolf-Virchow-House, Charit�, HU Berlin

The Pathology Workplace 2000 combines on- and offline telepathology via ISDN, LAN and WAN with pathology information systems and image databases. A pathologist’s diagnosis may in the near future be assisted by the fast conveyance of second opinions via telepathology and by access to diagnostic image databases in combination with computer-aided interpretation.

AMBA group: Dr. P. Hufnagl, Dr. G. Wolf, Dr. I. Petersen, Dr. C. Tennstedt, In cooperation with: Dipl.-Ing. T.-N. Nguyen-Dobisky (Dept. of Prenatal Diagnostics), Dr. K. Roth (Dept. of Anatomy)

The optimal integration of telepathology within the pathologist’s workflow is the key to the technology’s acceptance in the daily routine. The development of programs for the automated comparison, analysis and interpretation of histological images will usher in a new era in pathology. A comparable change is expected for education using multimedia databases and virtual histological cases.

http://www.charite.de/ch/patho/

Partners: Leica Wetzlar, Carl Zeiss Jena, IBSB Berlin, Olympus Hamburg, Viewpoint Gilching