How an ultrasound examination looks with the addition of augmented reality

Published on 4/5/17 in HAPTIC.AL

The reality of life in the operating room is about to look more like virtual reality, as experts in clinical medicine at the University of Maryland, Baltimore (UMB) and colleagues with expertise in computing and imaging at the University of Maryland, College Park (UMCP) work together on life-saving technologies.

The medical experts demonstrated their latest virtual reality and augmented reality applications on March 27 to a small gathering at the Newseum in Washington, D.C.

Sarah Murthi, MD, associate professor at the University of Maryland School of Medicine (UMSOM) and trauma surgeon at the R Adams Cowley Shock Trauma Center let visitors see for themselves how an ultrasound examination looks with the addition of augmented reality.

With the help of volunteer “patient” Eric Lee, a research programmer at the UM Institute for Advanced Computer Studies (UMIACS) in College Park, Murthi demonstrated visualization headgear.

Using the headgear, doctors can keep eyes on the patient while seeing images of the ultrasound — and potentially much more information added to their view.

“Ultimately, you can imagine the whole medical staff wearing these masks. And then whoever wants to can see the imaging. Right now the entire room is trying to look at this one display, but if we could all actually see the images then we could do whatever else we need to do while we’re looking at it,” Murthi said.

She added that keeping all of the critical information about a patient in plain view might help avoid problems. “The other real thing that happens is that you’ll be all caught up in the imaging and meanwhile the patient’s blood pressure drops and they become unstable.”

Next to Murthi, colleague Caron Hong, MD, associate professor at UMSOM and a critical care anesthesiologist at Shock Trauma, helped visitors use virtual reality goggles to place an endotracheal tube through the mouth of a medical mannequin and into its airway. Intubation is a common procedure, used when a patient needs assistance breathing, that requires considerable practice to master.

“It’s like driving a car with a trailer backing up,” complained Newseum President and CEO Jeffery Herbst as he gave the procedure a try.

Both doctors also stressed the great educational value of virtual and augmented reality. “Once this virtual world is created and it can rebroadcast in real time, a thousand people could watch at the same time and learn whatever lesson they needed to learn,” said Murthi.

Following the demonstrations, Murthi and collaboration partner Amitabh Varshney, PhD, professor of computer science, director, Augmentarium, and vice president for research at UMCP joined colleagues from other universities to share accomplishments and ideas.

Varshney explained that he and Murthi are working on several projects together. “One of them is looking at recreating the controlled chaos of the Shock Trauma Center by using immersive camera arrays,” he said. “By recording exactly what happens in Shock Trauma it would allow residents and interns to place themselves in the shoes of a surgeon and see what they are looking at and what decisions they are making as they are performing these surgeries.”