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Ammendola M, Vescio F, Al Ansari M, Hila J, Rizzo L, Romano R, Marchegiani F, de'Angelis N, Piardi T, Cavaliere D, Frampton AE, Gall TMH, Luposella M, Memeo R, Navarra G, Curcio S, Currò G. Metaverse and Telementoring: From Surgery to Workshop. Surg Innov 2024; 31:212-219. [PMID: 38378041 DOI: 10.1177/15533506241233674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2024]
Abstract
BACKGROUND The Coronavirus 2019 (COVID-19) pandemic has favored the growth of telemedicine systems and in this context the idea of Metaverse was born and developed. A 3D reality in which people can interact with each other through digital reproductions of themselves. Metaverse has already been tested in numerous medical fields due to its ability to combine visual and auditory information with tactile sensations. The purpose of this study is to highlight its potential also in its ability to be used as a telementoring place where the skills and knowledge of surgeons from all over the world can be combined. MATERIAL AND METHODS The first HPB Surgery Workshop was held at the "Metaverse Surgical Hospital, USA". During the workshop, surgeons located in various parts of the world reported on hepatic, pancreatic and biliary tract surgery and remotely supported the execution of a robotic liver resection. RESULTS The Metaverse gave the opportunity for surgeons to meet and discuss HPB pathologies and its surgical strategies and for surgeons in training to interface with experts by participating in a moment of advanced training. CONCLUSION In the Metaverse, telementoring can be used at very low cost to improve clinical and surgical practice.
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Affiliation(s)
- Michele Ammendola
- Science of Health Department, Digestive Surgery Unit, University "Magna Graecia" Medical School, Catanzaro, Italy
| | - Francesca Vescio
- Science of Health Department, Digestive Surgery Unit, University "Magna Graecia" Medical School, Catanzaro, Italy
| | - Mohanad Al Ansari
- Aster Hospital, Minimal Invasive Gastrointestinal, Robotic Surgery Unit, Dean of the Robotic Surgery Academy, Dubai, UAE
| | - Jozel Hila
- Science of Health Department, Digestive Surgery Unit, University "Magna Graecia" Medical School, Catanzaro, Italy
| | - Laura Rizzo
- Science of Health Department, Digestive Surgery Unit, University "Magna Graecia" Medical School, Catanzaro, Italy
| | - Roberto Romano
- Science of Health Department, Digestive Surgery Unit, University "Magna Graecia" Medical School, Catanzaro, Italy
| | - Francesco Marchegiani
- Unit of Colorectal and Digestive Surgery, DIGEST Department, Beaujon University Hospital (AP-HP), University Paris Cité, Clichy, France
| | - Nicola de'Angelis
- Unit of Colorectal and Digestive Surgery, DIGEST Department, Beaujon University Hospital (AP-HP), University Paris Cité, Clichy, France
| | - Tullio Piardi
- Department of Hepatobiliary, Pancreatic and Digestive Oncological Surgery, Robert Debré University Hospital, Reims, France
| | - Davide Cavaliere
- General and Oncologic Surgery, Morgagni-Pierantoni Hospital, Forlì, Italy
| | - Adam E Frampton
- Department of Clinical and Experimental Medicine, University of Surrey, Guildford, UK
| | - Tamara M H Gall
- Department of Surgery and Cancer, Imperial College London, Hammersmith Hospital Campus, London, UK
| | - Maria Luposella
- Cardiovascular Disease Unit, General Hospital of Soverato, Catanzaro, Italy
| | - Riccardo Memeo
- Hepato-Biliary and Pancreatic Surgical Unit, "F. Miulli" Hospital, Acquaviva delle Fonti, Italy
| | - Giuseppe Navarra
- Department of Human Pathology of Adult and Evolutive Age, Surgical Oncology Division, "G. Martino" Hospital, University of Messina, Messina, Italy
| | - Silvia Curcio
- Science of Health Department, Digestive Surgery Unit, University "Magna Graecia" Medical School, Catanzaro, Italy
| | - Giuseppe Currò
- Science of Health Department, General Surgery Unit, University "Magna Graecia" Medical School, Catanzaro, Italy
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Zhou L, Jiang M, Duan R, Zuo F, Li Z, Xu S. Barriers and Implications of 5G Technology Adoption for Hospitals in Western China: Integrated Interpretive Structural Modeling and Decision-Making Trial and Evaluation Laboratory Analysis. JMIR Mhealth Uhealth 2024; 12:e48842. [PMID: 38261368 PMCID: PMC10848141 DOI: 10.2196/48842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 06/15/2023] [Accepted: 12/05/2023] [Indexed: 01/24/2024] Open
Abstract
BACKGROUND 5G technology is gaining traction in Chinese hospitals for its potential to enhance patient care and internal management. However, various barriers hinder its implementation in clinical settings, and studies on their relevance and importance are scarce. OBJECTIVE This study aimed to identify critical barriers hampering the effective implementation of 5G in hospitals in Western China, to identify interaction relationships and priorities of the above-identified barriers, and to assess the intensity of the relationships and cause-and-effect relations between the adoption barriers. METHODS This paper uses the Delphi expert consultation method to determine key barriers to 5G adoption in Western China hospitals, the interpretive structural modeling to uncover interaction relationships and priorities, and the decision-making trial and evaluation laboratory method to reveal cause-and-effect relationships and their intensity levels. RESULTS In total, 14 barriers were determined by literature review and the Delphi method. Among these, "lack of policies on ethics, rights, and responsibilities in core health care scenarios" emerged as the fundamental influencing factor in the entire system, as it was the only factor at the bottom level of the interpretive structural model. Overall, 8 barriers were classified as the "cause group," and 6 as the "effect group" by the decision-making trial and evaluation laboratory method. "High expense" and "organizational barriers within hospitals" were determined as the most significant driving barrier (the highest R-C value of 1.361) and the most critical barrier (the highest R+C value of 4.317), respectively. CONCLUSIONS Promoting the integration of 5G in hospitals in Western China faces multiple complex and interrelated barriers. The study provides valuable quantitative evidence and a comprehensive approach for regulatory authorities, hospitals, and telecom operators, helping them develop strategic pathways for promoting widespread 5G adoption in health care. It is suggested that the stakeholders cooperate to explore and solve the problems in the 5G medical care era, aiming to achieve the coverage of 5G medical care across the country. To our best knowledge, this study is the first academic exploration systematically analyzing factors resisting 5G integration in Chinese hospitals, and it may give subsequent researchers a solid foundation for further studying the application and development of 5G in health care.
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Affiliation(s)
- Linyun Zhou
- Department of Health Management, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
- Institute of Medical Artificial Intelligence, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
| | - Minghuan Jiang
- Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi'an Jiaotong University, Xi'an, China
| | - Ran Duan
- Information Department, Chongqing General Hospital, Chongqing, China
| | - Feng Zuo
- Information Center, The First Affiliated Hospital of Army Medical University (Southwest Hospital), Chongqing, China
| | - Zongfang Li
- Institute of Medical Artificial Intelligence, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
- Clinical Research Center for Hepatic & Splenic Diseases of Shaanxi Province, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
| | - Songhua Xu
- Institute of Medical Artificial Intelligence, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
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3
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Younas MI, Iqbal MJ, Aziz A, Sodhro AH. Toward QoS Monitoring in IoT Edge Devices Driven Healthcare-A Systematic Literature Review. SENSORS (BASEL, SWITZERLAND) 2023; 23:8885. [PMID: 37960584 PMCID: PMC10650388 DOI: 10.3390/s23218885] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 10/20/2023] [Accepted: 10/26/2023] [Indexed: 11/15/2023]
Abstract
Smart healthcare is altering the delivery of healthcare by combining the benefits of IoT, mobile, and cloud computing. Cloud computing has tremendously helped the health industry connect healthcare facilities, caregivers, and patients for information sharing. The main drivers for implementing effective healthcare systems are low latency and faster response times. Thus, quick responses among healthcare organizations are important in general, but in an emergency, significant latency at different stakeholders might result in disastrous situations. Thus, cutting-edge approaches like edge computing and artificial intelligence (AI) can deal with such problems. A packet cannot be sent from one location to another unless the "quality of service" (QoS) specifications are met. The term QoS refers to how well a service works for users. QoS parameters like throughput, bandwidth, transmission delay, availability, jitter, latency, and packet loss are crucial in this regard. Our focus is on the individual devices present at different levels of the smart healthcare infrastructure and the QoS requirements of the healthcare system as a whole. The contribution of this paper is five-fold: first, a novel pre-SLR method for comprehensive keyword research on subject-related themes for mining pertinent research papers for quality SLR; second, SLR on QoS improvement in smart healthcare apps; third a review of several QoS techniques used in current smart healthcare apps; fourth, the examination of the most important QoS measures in contemporary smart healthcare apps; fifth, offering solutions to the problems encountered in delivering QoS in smart healthcare IoT applications to improve healthcare services.
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Affiliation(s)
- Muhammad Irfan Younas
- Department of Computer System Engineering, Sukkur IBA University, Sukkur 65200, Pakistan;
- Institute of Space Science and Technology, University of Karachi, Karachi 75270, Pakistan;
| | - Muhammad Jawed Iqbal
- Institute of Space Science and Technology, University of Karachi, Karachi 75270, Pakistan;
| | - Abdul Aziz
- Department of Electrical Engineering, Sukkur IBA University, Sukkur 65200, Pakistan;
| | - Ali Hassan Sodhro
- Department of Computer Science, Kristianstad University, 29188 Kristianstad, Sweden
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Agrawal V, Agrawal S, Bomanwar A, Dubey T, Jaiswal A. Exploring the Risks, Benefits, Advances, and Challenges in Internet Integration in Medicine With the Advent of 5G Technology: A Comprehensive Review. Cureus 2023; 15:e48767. [PMID: 38098915 PMCID: PMC10719543 DOI: 10.7759/cureus.48767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2023] [Accepted: 11/13/2023] [Indexed: 12/17/2023] Open
Abstract
The integration of 5G technology in the healthcare sector is poised to bring about transformative changes, offering numerous advantages such as enhanced telemedicine services, expedited data transfer for medical records, improved remote surgery capabilities, real-time monitoring and diagnostics, advancements in wearable medical devices, and the potential for precision medicine. However, this technological shift is not without its concerns, including potential health implications related to 5G radiation exposure, heightened cybersecurity risks for medical devices and data systems, potential system failures due to technology dependence, and privacy issues linked to data breaches in healthcare. We are striking a balance between harnessing these benefits and addressing the associated risks. Achieving this equilibrium requires the establishment of a robust regulatory framework, ongoing research into the health impacts of 5G radiation, the implementation of stringent cybersecurity measures, education and training for healthcare professionals, and the development of ethical standards. The future of 5G in the medical field holds immense promise, but success depends on our ability to navigate this evolving landscape while prioritizing patient safety, privacy, and ethical practice.
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Affiliation(s)
- Varun Agrawal
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Suyash Agrawal
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Aarya Bomanwar
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Tanishq Dubey
- Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
| | - Arpita Jaiswal
- Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND
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Qureshi HN, Manalastas M, Farooq MUB, Imran A, Liu Y, Al Kalaa MO. 5G-Enabled Healthcare in Mobile Scenarios: Challenges and Implementation Considerations. IEEE NETWORK 2023; 37:141-149. [PMID: 38765241 PMCID: PMC11098004 DOI: 10.1109/mnet.125.2200243] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2024]
Abstract
Wireless connectivity delay, disruption, or failure can significantly affect the performance of wireless-enabled medical devices, which in turn causes potential risks to the patient. Notably, the challenges related to connectivity provisioning are exacerbated in the fifth-generation (5G)-enabled healthcare use cases where mobility is utilized. In this article, we describe relevant 5G-enabled healthcare use cases involving mobility and identify the connectivity challenges that they face. We then illustrate practical implementation considerations, tradeoffs, and future research directions for enabling reliable 5G healthcare transmissions. This is done through simulation of connected ambulances as an example use-case.
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Affiliation(s)
- Haneya Naeem Qureshi
- Center for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, MD, USA
- AI4Networks Research Center, School of Electrical and Computer Engineering, University of Oklahoma, Tulsa, OK, USA
| | - Marvin Manalastas
- Center for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, MD, USA
- AI4Networks Research Center, School of Electrical and Computer Engineering, University of Oklahoma, Tulsa, OK, USA
| | - Muhammad Umar Bin Farooq
- AI4Networks Research Center, School of Electrical and Computer Engineering, University of Oklahoma, Tulsa, OK, USA
| | - Ali Imran
- AI4Networks Research Center, School of Electrical and Computer Engineering, University of Oklahoma, Tulsa, OK, USA
| | - Yongkang Liu
- Center for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, MD, USA
| | - Mohamad Omar Al Kalaa
- Center for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, MD, USA
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Ma S, Li L, Yang C, Liu B, Zhang X, Liao T, Liu S, Jin H, Cai H, Guo T. Advances in the application of robotic surgical systems in gastric cancer: A narrative review. Asian J Surg 2022:S1015-9584(22)01484-1. [PMID: 36334999 DOI: 10.1016/j.asjsur.2022.10.051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Revised: 09/15/2022] [Accepted: 10/20/2022] [Indexed: 11/21/2022] Open
Abstract
Gastric cancer is one of the common malignant tumors in the gastrointestinal tract, and surgery is currently an important treatment for progressive gastric cancer. With the development of technology, the simultaneous maturation of artificial intelligence (AI), fifth-generation (5G) telecommunication networks and the internet of things (IOT) has brought significant efficacy and new opportunities for the surgical treatment of gastric malignancies. The combination of 5G network and remote surgical robotic system is the future trend of radical gastric cancer surgery, and the "unmanned" treatment mode of fully automated robotic gastric cancer radical surgery will be realized soon.
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Saeki M, Oyama S, Yoneda H, Shimoda S, Agata T, Handa Y, Kaneda S, Hirata H. Demonstration experiment of telemedicine using ultrasonography and telerehabilitation with 5G communication system in aging and depopulated mountainous area. Digit Health 2022; 8:20552076221129074. [PMID: 36262932 PMCID: PMC9575445 DOI: 10.1177/20552076221129074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Accepted: 09/10/2022] [Indexed: 11/04/2022] Open
Abstract
Objective The challenges of an aging population worldwide are the increased number of people needing medical and nursing care and inadequate medical resources. Information and communication technologies have progressed remarkably, leading to innovations in various areas. 5G communication systems are capable of high-capacity, high-speed communication with low latency and are expected to transform medicine. We aimed to report a demonstration experiment of telerehabilitation and telemedicine using a mobile ultrasound system in a depopulated area in a mountainous terrain, where 32% of the population are 65 years or older. Methods At the core hospital, a physician or physical therapist remotely performed ultrasonography or rehabilitation on a subject in a clinic. Five general residents participated in the telerehabilitation as subjects. The delay time and video quality transmitted with 5G and long-term evolution (LTE) communication systems were compared. The physician or physical therapist subjectively evaluated the quality and delay of the transmitted images and subject acceptability. Results Of seven physical therapists, six and three responded that the video quality was "good" for telerehabilitation with 5G/4K resolution and LTE, respectively. Five physical therapists and one physical therapist reported that the delay time was "acceptable" with 5G/4K resolution and LTE, respectively. For telemedicine using a mobile ultrasound system, the responses for 5G were "the delay was acceptable" and "rather acceptable." In contrast, both respondents' responses for LTE were "not acceptable." Conclusions Multiple high-definition images can be transmitted with lower latency in telerehabilitation and telemedicine using mobile ultrasound imaging systems with a 5G communication system. These differences affected the subjective evaluation of the doctors and physical therapists.
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Affiliation(s)
- Masaomi Saeki
- Department of Hand Surgery, Nagoya University Graduate School of
Medicine, Nagoya, Japan,Center for Advanced Medicine and Clinical Research,
Nagoya
University Hospital, Nagoya, Japan,Masaomi Saeki, Graduate School of Medicine,
Nagoya University, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan.
| | - Shintaro Oyama
- Department of Hand Surgery, Nagoya University Graduate School of
Medicine, Nagoya, Japan,Medical IT center, Nagoya University
Hospital, Nagoya, Japan
| | - Hidemasa Yoneda
- Department of Hand Surgery, Nagoya University Graduate School of
Medicine, Nagoya, Japan
| | - Shingo Shimoda
- RIKEN Center of Brain Science-TOYOTA Collaboration Center, Nagoya,
Japan
| | - Tsukasa Agata
- Department of Medical Technology, Shinshiro Municipal
Hospital, Shinshiro, Japan
| | - Yutaka Handa
- Department of Medical Technology, Shinshiro Municipal
Hospital, Shinshiro, Japan
| | - Satoshi Kaneda
- Info-Future
Innovation Center, NTT Data Institute of Management
Consulting, Inc., Tokyo, Japan
| | - Hitoshi Hirata
- Department of Hand Surgery, Nagoya University Graduate School of
Medicine, Nagoya, Japan
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Zhang C, Feng S, He R, Fang Y, Zhang S. Gastroenterology in the Metaverse: The dawn of a new era? Front Med (Lausanne) 2022; 9:904566. [PMID: 36035392 PMCID: PMC9403067 DOI: 10.3389/fmed.2022.904566] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Accepted: 07/26/2022] [Indexed: 12/03/2022] Open
Abstract
2021 is known as the first Year of the Metaverse, and around the world, internet giants are eager to devote themselves to it. In this review, we will introduce the concept, current development, and application of the Metaverse and the use of the current basic technologies in the medical field, such as virtual reality and telemedicine. We also probe into the new model of gastroenterology in the future era of the Metaverse.
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Affiliation(s)
- Chi Zhang
- The First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China
| | - Shuyan Feng
- The First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China
| | - Ruonan He
- The First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China
| | - Yi Fang
- The First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China
| | - Shuo Zhang
- The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China
- *Correspondence: Shuo Zhang
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