SARANATHAN COLLEGE OF
ENGINEERING
DEPARTMENT OF COMPUTER SCIENCE AND BUSINESS
SYSTEMS
CBM356-MEDICAL INFORMATICS
PREPARED BY
S.SENTHIL ME.,(PhD).
UNIT V- RECENT TRENDS IN MEDICAL
INFORMATICS
TOPICS TO BE COVERED:
Virtual reality applications in medicine
Virtual endoscopy
Computer-assisted surgery
Surgical simulation
Telemedicine
Tele surgery
Computer-assisted patient education and health
Medical education and healthcare information
computer assisted instruction in medicine.
Virtual reality applications in medicine
• Education and Training:
• VR enables medical students and residents to practice procedures
in a safe, controlled virtual environment.
• This includes simulations of surgeries, emergency response,
anatomy exploration, and diagnostic tasks.
• A student can practice a complex heart surgery or endoscopy
multiple times in VR to improve precision and confidence before
performing on actual patients.
Contd..
• Surgical Planning and Simulation
• Surgeons can use VR to visualize patient-specific anatomy, such as a 3D
rendering of the heart, brain, or any complex area based on MRI or CT scans.
• Neurosurgeons often use VR to plan tumor removal surgeries by virtually
“walking through” a patient’s brain, identifying areas to avoid and mapping
out the safest, most effective surgical pathway.
contd..
• Pain Management
• VR helps distract patients from pain by immersing them in
relaxing, engaging environments, which can reduce the need for
painkillers.
• It can be used in managing acute pain, such as during wound care,
or chronic pain, such as arthritis.
• Burn patients experiencing intense pain during dressing changes
might use VR to immerse themselves in calming landscapes,
reducing their perceived pain levels.
Contd.
• Physical Therapy and Rehabilitation
• VR can guide patients through rehabilitation exercises by tracking movements
and providing real-time feedback.
• Virtual environments make exercises more engaging, which can increase
motivation.
• A stroke patient relearning motor skills can practice reaching, grabbing, or
walking in a VR environment, with tasks tailored to their recovery goals.
Contd..
• Patient Education
• VR allows patients to explore 3D models of their own anatomy or
general medical models to better understand procedures, diagnoses,
and treatment options.
• A patient about to undergo heart surgery can explore a VR model of
the procedure, understanding what will happen step-by-step, which
might ease pre-surgery anxiety.
Contd.
• Mental Health Therapy
• VR is used in exposure therapy for mental health disorders by
exposing patients to controlled environments, such as heights,
social settings, or specific phobia triggers, in a safe space.
• A patient with PTSD from a car accident can be gradually exposed
to VR environments that resemble traffic situations, helping them
desensitize to the stimuli and manage their responses in real life.
Virtual endoscopy
• Virtual endoscopy is a non-invasive imaging technique that uses
computed tomography (CT) or magnetic resonance imaging (MRI) to
create a 3D visualization of the interior structures of the body.
• It serves as an alternative to traditional endoscopy, where a physical
scope is inserted into the body. Virtual endoscopy allows for
visualization of areas like the colon, bronchi, and blood vessels
without requiring direct insertion.
Contd.
• Colonography (Virtual Colonoscopy)
• Use: Virtual colonoscopy is used to detect abnormalities such as
polyps or tumors within the colon. It is particularly helpful for patients
at risk of colon cancer.
• Bronchoscopy (Virtual Bronchoscopy)
• Use: This is applied to view the bronchial tubes and lungs, allowing for
the diagnosis of conditions like lung cancer, bronchitis, or other
pulmonary issues.
Contd.
• Angiography (Virtual Angiography)
• Use: Virtual angiography visualizes blood vessels and detects issues
like blockages, aneurysms, or other vascular diseases.
• Cystoscopy (Virtual Cystoscopy)
• Use: Used to visualize the bladder and urinary tract for potential
issues such as tumors, stones, or other abnormalities.
Computer-assisted surgery
• CAS is the use of computers to manipulate (Digital Imaging
and Communications in Medicine) data for planning,
performing surgery.
• CAS can be broken down into three basic steps,
• presurgical planning
• Intraoperative
• postoperative applications.
benefits of presurgical planning
• Improved diagnostic accuracy
• Virtual simulation of the surgical procedure
General workflow
Surgical simulation
• Surgical simulation (with or without computers) avoids the use of
patients for skills practice
• provides relevant technical training for trainees before they operate
on humans.
Methods
• MEDLINE
• EMBASE
• the Cochrane Library
Contd.
• refine surgical skills in a risk-free, controlled environment
• Tools:
• Virtual reality :
• Simulates real-life surgery scenarios through immersive 3D environments
• Trainees can able to practice complex procedures repeatedly without
risking patient safety.
• Augmented reality:
• AR overlays digital information, useful in understanding anatomy
Contd.
• Haptic Feedback Systems:
• These systems use force feedback to simulate the sensation of
touch.
• Artificial Intelligence:
• AI can track performance metrics during simulations, such as
time taken, accuracy, force applied, and movement patterns.
Contd..
• 3D-Printed Anatomical Models: With 3D printing, anatomical models specific to a
patient can be created.
• Simulation Labs and Mannequins: Some training centers use mannequins with sensors
to provide feedback on procedural performance.
Benefits of Surgical Simulation:
• Enhanced Skill Acquisition: Allows practice without the risk of harming patients.
• Improved Patient Outcomes: By reducing human error through practice.
• Cost Efficiency: Reduces the need for cadavers or live surgeries for training.
• Tailored Training: Enables personalized learning based on skill level and specialization.
Telemedicine
• Telemedicine refers to the practice of delivering healthcare services
remotely through the use of technology.
• It enables patients and healthcare providers to communicate and
exchange information using tools like video conferencing, mobile
apps, and online portals.
Contd..
• Remote Consultations: Patients can consult doctors without visiting a
clinic.
• Diagnostics and Monitoring: Devices such as wearables help track
health metrics.
• Prescription Services: Digital prescriptions can be provided.
• Access to Specialists: Bridges the gap for patients in remote areas.
Telesurgery
• A cutting-edge medical procedure
• surgeons perform operations on patients in distant locations using
robotic systems
• high-speed communication technologies.
Contd..
• Robotic Systems: Advanced surgical robots controlled by surgeons
from remote locations.
• Real-time Communication: seamless interaction between the
surgeon and robotic equipment.
• Advanced Imaging: 3D imaging for precision.
Application
Access to Specialists: surgeons to operate on patients in rural areas.
Military and Space: Used in remote environments like battlefields
Education and Training: Assists in the demonstration of surgeries.
Computer-Assisted Patient
Education and Health
• Early-stage simple text-based computer systems were used.
• CAPEH uses digital tools to educate patients about health, diseases,
treatments, and self-care.
• Characteristics:
• Accessibility,
• personalization,
• interactivity,
• the use of multimedia (videos, animations, interactive graphics).
Types
•Patient Portals:
•Secure online websites where patients can access their health records,
lab results, and educational resources.
•Examples: MyChart, FollowMyHealth.
•Mobile Health Applications (mHealth):
•Smartphone apps that provide health information, reminders for
medication, exercise, or lifestyle tracking.
•Examples: MyFitnessPal, Medisafe for medication tracking.
Contd..
•Virtual Reality (VR) and Augmented Reality (AR):
•Use immersive VR or AR experiences to explain complex medical procedures or
health conditions.
•Particularly helpful in patient education for surgery or chronic disease
management.
•Telemedicine and Remote Monitoring:
•Video consultations and remote health monitoring tools allow patients to receive real-
time feedback and information from healthcare providers.
•Wearable Devices:
•Devices like Fitbit or Apple Watch that monitor vital signs and provide health data,
often with connected apps for insights and tips.
Benefits
• Accessibility -Patients can access information anytime, anywhere.
• Personalization-Content can be personalized based on medical history
• Cost-Effectiveness-Reduces the need for in-person education sessions
Challenges
• Digital Literacy and Accessibility Issue-Not all patients have internet
access
• Privacy and Security-patient data is secure
• Content Quality-Information must be accurate, up-to-date
• Integration with HC providers- patient education requires integration
with HC providers
Future Trends
• Artificial Intelligence (AI)
• Advanced Analytics
• More Integration with Wearables
• Expansion of VR/AR in Education
Medical Education and Healthcare
Information
• A process of training healthcare professionals, including doctors,
nurses, and allied health workers.
• A collection, storage, analysis, and dissemination of data to improve
patient care and medical decision-making.
Importance of Medical
Education
• Ensures quality patient care through competent professionals.
• Promotes evidence-based practices.
• Keeps healthcare professionals updated on:
• Emerging diseases.
• New treatment modalities and technologies.
Trends in Medical Education
• Use of Technology
• Problem-Based Learning (PBL)
• Competency-Based Education
• Telemedicine Integration
• Interprofessional Education (IPE)
Types:
• Electronic Health Records (EHR).
• Clinical Decision Support Systems (CDSS).
Emerging Trends in Healthcare
Information
• Big Data Analytics:
• Predictive analysis for disease outbreaks.
• Artificial Intelligence (AI):
• Assisting in diagnostics and personalized medicine.
• Patient Empowerment:
• Online health resources.
• Global Health Information Networks:
• Sharing knowledge across borders.
contd..
• Benefits:
• Improved data accuracy and accessibility.
• Facilitates patient-centric care.
• Challenges:
• Data security and privacy issues.
• Training healthcare providers to use advanced systems.
Computer-Assisted Instruction (CAI)
in Medicine
• CAI to the use of computers to
• Deliver educational content in the medical field.
• CAI includes
• simulation tools
• e-learning platforms
• interactive software for medical education.
Importance
• self-paced learning for medical professionals.
• understanding of complex medical concepts using visualizations.
• Provides consistent, standardized training content globally.
• Reduces the dependency on physical resources like cadavers or lab
space.
Applications of CAI in Medicine
• Interactive Simulations
• E-learning Platforms
• Decision Support Training
• Evaluation and Assessment Tools