Medicine Meets Virtual Reality 14: Accelerating Change in Healthcare: Next Medical Toolkit

620 Pages·2006·16.86 MB·English

by  R.S. Haluck

MEDICINE MEETS VIRTUAL REALITY 14
Studies in Health Technology and
Informatics
This book series was started in 1990 to promote research conducted under the auspices of the EC
programmes’ Advanced Informatics in Medicine (AIM) and Biomedical and Health Research
(BHR) bioengineering branch. A driving aspect of international health informatics is that
telecommunication technology, rehabilitative technology, intelligent home technology and many
other components are moving together and form one integrated world of information and
communication media. The complete series has been accepted in Medline. Volumes from 2005
onwards are available online.
Series Editors:
Dr. J.P. Christensen, Prof. G. de Moor, Prof. A. Famili, Prof. A. Hasman, Prof. L. Hunter,
Dr. I. Iakovidis, Dr. Z. Kolitsi, Mr. O. Le Dour, Dr. A. Lymberis, Prof. P.F. Niederer,
Prof. A. Pedotti, Prof. O. Rienhoff, Prof. F.H. Roger France, Dr. N. Rossing,
Prof. N. Saranummi, Dr. E.R. Siegel, Dr. P. Wilson, Prof. E.J.S. Hovenga,
Prof. M.A. Musen and Prof. J. Mantas
Volume 119
Recently published in this series
Vol. 118. R.G. Bushko (Ed.), Future of Intelligent and Extelligent Health Environment
Vol. 117. C.D. Nugent, P.J. McCullagh, E.T. McAdams and A. Lymberis (Eds.), Personalised
Health Management Systems – The Integration of Innovative Sensing, Textile,
Information and Communication Technologies
Vol. 116. R. Engelbrecht, A. Geissbuhler, C. Lovis and G. Mihalas (Eds.), Connecting Medical
Informatics and Bio-Informatics – Proceedings of MIE2005
Vol. 115. N. Saranummi, D. Piggott, D.G. Katehakis, M. Tsiknakis and K. Bernstein (Eds.),
Regional Health Economies and ICT Services
Vol. 114. L. Bos, S. Laxminarayan and A. Marsh (Eds.), Medical and Care Compunetics 2
Vol. 113. J.S. Suri, C. Yuan, D.L. Wilson and S. Laxminarayan (Eds.), Plaque Imaging: Pixel to
Molecular Level
Vol. 112. T. Solomonides, R. McClatchey, V. Breton, Y. Legré and S. Nørager (Eds.), From
Grid to Healthgrid
Vol. 111. J.D. Westwood, R.S. Haluck, H.M. Hoffman, G.T. Mogel, R. Phillips, R.A. Robb and
K.G. Vosburgh (Eds.), Medicine Meets Virtual Reality 13
Vol. 110. F.H. Roger France, E. De Clercq, G. De Moor and J. van der Lei (Eds.), Health
Continuum and Data Exchange in Belgium and in the Netherlands – Proceedings of
Medical Informatics Congress (MIC 2004) & 5th Belgian e-Health Conference
Vol. 109. E.J.S. Hovenga and J. Mantas (Eds.), Global Health Informatics Education
Vol. 108. A. Lymberis and D. de Rossi (Eds.), Wearable eHealth Systems for Personalised
Health Management – State of the Art and Future Challenges
ISSN 0926-9630
Medicine Meets Virtual Reality 14
Accelerating Change in Healthcare: Next Medical Toolkit
Edited by
James D. Westwood
Randy S. Haluck MD FACS
Helene M. Hoffman PhD
Greg T. Mogel MD
Roger Phillips PhD CEng FBCS CIPT
Richard A. Robb PhD
and
Kirby G. Vosburgh PhD
Amsterdam • Berlin • Oxford • Tokyo • Washington, DC
© 2006 The authors.
All rights reserved. No part of this book may be reproduced, stored in a retrieval system,
or transmitted, in any form or by any means, without prior written permission from the publisher.
ISBN 1-58603-583-5
Library of Congress Control Number: 2005937901
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IOS Press
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fax: [phone] e-mail: [email protected]
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PRINTED IN THE NETHERLANDS
Medicine Meets Virtual Reality 14 v
J.D. Westwood et al. (Eds.)
IOS Press, 2006
© 2006 The authors. All rights reserved.
Preface
Accelerating Change in Healthcare:
Next Medical Toolkit
James D. WESTWOOD and Karen S. MORGAN
Aligned Management Associates, Inc.
Machine intelligence will eclipse human intelligence within the next few decades – ex-
trapolating from Moore’s Law – and our world will enjoy limitless computational power
and ubiquitous data networks. Today’s iPod® devices portend an era when biology and in-
formation technology will fuse to create a human experience radically different from our
own.
Between that future and the present, we will live with accelerating technological
change. Whether predictable or disruptive, guided or uncontrollable, scientific innovation is
carrying us forward at unprecedented speed. What does accelerating change entail for
medicine?
Already, our healthcare system now appears on the verge of crisis; accelerating change
is part of the problem. Each technological upgrade demands an investment of education and
money, and a costly infrastructure more quickly becomes obsolete. Practitioners can be
overloaded with complexity: therapeutic options, outcomes data, procedural coding, drug
names…
Furthermore, an aging global population with a growing sense of entitlement demands
that each medical breakthrough be immediately available for its benefit: what appears in the
morning paper is expected simultaneously in the doctor’s office. Meanwhile, a third-party
payer system generates conflicting priorities for patient care and stockholder returns. The
result is a healthcare system stressed by scientific promise, public expectation, economic
and regulatory constraints, and human limitations.
Change is also proving beneficial, of course. Practitioners are empowered by better im-
aging methods, more precise robotic tools, greater realism in training simulators, and more
powerful intelligence networks. The remarkable accomplishments of the IT industry and
the Internet are trickling steadily into healthcare. MMVR participants can readily see the
progress of the past fourteen years: more effective healthcare at a lower overall cost, driven
by cheaper and better computers.
We are pleased that this year’s conference has an increased emphasis on medical educa-
tion. In many ways, education is the next medical toolkit: a means to cope with, and take
advantage of, accelerating change. Through interaction with novice students, medical edu-
cators are uniquely equipped to critique existing methods, encourage fresh thinking, and
support emerging tools. Each new class of aspiring physicians stimulates flexibility in prob-
vi
lem solving and adaptation within technological evolution. As an earlier generation of phy-
sicians trains its successors, experience can guide innovation so that change accelerates for
the better.
As always, we wish to thank all the participants who make MMVR possible each year.
It is our privilege to work with you.
vii
MMVR14 Proceedings Editors
James D. Westwood
MMVR Program Coordinator
Aligned Management Associates, Inc.
Randy S. Haluck MD FACS
Director of Minimally Invasive Surgery
Director of Surgical Simulation
Associate Professor of Surgery
Penn State, Hershey Medical Center
Helene M. Hoffman PhD
Assistant Dean, Educational Computing
Adjunct Professor of Medicine
Division of Medical Education
School of Medicine
University of California, San Diego
Greg T. Mogel MD
Assistant Professor of Radiology and Biomedical Engineering
University of Southern California;
Deputy Director, TATRC
U.S. Army Medical Research & Materiel Command
Roger Phillips PhD CEng FBCS CIPT
Research Professor, Simulation & Visualization Group
Director, Hull Immersive Visualization Environment (HIVE)
Department of Computer Science
University of Hull (UK)
Richard A. Robb PhD
Scheller Professor in Medical Research
Professor of Biophysics & Computer Science
Director, Mayo Biomedical Imaging Resource
Mayo Clinic College of Medicine
Kirby G. Vosburgh PhD
Associate Director, Center for Integration of Medicine and
Innovative Technology (CIMIT)
Massachusetts General Hospital
Harvard Medical School
viii
MMVR14 Organizing Committee
Michael J. Ackerman PhD
Office of High Performance Computing & Communications,
National Library of Medicine
Ian Alger MD
New York Presbyterian Hospital;
Weill Medical College of Cornell University
David C. Balch MA
DCB Consulting LLC
Steve Charles MD
MicroDexterity Systems;
University of Tennessee
Patrick C. Cregan FRACS
Nepean Hospital,
Wentworth Area Health Service
Henry Fuchs PhD
Dept of Computer Science,
University of North Carolina
Walter J. Greenleaf PhD
Greenleaf Medical Systems
Randy S. Haluck MD FACS
Dept of Surgery,
Penn State College of Medicine
David M. Hananel
Surgical Programs,
Medical Education Technologies Inc.
Wm. LeRoy Heinrichs MD PhD
Medical Media & Information Technologies /
Gynecology & Obstetrics,
Stanford University School of Medicine
Helene M. Hoffman PhD
School of Medicine,
University of California, San Diego
Heinz U. Lemke PhD
Institute for Technical Informatics,
Technical University Berlin
ix
Alan Liu PhD
National Capital Area Medical Simulation Center,
Uniformed Services University
Greg T. Mogel MD
Dept of Radiology, University of Southern California;
TATRC/USAMRMC
Kevin N. Montgomery PhD
National Biocomputation Center,
Stanford University
Makoto Nonaka MD PhD
Foundation for International Scientific Advancement
Roger Phillips PhD CEng FBCS CIPT
Dept of Computer Science,
University of Hull (UK)
Carla M. Pugh MD PhD
Center for Advanced Surgical Education,
Northwestern University
Richard A. Robb PhD
Mayo Biomedical Imaging Resource,
Mayo Clinic College of Medicine
Jannick P. Rolland PhD
ODA Lab at School of Optics / CREOL,
University of Central Florida
Ajit K. Sachdeva MD FRCSC FACS
Division of Education,
American College of Surgeons
Richard M. Satava MD FACS
Dept of Surgery, University of Washington;
DARPA; TATRC/USAMRMC
Steven Senger PhD
Dept of Computer Science,
University of Wisconsin – La Crosse
Ramin Shahidi PhD
Image Guidance Laboratories,
Stanford University School of Medicine
Don Stredney
Interface Laboratory,
OSC
x
Julie A. Swain MD
Cardiovascular and Respiratory Devices,
U.S. Food and Drug Administration
Robert M. Sweet MD
Dept of Urology,
University of Minnesota
Kirby G. Vosburgh PhD
CIMIT/Brigham & Women’s Hospital /
Harvard Medical School
Dave Warner MD PhD
MindTel LLC;
Institute for Interventional Informatics
Suzanne J. Weghorst MA MS
Human Interface Technology Lab,
University of Washington
Mark D. Wiederhold MD PhD FACP
The Virtual Reality Medical Center