SUSTAIN-6G

The aim is to deploy a framework (set of applications) intended for REMOTE concurrent surgical preoperative planning that is able to effectively transmit the medical and topological data and the operative intents between surgeon and engineer through the sharing of the 3D patient specific “database” among 3D input/output devices required for the manipulation and visualisation of 3D anatomical models. The minimum requirements for interaction consist of shared screen, keyboard and mouse, as well as webcams for transmitting body gesture and facial expression communication. These will be augmented by supporting 3D input devices (space mouse and haptic mouse) and VR HMDs for a better vision, manipulation and understanding of the geometry. Surgeons and engineers will be remotely connected via their PC and communicate through the framework platform for a proper concurrent engineering/surgical session, sharing the medical software required for segmentation, 3D bone reconstruction, and the design software required for modelling the surgical aids (surgical guides, repositioning guides, implants...). The framework will be multiuser, to permit collaboration with external expert surgeons, for providing a counselling service or specialising students for training purposes and should be effective to tackle the remote concurrent planning at national, international and intercontinental levels and act as an enabler for urgency medicine. The advantages will be manifold: for the surgeon a more prepared, less stressful, simpler and shorter intervention and a reduced risk of complications, for the patient a more precise intervention, shorter anesthesia time and possibly a shorter recovery time, for the hospital reduced operating room costs and insurance costs. Extending this approach pervasively would pursue SDG3 by making the access to quality health services more inclusive toward under-served areas and could promote knowledge exchange among the actors.