Mixed Reality Platforms in Telehealth Delivery: Scoping Review

BackgroundThe distinctive features of the digital reality platforms, namely augmented reality (AR), virtual reality (VR), and mixed reality (MR) have extended to medical education, training, simulation, and patient care. Furthermore, this digital reality technology seamlessly...

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Main Authors: Hemendra Worlikar, Sean Coleman, Jack Kelly, Sadhbh O’Connor, Aoife Murray, Terri McVeigh, Jennifer Doran, Ian McCabe, Derek O'Keeffe
Format: Article
Language:English
Published: JMIR Publications 2023-03-01
Series:JMIR Biomedical Engineering
Online Access:https://biomedeng.jmir.org/2023/1/e42709
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author Hemendra Worlikar
Sean Coleman
Jack Kelly
Sadhbh O’Connor
Aoife Murray
Terri McVeigh
Jennifer Doran
Ian McCabe
Derek O'Keeffe
author_facet Hemendra Worlikar
Sean Coleman
Jack Kelly
Sadhbh O’Connor
Aoife Murray
Terri McVeigh
Jennifer Doran
Ian McCabe
Derek O'Keeffe
author_sort Hemendra Worlikar
collection DOAJ
description BackgroundThe distinctive features of the digital reality platforms, namely augmented reality (AR), virtual reality (VR), and mixed reality (MR) have extended to medical education, training, simulation, and patient care. Furthermore, this digital reality technology seamlessly merges with information and communication technology creating an enriched telehealth ecosystem. This review provides a composite overview of the prospects of telehealth delivered using the MR platform in clinical settings. ObjectiveThis review identifies various clinical applications of high-fidelity digital display technology, namely AR, VR, and MR, delivered using telehealth capabilities. Next, the review focuses on the technical characteristics, hardware, and software technologies used in the composition of AR, VR, and MR in telehealth. MethodsWe conducted a scoping review using the methodological framework and reporting design using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. Full-length articles in English were obtained from the Embase, PubMed, and Web of Science databases. The search protocol was based on the following keywords and Medical Subject Headings to obtain relevant results: “augmented reality,” “virtual reality,” “mixed-reality,” “telemedicine,” “telehealth,” and “digital health.” A predefined inclusion-exclusion criterion was developed in filtering the obtained results and the final selection of the articles, followed by data extraction and construction of the review. ResultsWe identified 4407 articles, of which 320 were eligible for full-text screening. A total of 134 full-text articles were included in the review. Telerehabilitation, telementoring, teleconsultation, telemonitoring, telepsychiatry, telesurgery, and telediagnosis were the segments of the telehealth division that explored the use of AR, VR, and MR platforms. Telerehabilitation using VR was the most commonly recurring segment in the included studies. AR and MR has been mainly used for telementoring and teleconsultation. The most important technical features of digital reality technology to emerge with telehealth were virtual environment, exergaming, 3D avatars, telepresence, anchoring annotations, and first-person viewpoint. Different arrangements of technology—3D modeling and viewing tools, communication and streaming platforms, file transfer and sharing platforms, sensors, high-fidelity displays, and controllers—formed the basis of most systems. ConclusionsThis review constitutes a recent overview of the evolving digital AR and VR in various clinical applications using the telehealth setup. This combination of telehealth with AR, VR, and MR allows for remote facilitation of clinical expertise and further development of home-based treatment. This review explores the rapidly growing suite of technologies available to users within the digital health sector and examines the opportunities and challenges they present.
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spelling doaj.art-fed961f5c6204b059e9ac4e02bf9681b2023-08-28T23:48:42ZengJMIR PublicationsJMIR Biomedical Engineering2561-32782023-03-018e4270910.2196/42709Mixed Reality Platforms in Telehealth Delivery: Scoping ReviewHemendra Worlikarhttps://orcid.org/0000-0001-6593-2616Sean Colemanhttps://orcid.org/0000-0003-0770-2219Jack Kellyhttps://orcid.org/0000-0002-6013-572XSadhbh O’Connorhttps://orcid.org/0000-0002-8685-6373Aoife Murrayhttps://orcid.org/0000-0002-1986-9414Terri McVeighhttps://orcid.org/0000-0001-9201-9216Jennifer Doranhttps://orcid.org/0000-0002-7201-858XIan McCabehttps://orcid.org/0000-0003-2497-4590Derek O'Keeffehttps://orcid.org/0000-0001-8501-2382 BackgroundThe distinctive features of the digital reality platforms, namely augmented reality (AR), virtual reality (VR), and mixed reality (MR) have extended to medical education, training, simulation, and patient care. Furthermore, this digital reality technology seamlessly merges with information and communication technology creating an enriched telehealth ecosystem. This review provides a composite overview of the prospects of telehealth delivered using the MR platform in clinical settings. ObjectiveThis review identifies various clinical applications of high-fidelity digital display technology, namely AR, VR, and MR, delivered using telehealth capabilities. Next, the review focuses on the technical characteristics, hardware, and software technologies used in the composition of AR, VR, and MR in telehealth. MethodsWe conducted a scoping review using the methodological framework and reporting design using the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidelines. Full-length articles in English were obtained from the Embase, PubMed, and Web of Science databases. The search protocol was based on the following keywords and Medical Subject Headings to obtain relevant results: “augmented reality,” “virtual reality,” “mixed-reality,” “telemedicine,” “telehealth,” and “digital health.” A predefined inclusion-exclusion criterion was developed in filtering the obtained results and the final selection of the articles, followed by data extraction and construction of the review. ResultsWe identified 4407 articles, of which 320 were eligible for full-text screening. A total of 134 full-text articles were included in the review. Telerehabilitation, telementoring, teleconsultation, telemonitoring, telepsychiatry, telesurgery, and telediagnosis were the segments of the telehealth division that explored the use of AR, VR, and MR platforms. Telerehabilitation using VR was the most commonly recurring segment in the included studies. AR and MR has been mainly used for telementoring and teleconsultation. The most important technical features of digital reality technology to emerge with telehealth were virtual environment, exergaming, 3D avatars, telepresence, anchoring annotations, and first-person viewpoint. Different arrangements of technology—3D modeling and viewing tools, communication and streaming platforms, file transfer and sharing platforms, sensors, high-fidelity displays, and controllers—formed the basis of most systems. ConclusionsThis review constitutes a recent overview of the evolving digital AR and VR in various clinical applications using the telehealth setup. This combination of telehealth with AR, VR, and MR allows for remote facilitation of clinical expertise and further development of home-based treatment. This review explores the rapidly growing suite of technologies available to users within the digital health sector and examines the opportunities and challenges they present.https://biomedeng.jmir.org/2023/1/e42709
spellingShingle Hemendra Worlikar
Sean Coleman
Jack Kelly
Sadhbh O’Connor
Aoife Murray
Terri McVeigh
Jennifer Doran
Ian McCabe
Derek O'Keeffe
Mixed Reality Platforms in Telehealth Delivery: Scoping Review
JMIR Biomedical Engineering
title Mixed Reality Platforms in Telehealth Delivery: Scoping Review
title_full Mixed Reality Platforms in Telehealth Delivery: Scoping Review
title_fullStr Mixed Reality Platforms in Telehealth Delivery: Scoping Review
title_full_unstemmed Mixed Reality Platforms in Telehealth Delivery: Scoping Review
title_short Mixed Reality Platforms in Telehealth Delivery: Scoping Review
title_sort mixed reality platforms in telehealth delivery scoping review
url https://biomedeng.jmir.org/2023/1/e42709
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