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Wellington 18 Feb 2020
Virtual	and	Augmented	Reality	in	
Health	Care	and	Rehabilitation
Joaquim	Jorge	
	
Instituto	Superior	Técnico	
Universidade	de	Lisboa
Visualization	and	Multimodal	Interfaces	
@	INESC-ID	Lisboa	
http://web.ist.utl.pt/jorgej	
ACM/SIGGRAPH	Special	Conferences	
Committee	Chair
Editor	Computers	&	Graphics
	
Research	Interests:		
Calligraphic	Interaction,		
Multimodal	Interfaces,		
Graphical	Modeling
Pedro	F.	Campos
	
	
University	of	Madeira	
Associate	Professor	with	Habil.
Interactive	Technologies	Institute
www.experienceaugmentation.com	
PI,	SUAVE	project:	Nudging	users	
towards	healthier	lifestyles
PI,	Augmented	Crutches:	AR	for	
helping	patients	to	learn	how	to	
walk	with	crutches
PI,	SENSE:SEAT,	Inducing	Improved	
Mood	and	Cognition	through	
Multisensorial	Priming
Research	Interests:		
Virtual	Reality	
Health	and	Well-being	
Persuasive	Computing	
Behavior	Change	Technologies	
Multimodal	Interaction
Daniel	Simões	Lopes	
	
Instituto	Superior	Técnico	
UT	Austin	/	Portugal
Assistant	Professor
Heads	Biomedical	Research	Line	
PI	of	project	IT-MEDEX	
	
http://web.ist.utl.pt/daniel.s.lopes	
Research	Interests:		
Computational	Geometry,		
Interactive	Computer	Graphics,	
	Computer-Aided	Healthcare,	
Interactive	Visualization
IEEE	VR	2020
27th IEEE Conference on Virtual Reality & 3D User Interfaces 

March 22nd - 26th, 2020 Atlanta, Georgia, USA.
IEEE	VR	2021	Lisbon	Portugal	
March
Introduction	and	Motivation
Medical UI/UX
Reality–Virtuality Continuum
Real Reality Immersive VR
Sem
i-im
m
ersive
VR
D
im
inished
R
ealitySpatialAR
See-Through
AR
Augm
ented
Virtuality
Mixed Reality
Augmented Reality
Extended Reality
Challenges
Building a network of healthcare professionals
Identifying current practices
Linguistic Barrier
Big Picture but no Specs
“Automagic worshippers”
Motivation
Motivation
http://jnm.snmjournals.org/content/45/2/279/F2.expansion.html	
http://jnm.snmjournals.org/content/52/10/1501/F1.expansion.html	
http://jnm.snmjournals.org/content/51/8/1198/F3.expansion.html	
			Motivation
Extend	the	Reality:	Learning
Healthcare	Scenarios						and	Collaboration
Scenario:	Radiodiagnostics
VRRRRoom: Virtual Reality for Radiologists in the
Reading Room CHI	2017
VR	for	Radiologists	in	the	Reading	ROOM
VR	for	Radiologists	in	the	Reading	Room
VR	for	Radiologists	in	the	Reading	Room
VR	for	Radiologists	in	the	Reading	Room
https://www.youtube.com/watch?v=bsNwV4BhJOw
VR	4	Radiologists	in	the	Reading	ROOM
Evaluation
Radiology Neuroradiology
Gynecology
Surgery Dental	Implantology
Obstetrics
Medical	Specialities
5	no	previous	experience	in	VR
Virtual	Colonoscopy
Problem
Problematic
Interaction Techniques for Immersive CT
Colonography: A Professional Assessment
MICCAI	/	VCBM	2018
https://youtu.be/_9EMhjI3kYw
Professional Assessment
5M+2F Doctors
Diagnostic:	Minutes	<<	HOURS!
Evaluation
+	immersion	
+	freedom	of	movement		
+	World	In	Miniature	navigation	
- limited	camera	control	
- Improvements	needed
Augmented Dissection
Table
Table for two … plus one
Anatomy Studio: Augmented Virtual Dissection Sessions
Anatomy Studio: Augmented Virtual Dissection Sessions
Healthcare	Scenarios						Unesco	Chair	Of	Digital	Anatomy
Université	Paris	Descartes	
Unité	de	recherche	en	Développement,	Imagerie	et	
Anatomie	-	Prof.	Vincent	Delmas	et	Dr.	J.F	Uhl
Forthcoming	Springer	HCIS	Book
Digital	Anatomy
VR	in	the	Operations	Room
Contactless Surgical
Navigation
Germ-free interfaces
?
Conventional Systems: Dimensional Gap
Source:	O’Hara	et	al.,	2014	
VOXEL Explorer: Asepsis
VOXEL Explorer: Simple Gestures
Novel	Spatial	Interaction	Techniques	for	
Exploring	3D	Medical	Images
49
VOXEL Explorer: Track your Body
VOXEL Explorer: Gameboy Metaphor
Augmented Surgery
More than meets the scalpel
The Promise of an Augmented Reality
Motivation
Laparoscopic HUD
Augmented Laparoscopic
Navigation
Motivation
Motivation
Motivation
Laparoscopic Head Mounted Display
Interactive
Rehabilitation
Easing the patient’s patience
Motivation
REPETITION – FEEDBACK – MOTIVATION
Motivation
$
COST WEARABLES
Motivation
COMPENSATORY
MOVEMENTS
COLLABORATION
Motivation
SleeveAR: Augmented Reality for
Rehabilitation

using Realtime Feedback
João Vieira, Maurício Sousa, Artur Arsénio and Joaquim Jorge
Motivation
Augmented Reality
SleeveAR
Sleeve
Process
Recording
Movement
Guidance
Performance
Review
x§x
Locomotiver
Exergames for
Locomotion Rehabilitation
in VR
VR for Locomotion
Augmented Crutches
Augmented Crutches
Mobile-projection
system, aimed at
helping people to learn
how to walk with
crutches
Personal Experience
1
Research
1
Personal Experience
2
Physical
Therapist
2
How it works
1 2 3
Answer
questionnaire
Connect to
projector
Walk with
projected visual
cues
3
Como funciona
Challenges	Ahead
Nonstandard	Equipment
Funny	User	Interfaces
Disorientation
Fatigue
Nausea
Bright	Future	Ahead
Raskar | MIT Media Lab
Multi-ModeMulti-Format
IoT
Perception
Ergo,
Hygiene
Gestural Language
Interactive	Tablets	for		
Collaborative	Scenarios		
Related	to	3D	Medical	Image		
Exploration	
jorgej@acm.org	
http://it-medex.inesc-id.pt/home
Acknowledgments
ARCADE Afonso Faria, André Domingues
LOCOMOTIVER Alexandre Gordo
VRRRRoom Maurício Sousa, Daniel Mendes, Soraia Paulo
CAVE COLON Pedro Borges, Daniel Medeiros, Soraia Paulo
Voxel TIPs Rita Mendes, Pedro Parreira, Soraia Paulo
Anatomy Studio Maurício Sousa, Daniel Mendes, Rafael dos
Anjos, Soraia Paulo
Voxel Explorer Pedro Parreira, Soraia Paulo
TOOTHFAIRY Filipe Relvas, Soraia Paulo
Laparoscopic HUD Miguel Belo, Soraia Paulo
Minimally Invasive Surgery José Miguel Gomes
ImplantAR Tiago Jerónimo
Plausible Box Figures Nuno Matias
Imperceptible Breathing Filipe Marques
Special	Thanks	to
Mauricio	de	Sousa	
Daniel	Pires	de	Sá	Medeiros	
Daniel	Tavares	Mendes	
Rafael	Kuffner	dos	Anjos	
Soraia	Figueiredo	Paulo	
Beatriz	Peres
Questions?
jorgej@acm.org
References
D.S. Lopes, et al, Interaction Techniques for Immersive CT
Colonography: A Professional Assessment, Medical Image
Computing and Computer Assisted Intervention – MICCAI 2018.
M. Sousa, D. Mendes, S. Paulo, N. Matela, J. Jorge, D.S. Lopes,
VRRRRoom: Virtual Reality for radiologists in the
reading room, (CHI 2017),
D.S. Lopes, et al, On the utility of 3D hand cursors to explore medical
volume datasets with a touchless interface, Journal of Biomedical
Informatics, 72, Pages 140–149, 2017.
D.S. Lopes, et al, Explicit design of transfer functions for
volume-rendered images by combining histograms,
thumbnails, and sketch-based interaction, The Visual
Computer, December 2018,
S F Paulo, et al, Touchless interaction with medical images
based on 3D hand cursors supported by single-foot
input: A case study in dentistry, Journal of Biomedical
Informatics, Volume 100, 2019, 103316, DOI: 10.1016/j.jbi.2019.103316
DS Lopes, et al. 2019. FEETICHE: FEET Input for Contactless
Hand gEsture Interaction. VRCAI ’19, Brisbane,  
E R. Zorzal, et al, Anatomy Studio: a Tool for Virtual
Dissection Through Augmented 3D Reconstruction,
Computers & Graphics, DOI: 10.1016/j.cag.2019.09.006
If you want to know moreBeatriz Peres et al A Persuasive Approach in
Using Visual Cues to Facilitate Mobility Using
Forearm Crutches.
CHI 18 EA: Digitally Augmenting the Physical
Ground Space with Timed Visual Cues for
Crutch-Assisted Walking.
A Digitally-Augmented Ground Space with
Timed Visual Cues for Facilitating Forearm
Crutches’ Mobility, Full paper , Interact 2019
.

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