基于混合现实技术的3D全息成像提高对新冠肺炎肺部病变的认识;卡塔尔世界杯8强波胆分析随机对照试验%A刘a， %A谢松香，%A张茂，%A吴志才，%A高星火，%A陆飞，%A张琳，%A谢佳瑶，%A杨毅，%A叶凡，%A哲伟%+华中科技大学同济医学院协和医院骨科，武汉解放大道1277号，430019,86 13971213880yezhewei@hust.edu.cn %K COVID-19 %K混合现实%K全息图%K肺部%K病变%K诊断%K影像学%D 2021 %7 10.9.2021 %9背景:新冠肺炎疫情目前已成为大流行疫情，并对全球公共卫生产生了严重的不利影响。COVID-19对肺部的影响可以通过二维计算机断层扫描(CT)成像来确定，这需要医疗提供者具有高度的空间想象力。目的:本研究的目的是确定使用混合现实技术观看3D全息图是否可以提高医务人员对COVID-19肺部病变的认识。方法:本研究共纳入60名受试者，包括20名放射科医生、20名外科医生和20名医科学生。每组随机分为2组，2D CT组(n=30);平均年龄29岁[范围19-38岁];男性=20)或3D全息组(n=30;平均年龄30岁[范围20=38岁]; males=20). The two groups completed the same task, which involved identifying lung lesions caused by COVID-19 for 6 cases using a 2D CT or 3D hologram. Finally, an independent radiology professor rated the participants' performance (out of 100). All participants in two groups completed a Likert scale questionnaire regarding the educational utility and efficiency of 3D holograms. The National Aeronautics and Space Administration Task Load Index (NASA-TLX) was completed by all participants. Results: The mean task score of the 3D hologram group (mean 91.98, SD 2.45) was significantly higher than that of the 2D CT group (mean 74.09, SD 7.59; P<.001). With the help of 3D holograms, surgeons and medical students achieved the same score as radiologists and made obvious progress in identifying pulmonary lesions caused by COVID-19. The Likert scale questionnaire results showed that the 3D hologram group had superior results compared to the 2D CT group (teaching: 2D CT group median 2, IQR 1-2 versus 3D group median 5, IQR 5-5; P<.001; understanding and communicating: 2D CT group median 1, IQR 1-1 versus 3D group median 5, IQR 5-5; P<.001; increasing interest: 2D CT group median 2, IQR 2-2 versus 3D group median 5, IQR 5-5; P<.001; lowering the learning curve: 2D CT group median 2, IQR 1-2 versus 3D group median 4, IQR 4-5; P<.001; spatial awareness: 2D CT group median 2, IQR 1-2 versus 3D group median 5, IQR 5-5; P<.001; learning: 2D CT group median 3, IQR 2-3 versus 3D group median 5, IQR 5-5; P<.001). The 3D group scored significantly lower than the 2D CT group for the “mental,” “temporal,” “performance,” and “frustration” subscales on the NASA-TLX. Conclusions: A 3D hologram with mixed reality techniques can be used to help medical professionals, especially medical students and newly hired doctors, better identify pulmonary lesions caused by COVID-19. It can be used in medical education to improve spatial awareness, increase interest, improve understandability, and lower the learning curve. Trial Registration: Chinese Clinical Trial Registry ChiCTR2100045845; http://www.chictr.org.cn/showprojen.aspx?proj=125761 %M 34061760 %R 10.2196/24081 %U //www.mybigtv.com/2021/9/e24081 %U https://doi.org/10.2196/24081 %U http://www.ncbi.nlm.nih.gov/pubmed/34061760