Next Gen Mini-PS3 Cell Chips -Next Medicine Imaging Revolution?

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“ Though sold as a game console, what will in fact enter the home is a Cell-based computer. ” – Ken Kutaragi

“Cell-based computers will revolutionize medical imaging” – Docinthemachine

The IBM Cell graphics processor at the heart of the PS3 is a remarkable chip.  Cell is shorthand for Cell Broadband Engine Architecture.  It has been described as “seemingly obscene computing capabilities for what will rapidly become a very low price.” 

A newer miniaturized lower power version has just been announced by ars technica that I predict will make it to medical video and VR processing.  I recently led a session on the use of VR in medicine where Andy Van Dam (VR pioneer , professor of computer science at Brown, and founder of Siggraph) and I spoke about the future of VR processing.  He predicted that the video grame industry hardware innovations will make the most dramatic strides and that this technology will then trickle down to VR due to its sheer massive computational power- beyond that of the old CAVEs of DARPA.

You may be unaware that this represent a new form of computer processing: 

The Cell concept was originally thought up by Sony Computer Entertainment inc. of Japan, for the PlayStation 3.  The genesis of the idea was in 1999 when Sony’s Ken Kutaragi  “Father of the PlayStation” was thinking about a computer which acted like Cells in a biological system.  A patent was applied for listing Masakazu Suzuoki and Takeshi Yamazaki as the inventors in 2002

The architecture as it exists today was the work of three companies: Sony, Toshiba and IBM.  Sony and Toshiba previously co-operated on the PlayStation 2 but this time the plan was more ambitious and went beyond chips for video games consoles.  The aim was to build a new general purpose processor for a computer.

In lay terms here is the muscle behind the processor:   

The setup of the Cell processor is like having a team of processors all working together on one chip to handle the large computational workload needed to run next-generation video games. In order to understand how the Cell processor works, it helps to look at each of the major parts that comprise this processor.

The “Processing Element” of the Cell is a 3.2-GHz PowerPC core equipped with 512 KB of L2 cache. The PowerPC core is a type of microprocessor similar to the one you would find running the Apple G5. It’s a powerful processor on its own and could easily run a computer by itself; but in the Cell, the PowerPC core is not the sole processor. Instead, it’s more of a “managing processor.” It delegates processing to the eight other processors on the chip, the Synergistic Processing Elements.

The computational workload comes in through the PowerPC core. The core then assesses the work that needs to be done, looks at what the SPEs are currently processing and decides how.

Watch out for our robot PS3 overloards.  This Chip has the potential to expand itself and distribute workloads over networks.  Don’t worry this is not some Singularity scenario where the chips start to think on their own.  Here is a review of the potnetial of the chip:

Chip giants such as Intel have already started working on dual-core chips, but Cell goes several steps further by giving processing units a measure of independence. Current multicore chips typically chop a single computing task into parts, which are distributed among processing units. Cell’s processing units–called “software cells”–can handle completely separate jobs.

“The software cells are designed to be kind of self-contained–they can kind of roam around,” Halfhill said.

Cells can even roam over a network, allowing the processor to perform a type of distributed or grid computing, an increasingly popular enterprise technique in which demanding tasks are divvied up among a gang of networked computers. A PlayStation 3 could borrow unused processing power from other consoles on a network, for example, to complete a demanding task such as delivering streaming video.

“The Cell architecture is designed to make grid computing almost universal,” Halfhill said. “It makes distributed processing part of the design. If you have several of these machines on a network, the work can be spread across a network.”

The cell design can allow cooperation between video devices:  “This architecture is not fixed, if you have a computer, PS3 and HDTV which have Cell processors they can co-operate on problems.  They’ve been talking about this sort of thing for years of course but the Cell is actually designed to do it.  According to IBM the Cell performs 10x faster than existing CPUs on many applications.  This may sound ludicrous but GPUs (Graphical Processors Units) already deliver similar or even higher sustained performance in many non-graphical applications.”

Medical uses:  We are at the cusp of a revolution due to the integration of computer video processing and surgical and radiological imaging.  Details of this concept of mine are here and a podcast here.  As we move ahead with virtual imaging and newer forms of optical processing it is the computational power of these kinds of chips that will be enabling.

Disclosure:  As I previously wrote, I was chosen to be a Sony Medical HD Luminary Site.  I receive no financial payment for this relationship which is only with Sony’s Medical division and is part of my medical research work on surgical tools and imaging.  Heck- I had to buy my PS3 at Best Buy just like anybody else. 

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Wireless HDTV- TV Today OR Tomorrow

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Here’s the next installment in my series on HDTV in the OR and the emerging use of HD for endoscopic surgery.  Belkin introduced a new device for consumer HD video at CES that uses wireless technology to transmit the signal.  In the past the enormous bandwidth of HD precluded the use of wireless transfers. 

From what I have been told- the technology was developed by Amimon and is called WHDI.  They report on the tech that:

WHDI™ – Wireless High Definition Interface sets a new standard for wireless high-definition video connectivity. It provides a high-quality, uncompressed wireless link which can support delivery of equivalent video data rates of up to 3Gbps (including uncompressed 1080p) in a 40MHz channel in the 5GHz unlicensed band, conforming to FCC regulations. Equivalent video data rates of up to 1.5Gbps (including uncompressed 1080i and 720p) can be delivered on a single 20MHz channel in the 5GHz unlicensed band, conforming to worldwide 5GHz spectrum regulations. Range is beyond 100 feet, through walls, and latency is less than one millisecond.

WHDI™ enables a wireless video link that offers the same functionality, cost and quality as a wired link. Practically all of the hundreds of millions of wired connections between video sources and displays today are based on delivery of uncompressed video. In order to replace these wired links, the wireless interface needs to be uncompressed as well.

The problem with traditional wireless modems for video is that they treat ever data bit equally. This new technology does not.  WHDI takes the uncompressed HD video stream and breaks it into elements of importance. The various elements are then mapped onto the wireless channel in a way that give elements with more visual importance a greater share of the channel resources, i.e. they are transmitted in a more robust manner.

I presented research a few years ago on the development of a new endoscope that used distal CMOS imaging chios and distal end LED ilumination.  The advantage of this is the ability to eliminate light and power cables once it goes battery powered.  The developoment of wireless HD video transmission is vital to make the scopes totally wireless.  Some details of this project and wireless power charging are here.  The technology could also be used to develop real time image review from pill- cams.

You may want to check out past posts on the use of video compression as another tool enabling wireless OR’s.

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Docinthemachine is Back!

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Hello again all my friends, supporters, and loyal readers! After far too long of an absence I am back. So much time has passed and so much has happened that I wanted to fill you all in and welcome you back to my regular schedule of postings on all new in medical technology.

So you may ask- what the heck happened to you? We thought you were dead? Here is my free form list of all that has happened to tie me up and take me (temporarily) off-line. Here is a list of just some of things that took my attention in the last few months.

1) First and foremost my wife gave birth to our son the babyinthemachine. Despite being old pros at this a newborn really takes a hit to your free time! Happily she did awesome in pregnancy and labor and all went perfectly. It is always a bit of an event when an Ob Gyn’s wife gives birth we have really seen it all before, but that gets mixed up with the knowledge of every little thing that could go wrong at every step and trying to stay at the correct end of the bed (the head) ! The little guy came home and has been a delight. This led to the quick realization that these kids no way fit in our car we had to buy some new transportation. Thanks to Edmunds – remember never pay over invoice I won’t say what we got but I am sure you can guess…

Here’s the little guy in utero

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2) All of my research of the use of High Definition video for Surgery got picked up by the medical and lay press and I was doing a fair bit of lecturing and speaking. This was a real pleasure for me having worked on the development of these tools since 1999.

3) National Geographic featured footage from my high def surgery on their special Inside the living body. This led to a series of interviews and lectures including the peculiar thing that is morning drive FM radio shock jocks. No need to go any further. I’ll post some excerpts coming soon.

4) 20/20 did a piece on my research on visualization in surgery including high def and future vision autofluorescent laparoscopy. What a delight that was to do. Bob Brown and crew were great to work with and they then invited me back onto ABC News for a show about innovators. I’ll be posting video clips from this too.

5) DITM – this blog- hit its one year anniversary and I celebrated all that the experience has brought to me and allowed me to share.

6) My wifeinthemachine Michele Lang sold and published a major future tech-sci fi-romance Netherwood which included dozens of examples of current and future med tech from the pages of this blog in the Shomi Line from Dorchester Publishing. All this is woven into a story of a technological future world where computers become sentient and the local sheriff must destroy the man set out to destroy the network but learns he is her virtual reality lover who holds the secret to the survival of mankind. The book can be ordered at Amazon now and has gotten amazing reviews. She be posting some updates and interviews here to come!

7) I was honored to be chosen to be a High Definition Visionary Site by Sony Medical. As one of the few MD’d chosen for this distinction I have access to their wealth of electronic knowledge and product engineering. For full disclosure I do not receive any financial payments for this relationship. They are helping me with a demo research project for HD surgery education on the internet and on improving visualization and archiving of surgery. I’ll be posting more from this to come.

8) I was involved in the keynote general session at the 38th Annual International Congress of Gynecologic Endoscopy (The AAGL). A true honor, this was the third time I led a session on new technology in medicine and the second year in a row. This year I focused the session on NOTES – or natural orifice surgery. This amazing new technology still in development is where physicians pass special flexible never before seen endoscopes through natural body openings (mouth, anus, vagina, etc) to reach any part of the body without any incisions at all. Needless the say the audience was in awe of the video of an appendectomy removed without external incisions and pulled out the patient’s mouth! More from this session will be posted with updates and excerpts on this technology.

9) As part of this session I presented new research of mine on the transformation of medical technological research and mathematical modeling that shows we are on the cusp of unparalleled explosive growth in med tech innovation. Of course more to come on this!

10) I was elected vice-president of the ACGE (Council for Gynecologic Endoscopy) – established to elevate standards in operative endoscopic procedures performed by gynecologists. We will be continuing our efforts on surgeon and facility standards and review including the validation of simulator based evaluations. More to come!

11) I was chosen by the AAGL as well on a special ongoing press conference panel on the future of gynecologic endoscopy. I have to say it was a real honor and validation of years of work when The President of the society Dr Charles Miller introduced me as the visionary of the society. Videos and transcripts will be posted.

12) Related to this I began an advisory role for a company developing a gyn NOTES procedure which will likely begin clinical trials for infertility very soon.

13) We had the Annual meeting of the American Society for Reproductive Medicine (ASRM) – the largest infertility meeting where I serve on the program committee and chair the video program. I’ll be posting updates of new research including a dinner I had with the world’s expert on human pheromones.

14) The Society of Reproductive Surgeons (SRS) of the ASRM invited me to chair their postgraduate course on fertility surgery at next year’s meeting. Of course the topic I chose is “New Technology in Fertility and Reproductive Surgery”. I’ll run the course as a lecture and hands on lab and we will include robotic surgery, alternatives to hysterectomy, surgical simulators, Natural Orifice Surgery, Autofluorescence, Office Surgery, High Definition, High Intensity Ultrasound surgey and many others. I’ll post updates as we go along.

15) I continued my usual lecturing, research, publications, and the development of a new innovative DITM podcast series.

16) Had some minor surgery- I am really an expert on edoscopes and the entire GI track as well now.

17) My clinical practice Gold Coast IVF had our busiest and most fertile year ever! Countless pregnancies in my usual mix of complex cases left me grateful and delighted to be a part of this specialty. Using all the tools in my armamentarium (drugs, surgery, IVF, egg and sperm donation, etc) allowed me to help create more families than ever. I treated local patients and those who traveled from around the country and from Nations as distant as Russia, China, and Nigeria.

OK – it has been a busy few months here but I am ready for 2008 to do even more! Welcome back to docinthemachine!

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New 3D Display Technology

philips-3d.bmpthis sure beats the old system!

3d_glasses.jpgBetter for Creature Features than the OR

Phillips just demo’d an intriguing display at the Berlin consumer-electronics show. It is an amalgam of 9 x 42-inch displays on a grid creating a 132 inch display that reportedly can display 3D images without the need for glasses. 

Why this is so important: 3D display technology is badly needed for endoscopic surgery. In order to see in 3D you need stereo vision which requires 2 separate images taken from slighly different angles and them superimposed.  You body does this with your 2 eyes slighly separate on your face.  In traditional laparoscopic surgery there is a single telescope and a single camera so all the images are in 2D.  Unfortunately, depth perception is lost.  How does the surgen operate then?  What heppens with training and practice is that your brain picks up and other clues primarily shadowing and touch perception from your hands and the surgeon becomes able to interpolate a 3D space even though all of the visual skills are mising.  This is one of the hardest if not the hardest step to learn when I teach surgeons to first perform laparoscopic surgery and some people just have a much harder time than others.  Interestingly, with HD displays there is a pseudo-enhancement of depth perception that engineers and visual scientists tell me is due to the enhanced color fidelity and resolution and shadowing which allows the brain to pick up more 3D clues of the space from the 2D image!  Still, the lack of true 3D data increases the difficulty of the procedures especially complex ones requiring suturing. 

What is available today:  Currently there are some attempts to address this limitation.  They have required the use of head mounted displays with separate displays for each eye and separate imaging chips or lenses on the scopes but these have been heavy and cumbersome to use.  Others such as some of the robotic solutions have immersed the surgeon’s head in a remote 2-panel display station but this also is a very complex solution.  For years I have seen many many attempts at no-glasses 3D displays from various companies but all suffered from narrow viewing angles or poor resolution or other design issues.

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How this solution works.  This is a display technology that they call 2D + depth.  In order to generate a 3D image, the display requires a regular 2D representation of the image and a depth-map. This depth-map indicates the distance between each pixel and the viewer. The 2D image and the depth-map are used to create images on the screen, and these images are then merged by the viewer’s brain into a 3D sensation.

Lenticular Screen:  The system works with lenses on the screen that provide a slightly different view for each eye (without the red-green glasses of the 50′s).  A sheet of transparent lenses, is fixed on an LCD screen. This sheet sends different images to each eye, and so a person sees two images. These two images are combined by our brain, to create a 3D effect.

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I’ll have to get ahold of one of these displays to see if it holds promise for the OR…

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Docinthemachine Research Featured on 20/20! MedTechno Insights From the Day

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I previously wrote about the upcoming National Geographic Special Inside the Living Body and my work featured in the special. I was delighted when the producers of 20/20 called to request an interview with me on my research featured on the show and my vision of the future technological transformation of medicine.   Bob Brown was interested in coming to interview me.  They have already posted a description of the upcoming interview and a summary of the show. 

They call it an “Unprecedented Journey Inside the Living Body- ‘We’re Seeing Things That We Had Never Seen Before,‘ Says Scientist (that’s me).

On their website they write:

Recent technological advances have allowed for such dramatic and amazing views of the inside of our bodies that watching the footage can feel like you’re in a science fiction film or on an imaginary expedition…In such a science fiction journey, the 1966 film “Fantastic Voyage,” a group of scientists and their submarine were miniaturized so they could be injected into a body in order to eliminate an otherwise unreachable brain clot.

“I use clips from that movie when I lecture about these new technologies,” said Dr. Steven Palter, the medical and scientific director of Gold Coast IVF in Syosset, N.Y. “Now, physicians can actually see the workings of the body and understand it in a way that they never could before.”

Palter, who has a medical technology blog called docinthemachine.com, is a pioneer of methods capable of producing spectacular high-definition surgical images.  Palter obtained his footage by advancing well-established procedures that allow doctors to insert cameras through small incisions and view the target areas of their surgeries. He successfully hooked up high-definition cameras and, he said, was awestruck by the results.

“With high definition, we’re seeing things that we had never seen before … with depth perception, clarity and detail … because now it’s enormously clear and magnified. We have views that you don’t get with your naked eye.”

They also write about my autofluorescent laparoscopy research: “New Way of Seeing Ourselves”

The technology used for the National Geographic Channel is also clearly on its way to helping revolutionize medical care. Palter contributed to the development of what’s called an auto-fluorescent laparoscope, which exposes diseased tissue inside the body that a surgeon couldn’t otherwise see.

“Instead of using visible light, it makes the disease fluoresce,” Palter said. “If you look with your naked eye, you see nothing. When you switch on the light and the filters, all of a sudden the disease is glowing green, and you can see disease that’s beyond the resolution of your naked eye.”

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Details and Insights from the Interview: It really was an amazing morning.  I have done countless interviews and seminars with the media over the years and this really stood out for me.  Perhaps most enjoyable was the genuine interest and fascination with the topic of their correspondent Bob Brown (who was also a first rate nice guy).  They showed up at 8AM and took 1.5 hours to dismantle my office and set up the lighting.  We started extra early with the fertility patients that day so they could be finished and out the door before the TV crew came in to protect their confidentiality and to not make them feel uncormfortable (always a key issue in my fertility practice Gold Coast IVF).

joep.jpgDirecting the shoot

The cameras and the Crew:  Being the techno videophile guy that I am I jumped at the chance to talk with independent film crew brought to shoot me.  They had 3 cameramen/directors and there were 2 producers from 20/20, Bob Brown the correspondent, and a media relations rep from National Geographic (in case questions came up about their part).  They set-up a 2 camera shoot in my office with blazingly hot spot lights to ensure I would be nice and sweaty on camera.  They shot in standard BetacamSP.  Of course I could not resist to ask them why they did not shoot in HD.  They answered that the news shows inthe studios shoot in HD but that in the US all field work is done in SD.  This is because there are countless freelancers and crews out there all using different equipment and all waiting for some semblance of an HD standard to evolve before they invest hundreds of thousands of dollars in new HD cameras and editing and risk it being the “wrong format”.  Wow- how similar to the confusion in the medical and consumer video sectors! I continued my fact-finding quest and asked about who was using what systems and the relative advantages of each- panasonic sony JVC image sensors, color fidelity, native chip resolution tape vs disk vs solid state recording editing etc etc all trying to gleam insights I could take back to medicine and the OR. 

bobandi.jpgShowing Bob Brown (and cameraman) a Laparoscope  

The interview and turning the tables:  Bob interviewed me for 2.5 hours until they ran out of film. I was excited to share my excitement and passion for the subject of the future of medicine and surgery and how my work fits into this vision.  Bob was interested in the medical technology behind the show.  He asked a very wide range of questions from how I thought to merge HD video and surgerr back in 1999 to what I think is more beautiful – the earth from space or the vista of the internal human organs, to how will we pay for these new technology developments.  He was interested in everything I was working on and what I thought would have the most impact.  We discussed robotic assited surgery, natural orifice surgery (NOTES), augmented reality and head mounted displays, surgical simulators for training and the potential for real-dataset preoperative practice, virtual colonoscopy and 3D/4D ultrasound etc etc.

I had a chance to turn the tables a bit and ask him why they chose this topic and how they felt it would appeal to the lay public.  He told me that TV shows like 20/20 they basically track viewers interest levels minute by minute as they shows air.  He added that the medical pieces they ran have huge audience ratings and the more real the higher the appeal.  We discussed how the netorks know that on shows like CSI it is often the medical technology that draws the audience in.  He has a special talent in reporting human interest segments and has an amazing ability to distill down the high tech medicine we discussed and share with non-medical viewers how it will affect their lives. 

Sharing the footage:  After the interview he wanted to watch some of my HD surgical footage that I shot for National Geographic with the true HD 1080 16:9 system which I fortunately had available on HD XDCAM with a Sony ultrahigh resolution 24″ LCD HD monitor. Both the 20/20 people and the video crew were amazed by the resolution of the images and one of them remarked “If I need surgery I want them to use that   Being video people the film crew and director’s understanding of the power of HD in the OR was immediate when they saw just a few seconds of the images.  I continue to have the same degree of awe and fascination each time I operate with these systems.

Bob Brown was especially interested in my research on the development of autofluorescent laparoscopy and my concept of “FutureVision“- where surgical technology surpasses inate human senses and we watched those videos as well.

They finished off with few minutes of B-roll footage of Bob and I walking and talking in front of the hospital and requests for room cam OR footage and my AF surgery footage(all of which I was happy to share with them).

all4.jpgBob Brown, the Producers, and the docinthemachine

The 20/20 show airs this Friday September 7th at 10PM on ABC- check it out!

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DITM NG Special Website up- Interview with Wired Magazine

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I previously wrote about the upcoming National Geographic Special Inside the Living Body and my work featured in the special.  I was also interviewed by Wired Magazine about the show and the technology behind it.  You can read their take on it here (note – I have to email the author Sonia and explain that it is not a good idea to use the descriptor “Organ Porn” in conjunction with the work of  gynecologist!). 

ng.jpgOne of the CG shots from the show

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National Geographic has set up a website dedicated to the show with photos videos and facts.  Lot’s of fascinating info and images to check out!  They write:

From our first cry to our last breath, our bodies undergo a continuous second-by-second transformation. Every move we make and every outside stimulus triggers a reaction through the skin, bones, organs, muscles and cells. We breathe, on average, 700 million breaths in a lifetime; an adult skeleton is replaced every seven to 10 years; we shed as many as 30,000 dead skin cells every minute; and the food we eat travels 30 feet (9 meters) on its journey through our bodies. Now, the National Geographic Channel (NGC) takes you beneath the skin to reveal how our bodies evolve from birth to old age, and the amazing biological systems we need to thrive.
From the producers of NGC’s critically acclaimed In the Womb series, Inside the Living Body traces one “everywoman’s story”, using milestones to examine the everyday workings of a living, functioning body in ways not seen on television until now. Cutting-edge miniature endoscopic HD cameras delve deep inside the mouth, throat, heart, lungs, digestive tract, brain and reproductive organs to shed new light on how and why our bodies do what they do. Stunning photography in this two-hour special reveals universal moments in human development at the most minute level, providing insight into both our own individual metamorphosis and our shared human experiences.

(the bold is my part!)

The Show airs September 16th on the National Geographic Channel (and the NG HD channel!) at 8PM.

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HD Endoscopy Series Coming

I have been inundated with requests for information and critiques of Medical HD endoscopy/laparoscopy systems.  To meet the rising tide of demand for information I will begin an ongoing series of posts of HDTV in surgery, laparoscopy and endoscopy.  You can read about my testing of the World’s Highest Resolution HDTV Surgical Camera – Ever! – First Exclusive Evaluation here.

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DARPA’s Battlefield Robot Medic to Deploy in 2009

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This year is the 50th anniversary of DARPA, or the Defense Advanced Research Projects Agency, the Pentagon research arm who turns science fiction fantasy into military reality.  DARPA conducts high-risk military research and in the process develops amazing medical technology.  To kick things off right at their 3-day DARPA tech conference (or official site here) they announced the upcoming deployment of the remote battlefield medic/surgeon Trauma Pod robotic system by 2009!  Surgical robotics was initially conceived by DARPA as remote battlefront or space surgical robots and this technology is now widely available in the DaVinci surgical robots

As Popular Mechanics reported from the Conference:  (skip to the end for links to videos)

the first portable, self-contained surgical robot will be deployed in the next two years. Brett Giroir, director of the research agency’s Defense Sciences Office also announced that the system, called Trauma Pod, has successfully “treated” a mannequin during a test, with no complications.

A single human will operate the robot remotely during surgery, but Trauma Pod will be able to perform a number of functions, such as fluid administration and surgical assistance, autonomously. The goal is to stabilize injured soldiers as quickly as possible, and previous Trauma Pod designs have included related systems that evacuate the patient. Giroir said that a prototype will be delivered to troops within two years.

Details of the System and its Use:

According to DSO Director Brett Giroir, the goal of the Trauma Pod is to conduct “emergency control surgery.” That means diagnosing and treating major trauma, focusing on airway management, head wounds and, as Giroir put it, “controlling uncontrollable bleeding.”

And while a surgeon will be controlling some of the Pod’s functions, such as the more invasive procedures, the system relies heavily on autonomous control. The robots in the Pod would insert breathing tubes and IVs, but the surgeon would direct the scalpel. Even during remote operation, auto-targeting systems will assist the surgeon, completing or fine-turning certain actions. “It’s not doing surgery the way a person is,” Giroir said. Instead of an exercise in advanced telepresence, the Trauma Pod is a synthesis of human judgement and robotic precision. Much of the surgeon’s input will be to tell the robots not to do something, such as inserting a breathing tube. Many of the systems are still up in the air, but Giroir expects the Pod to rely on CT scans for diagnosing trauma, and various surgical instruments that, as depicted in the video, the robots will literally grab out of a rack. It might incorporate technology from other programs, such as a device that triggers coagulation in a severed artery through high-intensity focused ultrasound.

Getting the patient off the battlefield and into a hospital is another matter. While the Pod is supposed to eventually meet certain size and weight restrictions, there are no plans yet to incorporate specific vehicles. Giroir does believe it will be compact enough to fit in the back of a Stryker vehicle, for example, and the experimental model that will be delivered in two years might still need to be trimmed down. The Trauma Pod is expected to be used by the Army initially, with possible, full-production deployment happening between 2011 and 2013. That’s a very rough estimate from Giroir, and much of the timing will depend on how quickly the system can be miniaturized, and whether it actually works.

Giroir was also excited about the Pod’s potential civilian use, for when trauma centers are often too far away to save a patient’s life. Local hospitals could stock a single Trauma Pod, and have a surgeon thousands of miles away assist in stabilizing the patient.

They say there are no video or photos available but here at docinthemachine I posted a report and videos of the systems concept and prototypes back last year.  You see the post and all the clips at Awesome Army Videos-Terminator 2025 Battlefield Surgery Built NOW!

For Those Who Want More DARPA Hi Tech Medical Information:  I have prevously written about DARPA and the medical offshoots of its research .  You can read about why DARPA can take the big risks in medical development private industry won’t in Risky Business:Why DARPA Does What Medical Industry Won’t.  Be sure to read Army Axing High-Tech Soldier of Tomorrow- MedTech Losses Predicted for all ofthemedicalbenefits of the Soldier of Tomorrow “Land Warrior” Program.  You can read about the history and future projects planned by DARPA in 2007 in DARPA Releases Strategic Plan 2007 and about it’s amazing array of projects in DARPA 2007 Pt2: Major Achievements, Future Plans, & Medical Benefits (including Newton’s Laws for Biology, Prosthetics, Biological Warfare Defense, and Real-Time Accurate Language Translation). 

Come back tomorrow for my next post reviewing the other robots they showcased…

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Photographic Archiving – Insight for the OR From the Library of Congress

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As part of my posts on my research on high definition surgery (and its recording) in the operating room, I posted on the limitations of still photo archiving in the operating room and potential future advances from new compression systems.

I received a great email today from Ronald Murray.  Ron is a Digital Conversion Specialist (& Registered Biological Photographer) in the Preservation Reformatting Division of the Library of Congress.  He is an expert in digital media with a degree in Media and Cognition who has written about digital media standards.  Here at docinthemachine I love to share insight from outside of medicine that will impact on the future of medical technology. 

Here is what he writes to me:

“Intensive medical imaging technical evaluations of the other still & motion image file form that you mentioned (JPEG 2000) have been underway for some time. (There is no motion image component to Windows HD Photo, as Microsoft already has a prior interest in Windows Media 11)  A PubMed query (http://www.ncbi.nlm.nih.gov/sites/entrez) using the string –>> jpeg2000 OR “JPEG 2000″ returns 97 citations, with the earliest reference to the format in 1997. Many studies cited in PubMEd report results from Receiver Operator Characteristic studies, results which appear to have been sufficiently satisfactory to warrant the inclusion of JPEG 2000 codestreams in the DICOM standard. One would expect that serious evaluations of Windows HD Photo follow this evaluation path.

Our small team here at LC has been following the development and adoption of JPEG 2000 for the last eight years, and has been encouraged more by the analyses found in the medical imaging literature than by what we see in the press or in blogs. For instance, the “JPEG 2000 as memory and processor intensive” line currently offered seems somewhat misplaced as processor technology improves – and as interested parties continue to exploit JPEG 2000 primitives built into Intel-based processor microcode. The advent of multiprocessor CPU’s like the Cell Broadband Processor and the increasing use of Graphic Processing Units also argue against the “too many clock cycles” line.

Also, when one directs one’s focus away from away from consumer photography – attention to which is frequent even in the library and archival world – one encounters an increasing amount of JPEG 2000 activity in critical imaging areas. You are probably also aware that other  large-scale, critical quality imagery users like the National Geospatial Agency and NASA (http://j2karclib.info/node/101) employ JPEG 2000. European utilization of JPEG 2000 is significantly in advance of US activities…and European JPEG 2000-based solutions all tend towards the hardware-assists that the JPEG 2000 Committee assumed would be part of any serious implementation process.

…For more information on JPEG 2000′s evolving presence in library and archival environments, see: http://j2karclib.info and http://www.dltj.org/ and the Library of Congress digital format sustainability pages at: http://www.digitalpreservation.gov/formats/fdd/still_fdd.shtml ”

thanks for the fantastic info and insight Ron!

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New HD Photo Compression System Could Help Surgical Archiving

Microsoft on Tuesday announced that the Joint Photographic Expert Group (JPEG) is considering standardization of the company’s HD Photo file format. Tentatively titled “JPEG XR,” HD Photo was introduced with the release of Windows Vista.

Medical Opportunity?While not as glamarous as a fashy new gizmo the file format could provide an opportunity to obtain very high resolution photos with better color reproduction with higher compresion and imaged and archived faster.  All of this will benefit our ability to image from endoscopic surgery and help propel the OR to a wireless environment.

You can read  about operating room surgical image archiving and what I have been doing with HD video here and about recording video in HD from the OR here

HD Photo – once known as Windows Media Photo is a new file format for digital photography that Microsoft claims offers better image fidelity, higher image compression efficiency more flexible editing features. It supports both lossy and lossless compression. Microsoft claims that HD Photo offers image comparable to JPEG-2000 with less performance and memory drain, and that it can deliver better quality images than JPEG at less than half the file size.  They also claim”

The HD Photo image-coding technology, incubated in Microsoft Research and developed by Microsoft’s Core Media Processing team, offers a host of new features and benefits focusing on the current and emerging needs of digital photography. The technology, which shipped in Windows Vista®, is a new file format for end-to-end digital photography that offers better image fidelity, higher image-compression efficiency and flexible editing features benefiting today’s and tomorrow’s digital-imaging applications. This next-generation digital image format unlocks new potential for digital photography capture, printing and display devices as well as applications and services.

and further ” “Higher compression efficiency offers faster wireless uploads for longer battery life and an enhanced dynamic range that will help improve photographs taken in low-light conditions with a mobile phone or digital camera that does not offer sufficient flash assistance.”

 

here

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