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Touchless Control of Picture Archiving and Communication System in Operating Room Environment: A Comparative Study of Input Methodsopen access

Authors
Kim, Jung-TaekCha, Yong-HanYoo, Jun-IlPark, Chan-Ho
Issue Date
Sep-2021
Publisher
KOREAN ORTHOPAEDIC ASSOC
Keywords
Touchless; Mouse; Picture archiving and communication system; Operating room
Citation
CLINICS IN ORTHOPEDIC SURGERY, v.13, no.3, pp.436 - 446
Indexed
SCIE
SCOPUS
KCI
Journal Title
CLINICS IN ORTHOPEDIC SURGERY
Volume
13
Number
3
Start Page
436
End Page
446
URI
https://scholarworks.bwise.kr/gnu/handle/sw.gnu/3338
DOI
10.4055/cios20004
ISSN
2005-291x
Abstract
Background: The advancement of computer information technology would maximize its potential in operating rooms with touchless input devices. A picture archiving and communication system (PACS) was compared with a touchless input device (LMC-GW), relaying to another person to control a mouse through verbal guidance, and directly controlling a mouse. Methods: Participants (n = 34; mean age, 29.6 years) were prospectively enrolled and given nine scenarios to compare the three methods. Each scenario consisted of eight tasks, which required 6 essential functions of PACS. Time elapsed and measurement values were recorded for objective evaluation, while subjective evaluation was conducted with a questionnaire. Results: In all 8 tasks, manipulation using the mouse took significantly less time than the other methods (all p < 0.05). Study selection, panning, zooming, scrolling, distance measuring, and leg length measurement took significantly less time when LMC-GW was used compared to relaying to another person (all p < 0.01), whereas there were no significant differences in time required for measuring the angles and windowing. Although the touchless input device provided higher accessibility and lower contamination risk, it was more difficult to handle than the other input methods (all p < 0.01). Conclusions: The touchless input device provided superior or equal performance to the method of verbal instruction in the environment of operating room. Surgeons agreed that the device would be helpful for manipulating PACS in operating rooms with less contamination risk and disturbance of workflow. The touchless input device can be an alternative option for direct manipulation of a mouse in operation rooms in the future.
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의과대학 (의학과)
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