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AR in Healthcare

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Introduction

Hypothetical Augmented Reality hologram design for the healthcare industry.

Team

Team of 3

Timeline

3 months : March 2024 - May 2024

Skills

Literature review, surveys, interviews, user personas, contextual inquiry, business requirements, technical requirements, storyboarding, wireframing, prototyping, user testing.

Tools

LateX, Zoom, Figma, Figjam, Miro board, Midjourney.

Motivation

In countries that do not deploy blockchain in their healthcare databases, there is an issue with easily accessing medical history. Uneducated patients lack knowledge about the whereabouts of their medical reports or a good understanding of their health problems. Recalling medication from a long time ago increases the cognitive load on the patient. Medical bills are also not easily reviewed by patients, which might lead to unnecessary charges to the patient's account. To solve this problem, we have devised a product that acts as a connection between an AR hologram and an application, making the experience of going to the hospital seamless and reliable.

Problem

In many countries, healthcare is still trying to get to a point where patients can access their medical history and their bills securely, and understand their symptoms regardless of their literacy. Although there are many apps out there for hospitals, there is no region-specific database that allows them to access this information transparently and securely. In the next decade or so, we are foreseeing AR and blockchain technology playing a major role in accessible healthcare for those who need it.

Problem Statement

Existing healthcare experiences lack universal accessibility and user-friendly interpretation, impeding efficient comprehension and communication of medical information.

Objective

Enhance healthcare accessibility and understanding through the integration of Augmented Reality (AR), revolutionizing doctor consultations, medical diagnoses, data management, and billing processes for all stakeholders involved.

Design process 

Discover

1. Literature Review

2. Requirement Gathering

Define

1. Competitive Analysis

2. User Personas

3. Storyboard

Ideate

1. User Interviews

2. Paper Prototype

3. Low-Fidelity Design

Design

1. High-Fidelity Design

Testing

1. User Testing

2. Feedback Evaluation

Delivery

1. Research Paper

Discover

This project focussed on future interactions with technology that might exist in the near future, so for the discovery phase we conducted a literature review and strategized technical, ethical and design requirements.

Literature Review

After conducting the literature review, we narrowed down the limitations of the current AR hologram technology that could be worked on in our project.

Lack of interactivity visualization of the medical information through conventional methods.

A thorough analysis of Microsoft HoloLens applications in the medical and healthcare fields

Another point to be highlighted is the potential for carrying out non contact and non-destructive high resolution 3D imaging for measuring internal cavities and in due helping with medical procedures.

Development of Interactive Ophthalmology Hologram

Holography addresses shortcomings of current 3D solutions and has the potential to significantly impact medical imaging and image-guided therapies to a higher level.

Development of Interactive Ophthalmology Hologram

Holograms can help with data storage capacity. The 3D approach via holograms allow for storing enormous of data.

Research on Hologram Based on Holographic Projection Technology

Holographic techniques can be used for real-time, intraoperative guidance during minimally invasive procedures, providing the surgeon with a live 3D view of the surgical site and surrounding critical structures.

Hologram the future of medicine – From Star Wars to clinical imaging

Requirement Gathering

Building a technology that can be interacted with takes a lot of planning and consideration of various factors that could affect the project.
We put together a structure for the requirements we may face for this process.

Technical Requirements

AR Hologram Technology

To procure high definition holographic display technology and 3D rendering technology.

Interaction Hardware

To define and gather the necessary technology for interacting with the hologram, such as motion sensors.

Software Development

To develop a software that can create 3D displays of human anatomy from a database, to be able to convert X-rays and other scans into 3D  accurately.

Data Integration

To make sure that the system can access medical information of a particular individual from various health platforms.

Security and Privacy

To integrate cybersecurity to ensure Doctor patient confidentiality and data security and comply with health data regulations like HIPAA.

Performance and Reliability

The system should provide real-time interaction with minimal errors and be reliable for continuous clinical use.

Define

The Define phase of this project dealt with finding out what products are out there currently that work with AR holograms and how they are visualized. We also created our personas and a storyboard to bring together the whole idea of our solution.

Competitive Analysis

There are few hologram-based products out there since this domain is new and upcoming. We found 3 that were relevant to the medical field from which we took inspiration from.

Ophthalmology Hologram

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An interactive simulation of eye anatomy in three-dimensional (3D) by using holography environment approach in order to create visualization of the structures of the eyes.

True3D Viewer

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Provides a hologram of organs that can be moved around, zoomed in on, or manipulated in actual 3D space.

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Microsoft HoloLens

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Bringing a critical change within the healthcare industry, from the teaching and training of therapeutic students to executing troublesome surgery in real-time reenactments.

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User Personas

Primary Persona : Patient (Most Important)

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David Santos

Location : Rural town in Brazil

Job : Transcriptionist

Description : Patient constantly visiting the hospital for a chronic ailment

Goals

1. Easy access to medical records, test info and billing records

2. Reminders for medication and doctors appointments

3. To understand medical information related to their condition

Frustrations

1. Difficulty navigating complex healthcare systems

2. Feeling overwhelmed by medical terminology

3. Hard time remembering and scheduling medical instructions and appointments

Storyboard

For the storyboard, we used mid-journey to generate images with holograms to visualize a story with the product we wanted to design.

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A patient experiences an uneasy symptom

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Patient arrives at hospital and explains problem to nurse

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Nurse creates interactive hologram highlighting issue area

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Nurse transfers hologram visualisation to the Doctor

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Doctor views patient history data linked to hologram

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Blockchain-encrypted EHR portal stores entire patient history

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Documentation reveals interacting medication side effects

Ideate

For the Ideate phase of this project, our goal was to visualize holograms in a way understandable without the presence of a hologram technology through elements and features that our users need. 

User Interviews

To fully understand user behaviour and user needs, we conducted 11 user interviews with all 3 of our personas through zoom and found some key takeaways that we could incorporate to our solution.

Demographics

3 Doctors : 2-10 years experience 

2 Nurses : 3-5 years experience 

6 Patients : 18 - 25 years of age.

Selecting Participants

We selected participants from India where hospital systems are not as technologically advanced. This allowed us to understand and gain perspective about what our users needed for a better experience for all 3 personas.

Interview Questionnaire

We created two user scripts and they had some questions that were similar and some questions related to their persona. Here are some of the questions we asked our participants.

User script 1: Doctors and Nurses.
1. What are some of the major challenges you have faced during a consultation?
2. Do you think by the end of your appointment, your points were clearly explained to the patients?
3. How do you manage the medical records of recurring patients?
4. How do you handle miscommunication between you and a patient?
 
User script 2: Patients.
1. What are some of the major challenges you have faced during a consultation?
2. Do you have any issues with understanding the diagnosis given to you?
3. How do you maintain your medical records?
4. Do you always go to the same doctor for a recurring symptom?

Key Takeaways

  1. Many patients don’t understand concepts more than fever, cough,cold.

  2. If patient is from a different place that speaks a different language, communication is difficult, which results in them not understanding the conversations and possibly not trusting the doctor enough.

  3. Biggest problem is when patients don’t bring previous medical documents in case of persisting symptoms.

  4. When the doctors goes deep into explaining how and why something is happening, either due to misunderstanding or educational constraints, the patient doesn’t understand it.

  5. Just to make the patient understand how the anatomy of their body works is always a task, it doesn’t feel like the patient understands the gravity of an illness with clarity when they leave.

Here are some things our participants mentioned during the interviews.

”Many patients don’t understand concepts more than fever, cough, cold etc.”

”If I go to a hospital in a different state that speaks a different language, communication is difficult and making a trusting connection with the doctor becomes hard.”

Paper Prototype

We started brainstorming our design and experience through a 3D paper prototype to easily portray how an AR hologram would look like in a real-life setting. We used a paper cup as support for a human anatomy hologram on paper and straws to visualize elements and components that are interactive.

”Biggest problem is when it’s a new patient to a hospital and they do not bring previous medical documents if they are coming for persisting symptoms and illness.”

”When I need to get deep into explaining certain issues with technical terms, some patients do not understand me due to misunderstanding or educational constraints.”

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Lo-fidelity Design

We wireframed a lo-fidelity design on paper to translate the 3D paper prototype into a 2D digital version for easy understanding.

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Design

We used figma to create a 2D prototype of our project with all the interactions and elements to simulate an AR hologram.

High Fidelity Design

Startup

This video shows the flow for startup and visualisation of the human anatomy.

Info Cards

This video shows the flow for the information cards for selected organs/muscles and input options.

Conflict

This video shows the flow for the correlation between multiple information cards.

Testing

After creating the high fidelity prototype, we wanted to conduct a round of user testing to evaluate the features and usability of our product.

User Testing

We conducted user testing with the same participants of the user interviews so we could compare their requirements with the final product.

Key Takeaways

  1. Having a more visual way of adding symptoms is interesting.

  2. Some people might need to be trained on how to use it so errors can be fixed or avoided,

  3. If we can pull off the logic of conflicting medication, we can add more logics that can help doctors more.

  4. Having different input methods is a good feature

  5. A high fidelity mockup will make it much more effective to understand if it can be implemented in reality.

  6. Since it was a figma prototype, the interaction between a finger and the AR was not properly conveyed.

  7. The highlighting of the organs and muscles were appreciated.

  8. The information was very well thought out and presented in an easy way to understand.

  9. Zoom-in functionality was not there.

  10. Buttons and action icons could have been bigger.

Delivery

After the usability testing, we took all the key takeaways and wrote a research paper on AR in Healthcare since this kind of technology is not yet in practice so this is a theoretical study. The future scope of the project would be to implement the design into an actual AR production an multiple rounds of testing to ensure that it complies with all technology, ethical and UX standards.

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