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IMI Conference 2016 – Abstracts (Plenary and Concurrent)

Saturday 17th September

The New Voices Session is followed by the keynote address, a short plenary session, and a panel-led discussion on professional regulation. The AGM will be held at 12.15pm. After lunch, delegates may attend either of two concurrent sessions: (1) Medical visualisation will cover the field of imaging the human body using various imaging modalities and software packages to create visual data on digital platforms. (2) The other session will discuss the increasing use of mobile devices and 3D technology in clinical practice and research. We then come together again for the final plenary session, with presentations covering all strands of our profession.

Plenary Session 1

Personal Injury Photography: Principles and practice

David Bryson, University of Derby

It is over 30 years since I started undertaking personal injury work and 20 since I first wrote a paper about this area in the Journal of Audiovisual Media in Medicine, now Journal of Visual Communication in Medicine. Looking at the current situation: What is the same? What has changed? What is the future for Personal Injury Photography?This paper will address the similarities and differences between clinical, forensic and personal injury photography including the principles behind the use of photography in litigation. It will also look at the state of casework in the UK and suggest possible ways forward to maximize the value to clinical photography departments in the view of the current legislation and marketplace for personal injury work.

Medical and forensic photography in the HM forces

Tim Robinson

 Abstract to follow.

Concurrent 1: Medical Visualisation

Assessing “dissection room” anatomy using photogrammetry and 3D image analysis technology on an e-learning platform

Val Fallon, University of Glasgow

Practical anatomical knowledge is often tested in the dissection room using the traditional “spot test” method which comprises numbered stations with “pinned” cadaveric material and associated questions. Administering “spot-tests” to courses with a high volume of students can be time-consuming and labour-intensive.E-learning technology has already provided us with an alternative way to assess “spot test” dissection room anatomy in the lecture theatre; this involves combining 2-dimensional (2D) cadaveric imagery with voice-over narration on an e-learning platform.  In this way the number of students being tested simultaneously is simply dictated by auditorium capacity and available audio-visual equipment. Being able to assess in this way circumvents the need for coordinated logistics planning that is often synonymous with the delivery of traditional anatomy-type “spot tests” to large volume classes. However, the 2D cadaveric imagery currently being used in this assessment requires modification to 3D imagery in order to better align with the dissection room-based anatomical teaching sessions and cadaveric material used therein.   A pilot study was conducted using photogrammetry and 3D image analysis software to create 3D cadaveric imagery for incorporation onto an e-learning platform.This has seen the creation of a 3D, “real-life” practical anatomy assessment method using a human cadaveric hand with associated on-screen questions and voice-over narration; the purpose of which is to exemplify how we can output 3D cadaveric imagery for use in lecture-theatre-based summative assessment of practical anatomy knowledge.

Does Virtual Haptic Dissection Improve Student Learning?  A Multi-Year Comparative Study

Caroline EROLIN, Clare LAMB, Roger SOAMES and Caroline WILKINSON

University of Dundee

This study investigated the haptic ‘dissection’ of a digital model of the hand and wrist in anatomy education at both undergraduate (UG) and postgraduate (PG) levels. The study ran over five successive years and was split into three discreet phases. Phase one compared the results of PG students across control, non-haptic and haptic groups. Phase two compared the results of UG students between control and haptic groups. Phase three compared the results of UG students across control, non-haptic and haptic groups. Results for all phases indicate that use of the model, both through haptic and non-haptic interfaces produced some significantly improved test results. The non-haptic group performing the strongest overall indicating that the addition of haptic feedback may not be beneficial to student learning.

How to Effectively Design a Concept Mobile Application to Aid in the Management of Type 1 Diabetes in Adolescents

Victoria McCulloch, Sarah Hope, Brian Loranger, Paul Rea

Freelance Medical Illustrator; University of Glasgow

With diabetes being one of the eight most prevalent chronic health conditions in the World, there is a wide range of diabetes-related mobile applications available to the public to aid in glycaemic control and self-management. Statistically adherence to medication is extremely low in adolescents with Type 1 diabetes mellitus, therefore it is crucial that adolescents adhere to their medication from a young age and adopt good medication regimens. This presentation focuses on the research and design of an interactive and educational concept mobile application aimed at adolescents, aged 11 to 16 years old, to aid in their understanding of Type 1 diabetes mellitus. As the visual elements are an essential part to the design of a mobile application, this research will outline how the visual components of the application were designed specifically for the target audience of adolescents with Type 1 diabetes mellitus.

Texturing realistic CGI facial depictions. Current and future practice at Face Lab, Liverpool School of Art and Design

Mark Roughley, Face Lab, Liverpool School of Art and Design, Liverpool John Moores University

Face Lab is a Liverpool School of Art and Design, Liverpool John Moores University, research group that carries out forensic/archaeological research and consultancy work and this includes craniofacial analysis, facial depiction and forensic art. Face Lab utilises a variety of 3D software to create its facial depictions and this presentation will demonstrate the process of texturing CGI facial depictions and how Face Lab is adapting to changing technologies to create realistic images of faces from history. The presentation will cover the use of 3D software such as ZBrush, Photoshop and Maya, and 3D/4D texture capture scanners and systems. We would like for the audience to be aware of the collaborative process that take place when creating a finished facial depiction, and the importance of utilising high resolution captured images/photographs/data when texturing 2D images and 3D models.Example of Face Lab’s recent projects: St. Nicholas (Santa Claus) www.bbc.co.uk/news/uk-england-merseyside-30354994

Concurrent 2: Mobile and 3D technology

Mobile Phone Standards for Teledermatology (inc SCIT update)

Jane Tovey, Queen Elizabeth Hospital Birmingham, UHB NHS Foundation Trust

In 2011 the Primary Care Commission published Quality Standards for Dermatology: Providing the Right Care for People with Skin Conditions and subsequently, the Quality Standards for Teledermatology. This work was supported by the British Association of Dermatology, the British Dermatological Nursing Group and Primary Care Dermatology Society as well as IMI's very own Paul Crompton. Early in 2016 Simon Dove and Jane Tovey joined the working group to develop a supplement for these documents which outlines specific guidance for mobile phones in tele-dermatology. This presentation will outline the progress to date and how it links to the Secure Clinical Image Transfer App developed by UHB Trust. As the DIY & telemedicine market has expanded, opportunities have arisen for Medical Illustration departments to support these by becoming 'Image Guardians' for the Trust. Placing Medical Illustration at the heart of all image-related risk incidents and working with senior management to control these unmanaged service developments, bringing a new level of respect to the department along the way.

3D printing in medicine and healthcare

Jerry Nayler, Cambridge University Hospitals NHS Foundation Trust

Abstract to follow

From Traditional Static-3D to Next Generation Temporal-3D in the NHS

Kelly Duncan, 3dMD Ltd.

Following on from my previous talks on high-precision 3D photography for clinical use, this scientific session will focus on the ongoing transition from traditional static-3D photography, which has been in use worldwide for more than a decade, to the next wave of advanced temporal-3D (4D) photography. With advanced temporal-3D technology... 3D photography protocols no longer have to be dependent on capturing that one vital 3D photograph in a single point-and-click set-up. The photographer can easily select the best possible 3D photograph from a progressive 3D sequence; thus minimizing the uncertainty associated with restless children or unsteady patients. More importantly, medical photographers can also document the most appropriate facial expressions, body postures, and positions for comparison purposes in outcomes assessment and analyse dense-3D dynamic surface motion to quantify anatomical function. Temporal 3dMD systems are now in daily use at prestigious teaching hospitals and research institutions around the world. This talk will also discuss how temporal-3D is being applied by medical photography departments in hospitals throughout the UK including Chelsea & Westminster Hospital and Belfast City Hospital.

2D/3D Imaging for research - The PICTURE project

David Bishop, UCL Medical Photography / Health Creatives

PICTURE is a multi consortium, European funded research project and over the last two years our department has been heavily involved in the photography of breast cancer patients with 2D and 3D equipment with a view to the data being used with other imaging modalities to help develop / produce a reliable software demonstrator that "...is designed to predict how an individual patient’s breast will look after breast-conserving surgery. ." (PICTURE 2016). This presentation will provide an overview of the development of various photography protocols, the patient journey, working with multiple research teams together with the problems encountered during patient photography, concluding with the results obtained so far with the software demonstrator shown at the PICTURE symposium in January 2016.

Plenary Session 2

Illustration and Design for Digital Medical Education

Annie Campbell, University of Dundee School of Medicine

The Medical School of the University of Dundee are constantly exploring new methods on how they can improve their teaching sessions for their medical students. With advances in technology their students tend to gravitate towards animation, video or interactive resources, that are filled with 3D models and visualisations, to help develop their understanding of human anatomy. As a medical artist collaborating with the University’s teaching staff we have produced interactive content with mock patient case scenarios, dynamic presentations filled with medical illustrations and animations, as well as successfully shared our work for other individuals to reuse for educational purposes.In my presentation I would like to present these examples of our collaborative work. I will also show how I look to other groups for visual resources and build on their work to create new learning assets. I hope that by showcasing my examples I can demonstrate to the audience how our methods of working together can be applied to other areas of healthcare and design. 

Utility of Videoscribe / Video

Sasanka Srinivas, Heartlands Hospital, Heart of England NHS Trust

Abstract to follow

Freelancing for the NHS

Jack Silverman, NHS Lanarkshire

Abstract to follow

The '4 TRAUMA' Project

Jane Tovey, Queen Elizabeth Hospital Birmingham, UHB NHS Foundation Trust

The Role 4 Trauma Guidelines project is designed to gather the lessons learned from treating the military trauma casualties at the Queen Elizabeth Hospital Birmingham, the base for the Royal Centre of Defence Medicine. It was intended to be media rich and interactive. This presentation documents the project to date and outlines the trials and tribulations of managing a continuously changing IT based project, product promotion and the financial challenges along the way.The 4Trauma Project includes: The Combat Trauma App, Day One & Beyond (Lessons learned from responding to Major Incidences) , 4Trauma website, Trauma Toolkit as well as the 4Trauma4Patients project.

My Personal Journey in medical illustration and the NHS: Then, Now and the Future…

John Biagi, NHS Lanarkshire

My personal journey is an insight into how a career pathway in medical illustration does not have to begin and end in medical illustration. I would like the audience to learn, that given the proper support and encouragement anything is possible. A career in Medical Illustration allows the candidate to forge strong working relationships with a variety of professionals, this brings opportunities and how you utilize those opportunities is down to the individual. My current role as service development manager for Ophthalmology, allows me to explore further reaching avenues for a medical illustration work stream, bridging the gap between primary and secondary care, with pilot programs such as a community diagnostic hub. This project will be the epicentre of this talk, I will discuss the projects grass roots, how it’s being developed, the possibilities it provides for the patients of NHS Lanarkshire, insight into how it can help ease the pressure on our secondary care services and what the implications of it could mean for Medical Illustration Services in NHS Lanarkshire.

Programme subject to changes.


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Clinical photography, design and video in healthcare