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OR 2020: the operating room of the future.

Abstract : The modern operating room requires an increasing number of new surgical instruments, monitoring and imaging devices, information systems, and communication networks. While these individual technologies are improving, attention must also be paid to integrating all of these resources to improve the quality and efficiency of surgical procedures. The OR2020 Workshop was organized by the Imaging Science and Information Systems (ISIS) Center at Georgetown University Medical Center to identify the clinical and technical requirements for integrating advanced computer-assisted and robotic technologies into the next-generation operating rooms and intervention suites. The workshop built on previous symposia, including the Operating Room of the Future (ORF) workshop sponsored by TATRC in 2002. Approximately 100 participants, including physicians, engineers, and scientists, met for two days in March 2004. The workshop consisted of plenary sessions, a keynote speaker, and two breakout sessions that were divided by Working Groups. The six Working Groups represented key areas of research and development: (1) Operational Efficiency and Workflow, (2) Systems Integration and Technical Standards, (3) Telecollaboration, (4) Surgical Robotics, (5) Intraoperative Diagnosis and Imaging, and (6) Surgical Informatics. From the Working Groups, five broad areas of technology requirements were identified: standards for devices and their use in the operating room; interoperability of devices for a plug-and-play medical network; improvements in surgical robotics, surgery-specific image acquisition, processing, and display; and improvements in communications. The report consists of eight chapters, beginning with an overview in Chapter 1. The Working Group reports are given in Chapters 2-7. The appendices in Chapter 8 include the workshop program, the list of participants, and a bibliography.