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Hybrid User Interface Aids Radiological Diagnosis

By MedImaging International staff writers
Posted on 28 Feb 2018

Image: The 3D zSpace display with stylus interaction (Photo courtesy of Harish Mandalika/ the University of Canterbury).

A new study describes a radiology display interface that provides simultaneous two-dimensional (2D) and three-dimensional (3D) visualization of medical images.

Developed at the University of Canterbury (Christchurch, New Zealand), the University of Otago (Christchurch, New Zealand), and other institutions, the 2D/3D desktop virtual reality hybrid user interface focuses on improving the 3D manipulation required in some radiologic diagnostic tasks. The system combines a zSpace (Sunnyvale, CA, USA) AIO stereoscopic virtual reality device with a standard 2D display, mouse, and keyboard, all connected via a single workstation computer.

The 3D component includes a stereoscopic display embedded with motion-tracking cameras, polarized glasses, and a 3D stylus. The wearer of the stereoscopic virtual reality device must first open an image dataset in the 2D part of the interface. Once loaded, a marching cubes algorithm automatically extracts a 3D model from the images in real-time, and displays it on the 3D interface of the virtual reality device. Via the stylus, the image can then be rotated, annotated, measured, and marked for regions of interest. The position and orientation of the object in the 2D and 3D displays are synchronized.

An evaluation of the system by medical students and radiology residents who examined CT scans on the hybrid interface showed that they were able to diagnose scoliosis more accurately than when using a 2D or 3D interface alone. In addition, the 2D/3D hybrid interface was more efficient for the novice users, and more accurate for both novice and experienced users, when compared to traditional 2D interfaces. In addition, diagnostic accuracy of the medical students improved to match that of the residents. The study was published in the February 2018 issue of Journal of Digital Imaging.

“The interface can offer significant advantages to a subset of diagnostic radiology tasks that rely on some level of 3D manipulation, such as measuring the angle/displacement of broken bone segments, measuring brain aneurysms, etc.,” said lead author graduate student Harish Mandalika, MSc, of the Human Interface Technology Lab (HITL) at the University of Canterbury. “I also believe that the hybrid interface would largely benefit novice users and can be used as a learning/training tool.”

Related Links:
University of Canterbury
University of Otago
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70 (415.08674621582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294772668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (226.97448730469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294772668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (42.200088500977): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (65.088272094727): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (110.14938354492): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294772668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (41.961669921875): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294772668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (35.04753112793): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

105 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

106 (66.041946411133): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294772668 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (48.87580871582): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294772668 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (123.02398681641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

109 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

110 (80.108642578125): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294772668 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (558.85314941406): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294772668 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (591.99333190918): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (455.14106750488): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

115 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

116 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

117 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

118 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

119 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

120 (189.06593322754): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 20110.130310059): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

123 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

124 (452.04162597656): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294772668 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294772668 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 666152.95410156): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (102.99682617188): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (63.180923461914): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (41.961669921875): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (67.949295043945): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (43.869018554688): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (46.968460083008): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (38.862228393555): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (580.0724029541): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (445.84274291992): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (56.028366088867): SELECT name FROM jos_deeppockets WHERE id=215

136 (37.908554077148): SELECT name FROM jos_deeppockets WHERE id=215

137 (664.94941711426): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (612.02049255371): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

140 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

141 (!!!!! 11548.042297363): TRUNCATE TABLE jos_trademed_module

142 (129.93812561035): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294772668 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (72.956085205078): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294772668 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (603.91426086426): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (95.844268798828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

147 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

148 (!!!!! 1654.1481018066): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

150 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

151 (51.021575927734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294772668 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294772668 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (51.975250244141): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

153 (80.82389831543): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

154 (46.968460083008): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (83.208084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

156 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294772668 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294772668 AND published='1' LIMIT 1

157 (51.975250244141): select jos_twitters.link from jos_twitters where cat=10

158 (36.954879760742): select jos_facebook.link from jos_facebook where cat=10

159 (37.193298339844): select jos_google_plus.link from jos_google_plus where cat=10

160 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

161 (359.77363586426): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1720.9053039551): insert into jos_banners_delta values (14615,'2025-06-20 13:41:49','216.73.216.120','view'),(14202,'2025-06-20 13:41:49','216.73.216.120','view'),(14203,'2025-06-20 13:41:49','216.73.216.120','view')

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