World First Retransmission of Medical Images in an Operating Room via DICOM-RTV: Technical Details

This paper provides technical details regarding the worldwide premiere implementation of the DICOM Real-Time Video (DICOM-RTV), in which an experimental setup was deployed at the Rennes University Hospital in France during five Urological surgeries. The solution allows the real-time retransmission of medical images from different equipment in the operating room in a perfectly synchronized way. In this paper, we show how we have been able to transport and synchronize the video signal from a camera recording the hand gestures of the surgeon, and from an endoscope used by the same surgeon. This paper also demonstrates the interest of using the new DICOM-RTV standard in order to improve the surgical gestures precision and to provide precise, real-time and synchronized instructions to the different operators during a surgery, toward the next generation operation rooms.