Computer-integrated interventional medicine: A 30 year perspective

This chapter will discuss insights gathered over nearly 30 years of research on medical robotics and computer-integrated interventional medicine (CIIM), both at IBM and at Johns Hopkins University. The goal of this research has been the creation of a three-way partnership between physicians, technology, and information to improve treatment processes. CIIM systems combine innovative algorithms, robotic devices, imaging systems, sensors, and human-machine interfaces to work cooperatively with surgeons in the planning and execution of surgery and other interventional procedures. For individual patients, CIIM systems can enable less invasive, safer, and more cost-effective treatments. Since these systems have the ability to act as “flight data recorders” in the operating room, they can enable the use of statistical methods to improve treatment processes for future patients and to promote physician training. We will discuss the information flow, intraoperative components, and research issues associated with CIIM systems. Finally, we will offer some thoughts about future research opportunities and system evolution.