@Article{info:doi/10.2196/18094，作者=“Lin, Chun-Cheng and Chen, Yu-Pin and Chiang, chaoching and Chang, Ming-Chau and Lee, Oscar ku- sheng”，标题=“混合手术室手术表现与术中影像数据的实时流媒体:发展与可用性研究”，期刊=“JMIR Med Inform”，年=“2020”，月=“4”，日=“22”，卷=“8”，号=“4”，页=“e18094”，关键词=“混合手术室;实时流媒体;外科telementoring;资讯科技基础设施;编码器和解码器;真实的证据;信息技术;手术;医学成像;背景:当今手术室的快速发展趋势和数字化数据的增加导致了混合型手术室的建设。 There is often a main control room with monitors for integrating intraoperative data from multiple devices in the hybrid OR. However, there is no adequate solution for communicating the data with people outside the OR. Objective: The objective of this study was to design an intelligent operating room (iOR) system, augmented onto the existing information technology (IT) infrastructure of hybrid ORs, to stream surgery performance and intraoperative imaging data. Methods: In this study, an all-in-one device with synergetic encoder and decoder was used. The device was able to stream multiple sources to one display. The lossless video and images from specific surgical workflows were streamed outside the hybrid OR through network protocols and were further managed by a streaming server and wireless control system. The steps of this study included the following: (1) defining the requirements and feasibility of an iOR system in the hybrid OR, (2) connecting multiple sources, (3) setting up equipment across the hybrid OR and a conference room, (4) designing a video management system, and (5) real-time streaming under specific surgical workflows. Results: The wired streamed video was shown simultaneously on the display in the hybrid OR and the display in the conference room with near-zero latency. Additionally, an interactive video between the hybrid OR and the conference room was achieved through the bidirectional wireless control system. The functions of recording, archiving, and playback were successfully provided by the streaming server. The readily available hardware components and open-access programming reduced the cost required to construct this streaming system. Conclusions: This flexible and cost-effective iOR system not only provided educational benefits, but also contributed to surgical telementoring. ", issn="2291-9694", doi="10.2196/18094", url="http://medinform.www.mybigtv.com/2020/4/e18094/", url="https://doi.org/10.2196/18094", url="http://www.ncbi.nlm.nih.gov/pubmed/32209528" }