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  <front>
    <journal-meta />
    <article-meta>
      <title-group>
        <article-title>Method for teaching medical imaging Virtual Reality Techniques diagnosis, applying</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Luz Mendoza-Tucto</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Wilver Auccahuasi</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Kitty Urbano</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Oscar Linares</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Karin Rojas</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Manuel Narro-Andrade</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Julio Garcia-Rodriguez</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Jorge Inche-Mitma</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Martin Campos- Martinez</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Humberto Quispe-Peña</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Julia Sobrino-Mesias</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Sara Meza-Morales</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Juan Marin-Huapaya</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Martha Romero-Echevarria</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Universidad César Vallejo</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Universidad Privada del Norte</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Universidad Científica del Sur</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Universidad Continental</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Huancayo</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Universidad Tecnológica del Perú</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Universidad Nacional Federico Villarreal</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Universidad Privada Peruano Alemana</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Universidad Nacional Mayor de San Marcos</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Universidad Autónoma de Ica</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Universidad Nacional del Callao</string-name>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Universidad Autonoma del Perú</string-name>
        </contrib>
      </contrib-group>
      <fpage>66</fpage>
      <lpage>71</lpage>
      <abstract>
        <p>The TICS, are changing the procedures of doing many things, one of them is related to education, mainly those related to medical sciences, in teaching about the interpretation of medical images, in this article, we present a methodology for teaching and interpretation of medical images, using the techniques provided by virtual reality, The method proposes the use of the glasses as well as the possibilities of use and exploitation, which allows students tohave a better experimentation. The results show that the presented method has many probabilities of use, exploitation and scaling.</p>
      </abstract>
      <kwd-group>
        <kwd>eol&gt;Imaging</kwd>
        <kwd>thermal</kwd>
        <kwd>optical</kwd>
        <kwd>fusion</kwd>
        <kwd>muscle</kwd>
        <kwd>rehabilitation</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>1. Introduction</title>
      <p>
        Reviewing the literature, we found works where the use of virtual reality technology is resorted to,
in order to be used in various educational processes, we found works related to the exploitation of virtual
reality techniques as alternative mechanisms to the current ones [
        <xref ref-type="bibr" rid="ref1">1</xref>
        ]. In the analysis of the works that
require the use of virtual reality technology, where it is necessary to have stable and high- speed
connections that ensure the continuity of the signal in order to exploit all the benefits of its
implementation [
        <xref ref-type="bibr" rid="ref2">2</xref>
        ], these same mechanisms are necessary when it is required to perform professional
online games, where high availability of connectivity is mainly required [
        <xref ref-type="bibr" rid="ref3">3</xref>
        ]. In the analysis of the
devices needed for the use and applications of virtual reality technologies, we find a series of devices
and technologies needed, in this sense we find many devices from medical to research use, as well as
a series of devices that meet the same functionality considered low cost, which make possible many
applications and research [
        <xref ref-type="bibr" rid="ref4">4</xref>
        ][
        <xref ref-type="bibr" rid="ref5">5</xref>
        ].
      </p>
      <p>
        These virtual reality techniques are being widely used in the field of health, as is the case in
rehabilitation processes, when patients are doing their rehabilitation exercises, with the intention of
being able to visualize the movements of the human body, in order to demonstrate the movements of
the upper and lower limbs, in this sense we begin to recover the movement of the limbs from the
conceptualization of the realization of the movement [
        <xref ref-type="bibr" rid="ref6">6</xref>
        ] [
        <xref ref-type="bibr" rid="ref7">7</xref>
        ]. Virtual reality techniques are being used
in the field of education, as in the case of teaching programming courses, where these technologies are
exploited in the processes of improving programming skills [
        <xref ref-type="bibr" rid="ref8">8</xref>
        ][
        <xref ref-type="bibr" rid="ref9">9</xref>
        ]. The trend of the works where the
virtual reality technique is used in the compression of educational processes where the contributions of
the technologies are evaluated for the benefit of being able to evaluate their effects in the compression
of the subjects by the students [
        <xref ref-type="bibr" rid="ref10">10</xref>
        ].
      </p>
      <p>In this article, we present a method to work with virtual reality technology, using the Oculus Gest
2 glasses, in the teaching processes of courses of analysis and interpretation of medical images, applied
to medical interns and physicians who specialize in radiology.</p>
    </sec>
    <sec id="sec-2">
      <title>2. Materials and Methods</title>
      <p>The materials and methods are logically organized to describe how to take advantage of the
methodology, starting with the description of the problem, followed by a description of how to
implement the method, and ending with the use and applications of the method.</p>
    </sec>
    <sec id="sec-3">
      <title>2.1 Description of the problem</title>
      <p>The description of the problem is dedicated to analyze how are the conventional procedures in the
teaching of subjects corresponding to medical images, where the doctor visualizes a medical image
through monitors connected to workstations, then all students visualize the monitor and begin to analyze
the benefits provided by medical images, This scenario is repeated in most universities and university
hospitals, where it is taught, so the proposal presented significantly changes the mode of medical
diagnosis through the analysis of medical images, where the student can view the images through virtual
reality glasses, as described in the materials and methods.</p>
    </sec>
    <sec id="sec-4">
      <title>2.2 Description of the method</title>
      <p>The method we describe is part of a description of how to connect from the virtual reality glasses
to the medical devices directly, for this we have several configuration options, one of them and the most
important is from the perspective of a class where the doctor who does the teaching work to students,
the configuration begins with the installation of an application that can share what is being displayed
on the monitor of the computer connected to the medical equipment, one of the applicationsthat we
recommend is Virtual Desktop, with this application we can connect many devices with the central
computer, this connectivity allows us to share everything that can be displayed on the monitor,on the
devices, within these devices to connect are the various virtual reality glasses, of various brands, one of
the considerations that must be taken, is that all devices must be connected to the same wireless network,
both the devices and the central computer.</p>
      <p>In the following figure, we present a diagram of the configuration and use of the presented method.</p>
      <p>From the main computer you can view different modalities of images, such as magnetic resonance
images, computed tomography, x-rays, mammography, ultrasound, among others, many of which are
in DICOM format, one of the advantages provided by the Virtual Desktop application, is thateverything
that can be seen on the monitor is replicated in the virtual reality devices. The medical images are in
DICOM format, so they cannot be visualized with conventional viewers, it is necessary applications
that can read DICOM format.</p>
      <p>In virtual reality devices it is not possible to visualize medical images, in this sense the virtual
desktop application allows visualization, so that all types of medical image modalities can be visualized,
as shown in Figure 3.</p>
    </sec>
    <sec id="sec-5">
      <title>3. Data Analysis</title>
      <p>The analysis of the data is represented from the perspective of being able to visualize medical
images in DICOM format, from different virtual reality devices, in this sense it is important to
indicate that by means of the presented method it is possible to share images in many
noncommercial formats, thanks to the different applications that can be executed in the main computer
and these replicated in the virtual reality devices.</p>
      <p>In addition to this feature, being able to visualize images individually helps in the educational
processes of students where it increases their visual capacity of the images through the immersion
provided by virtual reality technologies.</p>
      <p>In Figure 3, we present the modalities of medical images in DICOM format, which can be
visualized by means of virtual reality devices, in these cases it is necessary to indicate that different
modalities of images independent of the formats can be presented.</p>
    </sec>
    <sec id="sec-6">
      <title>4. Results</title>
      <p>The results that we present at the end of the description of the method, is related to the advantages
in the use and exploitation of virtual reality technologies, for the benefit of educational processes in the
teaching of medical imaging diagnosis, we have in this scenario a first task that is to configure the main
computer that can be connected to the medical equipment, In this sense, it is important to point out that
many of the virtual reality devices do not have native applications to visualize medical images, so in
order to take advantage of the technological and immersion advantages, the virtual desktop application
takes advantage of all these benefits provided by the virtual reality technology.</p>
      <p>The following is a flow chart showing the procedures to configure the devices and exploit the
advantages of the presented method.</p>
      <p>Figure 4 shows the flow chart of the procedures to exploit the benefits of the presented method,
where we start with the configuration of the devices, in this case we recommend the use of the virtual
desktop application, then we perform the visualization of the images on the main computer, as in the
virtual reality devices, if the images can be visualized, it is configured and can perform the activities
of medical diagnostics, if the images cannot be visualized, the application must be configured in order
to change the settings and resolutions for a better visualization of medical images.</p>
    </sec>
    <sec id="sec-7">
      <title>5. Conclusion</title>
      <p>The conclusions we reached at the end of this research are related to providing new ways and tools
to improve the teaching processes of medical diagnostic procedures, using virtual reality technologies,
which allows greater interaction and immersion on the part of students, so that they can improve the
perception of the images, with the method presented increasing the interaction in the handling of
medical images, as well as individualizing the teaching mechanisms. It is recommended that each
student can work with his own virtual reality device, in order to be able to personalize the explanations
made by the doctors who are in the teaching process.</p>
      <p>One of the necessary recommendations is that all the devices can be connected to the same wireless
network in order to be able to connect to the central computer and be able to replicate what isvisualized
in the virtual reality devices, it is recommended to work with an application that allows this
integration as is the case of the virtual desktop application, finally we can indicate that the method can
be replicated and scaled depending on the needs in the educational processes.</p>
    </sec>
    <sec id="sec-8">
      <title>6. References</title>
    </sec>
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