Virtual reality simulation for the optimization of endovascular procedures : current perspectives

Endovascular technologies are rapidly evolving, often - requiring coordination and cooperation between clinicians and technicians from diverse specialties. These multidisciplinary interactions lead to challenges that are reflected in the high rate of errors occurring during endovascular procedures. Endovascular virtual reality (VR) simulation has evolved from simple benchtop devices to full physic simulators with advanced haptics and dynamic imaging and physiological controls. The latest developments in this field include the use of fully immersive simulated hybrid angiosuites to train whole endovascular teams in crisis resource management and novel technologies that enable practitioners to build VR simulations based on patient-specific anatomy. As our understanding of the skills, both technical and nontechnical, required for optimal endovascular performance improves, the requisite tools for objective assessment of these skills are being developed and will further enable the use of VR simulation in the training and assessment of endovascular interventionalists and their entire teams. Simulation training that allows deliberate practice without danger to patients may be key to bridging the gap between new endovascular technology and improved patient outcomes

Challenges for orchestration and instance selection of composite services in distributed edge clouds

Today's centralized cloud-computing infrastructures have not been designed with geo-localized, personalized, bandwidth/processing-intensive, real-time applications in mind. High network delay and low throughput can have a significant impact on the user experience. Instead, such services could be deployed in distributed service nodes at the edge of the network, closer to the user. In this paper we focus on composite services of which the components are running in different service nodes. We present a two-layer framework that provides service orchestration and instance selection. We present the orchestration mechanisms to enable the flexible re-use of components across different composite services. For the resolution layer of our framework, we present two modes of operation that combine network and service availability information for efficient per-request instance selection among a multitude of service replicas