3D Tech to Connect Surgeons with Patients in Remote Africa

Since 2002, Charles Owusu Aseku has traveled across Ghana and beyond, seeking treatment for a large keloid on his neck. Despite undergoing two unsuccessful surgeries and a consultation in South Africa, the 46-year-old remained discouraged. But in late February, he participated in Ghana’s first trial of 3D telemedicine technology, a system that uses computer screens inside a van for remote consultations.

Developed by Microsoft Research in collaboration with local doctors, this initiative aims to provide remote medical consultations for patients awaiting surgery or requiring post-operative care in regions with some of the world’s lowest doctor-to-patient ratios. The project, which builds on earlier trials in Scotland, has evolved into a portable system featuring enhanced lighting and upgraded cameras.

Inside the van, cameras create a 3D model of each patient, which is displayed on a large screen. Multiple doctors can then join remotely, examining the model and providing feedback on the patient's condition. "The goal is to bring specialized care to remote villages, enabling pre- or post-surgical consultations," said Spencer Fowers, principal software developer and lead of the 3D-telemedicine project at Microsoft Research.

The technology also enables patients to receive multiple medical opinions. During Aseku’s session, doctors from Rwanda, Scotland, and Brazil participated, boosting his hope for a solution. "I see many doctors, and I am very happy because each brings their expertise—maybe they will find a solution to my problem," said Aseku.

The trial, conducted at Koforidua Regional Hospital in eastern Ghana, is seen as a stepping stone to expanding the service and exploring further applications. Telemedicine adoption has surged, especially after the COVID-19 pandemic, and experts believe these digital tools are vital for Africa, where specialist doctors are in short supply for its 1.4 billion people.

George Opoku, 68, a sarcoma patient, was also enrolled in the trial after being referred to the Korle-Bu Teaching Hospital, nearly 100 kilometers from Koforidua. The 3D telemedicine system spared him the cost and strain of long-distance travel. "I simply had to sit in a van, introduce myself, and answer questions from several doctors. I’m hopeful they will discuss my case and find a cure," Opoku said, feeling optimistic after the consultation.

A key challenge is the lack of stable internet connectivity, a common issue in Africa’s remote areas. Despite this, the technology is already benefiting patients at Korle-Bu Teaching Hospital, particularly those needing plastic surgery. Due to a shortage of plastic surgeons, patients often consult different doctors at each visit. Dr. Kwame Darko, a consultant plastic surgeon and principal investigator for the project, believes 3D telemedicine can allow patients to be examined by multiple doctors in a single session.

Dr. Ahensan Dasebre, chief resident at the National Reconstructive Plastic Surgery and Burns Centre at Korle-Bu, not involved in the project, emphasized the potential of 3D telemedicine: "We’re already facing a shortage of doctors. If someone is in a remote area needing specialized care, the referring doctor can use this system to ensure the patient receives the best possible care."

As this trial progresses, it is hoped that the 3D telemedicine system will play a key role in addressing the healthcare gaps in remote African regions, offering a glimpse of how technology can revolutionize healthcare delivery across the continent.