CESNET and Czech Medical Community as Partners for World - - PDF document

CESNET

and Czech Medical Community as Partners for World Telemedicine

5th Asian Telemedicine Symposium Fukuoka, Japan, December 16th-17th,2011

Jiří Navrátil jiri@cesnet.cz Pavel Pečiva pavel.peciva@kzcr.eu MR scan

• Opth. operational

microscope Robot daVinchi

Modern medicine opens wide possibilities for telemedicine applications

Xray CT

• Dr. Shimizu, Kyushu University in 2008:

Social barriers still persist

• problem of “professional courage of teachers”
• problem of “Spectators/Listeners ”
• time and desire to learn IT of MD

Integration/Implementation new application to the community IS CHALLENGE

Depends on:

• active strong Organizer = „Engine“
• community size
• community sustainability

Technical barriers disappeared (more or less)

• HD, 3DHD cameras, big TV screens (LG, Panasonic, etc.)
• High speed networks everzwhere
• Main problems ? Last mile (inside the city, hospitals)

How I see this after couple of years of experiencies:

“still true”

CESNET is NREN not Medical Institution CESNET is NREN not Medical Institution

No direct mission and goals for Health No direct mission and goals for Health care care

Supports advanced applications which needs: Supports advanced applications which needs: specific connections (speed, stability and specific connections (speed, stability and security) as security) as

• video transmission

video transmission

• remote surgeries

remote surgeries

• Cooperation on federalization principles

Cooperation on federalization principles

• eduroam

eduroam

• eduId

eduId

EDU portal for all medical students from all medical faculties with individual access rights set by each university

Federelization example

Hodonín Havl.Brod Nové Město na M.

To other hospitals

Písek University hospitals (11) Military hospitals (2) Research hospitals (16) via NIX to other hospitals in the regions

all Med. Faculties and nearly all larg all Med. Faculties and nearly all larg country country

We create the environment for collaboration Member of GN3 network

Czech Republic is small country

we are looking for partners in International communities

MTI

GLIF – Global Lambda Integrated facility

http://www.glif.is/participants/

CIF (Common Intermediate Format) * 352x288 in PAL * 352x240 in NTSC 4CIF (4 Common Intermediate Format) * 704x576 in PAL * 704x480 in NTSC

= SDTV 1920 pixels HD (1920x1080) Low latency time HD DVTS

Resolution x Bandwidth x Latency

HD compressed latency time 250 ms – 4 s

VFN Praha FN HK FN Ostrava

MCU

P A S N E T Example from 2007 4 sites, 6 teams, 26 patients

Conference room at Central Military Hospital

UVN Praha

(CODIAN)

Surgery day

Live video since 2000 every year

H.323 Multipoint videoconference

Live Video Surgery

Central Military Hospital Prague 22.-23.1.2010

CMH Prague Taiwan (NCHC, CHKU)

+

360 specialists from 16 countries

Canada, Germany, France, Italy, United Kingdom, Switzerland, Austria, Hungary, Poland, Czech republic, Slovakia, Russia, Ukraine, Turkey, South Korea, Egypt

Announced on World conference „Engine“ for Ophthalmologists

• MD. L.Rejmont from CMH

DVTS - Plus

Multipoint VC, principle: Client-Server

1998

35 Mbps

2010

Server MCU

2005 2010

ZJU MGU UOM UCT NMSM KUH AIG ZSH THU RJH MHUL TNC

DVTSˇplus server DVTSˇplus server

TNC 2011

TNC 2011

TNC 2011

TNC 2011

Gastro type of surgery via DVTS plus

• MD. J.Stehlik from MNUL

Thank You for attantion

APAN 2011

Neurosurgery via DVTS plus

• Prof. T.Fukushima in MNUL
• Prof. T. Fukushima in MNUL

Neurosurgery via DVTS plus

Robot daVinci HD resolution

HD 3D camera 3D Video unit

Right eye Left eye 1,3 Gbps 1,3 Gbps

F10 AS3D

H323 Video conference Robot da Vinci

MVTP-4k

2 HD videosignals

left and right eye

MVTP-4k

3D fullHDvideo from robot daVinci

General scenario

NETWORK 10Gbps Stereo projector F10AS3D Video from Operation room

ZD101 DLP

http://www.ces.net/project/qosip/hw/mvtp-4k.pdf Modular Video Transport Platform - codec

2 HD videosignals

left and right eye

Hardware development

IN: 8x HD-SDI OUT: 8x HD-SDI Network – 10 Gigabit Ethernet MVTP-4K (Modular Video Transfer Platform)

• 2x 4K or 8x 2K/HD
• unlimited distance over

regular Internet

• full-duplex
• embedded audio
• adds less than 1 ms

to networking delay

• output synchronization

without clock source

Optical cable for 10 Gbps link to the Venue switch

Optical cable connecting local switch and MVTP-4K Video cables to projector

3D video in monoscopic view (without 3D glasses, all is doubled, blurred) left eye view right eye view Robot da Vinci

MVTP-4k

First public DEMO 19.10. 2010

7:00 – 14:00 F10 AS3D

MVTP-4k

Robot da Vinci

MVTP-4k

KEK, Thu Nov 18th 2010

16:00 – 18:00 F10 AS3D

MVTP-4k

Tsukuba

Via Shared IP Internet

MVTP-4k

Robot da Vinci

MNUL CZ

HKCEC S421 Tue Feb 22nd 2011 4pm

On dedicated E2E links

F10 AS3D

HKCEC

MVTP-4k

APRICOT-APAN 2011

3D with Active Polarization Glasses

APRICOT-APAN 2011

3D with Simple Circular Polarization Glasses

Telebridge to Slovakia

CESNET – SANET Collaboration: daVinchi operation in MNUL to Banska Bystrica

ITU World Networking Geneva, October 2011

Temdec and CESNET-MNUL started testing HD via MEDIAEDGE

Thank You for Your Attention