Memories at The Beginning of Activities 6 th Asia Telemedicine - - PDF document

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Memories at The Beginning of Activities 6 th Asia Telemedicine - - PDF document

Memories at The Beginning of Activities 6 th Asia Telemedicine Symposium 10 th Anniversary of Advanced Telemedicine, Dec 14 th 2012 Young-Woo Kim, National Cancer Center, Goyang, Korea History of The Activities History of The Activities Korea


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Memories at The Beginning

  • f Activities

Young-Woo Kim, National Cancer Center, Goyang, Korea

6th Asia Telemedicine Symposium 10th Anniversary of Advanced Telemedicine, Dec 14th 2012

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History of The Activities History of The Activities

Kyushu Univ

Korea Advanced Research Network (KOREN) QGPOP QGPOP NCC SNUHBH EUMCMH HYUH NCC SNUHBH EUMCMH HYUH

From Dec. 2002

2G

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SLIDE 2

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Telesurgical Conferences

  • 1 Aug. 2003 Live laparoscopic gastrectomy
  • 23 Aug. 2003 Live laparoscopic gastrectomy
  • 5 Nov. 2003 Live laparoscopic colectomy
  • 30 Jul. 2004 Live laparoscopic colectomy
  • 22 Oct. 2004 Live laparoscopic gastrectomy
  • and so on……

NCC, auditorium NCC, Operating room Kyushu University, Conference room Operating room

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1)Date: 1st and 23nd Aug. 2003 2)Place: NCC, Kyushu University 3)Attendants: Young-Woo Kim(NCC), Shuji Shimizu(Kyushu Univ.)

  • Dr. Kawamoto(Kyushu Univ.), Dr. Nakashima(Kyushu Univ. )
  • Dr. Noshiro(Kyushu Univ.)

Teleconference for Laparoscopic Gastric Surgery through Advanced Network : The First Event

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SLIDE 3

Security Consideration

IRB approved and patient agreed with informed consent VPN between cipher gateway

Cipher gateway NCC Kyushu Univ. Hospital Cipher gateway

Internet encryption decryption

IKE session

VPN connection Security zone

Echo Cancelling

Audio Mixer Anti-Feedback Audio frequency filtering  removed hauling Sound input pattern and delay  removed Hauling & Echo Korean Venue

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SLIDE 4

The estimated bandwidth was measured by “pchar” and “pathchar”

Estimated Bandwidth

1 2 3 4 5 6 7 8 91011 100 200 300 400 BW BW (M (Mbps) bps) ho hop 1st probe 2nd probe 3rd probe KJCN

KOREN QGPOP Kyushu Univ. Bottleneck (54Mbps)

The measured delay was evaluated by “pchar” and “pathchar”

Delay Measure

Round Trip Time Propagation delay

1 2 3 4 5 6 7 8 9 1 1 1 2000 4000 6000 8000 10000 12000 14000 16000 (μs) s) ho hop

1 2 3 4 5 6 7 8 91011 500 1000 1500 2000 2500 3000 (μs) hop

Unit : (μs) Big delay over KJCN

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SLIDE 5

DVTS Moderation

Frame rate was reduced according to bottleneck of network DVTS 15 frame/sec  15Mbps 54Mbps was maximum available  10 frame/sec for conference room and 30 frame/sec

 Test on 27th Oct 2003  Main event on 5th Nov 2003

 Korea to Japan : 2 stream (15 frame/sec, 10 frame/sec)  Japan to Korea : 1 stream (15 frame/sec)

Bandwidth Usage

dvA# 30 frame / sec (Laparoscopic surgery view) dvB# 10 frame / sec (Auditorium view)

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SLIDE 6

APAMI 2003 Oct.

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Laparoscopic Gastrectomy Live Surgery Teleconference : Nov 5th 2003

Kyushu University Hospital(Japan)  NCC(Korea)

IRB approved and patient were informed consented Security guaranteed by VPN (whole data encrypted)

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SLIDE 7

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Korean Laparoscopic Colorectal Surgery Study Group (KLCSSG) Meeting at NCC

30th Jul. 2004 Live Surgery Teleconference with Kyushu University

Operator: Dr. Seung Yong Jeong 14/21

22nd Oct. 2004

Joint Korea-Japan Tele-Conference on Techniques

  • f Laparoscopic Gastrectomy
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SLIDE 8

15/21

Telepathology Seminar 2004.8.27-28

16/21

Telepathology Seminar 30th Sep 2004 63rd Japanese Cancer Society Meeting in Fukuoka

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SLIDE 9

17/21

Live Demonstration of EUS-guided Biopsy of Gastric Lesions

  • Tele-Conference on Techniques and Diagnosis -

15th Nov 2004 18/21

Korea Medical Association Congress

2005.5.13-15

  • 1. Teleconference for Laparoscopic Cancer Surgery: NCC – Congress venue
  • 2. Live Telesurgical conference for Laparoscopic Gastrectomy: SNUBH-KU
  • 3. Multicast Tele-seminar for medical issues: BNU – KISTI- GIST

Advanced Network: KOREN – KJCN – JGN(QGPOP) DVTS, HD, Acess Grid

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SLIDE 10

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International Medical Teleconference among 4 Stations Using DVTS

Topic: Treatment of Early Gastric Cancer

  • Aug. 25th 2005 (14:00-17:30)

Taipei - Fukuoka –

  • Seoul - Beijing

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Tele-lecture Using Access Grid

Date: 9th Nov.,2005 Place: National Cancer Center , KISTI, Taiwan, Singapore Lecture

  • Title: Grid-based Virtual By-

pass Surgery

  • Speaker: Professor Peter

Sloot(University of Amsterdam)

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SLIDE 11

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Live Demonstration of Endoscopic Submucosal Dissection (ESD)

Date: 25th Jan. 2006

Venues: Tokyo APAN meeting venue National Taiwan Univ. Taipei National Cancer Center, Korea Kyushu University Hospital, Japan

ESD Live Teleconference

Quality of Transmitted Video !

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SLIDE 12

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“DV 10” Demonstration at APAN

1) Tokyo APAN venue (Japan) 2) Taichung Veteran General Hospital (Taichung, Taiwan) 3) National Cancer Center (Seoul, Korea) 4) Iwate Medical College (Morioka, Japan): 5) National University of Singapore (Singapore) 6) National Taiwan University (Taipei, Taiwan) 7) Tsinghua University (Beijing, China) 8) Flinder’s Hospital (Adelaide, Australia) 9) SNU Bundang Hospita (Seoul, Korea) 10) Kyushu University Hospital (Fukuoka, Japan)

10 sites multipoint teleconference with DVTS

Date: 25th Jan. 2006 24/21

Korea ChungNam National University Dae Young Kim School of Electrical Engineering, Korea University Chul-Hee Kang, Sung-Kwan Youm, Young-Seok Yi, Bong Soo You, Doo Hyun Sung Korea Telecom (KT) Jae-Wha Lee (NOC), Eun Il Seo (KOREN) NCA, KISDI, & MIC ANF Dae Young Kim , Sang Kyun Kim GIST Jong Won Kim KISTI Ok Hwan Byeon, Jysoo Lee, Jae Seung Kwak, Jeonghoon Moon Japan Kyushu University Faculty of Medicine Shuji Shimizu, Naoki Nakashima Computing and Communications Center, Kyushu University Koji Okamura QIC staff Ishii Motohiro, Mr. Kenji, Mr. Kudou

Acknowledgement

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SLIDE 13

Thank You for Kind Attention

Thank you! Dr. Shuji Shimizu and All Colleagues of Advanced Telemedicine Group

We Ain’t Seen Anything Yet !!!

Congratulations for 10th Anniversary