over super-broadband I nt ernet Chernobyl Chernobyl Sapporo - - PowerPoint PPT Presentation

Naoki Nakashima Shuji Shimizu Kyushu University Hospital

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Asia Asia-

• Pacif ic Medical Network Project

Pacif ic Medical Network Project

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Cairns Cairns Seoul Seoul Sapporo Sapporo Beijing Beijing Hawaii Hawaii Tokyo Tokyo Bangkok Bangkok Shanghai Shanghai Singapore Singapore Kuala Kuala Lumper Lumper HongKong HongKong Adelaide Adelaide Mumbai Mumbai Done Planned Cancer Center Cancer Center NUS NUS Flinder Flinder’ ’s s Hosp Hosp Christ Christ-

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church Manila Manila Philippine Philippine GH GH Jakarta Jakarta U of Indonesia U of Indonesia Iwate Iwate Yokohama Yokohama Ho Chi Min Ho Chi Min Cho Cho Rai Rai Hosp Hosp Taichung Taichung Hyderbird Hyderbird New New Dehli Dehli SirGanga SirGanga Ram Ram Hospital Hospital Christ Christ Hospital Hospital Chernobyl Chernobyl Fukuoka Fukuoka Taipei Taipei

Today’s menu

What is our project?

• Backgrounds and Purpose

Current activities

• Korea-Japan
• Asia-Pacific

Summary & discussion Kyushu Univ., Fukuoka

Three key elements for telemedicine

Moving images:

• 1. High-quality
• 2. High-speed
• 3. Multi-channel

Moving images:

• 1. High-quality
• 2. High-speed
• 3. Multi-channel

Broadband network is essential for medical use!

ackgrounds

Korea- Japan Telemedical Network Korea Korea-

• Japan

Japan Telemedical Telemedical Network Network

Kyushu Univ Kyushu Univ

KOREN

( (Hyeonhae Hyeonhae/ /Genkai Genkai Project) Project)

National Cancer Center National Cancer Center

APII, KJCN

Hanyang Univ Hosp Hanyang Univ Hosp Ewha Womans Univ Hosp Ewha Womans Univ Hosp Seoul National Univ Bundang Hosp Seoul National Univ Bundang Hosp Started in 2002

Bandwidth 2G Big Broadband Network Bandwidth 2G Big Broadband Network

JP

QGPOP

ackgrounds

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Ｄ Ｖ Ｔ Ｓ Ｄ Ｖ Ｔ Ｓ Ｄ Ｖ Ｔ Ｓ Ｄ Ｖ Ｔ Ｓ

Korea Korea

Korea-Japan Medical Network

Kyushu-Univ. Kyushu-Univ. Frame rate 30/sec, Time delay 0.3 sec Frame rate 30/sec, Time delay 0.3 sec

Digital Video Transfer System Digital Video Transfer System

ackgrounds

DVTS: Digital Video Transport System

• 1. High quality video
• No compression of images
• 2. Little time delay (0.3 sec)
• No compression process
• 3. Less expensive
• Commercially available standard PC and DV

camera

• 4. System is simple
• Direct connection between DV and PC (IEEE1394)

( Digital Video over Internet Protocol )

Developed in Japan

multicast

ackgrounds

Why Asia Why Asia-

• Pacific ?

Pacific ?

Huge population Huge population Medical standards are so Medical standards are so different due to diversity of different due to diversity of cultures, races, and religions cultures, races, and religions There are specific diseases in Asia, There are specific diseases in Asia, such as chicken flu, SARS, and such as chicken flu, SARS, and genetic disease, etc genetic disease, etc Little time difference and short Little time difference and short distance among countries distance among countries Purpose

Purpose

A lot of medical standard among countries

We should see what people are doing in other countries Purpose

We can share medical skill and knowledge beyond the borders !!

By high quality live video transmission

Today’s menu

What is our project?

• Backgrounds and advantages

Current activities

• Korea-Japan
• Asia-Pacific

Summary & discussion Kyushu Univ.,

O R S u r g i c a l m

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Aug 1, 2003

[1] The First Live Surgery

Live surgery: Newpapers

Aug 22, 2003

Live surgery: TV news reports

Aug 22, 2003 TNC RKB NHK

[2] Neurosurgery: Live surgery

2003.11.25 2005.5.25 Hanyang U Kyushu U

[3] Endoscopy demonstration

2004.11.15

[4] Live demonstration of pathology

2004.8.27-28 NCC Kyushu U 2004.9.30 Japan Cancer Association

[5] Robotic surgery seminar

2004.7.16 Kyushu U Ewha U

Remote Robotic Surgery 2005.3.2

Animal Lab in Kyushu U Hanyang U hosp Kyushu U hospital Ope field

[6] Clinico-pathological Teleconference between Bundang-Kyushu University

• 2005. 2.17
• 2005. 7.14
• 2005. 12.1

Regular meeting no

[7] Japan Cancer Association

2004.9.30 Big meeting !

[8] Joint Conference on Medical Informatics (25 Nov. 2005) “Virtual Experience of Electronic Medical Record System”

More than 260 peoples attended!

Ｕ Ｓ Ａ J a p a n ６ Ｍ 1 Ｍ 1 5 5 Ｍ Ｋ Ｉ Ｘ S i n g a p

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Snaps from China-Japan event

2004.10.12

APAN-BKK: Bangkok-Fukuoka-Seoul-Beijing

• 2005. 1.26

Medical Network BoF started at BKK. Endoscopic surgery and hematology were subjects for live demonstration.

Pancreas Transplantation Teleconference on 18th March 2005

Taipei Beijing Fukuoka Seoul

Live demonstration of Live demonstration of Bariatric Bariatric surgery surgery

Adelaide Fukuoka Singapore

Accumulation Number

• f the Connected Countries

Accumulation Number

• f the Events

Accumulation Number of the Connected Institutes

1 2 3 4 5 6 7 8 9 1 01 11 2 1 2 3 4 5 6 7 8 9 1 01 11 2

2 3 2 4 2 5

1 2 3 4 5 6 7 8 9 1 01 11 2

1 2 3 4 5 6

List of Medical Contents in the Project

• Endoscopic surgery

(gall bladder, stomach, small intestine, colon, Bariatric)

• Microsurgery

(neurosurgery)

• Robotic surgery
• Endoscope

(Endoscopic Retrograde Cholangiopancreatography) (EUS guided biopsy)

• Transplantation (Pancreas, Kidney, Liver)
• Pathology

Challenges

• Network extension to Asia-Pacific area
• Increase medical contents
• IPv6
• Uncompressed HDTV transmission on IP

2004.7

Cairnes Cairnes Seoul Seoul Sapporo Sapporo

2004.1

Beijin Beijin g g

2004.12

Taipe Taipe i i Hawaii Hawaii

2005.1

Tokyo Tokyo Bangkok Bangkok Shanghai Shanghai Singapore Singapore Kuala Kuala Lumper Lumper Hong Hong Kong Kong Adelaide Adelaide Mumbai Mumbai

Done Planned

Cancer Center Cancer Center NU NU S S Flinder Flinder’ ’s s Hosp Hosp

2004.7 2004.1 2003.2

Christ Christ church church Manila Manila

Philippine Philippine GH GH

Jakarta Jakarta

U of Indonesia U of Indonesia

2005.11 2005.11 2005.6

Iwate Iwate

2005.7

Yokohama Yokohama 2005.11 Ho Chi Ho Chi Min Min

Cho Cho Rai Rai Hosp Hosp

Taichun Taichun g g 2005.11 Hyderbird Hyderbird New New Dehli Dehli

SirGanga SirGanga Ram Ram Hospital Hospital Christ Hospital Christ Hospital

Chernobyl Chernobyl

2004.10

Fukuoka Fukuoka

Today’s menu

What is our project?

• Backgrounds and advantages

Current activities

• Korea-Japan
• Asia-Pacific

Summary & discussion Kyushu Univ.,

Three characteristics of our system

Broadband Internet

High-quality International Non-compressed Medical use

• Beyond

geographical borders

• Easy
• Cheap
• Developing
• Expanding

(TV & satellite)

Asia-Pacific Advanced Network (APAN)

中国: CERNET 日本: JGNII SuperSINET 韓国: KOREN 台湾: TWAREN

Approach

Aus： AARNet

622 155 45 45 155

PH VN TH CN ID MY

45

SG JP HK

622 1000 Via TransPAC2 622

EU

622

TEIN-2 Launch Jan 2006 TEIN-2 Launch Jan 2006

Future style of medical network

Doctors join the broadband network at anytime from anywhere.

Advantages of our telemedicine project Advantages of our telemedicine project

For medical staffs and institutions

• Learn new and different procedures by real

watch

• Many people at once, and at anytime
• Reduce accidents and complications
• Deepen friendship by frequent communication

For patients

• Provide better and safer medical care

For global health care

• Standardization and globalization

Kyushu Univ., Fukuoka

For Establishment of Telemedical Network in AP

Medical staffs Engineering team Government and Companies

W e h a v e

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e n e d Ｈ Ｐ ！ （ A Q U A :

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http://www.med.kyushu-u.ac.jp/aqua

URL :http://www.med.kyushu-u.ac.jp/aqua/

URL :http://www.med.kyushu-u.ac.jp/aqua/

Major Event Plans ahead

• 2006.1: Multi-station event @ APAN-Tokyo

– Live demo at Tokyo-Kyushu-NCC-Taipei – Uncompressed HD transmission – 10 stations connection with DVTS

• 2006.2: Bangkok teleconference on robotic surgery
• 2006.4: Bangkok surgical meeting
• 2006.4: Live urological surgery from Seoul to Fukuoka
• 2006.7: APAN-Singapore

connecting to India, Malaysia, Philippine, Indonesia, etc.

• 2006.10: Endosc & Laparosc Surgeons of Asia @ Seoul

Thank you! And Enjoy!