CESNET and Czech Medical Community as Partners for World Telemedicine 5 th Asian Telemedicine Symposium Fukuoka, Japan, December 16 th -17 th ,2011 Ji ř í Navrátil jiri@cesnet.cz Pavel Pe č iva pavel.peciva@kzcr.eu Modern medicine opens wide possibilities for telemedicine applications MR scan Opth. operational microscope Xray CT Robot daVinchi
Dr. Shimizu, Kyushu University in 2008: How I see this after couple of years of experiencies: “still true” 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) 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
CESNET is NREN not Medical Institution CESNET is NREN not Medical Institution No direct mission and goals for Health care care No direct mission and goals for Health 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 Federelization example EDU portal for all medical students from all medical faculties with individual access rights set by each university
all Med. Faculties and nearly all larg all Med. Faculties and nearly all larg country country University hospitals (11) Military hospitals (2) Research hospitals (16) via NIX to other hospitals in the regions Havl.Brod Nové M ě sto na M. To other hospitals Písek We create the environment for collaboration Hodonín Czech Republic is small country we are looking for partners in International communities Member of GN3 network
MTI GLIF – Global Lambda Integrated facility http://www.glif.is/participants/ Resolution x Bandwidth x Latency HD (1920x1080) 1920 pixels = SDTV 4CIF (4 Common Intermediate Format) * 704x576 in PAL * 704x480 in NTSC CIF (Common Intermediate Format) * 352x288 in PAL * 352x240 in NTSC HD DVTS Low latency time HD compressed latency time 250 ms – 4 s
H.323 Multipoint videoconference UVN Praha MCU P A S N E T (CODIAN) Conference room at C entral M ilitary H ospital VFN Praha FN HK Surgery day Live video since 2000 every year Example from 2007 FN Ostrava 4 sites, 6 teams, 26 patients Live Video Surgery Central Military Hospital Prague 22.-23.1.2010
CMH Prague Taiwan (NCHC, CHKU) „Engine“ for Ophthalmologists + 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 MD. L.Rejmont from CMH 1998 2005 2010 DVTS - Plus 2010 Multipoint VC, principle: Client-Server 35 Mbps Server MCU
DVTSˇplus MHUL server DVTSˇplus server TNC THU KUH RJH ZJU ZSH AIG MGU UOM TNC 2011 NMSM UCT TNC 2011 TNC 2011
MD. J.Stehlik from MNUL Gastro type of surgery via DVTS plus TNC 2011 Thank You for attantion APAN 2011
Prof. T.Fukushima in MNUL Neurosurgery via DVTS plus Prof. T. Fukushima in MNUL Neurosurgery via DVTS plus
Robot daVinci HD resolution 3D Video unit HD 3D camera 1,3 Gbps 1,3 Gbps Left eye Right eye
3D fullHDvideo from robot daVinci General scenario Robot da Vinci Modular Video Transport Platform - codec http://www.ces.net/project/qosip/hw/mvtp-4k.pdf MVTP-4k NETWORK 2 HD videosignals 10Gbps left and right eye Video from Operation room MVTP-4k H323 2 HD videosignals Video conference left and right eye F10 AS3D Stereo projector F10AS3D ZD101 DLP Hardware development 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 IN: 8x HD-SDI OUT: 8x HD-SDI Network – 10 Gigabit Ethernet
Optical cable for 10 Gbps link to the Venue switch left eye view right eye Optical cable Video cables to projector view connecting local switch and MVTP-4K 3D video in monoscopic view (without 3D glasses, all is doubled, blurred) MVTP-4k First public DEMO Robot da Vinci 19.10. 2010 7:00 – 14:00 F10 AS3D MVTP-4k
KEK, Thu Nov 18th 2010 MVTP-4k 16:00 – 18:00 Robot da Vinci Tsukuba F10 AS3D Via Shared IP Internet MVTP-4k MVTP-4k MNUL CZ On dedicated E2E links Robot da Vinci HKCEC MVTP-4k HKCEC S421 F10 AS3D Tue Feb 22nd 2011 4pm APRICOT-APAN 2011
APRICOT-APAN 2011 3D with Active Polarization Glasses
Telebridge to Slovakia 3D with Simple Circular Polarization Glasses 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
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