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 Advanced Research NCC Network (KOREN) NCC SNUHBH SNUHBH EUMCMH EUMCMH HYUH HYUH 2G Kyushu Univ QGPOP QGPOP From Dec. 2002 2/21

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 Kyushu University, NCC, Operating room Conference room Operating room 3/21 Teleconference for Laparoscopic Gastric Surgery through Advanced Network : The First Event 1)Date: 1 st and 23 nd 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.) 4/21

Security Consideration IRB approved and patient agreed with informed consent VPN between cipher gateway decryption encryption IKE session Internet VPN connection Cipher Cipher gateway gateway Kyushu Univ. Hospital NCC Security zone Echo Cancelling Korean Venue Audio Mixer Anti-Feedback Audio frequency filtering Sound input pattern and  removed hauling delay  removed Hauling & Echo

Estimated Bandwidth The estimated bandwidth was measured by “pchar” and “pathchar” 1st probe 2nd probe 400 3rd probe BW BW 300 (Mbps) (M bps) Bottleneck (54Mbps) 200 100 Kyushu KOREN QGPOP Univ. 0 1 2 3 4 5 6 7 8 91011 hop ho KJCN Delay Measure The measured delay was evaluated by “pchar” and “pathchar” (μs) ( μ s) s) Propagation delay Round Trip Time 3000 16000 14000 2500 12000 2000 10000 1500 8000 6000 1000 4000 500 2000 0 0 1 2 3 4 5 6 7 8 91011 1 0 1 1 9 7 8 6 5 4 2 3 1 hop ho Unit : ( μ s) Big delay over KJCN hop

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 Bandwidth Usage  Test on 27 th Oct 2003  Main event on 5 th Nov 2003 dvA# 30 frame / sec (Laparoscopic surgery view) dvB# 10 frame / sec (Auditorium view)  Korea to Japan : 2 stream (15 frame/sec, 10 frame/sec)  Japan to Korea : 1 stream (15 frame/sec)

APAMI 2003 Oct. 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) 12/21

Korean Laparoscopic Colorectal Surgery Study Group (KLCSSG) Meeting at NCC Live Surgery Teleconference with Kyushu University 30th Jul. 2004 Operator: Dr. Seung Yong Jeong 13/21 Joint Korea-Japan Tele-Conference on Techniques of Laparoscopic Gastrectomy 22nd Oct. 2004 14/21

Telepathology Seminar 2004.8.27-28 15/21 Telepathology Seminar 30 th Sep 2004 63 rd Japanese Cancer Society Meeting in Fukuoka 16/21

Live Demonstration of EUS-guided Biopsy of Gastric Lesions - Tele-Conference on Techniques and Diagnosis - 15 th Nov 2004 17/21 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 18/21

International Medical Teleconference among 4 Stations Using DVTS Topic: Treatment of Early Gastric Cancer Aug. 25 th 2005 (14:00-17:30) Taipei - Fukuoka – - Seoul - Beijing 19/21 Tele-lecture Using Access Grid Date : 9 th Nov.,2005 Place : National Cancer Center , KISTI, Taiwan, Singapore Lecture -Title: Grid-based Virtual By- pass Surgery -Speaker: Professor Peter Sloot(University of Amsterdam) 20/21

Live Demonstration of Endoscopic Submucosal Dissection (ESD) Date: 25 th Jan. 2006 Venues: Tokyo APAN meeting venue National Taiwan Univ. Taipei National Cancer Center, Korea Kyushu University Hospital, Japan 21/21 ESD Live Teleconference Quality of Transmitted Video !

“DV 10” Demonstration at APAN 10 sites multipoint teleconference with DVTS Date: 25th Jan. 2006 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) 23/21 Acknowledgement 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 24/21

Thank you! Dr. Shuji Shimizu Thank You for Kind Attention and All Colleagues of Advanced Telemedicine Group Congratulations for 10 th Anniversary We Ain’t Seen Anything Yet !!!