Motivation Issues of the current live based educational system (DVTS - PDF document

Nopphol Pausawasdi, Mahidol University Siriraj Hospital On On ‐ demand demand 4K 4K Telemedici dicine ne E ‐ learni arning ng Syste System in in Cloud Cloud En Envir vironm nment Nopphol Pausawasdi (Siriraj Hospital, Mahidol Univ. , Thailand) Koji Okamura (Research Institute for Information Technology, Kyushu Univ., Japan) We are not medical doctors! We (Nopphol and Okamura) have been working together more than 8 years. We used Polycom between SIRIRAJ Hospital and Kyushu Univ Hospital for a case study (not conference) via SINET 45Mbps international ATM link in Jun. 2005. We worked for this configuration in advance and this is the beginning of our collaboration. Motivation • Issues of the current live based educational system (DVTS or Vidyo etc) to the telemedicine deployment for Small hospitals • Scheduling between teachers and students • Excellent Engineering Staffs • New Devices • SD ‐ > HD ‐ > 4K • Patients Privacies • Broadband • Done by Vidyo • What should be remained from the existing system • Interactive commutations between teachers and students • Free of charge • 4K Video The 7th Asia Telemedicine Symposium, 2013 1

Nopphol Pausawasdi, Mahidol University Siriraj Hospital Solution 1: On ‐ Demand Educational System with SNS • Asynchronous communications between teachers and students • Teachers can upload educational contents at any time. • Students can download educational contents at any time. • SNS • Provides authentications • Fast Asynchronous Communications Solution 2: Cloud based Educational System • Independent from physical device • Easy adaptation against the new device • No necessary exchanging of faces • No capture device on students side • Easy to use • No necessary special Engineers • User Authentications Features The 7th Asia Telemedicine Symposium, 2013 2

Nopphol Pausawasdi, Mahidol University Siriraj Hospital ViaPlatz of NTT ‐ IT System Cloud Base • Asynchronous Communication • ViaPlatz Server Distribution Server Students can write questions • Internet and put tags into the contents video. No echo because of the text • SNS Extension • 4K Video • Android User Authentication • PC (Mac) Contents Easy to use. PC (Windows) • Upload Contents Producers may be • necessary It can be independent from • Contents Holder site. 4K Video The 7th Asia Telemedicine Symposium, 2013 3

Nopphol Pausawasdi, Mahidol University Siriraj Hospital Medical live demonstrations • Medical live demonstrations, such as live surgery, are the most preferable technique applied in many medical conferences in order to share knowledge. video resolution • Digital Video (DV) and High Definition (HD) video resolution are used in the telemedicine activities in order regarding to the development of television monitor technologies along with development of medical equipments. The 7th Asia Telemedicine Symposium, 2013 4

Nopphol Pausawasdi, Mahidol University Siriraj Hospital high ‐ speed internet • high ‐ speed internet is required in order to conduct HD video resolution into telemedicine system Ultrahigh Definition (UHD) • Recently, video resolution quality has been upgraded to Ultrahigh Definition (UHD) which provide better resolution than HD up to 4 and 8 times. This will be equipped to medical equipments in the near future. The 7th Asia Telemedicine Symposium, 2013 5

Nopphol Pausawasdi, Mahidol University Siriraj Hospital Two resolutions are defined as UHDTV: 4K UHDTV (2160p) is 3840 pixels wide by 2160 pixels tall (8.3 megapixels), which is four times as many pixels as 1920 × 1080 (2.1 megapixels). 8K UHDTV (4320p) is 7680 pixels wide by 4320 pixels tall (33.2 megapixels), which is sixteen times as many pixels as current 1080p HDTV, Fir First 4K 4K Liv Live Car Cardiac iac Sur Surgery ery Film Filmed ed and and Pe Performed In In Mo Monaco: naco: • MediAVentures who specialise in providing top quality audio visual expertise in the field of medical education went to Monaco to film what they call the valve repair trilogy: Mitral, Tricuspid and Aortic in 4K. http://cinescopophilia.com/first ‐ 4k ‐ live ‐ cardiac ‐ surgery ‐ filmed ‐ and ‐ performed ‐ in ‐ monaco/ The 7th Asia Telemedicine Symposium, 2013 6

Nopphol Pausawasdi, Mahidol University Siriraj Hospital Son Sony’s 4K 4K video video technology chnology wi will ll mak make sur surgery ery safer sa • Sony, in conjunction with scandal ‐ ridden Olympus, announced a series of surgical tools, including a endoscope, utilizing Sony’s 4K display technology http://www.ubergizmo.com/2012/10/sonys ‐ 4k ‐ video ‐ technology ‐ will ‐ make ‐ surgery ‐ safer/ Sur Surgery ery via via 4K 4K liv live st stre ream • On 11 December Waag Society, SURFnet and UMCU will organize the pilot event Future Operations. For the first time in the world we will stream live footage in 4K from the surgery room to a lecture room. For medical students and professionals this could be a huge advantage, and with 4K live streaming we are making this happen at the highest level. http://waag.org/en/news/surgery ‐ 4k ‐ live ‐ stream The 7th Asia Telemedicine Symposium, 2013 7

Nopphol Pausawasdi, Mahidol University Siriraj Hospital UL ULTRA TRA HI HIGH GH RE RESOL SOLUTIO TION VIDE VIDEO USED USED IN IN SUR SURGER ERY • Dr. Steven Palter of New York recently reported the first laparoscopic surgery performed using a high ‐ resolution video camera. Using equipment worth over a million dollars, he and his team were able to obtain one of the clearest views inside the human body ever. Red One 4K camera made by Red Digital Cinema Camera Company. http://thefutureofthings.com/4349 ‐ ultra ‐ high ‐ resolution ‐ video ‐ used ‐ in ‐ surgery/ Discussion and Project Status • Free of Charge • Necessary to find Good Business Model • Getting Money from the conversation records between teachers and students • Our Proposal is not replacement for current great live system but for deployments of telemedicine benefits to small hospitals. • We have Proposed to JSPS (The Japan Society for the Promotion of Science ) and NRCT (National Research Council of Thailand). • On ‐ Demand System by Cloud with SNS • 4K • If our proposal is accepted, the project will be started after Apr. 2014. The 7th Asia Telemedicine Symposium, 2013 8