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

Asia- - Pacif ic Medical Network Project Pacif ic Medical Network Project Asia over super-broadband I nt ernet Chernobyl Chernobyl Sapporo Sapporo Beijing Beijing Seoul Seoul Iwate Iwate Done Planned Tokyo Tokyo Shanghai Shanghai Yokohama Yokohama Fukuoka Fukuoka Naoki Nakashima New New Dehli Dehli Shuji Shimizu SirGanga Ram SirGanga Ram Hawaii Hawaii HongKong HongKong Taipei Taipei Hospital Hospital Taichung Taichung Mumbai Mumbai Bangkok Kyushu University Bangkok Cancer Center Cancer Center Manila Manila Hyderbird Hyderbird Hospital Philippine Philippine Ho Chi Min Ho Chi Min GH GH Kuala Lumper Kuala Lumper Cho Cho Rai Rai Cairns Cairns Hosp Hosp Singapore Singapore Adelaide Adelaide NUS NUS Christ- Christ - Flinder Flinder’ ’s s Hosp Hosp church church Jakarta Jakarta Christ Christ U of Indonesia U of Indonesia Hospital Hospital n n a o k i @ i n f o . m e d . k y u s h u - u . a c . j p 2 4 t h J a n u a r y , 2 0 0

Today’s menu � What is our project? - Backgrounds and Purpose � Current activities - Korea-Japan - Asia-Pacific � Summary & discussion Kyushu Univ., Fukuoka

ackgrounds Three key elements for telemedicine Moving images: Moving images: 1. High-quality 1. High-quality 2. High-speed 2. High-speed 3. Multi-channel 3. Multi-channel Broadband network is essential for medical use!

ackgrounds Korea- - Japan Japan Telemedical Telemedical Network Network Korea Korea- Japan Telemedical Network (Hyeonhae Hyeonhae/ /Genkai Genkai Project) Project) ( Started in 2002 KOREN National Cancer Center National Cancer Center Hanyang Univ Hosp Hanyang Univ Hosp APII, KJCN Seoul National Univ Bundang Hosp Seoul National Univ Bundang Hosp JP Ewha Womans Univ Hosp Ewha Womans Univ Hosp Kyushu Univ Kyushu Univ QGPOP Bandwidth 2G Big Broadband Network Bandwidth 2G Big Broadband Network

ackgrounds Korea-Japan Medical Network Kyushu-Univ. Kyushu-Univ. Korea Korea Digital Video Transfer System K o r e a - J a p a n K o r e a - J a p a n K o r e a - J a p a n G i g a b i t G i g a b i t G i g a b i t N e t w o r k N e t w o r k N e t w o r k Ｄ Ｖ Ｔ Ｓ Ｄ Ｖ Ｔ Ｓ Ｄ Ｖ Ｔ Ｓ Ｄ Ｖ Ｔ Ｓ Digital Video Transfer System Frame rate 30/sec, Time delay 0.3 Frame rate 30/sec, Time delay 0.3 sec sec

ackgrounds DVTS: Digital Video Transport System ( Digital Video over Internet Protocol ) multicast 1. High quality video • No compression of images 2. Little time delay ( 0.3 sec ) • No compression process 3. Less expensive Developed in Japan • Commercially available standard PC and DV camera 4. System is simple • Direct connection between DV and PC (IEEE1394)

Why Asia- -Pacific ? Pacific ? Why Asia

Purpose 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 By high quality live video transmission We can share medical skill and knowledge beyond the borders !!

Today’s menu � What is our project? - Backgrounds and advantages � Current activities - Korea-Japan - Asia-Pacific � Summary & discussion Kyushu Univ.,

[1] The First Live Surgery Aug 1, 2003 O R S u r g i c a l m o v i e � I n t r o d u c e d n e w o p e r a t i o n � S e c u r i t y s o f t w a r e u s e d K y u s h u U n i v . , J a p a n N C C , K o r e a

Live surgery: Newpapers Aug 22, 2003

Live surgery: TV news reports Aug 22, 2003 TNC RKB NHK

2003.11.25 [2] Neurosurgery: Live surgery 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 Kyushu U hospital Animal Lab in Kyushu U Hanyang U hosp Ope field

[6] Clinico-pathological Teleconference between Bundang-Kyushu University Regular meeting no 2005. 2.17 2005. 7.14 2005. 12.1

[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!

E x t e n s i o n o f c o n n e c t e d h o s p i t a l s Ｋ Ｉ Ｘ H a n y a n g U n i v e r s i t y H o s p i t a l S i n g a p o r e 1G S e o u l - X P ６ Ｍ S E O U L E u r o p e 1 0 Ｍ N a t i o n a l C a n c e r C e n t e r G S R Ｕ Ｓ Ａ 1 5 5 Ｍ S e o u l N a t i o n a l U n i v ( B u n d a n g H o s p i t a l ) 155M T A E G U E h w a W o m a n s U n i v G S R S U W O N G S R G S R S e o u l N a t i o n a l U n i v ( M a i n H o s p i t a l ) D E A J O N S a m s u n g M e d i c a l C e n t e r 2 Ｇ G S R J a p a n B U S A N G S R C h u n g n a mN a t i o n a l U n i v e r s i t y K W A N J U G y e o n g s a n g U n i v Expected Connected P u s a n U n i v e r s i t y 1 G M b p s S u b s c r i b e r

Snaps from China-Japan event 2004.10.12

APAN-BKK: Bangkok-Fukuoka-Seoul-Beijing Medical Network BoF started at BKK. Endoscopic surgery and hematology were subjects for live demonstration. 2005. 1.26

Pancreas Transplantation Teleconference on 18 th March 2005 Fukuoka Seoul Beijing Taipei

Live demonstration of Bariatric Bariatric Live demonstration of surgery surgery Fukuoka Singapore Adelaide

6 0 5 0 Accumulation Number of the Events 4 0 Accumulation Number of the Connected Institutes 3 0 Accumulation Number 2 0 of the Connected Countries 1 0 0 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 1 2 3 4 5 6 7 8 9 1 01 11 2 2 0 0 3 2 0 0 4 2 0 0 5

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

Chernobyl Chernobyl 2004.10 2003.2 Sapporo 2004.7 Sapporo Beijin Beijin Seoul Seoul Iwate Iwate Done 2005.7 g g Planned Tokyo Tokyo 2004.1 Shanghai Shanghai Yokohama 2005.11 Yokohama Fukuoka Fukuoka 2005.6 New Dehli Dehli New SirGanga Ram Ram SirGanga Hong Hong Hawaii Hawaii Taipe Taipe Hospital Hospital Kong Kong 2004.1 2004.12 i i Taichun Taichun Mumbai Mumbai Bangkok Bangkok g 2005.11 g Cancer Center Cancer Center 2005.1 Manila Manila Hyderbird Hyderbird Philippine Ho Chi Philippine Ho Chi GH GH Cho Rai Rai Hosp Hosp Cho Min Min Kuala Lumper Lumper Kuala Cairnes Cairnes 2004.7 Singapore Singapore 2005.11 Adelaide Adelaide Christ Christ NU NU Flinder’ ’s s Hosp Hosp Flinder S S church church Jakarta Jakarta 2005.11 Christ Hospital U of Indonesia Christ Hospital U of Indonesia

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 • Easy (TV & satellite) Broadband • Cheap Internet • Developing • Expanding • Beyond geographical borders High-quality International Non-compressed Medical use

Approach Asia-Pacific Advanced Network (APAN) 韓国 : KOREN 日本 : JGNII SuperSINET 中国 : CERNET 台湾 : TWAREN Aus ： AARNet

Via TransPAC2 JP CN EU 1000 155 622 622 TEIN-2 Launch TEIN-2 Launch 622 Jan 2006 Jan 2006 HK 45 VN PH 622 TH 155 MY SG 45 45 ID

Future style of medical network 病院 病院 病院 病院 病院 病院 病院 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 Kyushu Univ., - Standardization and globalization Fukuoka