activity report -...
TRANSCRIPT
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Naoki NakashimaShuji Shimizu
Kyushu UniversityHospital
AsiaAsia--Pacific Medical Network ProjectPacific Medical Network Projectover super-broadband Internet
-Activity Report-
22th APAN Meeting : Advanced Network Conference in Singapore 19th July, 2006
622 155
45
45
155
PHVN
TH
CN
ID
MY
45622 SG
JP
HK
622
1000
North AmericaVia TransPAC2
622
EU
EU
622
TEIN-2 Launch Jan
2006
TEIN-2 Launch Jan
2006
Today’s menu
What is our project?- Backgrounds and PurposeCurrent activities
History and StatisticsAPAN meetings
Summary & discussion
Kyushu Univ., Fukuoka
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Today’s menu
What is our project?- Backgrounds and PurposeCurrent activities
History and StatisticsAPAN meetings
Summary & discussion
Kyushu Univ., Fukuoka
Three key elements for telemedicine
Moving images:1. High-quality2. High-speed3. Multi-channel
Moving images:1. High-quality2. High-speed3. Multi-channel
Broadband network is essential for medical use!
- Backgrounds
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APAN Medical Activity was linked to the World Cup Soccer Game
APAN Medical Activity was linked APAN Medical Activity was linked to the World Cup Soccer Gameto the World Cup Soccer Game
Kyushu UnivKyushu Univ
KOREN
((Hyeonhae/GenkaiHyeonhae/Genkai Project)Project)
KJCN
Started in 2002
Bandwidth 2G Big Broadband NetworkBandwidth 2G Big Broadband Network
JPQGPOP
•Education•Culture•Business•Medicine
300km
Why AsiaWhy Asia--Pacific ?Pacific ?
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1.1. Huge populationHuge population
2.2. Medical standards are so different Medical standards are so different due to diversity of cultures, races, due to diversity of cultures, races, and religionsand religions
3.3. 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, etcgenetic disease, etc
4.4. Little time difference and short Little time difference and short distance among countriesdistance among countries
A lot of variation in medical procedures among countries
We should see what people are doing in other countries.
We can share medical skill and knowledge beyond the borders !!
By high quality live video transmission
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–PurposeThe time difference is short within AP area !!
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
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Today’s menu
What is our project?- Backgrounds and PurposeCurrent activities
History and StatisticsAPAN meetings
Summary & discussion
Kyushu Univ., Fukuoka
OR Surgical movie
NCC, KoreaKyushu Univ., Japan
Introduced new operation
Security software used
Aug 1, 2003The First Live Surgery
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Live surgery: NewpapersAug 22, 2003
Live surgery: TV news reportsAug 22, 2003
TNC
RKB
KBCNHK
KBC
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Neurosurgery: Live surgery 2003.11.252005.5.25
Hanyang U
Kyushu U
Endoscopy demonstration 2004.11.15
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Live demonstration of pathology
2004.8.27-28 NCC Kyushu U2004.9.30 Japan Cancer Association
Remote Robotic Surgery 2005.3.2
Animal Lab in Kyushu U
Hanyang U hosp
Kyushu U hospital
Ope field
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Clinico-pathological Teleconference between Bundang-Kyushu University
2005. 2.172005. 7.142005. 12.12006. 4. 6
Regular meeting now
Live demo of operation in Japanese Urology meeting
2006.4.13
Hanyang University (Seoul) → Fukuoka venue
More than 1,000 audiences had a good experience !
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APAN-Honolulu: Honolulu-Fukuoka-Seoul-TokyoJanuary, 2004
APAN-Cairns: Cairns-Fukuoka-Seoul-TokyoJuly, 2004
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APAN-Bangkok: Bangkok-Fukuoka-Seoul-Beijing
January, 2005
APAN-Taipei: Taipei-Fukuoka-Seoul-Beijing-TokyoAugust, 2005
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APAN-Tokyo: Tokyo-Fukuoka-Iwate-Taipei-Taichung-Seoul-Bundang-Beijing-Singapore-Adelaide
January, 2006
0
10
20
30
40
50
60
70
2003 2004 2005
1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12
2006
1 2 3 4 5 6
Accumulation Number of the Connected Countries
Accumulation Number of the Events
Accumulation Number of the Connected Institutes
JPKR
US AU CNTW
TH VNSG
↓ ↓ ↓ ↓ ↓ ↓APAN meeting Hawaii Cairns Bangkok Taipei Tokyo Here!
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live transmission of patient image
(12)
transmission to venue of academic meeting
(18)
Broad-banded medical teleconference(~June 2006)
(8)
standard teleconference(28)
(8)
0
5
10
15
20
25
2003 2004 2005 2006
Station number per event is increasing every year !
Event
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22
2
3 3
3
4 4
4
5
10
15
Today’s menu
What is our project?- Backgrounds and PurposeCurrent activities
History and StatisticsAPAN meetings
Summary & discussion
Kyushu Univ., Fukuoka
Challenges
• Network extension to Asia-Pacific area
• Increase medical contents
• IPv6
• Uncompressed HDTV transmission on IP
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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• Healthcare
Asia-Pacific Advanced Network (APAN)
中国: CERNET
日本: JGNIISuperSINET
韓国: KOREN
台湾: TWAREN
Aus:AARNet
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622 155
45
45
155
PH
VN
TH
CN
ID
MY
45
622SG
JP
HK
622
1000
North AmericaVia TransPAC2
622
EU
EU
622
TEIN-2 Launch Jan 2006
TEIN-2 Launch Jan 2006
2004.7CairnesCairnes
SeoulSeoulSapporoSapporo
2004.1
BeijingBeijing
2004.12TaipeiTaipei HawaiiHawaii
2005.1
TokyoTokyo
BangkokBangkok
ShanghaiShanghai
SingaporeSingapore
Kuala Kuala LumperLumper
AdelaideAdelaide
MumbaiMumbai
Done
Planned
Cancer CenterCancer Center
NUSNUS FlinderFlinder’’ss HospHosp
2004.7
2004.1
2003.2
ChristChrist--churchchurch
ManilaManilaPhilippine GHPhilippine GH
BandungBandungU of IndonesiaU of Indonesia
2005.11
2005.11
2005.6
IwateIwate 2005.7
YokohamaYokohama 2005.11
Ho Chi MinHo Chi MinCho Cho RaiRai HospHosp
TaichungTaichung2005.11
HyderbirdHyderbird
New New DehliDehliSirGangaSirGanga Ram HospitalRam Hospital
Christ HospitalChrist Hospital
ChernobylChernobyl 2004.10
FukuokaFukuokaHongHongKongKong
HanoiHanoi
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APAN Working GroupsApplication Technology
Education WG, HDTV WG,Multimedia WG, eScience WG
Network Technology AreaIPv6 WG, Measurement WG, Satellite WG, Lambda BoFSecurity WG, SIP H323 WG
Network Research GroupNatural Resource Area
Agriculture WG, Earth Monitoring WG, Earth System WG
Members Meeting every 6 months
Medical WGBoF in Jan 2005 @ BangkokFormal approval as WG
in Aug 2005 @ Taipei
For Establishment of Telemedical Network in AP
Medical staffsEngineering team
Government and Companies
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Tomorrow’s Telemedicine DemoMedical live demonstration (14:00-17:30) (Room EA06-2)
1) Live demonstration of endoscopic clolectomy (14:00-15:30): Chaired by HS Han Connection stations: NUS- Taichung VGH (live surgery)-Shanghai-CUHK Subject: Live colon surgery Operator: Wang HM at Taichung VGH/Taiwan Discussants: Ng Enders at Chinese U of HK, Prince of Wales Hospital
Huang Kejian at Shanghai Jiaotong U, First People’s Hospital Subject: Live colon surgery
2) Teleconference with new connections (16:00-17:30): Chaired by K MutaConnecting stations: NUS- Fukuoka/JP- Bandung/Indonesia- Bangkok/TH Subject: Healthcare/Public health Presenters: 1) Fukuoka: Yuko Hirano (Kyushu U, JP) 2) Bangkok: Chanchai Vantanasiri (Mahidol U, Sirirraj Hosp, TH) 3) Bangkok: Vitaya Titapant (Mahidol U, Siriraj Hosp, TH) 4) Indonesia: Ali Sungkar (U of Indonesia, Jakarta, IN) 5) Singapore: Commentator (TBD) ¥
Thank you for your attention
and
Enjoy APAN Medical !!