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Naoki NakashimaShuji Shimizu

Kyushu UniversityHospital

nnaoki@info.med.kyushu-u.ac.jp

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

2

22

2

3 3

3

4 4

4

5

10

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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 !!