Remote Medical Education in Asia-Pacific - Possible expansion to Mexico- Shuji Shimizu, MD Director, Telemedicine Development Center of Asia, Kyushu University Hospital, Fukuoka, Japan April 17, 2013 connected to CUDI, MX
Beijing KOREA Sapporo CHINA Busan Seoul Tokyo Shanghai Fukuoka Osaka Taipei 500 km East Asia 1000 km JAPAN 1500 km
Today s menu Background Activities Korea-Japan Global expansion Challenges Kyushu Univ., Fukuoka
Surgical revolution: One example Open Endoscopic
HUGE demands in education! Many hospitals do not have all the specialists. Many young doctors do not have enough chances. Remote education Save time & travel expenses Scalability: Easy repeat & Large audience <Economical & Effective!> But, NOT popular in medical community yet Why not?
Int l Teleconf/Live demo 1990s ISDN/Narrow Satellite Poor image! Expensive!
Situations dramatically changed in 2002 We use BIG Internet! Korea Good Team Japan QGPOP Big Broadband Network: Bandwidth 2G
Key technologies 2000s DVTS (Digital video transport system) Academic network (Research and education network) Science 1986, Computer Networking for Scientists
Point Actual 1: bandwidth Clear & Smooth in each streaming network 30 Mbps 30 Original quality 25 20 15 10 Compressed, degraded D: Digital V: Video T: Transport S: System 5 0 0.4 ISDN DVTS Digital Video Internet
DVTS: Cheap and Simple Surgical instrument DV Camcoder DVTS PC Internet IEEE1394 UTP(Ethernet) >30Mbps Microphone Audio DVTS: free but powerful software No special teleconferencing equipments BROADBAND network is essential!
Point 2: Academic Network Mexico: CUDI Only for Research and Education
Today s menu Background Activities Korea-Japan Global expansion Challenges Kyushu Univ., Fukuoka
The first live demonstration of surgery OR Surgical movie Aug 1, 2003 Needs! Laparosc. Surg. Security software used Kyushu Univ., Japan NCC, Korea
TV news reports Aug 22, 2003 RKB KBC NHK TNC in the evening news KBC
Casual setting to neighbors New endoscopic procedures (ESD) Kyushu Univ. 2006.8.21 Nagasaki Univ.
Live Surgery from Korea to Japan 2006.4.13 Seoul => Fukuoka International Convention Center
Routine Int l Case Teleconference Kyushu Univ., Japan Seoul Univ., Korea
Today s menu Background Activities Korea-Japan Global expansion Challenges Kyushu Univ., Fukuoka
International academic network (APAN) Asia-Pacific Advanced Network Non-profit organization
Endoscopic Congress JP-1 JP-2 - Korea GI Meeting - Korea JP-3 2008. 3 New technical breakthrough
Continuous Medical Education in Asia 2009.6.26 Fukuoka, JP Cho Ray Hospital Ho Chi Minh, VN Shanghai, CN Cancer Institute Tokyo, JP
China-Japan Early Gastric Cancer Teleconference Regular meeting Fukuoka/JP Tokyo/JP Video Fudan U, Zhongshan Hosp/CN PUMCH/CN 2011.11.15
More extensions Seattle/US To India Hyderabad/India To US 2010.10. 9
Endoscopic Demonstration with Europe Kyoto, JP 2007.8 France Italy Belgium Czech Spain Norway VIDEO Xian, CN Fukuoka, JP Seoul, KR Hamburg, GR Kuala Lumpur, MY Bangkok, TH Taipei, TW
Expansion of Network to South Africa 2010
First to Cape Town in South Africa 14,000km Kyushu U, JP U Cape Town, ZA Cho Ray, VN 2011.9.21 2011.3 VIDEO
Latin America: Preliminary trials Not so good TX 2009.10.7 BR U San Paolo, BR CL MX Seattle
Network in Latin America
Endoscopy teleconf. with Central/Latin America 2013.1.16 Hawaii APAN venue Dr Yao Dr Uedo Brazil UERJ Dr Fatima Mexico UNAM Dr Tanimoto Chile REUNA Dr Ignacio
<Asia Medical Project> 34 countries 220 institutions 355 events Egypt Cairo U ERNET Mumbai Tata MH 2007.1 New Dehli Bangkok 2005.1 Kuala Lumper South Africa Before 2005 2006-2007 After 2008 2007.1 2007.1 2005.11 2004.10 2006.7 Singapore NUS Beijing Shanghai 2005.6 Hong Kong Hanoi Europe HaLong 2006.6 2007.8 Ho Chi Min Cho Rai Hosp 2004.12 Sapporo Seoul Tokyo Fukuoka Yokohama Manila Philippine U Bandung ITB Taipei 2007.3 2006.7 Jakarta, UI Jilin 2003.2 Taichung 2005.11 Adelaide Flinder s Hosp 2005.11 Canberra ANU 2007.3 Melbourne Sydney 2004.7 Iwate 2005.7 2004.1 2005.11 California Stanford, UC Irvine 2007.1 Hawaii 2004.1 Cairnes 2004.7 Auckland Brisbane Brazil
Today s menu Background Activities Korea-Japan Global expansion Challenges Kyushu Univ., Fukuoka
New Technologies 2010s 1. Smaller bandwidth for better quality - better compression system 2. Mobile technology - anytime, anywhere Generalization!
Global endoscopic conference with Vidyo 2012.8.28 IN VIDEO IN SG KR GE TW LK HK KR
CUDI announced network expansion to hospitals in MX Good timing to join the project! You need Engineers - who make it possible Doctors - who make it meaningful
Engineers 1. Network to the very end 1) International network 2) Domestic (NREN) 3) Campus Network Point APAN RedClara Network Point CUDI/MX RNP/BR Internet2/US Network Point Firewall Big academic network Connected to hospital? Support of engineers Big enough and stable network at all steps
Engineers 2. Setup the systems Videocamera DVTS PC Microphone Projector Speaker Sound IEEE1394 Ethernet (i-link) Sending DVTS PC 15pin Ethernet Sound Receiving Internet Meeting size HD-H323 Vidyo
Doctors: Needs & variety contents Surgery/Endoscopy Cardiac intervention Healthcare Fetus Bird flu, SARS, HIV Basic Science Nursing Medical students, etc. A lot more
Int l Endoscopic Nurse Teleconference U Malaya Thailand Kyushu U Singapore Brisbane
Team building Medical Doctors Local Engineer (Network & Audio-visual) National REN Engineers Medical Doctors Local Engineer (Network & Audio-visual) National REN Engineers The success depends on how good team you can make.
Conclusions 1. To preserve good image quality for moving images is essential in telemedicine. 2. R&E network has made the clear and smooth medical streaming possible with low cost. 3. Best timing to establish continuous medical education programs in MX. Le us work together!