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Current activity. Faculty of Medicine Chulalongkorn University King Chulalongkorn Memorial Hospital Thailand. 22 nd APAN Meeting Singapore 19 th July 2006. Computer Unit Faculty of Medicine Chulalongkorn University Thailand.
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Current activity Faculty of Medicine Chulalongkorn University King Chulalongkorn Memorial Hospital Thailand 22nd APAN Meeting Singapore 19th July 2006
Computer Unit Faculty of Medicine Chulalongkorn University Thailand Pornarong Chotiwan MDicd10th@hotmail.comChakaphan SookcharoenChidapha Adul-Tanagan
History The Faculty of Medicine. Chulalongkorn University has been founded in keeping with the wishes of H.M. King Anandhamahidol to see the University of Medical Sciences produce more doctors so as to provide better health care for his people. Acting on H.M. the King's wish, the govemment allocated a sum of money for expanding medical education. A second medical school was then established in King Chulalongkorn Memorial Hospital, the Thai Red Cross Society. Inpursuance of a royal decree, the Faculty of Medicine was established April 22, 1947 and was officially opened on June 11, 1947 On October 1, 1967 the school was transferred to Chulalongkorn University and renamed as " Faculty of Medicine, Chulalongkorn University.
Structure of Cooperation Japan Thailand Ministry Of Internal Affairs and Communication (MIC) MICT/NECTEC NICT Support (Network Survey / System Integrate) Chulalongkorn Univ. Kyushu Univ. Joint Experiment NTTCom(Thai) NTT-Lab / NTTCom *Prime Coordinator Coordination
Telemedicine Joint Experiment Chulalongkorn Univ. (Thai)/Kyushu Univ. (Japan)
The Review of Telemedicine Joint Experiment 2005 (Round 1) Nov.25, 2005 Basic Experiment (Teleconference) (Round 2) Dec.22, 2005 Training Box Tele-mentoring (Round 3) Jan 30-31, 2006 Robotic Tele-Surgery trial and International Workshop The outcome.... • Established strong relationship between Chulalongkorn U. and Kyushu U. • Confirmed the effectiveness of Tele-mentoring • Success of robotic Tele-surgery *Challenges for the experiment this year- - The improvement of the video quality - Continuous discussion of the training program between the universities
Experiment Network Kyushu University JGN2 Japan ATM45Mbps Thailand ThaiSARN UniNET Chulalongkorn University
The Plan for Telemedicine Joint Experiment 2006(Detail discussion on 28th July 06 by VCS) Experiment Plans • Tele-mentoring using the “Training Box” for endoscopic surgery • Tele-mentoring using the “VR-Simulator” for endoscopic surgery • (If possible) • Endoscopic surgery training using cadaver • ※We will try to take more time to discuss the training plans during the experiment period (e.g. tele-conference once a month). “Training Box” training “VR Simulator” training
Schedule (Draft) Teleconf.#1 Delegation from Japan Teleconf.#2 Teleconf. as needed Site survey / System design Installation/ Test Feedback ※Remarks: This joint experiment is planned to continue till 2007. However, the detailed plans of yearly experiment is decided at the beginning of each fiscal year by MIC.
Telemedicine System Joint Experiment using the MPEG4 Scalable Video CODEC Objectives: • Development of base technology of telemedicine on broadband network • Demonstration of tele-instruction between Japan and Thailand • Technology to construct next-generation IP network based on IPv6 Technologies used in this experiment: • Sharing of medical images by utilizing MPEG4 scalable CODEC • Real-time operation performance via low latency MPEG-2 CODEC system • Bi-directional real time video communication Demonstration of remote robotics surgery: • Jan 30, 2006 • Maser-Slave type surgical robot developed by Univ. of Tokyo • Sature/Removal demonstration with Live-Tissue
MPEG4 Encoder MPEG2 LL Decoder Flet’s Phone Flet’s Phone Telemedicine System Joint Experiment using the MPEG4 Scalable Video CODEC ThaiREN JGN2 AsiaBB NW Chulalongkorn Univ. Kyushu Univ. Camera (backup) MPEG4 Scalable (3 - 10Mbps) Whole image Of class Endoscopic Image (backup) MPEG4 Enc/Dec MPEG4 Decoder Back up(single channel) Endoscopic Image (for Surgeon) alternative Endoscope Camera 6Mbps MPEG2 Decoder MPEG2 Encoder Endoscopic Image (for participants) Image of Slave Robot (for surgeon) Robot Endoscope Camera Switcher 6 - 4Mbps MPEG2 LL Encoder 6Mbps; 180ms delay 4mbps; 140ms delay Image of Slave Robot (for participants) Camera (assistant) Camera (operation) 6Mbps MPEG2 Encoder MPEG2 Decoder Image of Operation ROBOT (Master) ROBOT (Slave) < 1Mbps Surgeon 0.5 - 1Mbps Lecture Room (voice)
Telemedicine System Joint Experiment using the MPEG4 Scalable Video CODEC Chulalongkorn University Kyushu University JGN2 Asia Network ROBOT (Master) ROBOT (Slave)
Telemedicine System Joint Experiment using the MPEG4 Scalable Video CODEC Kyushu Univ. Chulalongkorn Univ. Surgeon (Dr. Hashizume) Participants Live-Tissue on operating table Slave Robot Master Robot Image from Japan: environment 45inch display or participants Image from Japan: Endoscope
Experiment of Distant Medicine Using ROI Chulalongkorn Univ. (Thai)/ Asahikawa Medical Univ. (Japan)
Experiment of Telemedicine in Ophthalmology based 3D-HD and Broadband Network Objectives: • This experiment aims at evaluation of the network and services in ophthalmologic telemedicine utilizing the technologies of 3D-HD and broadband network. Outline of the experiment: • Evaluation of telemedicine by high-definition surgery image transmission. Through the broadband network, high-definition surgery image (ophthalmology) will be transmitted from Japan to Singapore at real-time. At the same time, a conference will be set to evaluate the effectiveness of the usage of the transmitted high-definition image. • Evaluation of the interaction of ROI (Region of Interest) and 3D-HD over the telemedicine platform. By using the ROI platform, SD (normal size) images converted from HD images is shared among the medical agencies between Thailand and Japan.
3D-HD camera system for surgery Conference image for Remote diagnostics Experiment of Telemedicine in Ophthalmology based 3D-HD and Broadband Network Singapore Japan 3D-HD Link :1Link (50Mbps) IP-Video Conference :1Link (2Mbps) ROI platform :1Link (6Mbps) Singapore National Eye Center Asahikawa Medical College Hospital Telemedicine Center DLP Projector 3D-HD Player AP SingAREN Microscopic HD camera head DLP Projector 3D Screen 3D-HD encode / distribute server 3D Glass H.264 IPVC HD HD 3D-HD camera system for surgery Asia Broadband Network Operation room Conference image for Remote diagnostics AP H.264 IPVC Thailand Chulalongkorn University & Hospital Department of Ophthalmology NTSC Asahikawa Medical College ROI control PC ThaiSarn /Uninet H.264 IPVC ROI control PC AP Joy stick DLP Projector 3D-HD Player AP Access Point Joy stick ROI Platform Conference image for Remote diagnostics ROI Image ROI Platform
Experiment of Telemedicine in Ophthalmology based 3D-HD and Broadband Network • Experiment between Thailand and Japan: • Mar 1, 2006 • Mar 2, 2006 Venue in Asahikawa Medical College (Mar 1, 2006) Venue in Chulalongkorn University (Mar 1, 2006) ROI Image (left), Operation room (right) (Mar 1, 2006)