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Surgical Picture Archival Communication System (S-PACS) SGPGI, Lucknow Case Study

Surgical Picture Archival Communication System (S-PACS) SGPGI, Lucknow Case Study. Prof. S. K. Mishra Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Head, Dept. of Endocrine Surgery & Faculty I/C, SGPGI Telemedicine Programme Lucknow , India.

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Surgical Picture Archival Communication System (S-PACS) SGPGI, Lucknow Case Study

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  1. Surgical Picture Archival Communication System (S-PACS) SGPGI, Lucknow Case Study Prof. S. K. Mishra Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS), Head, Dept. of Endocrine Surgery & Faculty I/C, SGPGI Telemedicine Programme Lucknow, India Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study March 2013 DICOM International Conference & Seminar

  2. Surgical Picture Archival Communication System (S-PACS) SGPGI, Lucknow Case Study Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study • Outline • Background • Work in Progress • Design, Development & Operation • Technological Advancement • Enterprise Digital OT infrastructure • Conclusions • Contact info of Presenter

  3. Background Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study • Demonstration of Live surgical procedures from a gallery attached to the operation theatre • Current system of education: Glass partition between OT and gallery. No interaction. • Surgical Workshop using interactive local audio-video network, Tele-medical videoconference and edited video • Web based system: Live web casting, VoD • Advancement in interventional procedures and complex technology aided surgical intervention demands skill education.

  4. Background Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study • Demonstration of Live surgical procedures from a gallery attached to the operation theatre • Current system of education: Glass partition between OT and gallery. No interaction. • Surgical Workshop using interactive local audio-video network, Tele-medical videoconference and edited video • Web based system: Live web casting, VoD • Advancement in interventional procedures and complex technology aided surgical intervention demands skill education.

  5. Work Flow in the hospital Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study

  6. Clinical Data Exchange Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study

  7. Work Flow in the hospital Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study

  8. Computer Assisted Digital Exchange Image Manager - Report C-Arms Images Video Endoscopy Monitor ECG Monitoring MRI Images- PACS C-Arm Fluoroscopy Left Side OR Laser Generator IMG Monitoring Image view Boxes Teleconferencing - telesurgery Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study

  9. Design, Development and Operation Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study • Integrated Operation Theatre • Surgical Skill Transfer & Management System • Preparation of web based video content which can be accessed by outside world through interactive videoconferencing/ real time streaming/Video on Demand (VOD) was the main objective of this project. • Integration of image inputs • In light camera • Laparoscopic camera • Operative microscope • Room camera mounted in the ceiling • Audio / Videoconference system • Intra-operative Ultrasound, Fluroscopy • Vital Sign monitor record • Any other equipment used during surgery

  10. Design, Development and Operation Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study • Integrated Operation Theatre • Surgical Skill Transfer & Management System • Preparation of web based video content which can be accessed by outside world through interactive videoconferencing/ real time streaming/Video on Demand (VOD) • Integration of image inputs • In light camera • Laparoscopic camera • Operative microscope • Room camera mounted in the ceiling • Audio / Videoconference system • Intra-operative Ultrasound, Fluroscopy • Vital Sign monitor record • Any other equipment used during surgery

  11. Intra Hospital Telemedicine NetworkRiding over Hospital Information System Network Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study

  12. Integrated Operation Theatre Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study

  13. Surgical Telepresence Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study

  14. Tele-Collaboration @ Integrated Medical Lecture Theatre Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study

  15. Live Streaming of Surgical Video Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study

  16. Mobile Learning Platforms Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study

  17. Enterprise Digital OT Integration Infrastructure SGPGI Knowledge park • Archival • Storage • Knowledge Management Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study

  18. Live Surgical Data Workflow Sharing Online sharing Streaming Video Conferencing Offline Sharing Developed Content Website Harvest Professional Camera Video Conference Hi-tech Digital Lecture Theater Integrated Operation Theater Edit Green Valley Edius FCP(final cut Pro) Adobe Premiere Maya B4M Storage Data Center Rack Servers Streaming Server Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study

  19. Knowledge Processing FCP (Final Cut Pro) Apple Platform EdiusEdit Station Windows Platform Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study

  20. Knowledge Parking :Data Center (Health Knowledge Park) & Telemedicine Network Monitoring Stations Data Center (Health Knowledge Park) Telemedicine Network Monitoring Stations Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study

  21. Conclusion • With the maturity of Video over IP technology and lowering cost of high definition video and audio and high resolution visualization enterprise medical image network needs to be designed at least in academic medical institutions. • SGPGI case study can be studied as a model to work further in this field of medical imaging in particular building infrastructure for skill based training both in house and distance education mode.

  22. Author Contacts www.sgpgi-telemedicine.org | www.nrct.in | www.stbmi.ac.in Thank you for your attention ! Surgical Picture Archival Communication System (S-PACS)SGPGI, Lucknow Case Study • SarojKantaMishra • Head, Dept. of Endocrine Surgery SGPGIMS, Lucknow, India • Nodal Officer, School of Telemedicine & Biomedical Informatics • skmishra@sgpgi.ac.in • skmishra_1956@yahoo.com

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