Naoki Nakashima

1
Asia-Pacific Medical Network Project with
super-broadband Internet -Activity Report-

• Naoki Nakashima
• Shuji Shimizu
• Nobuhiro Torata
• Yasuaki Antoku
• Kyushu University Hospital
• Koji Okamura
• Computing and Communications
• Center, Kyushu University

Fukuoka city
nnaoki_at_info.med.kyushu-u.ac.jp
24th APAN Meeting Advanced Network Conference
in Xian 29th August, 2007
2
Todays menu

• What is our project?
• Backgrounds and Purpose
• Current activities (after Manila)
• Plan Summary

Kyushu Univ., Fukuoka
3
Todays menu

• What is our project?
• Backgrounds and Purpose
• Current activities (after Manila)
• Plan Summary

Kyushu Univ., Fukuoka
4
Three key elements for telemedicine
- Backgrounds

• Moving images
• 1. High-quality
• 2. High-speed
• 3. Multi-channel

Broadband network is essential for medical use!
5

• Why Asia-Pacific ?

6
In Asia-Pacific area

• Huge population
• Medical standards are so different due to
  diversity of cultures, races, and religions
• There are specific diseases in Asia, such as
  chicken flu, SARS, and genetic disease, etc
• 4. Little time difference and short distance
  among countries

7

• Purpose

The time difference is short in the AP area !!
8
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 !!
9
DVTS Digital Video Transport System
( Digital Video over Internet Protocol )

• High quality video
• No compression of images
• Little time delay (0.3 sec)
• No compression process
• Less expensive
• Commercially available standard PC and DV camera
• System is simple
• Direct connection between DV and PC (IEEE1394)

multicast
Developed in Japan
10
Todays menu

• What is our project?
• Backgrounds and Purpose
• Current activities (after Manila)
• Plan Summary

Kyushu Univ., Fukuoka
11
24-25th January APAN-Manila (Live surgery)
Manila
Seoul
Kuala Lumpur
12
24-25th January APAN-Manila (a virtual visit at
a training center of endoscopic surgery)
Hong Kong
Manila
13
24-25th January APAN-Manila (bird flu)

• Manila
• Peking U
• ANU
• Stanford U
• Nagasaki U
• Chulalonkorn
• NHP / Hanoi
• Indonesia U

14
Japan-China-Korea Symposium
Transplantation conference with patients
2nd Feb, 2007
15
KOSEF visit at Kyushu University on 5th March

• KUH
• SNUBH
• Stanford

Lt)Cha-Dong Kim, Director of KOSEF Rt)Sachiyo
Mizuta, Dean of Kyushu U Hosp.
16
http//www.congre.co.jp/1st-aphpba/
17
Non-compression HD live surgerybetween Seoul and
Fukuoka
2007.3.23
18
Teleconference-1
2007.3.22
Fukuoka
Hong Kong
Singapore
Manila
19
Teleconference-2
2007.3.23
Fukuoka
Seoul
Taipei
Beijing
20
Live Demonstration, gastric surgery (KUH, Tata
Memorial Hospital, SJTU, Miyazaki)
30th March
Audiences SJTU (China) 20 Tata (India) 30
Miyazaki (Japan) 12 KUH (Japan)10
21
Live surgery demonstration of laparoscopic
hepatectomy (KUH, SNUBH, Iwate Medical
University, Miyazaki) on 8th May
SNUBH
22
Endoscopy Live demonstration ( KUH Kyoto 2nd Red
cross Hospital) on 9th June
The first connection with Kyoto, the ancient
capital of Japan
23
Live demonstration of stomach surgery at Chinese
Medical Association (Kyushu UH, SJTU, TMDU, CU)
on 22nd June
24
NORTH (Network Organization for Research and
Technology in Hokkaido) annual meeting on 19th
July
Double DV cams to create 3D image
25
New connection at APAN-Xian

• University of Hamburg-Eppendorf, Germany
• Institute of Laparoscopic Surgery in Bordeaux,
  France
• Concord Hospital in Sydney, Australia
• Xian venue
• Korea University Hospital, Seoul, Korea
• Back Mai Hospital, Hanoi, Vietnam
• Florida International University, USA
• Mumbai ERNET office, India
• Red Cross Kyushu International College of Nursing

26
Bordeaux (France)
Sapporo
Hamburg (Germany)
Beijing
Seoul
Iwate
Tokyo
Shanghai
Xian
Florida
Yokohama
Fukuoka
HongKong
SanFrancisco
Taipei
New Dehli
Taichung
Hawaii
Hanoi
Mumbai
Bangkok
Manila
Hyderbird
Ho Chi Min
Kuala Lumper
Cairnes
Singapore
Adelaide
Christ-church
NUS
Canberra
Bandung U of Indonesia
27
Institutions in Japan
Sapporo Med College
Iwate Med U
Kyushu U/Fukuoka
Kyoto 2nd Red Cross Hospital
Kyushu RC of Nusing/Munakata
Oita U
Nagasaki U
Meeting venues at Yokohama at Fukuoka
Fujimoto Hayasuzu Hosp/Miyazaki

• NCC Res Center
• Tokyo Med Dent U

Tomishiro Hosp/Okinawa
Fujita Health Hygene U/Nagoya
28
Past connection in the project (Feb/2003-July/2007
)
? ? ?
? ? ? ?
? APAN meeting Hawaii Cairns
Bangkok Taipei Tokyo Singapore Manila
Xian
29
Todays menu

• What is our project?
• Backgrounds and Purpose
• Current activities (after Manila)
• Plan Summary

Kyushu Univ., Fukuoka
30
Future Plans

• 9.12 Live Liver Surgery (Tan Tock Seng/SG) VPN
• 9.21 Fukuoka Endoscope Surgery Forum
• (FukuokaIwate MUMiyazakiOkinawa)
• 10.12Yonsei University
• Stomach Cancer Symposium VPN
• 11?Sydney (Northshore Hosp)
• Gastric Cancer
  Seminar VPN

31
Next APAN (Hawaii)

• We will have a session of
• lifestyle disease in APAN Hawaii.
• Demonstration of diet, exercise,
• devices for health, recent medical therapy, etc
• Please join us if you have interest.

32
Number of Diabetes Patients (million) in the
World in 2003 and in 2025 (Diabetes Voice,
2003.6 P. Zimmet )
33
For Establishment of Telemedical Network in AP
Engineering team
Government and Companies
34
Thank you for your attention and enjoy APAN
Xian !!