Activity Report of Asia-Pacific Medical Network Project in Kyushu University Hospital

Transcription

1 Activity Report of Asia-Pacific Medical Network Project in Kyushu University Hospital March 2005 Edited by Shuji Shimizu MD and Naoki Nakashima MD Core University Program Supported by JSPS (Japan Society for the Promotion of Science) KOSEF (Korea Science and Engineering Foundation)

2 Index 1. Preface (Shimizu) 1 2. Aims and characteristics of the project (Shimizu) 2 3. Network structure (Okamura) Instruments/ Technical tips (Ishii) Event list (Shimizu) Event report 22 1) Programs (Shimizu/Nakashima) 22 2) Configuration maps (Ishii) 54 3) Snaps/ Brief explanation (Shimizu/Nakashima) 62 4) Results of questionnaires (Imamura) Meeting and lecture list (Shimizu) Paper list (Shimizu) Press list (Imamura) Collaborating institutes (Nakashima) Closing (Nakashima) 113 References 1. Published papers Press release Reported newspapers and magazines 175

3 1. Preface The year 2002 is a historical year for both Korea and Japan because the World Cup Soccer event was successfully co-hosted by the two countries for the first time in history. This was when our medical team joined the Hyeonhea/Genkai project, which was established by cooperation between governments, academic institutions, and companies, in order to promote mutual relationship in such fields as culture, education, business and sightseeing using broadband Internet via the Korea-Japan submarine optical cable. It was both fortuitous and a kind of coincidence that the medical team started to work on this project. Hanyang University in Seoul was a common friend for both engineering and medical teams. In addition, three surgeons (HS Han, BI Moon, and YW Kim) had been invited to a local surgical meeting in Fukuoka in the same year. All these doctors are now key counterparts leading the project. This joint project seems to be best suited to medical use. In contrast to the conventional telecommunication with the narrow band, high-quality motion images do not deteriorate during transmission and exactly the same quality of pictures can be seen at the receiving end of the network. Thanks to this fact, doctors can recognize precise anatomy to make an accurate diagnosis and can provide good educational materials for remote medical students. We are proud to say that we have accomplished more than we expected in the course of these last couple of years. Here we summarize our achievements both as a record for our own benefit and as a reference for interested friends. This year commemorates the 40 th anniversary of the Korea-Japan friendship treaty. We believe that our project will go beyond the borders of the two countries and will be ultimately beneficial to patients throughout the Asia-Pacific region. March 2005 Shuji Shimizu, MD, PhD Kyushu University Hospital -1-

4 2. Aims and characteristics of the project Aims and characteristics of our medical project Department of Endoscopic Diagnostic and Therapeutics, Kyushu University Hospital, Fukuoka, Japan APII Shuji Shimizu, MD, PhD Here are brief explanations about the aims and characteristics of our medical project. Conventional telemedicine Radiology Computed Tomography (CT) Magnetic Resonance (MR) Vital signs Pulse; Blood pressure Electrocardiogram (ECG) Limited applications Still pictures Small-size moving images Conventional telemedicine has limitations due to the narrow bandwidth of the network. -2-

5 Korea- Japan Telemedical Network (Hyeonhae/Genkai Project) Joined in National Cancer Center KOREN 2 3 Hanyang Univ UnivHosp Seoul National Univ UnivBundang Hosp APII, KJCN 4 Ewha Womans Univ UnivMockdong Hosp Hosp QGPOP JP Kyushu Univ Bandwidth 2G Big Broadband Network Big broadband network in medicine was established between Korea and Japan in Actual bandwidth in each network Mbps Compressed images Non-compressed images transmitted 60 3ISDN Telephone line, Still popular Commercial broadband ADSL ISDN ADSL 2DVTS 2DVTS Actual bandwidth of our network is much bigger than those in general use, and therefore the quality of transmitted moving images can be well preserved. -3-

6 Why is big broadband so important for telemedicine? Key elements for telemedicine 1. High-quality 2. High-speed 3. Multi-channel Narrow band images are unsatisfactory and impractical for medical use! Our system enables telecommunication to be practical in medical use. Remote medicine between Korea and Japan Kyushu-Univ. Korea DVTS Digital Video Transfer System APII-KJCN Gigabit Network Digital Video Transfer System DVTS Exactly the same quality image, 30 frames/sec, 0.3 sec time delay No loss of quality, high frame rate, and little time delay are advantages of DVTS (digital video transfer system). -4-

7 Major achievements Live surgery or technical demonstration 03.8: Laparoscopic gastric surgery (NCC) & 04.7: Laparoscopic colon surgery (NCC) & 04.5: Neurosurgery (Hanyang) Medical conference with digital video 03.2: Nurse conference (Hanyang) 04.5: Transplantation conference (Hanyang) Live conference at meeting venue 03.10: APAMI meeting (Daegue) 04.1 & 04.7 : APAN meeting Events Venues Kyushu Univ., Fukuoka Telemedicine using our system is rapidly increasing in number. Telemedical conference at Asian-Pacific meeting venue Beijing 5 st st APRU Meeting Tsinghua Univ Univ 19th 19th APAN Bangkok, Thailand Seoul Fukuoka Taipei Bangkok Tokyo Transplantation Taipei, Taiwan Cairns 17th 17th APAN Meeting Hawaii, USA USA 18th 18th APAN Meeting Cairns, Australia We have performed the teleconference not only with Korea but also with other Asia-Pacific regions. -5-

8 Three characteristics of our system Developing Expanding Broadband Internet Beyond geographical borders High-quality International Non-compressed Medical use Three characteristics include broadband Internet, high-quality images, and international communications. Big broadband versus Narrow band Big broadband Narrow band High quality Poor quality Correct diagnosis Better education Misdiagnosis Inadequate education Image quality is the key in telemedicine!!! Image quality is the key for medical purpose. -6-

9 Why is INTERNATIONAL exchange important? Big difference in medical standard among countries Medical science spreads easily by reading papers Medical skills have to watch for real understanding We should see what people are doing in other countries. But, only limited number of people can visit other institutions, and just once in a while. There are many things we have to learn by watching in medicine, not by just reading papers. Advantages of our telemedicine project For doctors and institutions - Learn new and different procedures by real watch - Many people at once, and at anytime - Reduce accidents due to immaturity of their skills - No time-consuming trip abroad For patients - Provide better and safer medical care For global health care - Standardization and globalization Kyushu Univ., Fukuoka There are many advantages of our telemedical project. -7-

10 Why Asia? 1. Huge population 2. Medical standards are so different due to diversity of cultures, races, and religions. 3. There are specific diseases in Asia, such as gastric cancer, viruses, SARS, etc. 4. Little time difference and short distance among countries, which makes our telemedicine and face- to-face meeting easier. Asia-Pacific regions are our main target. Asia-Pacific Advanced Network (APAN) Japan: JGNII Core network bases Sapporo Fukuoka Kanazawa Nagano Sendai Asia-Pacific Telecommunity Osaka Okayama Kochi Okinawa NICT Koganei Headquart ers Nago Otemachi ya Tsukuba There are active organizations working for the unification of these countries with big broadband network. -8-

11 For Establishment of Telemedical Network Engineering team Medical staffs Cooperate in harmony! Government and Companies For the establishment of international telemedical network, good cooperation among medical staffs, engineering team and government/companies is essential. -9-

12 3. Network structure The network at Kyushu University Hospital is part of the Kyushu University Campus Network. Communicating with external networks is carried out through the SINET (Science Information Network) of the MEXT (Ministry of Education, Culture, Sports, Science and Technology) for most of the traffic of the Kyushu University network, but communication for the research network is implemented through the network for the research and development, QGPOP (Kyushu GigaPOP Project). Thus, communication with the research institutes in Korea is carried out through QGPOP. The bandwidth of the backbone-network in Kyushu University is 1 Gbps but the end is 100 Mbps. Kyushu University and QGPOP are connected at a speed of 1 Gbps. Therefore the maximum bandwidth to and from each segment at Kyushu University Hospital to QGPOP's trunk line is 100 Mbps. QGPOP is the network for research and development. QGPOP has dedicated IPv4 (Internet Protocol version 4) address space ( /16) and dedicated AS (autonomous system), the number of which is The external network comprises SINET, WIDE (Widely Integrated Distributed Environment), APAN-JP (Asia-Pacific Advanced Network- Japan) and KOREN (Korea Advanced Research Network) and is interconnected by the Border Gateway protocol. QGPOP is connected, at 1 Gbps, to almost all networks other than IIJ which is a commercial based network. QGPOP's network is shown in Figure 3-1. As for QGPOP, because of its multi-home configuration using a Border Gateway protocol, the connection with external networks can be determined according to QGPOP's own policy, but the route paths are usually determined by the AS path length only. The joint part of QGPOP and KOREN is specifically called Genkai network. As shown in Figure 3-2, the optical fiber which connects Fukuoka and Busan without relaying, called KJCN (Korea-Japan Cable Network) is used. The Genkai network is one part of the APII (Asia-Pacific Information Infrastructure) which connects Tokyo and Seoul at higher speed. It has been in service since 2003 and still continues to operate today. The Genkai network has made possible high-speed communication at 1 Gbps between the main research institutes in Japan and Korea. -10-

13 Seoul AS9720 Busan GSR APII APII(Genkai) Juniper QGPOP(Genkai) Juniper AS7660 Back Bone of QGPOP AS2523 APII(Tokyo) Juniper Hakozki Cisco2 Tokyo Kyushu U Cisco AS2500 Wide GSR AS2500 Momochi Juniper Hakozaki Juniper SINET GSR AS2970 IIJ AS2497 Figure 3-1 QGPOP (Kyushu GigaPOP Project) network 250Km No Relay (Power Amp) Figure 3-2 Korea-Japan cable network (KJCN) -11-

14 4. Instruments / Technical tips Here, we explain how to start a teleconference using DVTS environment. (1) Basic & simple configuration A teleconference can be started with very simple system configuration. Required items are shown in Table 4-1. Table 4-1 Items required Item Figure Specifications Digital Video Camcoder - IEEE1394 (or FireWire, i.link) interface - Built-in or external microphones Personal Computer Projector & Screen (optional) - Desktop or notebook type, running Microsoft Windows XP - High-speed CPU (ex. Pen-IV, III, M, Celeron over 2GHz) MB RAM minimum - Higher class graphic cards or chips (ex. ATi, nvidia recent models) - Minimum display resolution of 800x600 - Fast Ethernet interface or Gigabit Ethernet interface - IEEE1394 (or FireWire, i.link) interface - Stereo audio output interface - RGB or DVI output interface - Minimum display resolution of 800x600 - Brighter light source - RGB or DVI input interface -12-

15 Table 4-1 Items required (Cont d) Item Figure Specifications Speaker with amplifier - Stereo RCA type pin-jack or mini-jack type inputs Microphone - Unidirectional sensitivity Ethernet Cable - UTP (Category 5 or 6) cable IEEE1394 Cable - 4pin-4pin or 4pin-6pin cable (depending on PC interface type) - At least 3m long Audio Cable - Stereo RCA type pin-plug or mini-plug (depending on PC and speaker interface type) Display Cable - D-sub 15pin type cable or DVI type cable (depending on PC and projector interface type) -13-

16 Table 4-1 Items required (Cont d) Item Figure Specifications DVTS software Network, connected to the Internet Network - Freely downloadable at software/win2000/setup exe (for WindowsXP only) - English is supported - Ethernet - Over 35Mbits/s end-to-end available bandwidth is needed Technical tips relating to each of the above are shown in Table 4-2. Table 4-2 Technical tips Item Descriptions Digital Video Cam- - A built-in microphone is too sensitive for teleconference coder use because it causes acoustic feedback (howling). That is why it is not recommendable to use a built-in microphone. - External microphones should be used. Microphone - It should have uni-directionality and low sensitivity to avoid acoustic feedback. Personal Computer - Global IP address must be assigned for each PC. - It should have advanced graphics ability, because the DVTS process demands large graphics resource. - It is not recommendable to use built-in graphics chip sets such as i815, i845g etc. - If there are no PCs that have sufficient processing power, two PCs may be used: one is for sending and the other for receiving separately. Network - DVTS software consumes about 35Mbits/sec bandwidth. - Traffic in excess of 35Mbits/sec must be transmitted throughout from a sending site to a receiving site. Any bottleneck on the way to the remote site prevents effective functioning of the DVTS software. - Transmission of such heavy traffic to the Internet requires network system configuration adjustment and international negotiation by network administrators. -14-

17 Connection of devices is shown as Figure 4-1 and Figure 4-2. DV Camcoder DVTS PC IEEE1394 UTP(Ethernet) Hub/Switch Audio D-sub 15pin Audio Microphone Network Projector Speaker Figure 4-1 Basic system configuration DV Camcoder IEEE1394 DVTS PC (for sending) UTP(Ethernet) Hub/Switch Audio Microphone DVTS PC (for receiving) Projector D-sub 15pin UTP(Ethernet) Network Audio Speaker Figure 4-2 Basic system configuration (separated DVTS PC) -15-

18 (2) Advanced configuration To make the teleconference more comfortable, an advanced configuration should be built. In addition to the basic configuration, the items shown as Table 4-3 below are required. Table 4-3 Items required Item Figure Specifications D/A converter - Converts S-Video (or Video) signal into DV signal, and vice versa Scan converter (optional) - Converts PC s RGB output into S-Video (or Video) or DV signal - Also supports D/A converter function Audio mixer - Multi input channels & multi output buses Video mixer (optional) Echo canceller Feedback destroyer (optional) - Multi input channels and multi output channels - Supports S-Video signal - Supports transition, picture-inpicture, multi-divided image - Detects and cancels acoustic feedback Projector & Screen (optional) - Displays sending image VPN Gateway (optional) - Manages IPsec based VPN - Running on RedHat Linux -16-

19 Technical tips relating to each of the above are shown in Table 4-4. Table 4-4 Technical tips Item Descriptions D/A converter - Capable of converting DV signal into S-Video or Video, Scan converter S-Video or Video into DV, and also, S-Video into Video, Video into S-Video. This device is convenient for signal conversion. - The scan converter, like the D/A converter, can convert RGB signal into S-Video and Video signal and is convenient for presentation using a PC. Audio mixer - It should have multi-output buses to avoid acoustic feedback. - Although the audio mixer can mix all audio sources, each output channel must be composed independently so that it will not cause acoustic loop. - For example, the output channel for a remote site should be composed of audio sources only except from the remote site itself. Video mixer - The video mixer device can handle sending various images and is therefore very effective and appealing to the audience. - For example, transition of two images, picture-in-picture image, multi-divided image etc. Echo canceller - This will be used to ensure unfailing cancellation of Feedback destroyer acoustic feedback - It is not, however, so effective when using at a local site alone. - To make sure of cancellation of acoustic feedback, it should be used at both ends (local site and remote site) simultaneously. Projector & screen - This is used for displaying sent images. - Provides both the presenter and the audience with images of themselves during the conference. VPN Gateway - This is used to keep all traffics secure over the Internet. - When performing live surgery or other confidential demonstration, this device is mandatory. -17-

20 Connection of devices is shown as Figure 4-3. PC DV Camcoders (for presentation) (scenery) (video content) Network S-Video D-sub 15pin DVTS PC (for sending) VPN Gateway (optional) Video Mixer Projector (for local site) S-Video S-Video Audio Audio IEEE1394 Scan Converter Audio Mixer D/A Converter Audio IEEE 1394 UTP(Ethernet) DVTS PC (for receiving) Hub/Switch UTP(Ethernet) Microphones Echo Cancellers Audio S-Video Speaker Projector (for receiving) Figure 4-3 Advanced system configuration -18-

21 5. Event list Date Events Contents Materials Venue IT week Live surgery (stomach) Live surgery (stomach) Live surgery (gallbladder) APAMI Live demonstration Live surgery (colon) Live surgery (neurosurgery) APAN-Hawaii Live demonstration ERCP Live demonstration Live surgery (neurosurgery) Transplantation teleconference APAN-Cairns demonstration nurse and endoscopic surgery endoscopic surgery endoscopic surgery endoscopic surgery nurse and endoscopic surgery endoscopic surgery neurosurgery endoscopic surgery ERCP neurosurgery video live live live video live live video live live transplantation video transplantation slide, video NORTH seminar network slide Network lecture Robot training seminar Seoul colon conference Case teleconference of EBV-associated disorders Telepathology of EBV-related malignancies endoscopic surgery robot endoscopic surgery telepathology telepathology slide, video slide, video live microscope microscope Kyushu Hanyang Kyushu NCC Kyushu NCC Hanyang Kyushu Daegu Kyushu NCC Kyushu Hanyang Kyushu Hanyang Kyushu Tokyo Hawaii Kyushu Hanyang Kyushu Hanyang Kyushu Hanyang NCC Kyushu Tokyo Cairns Sapporo Kyushu Kyushu Ewha Kyushu Ewha NCC Kyushu Kyushu NCC(SNU) Kyushu NCC(SNU) -19-

22 Date Events Contents Materials Venue Teleconference on endoscopy Annual Meeting of Japanese Cancer Association APRU Distant Learning Conference LADG conference Hospital introduction EUS live demonstration Teleconference on endoscopic hepatectomy Teleconference in Core University Meeting Teleconference on renal transplantation Teleconference on hepatobiliary surgery Teleconference on pancreatic transplantation Teleconference on pancreatic transplantation Teleconference on endoscopic surgery APAN-Bangkok Clinico-pathological teleconference endoscopy telepathology endoscopy, endoscopic surgery endoscopic surgery hospital introduction endoscopy endoscopic surgery endoscopy slide, video microscope slide, video live HD video live conference slide transplantation slide hepatobiliary pancreas slide transplantation slide transplantation slide endoscopic surgery endoscopic surgery, hematology hepatobiliary pancreas slide slide slide Robotic telesurgery robot live Pancreatic transplantation meeting transplantation slide Kyushu Hanyang Fukuoka NCC Kyushu Kyushu Tsinghua Kyushu NCC Hanyang Kyushu Kyushu Hanyang Kyushu Bundang Kyushu Chungnam Kyushu Tsinghua Kyushu Bundang Ewha Kyushu Taipei Kyushu Bundang Kyushu Bundang Bangkok Beijing Seoul Fukuoka Kyushu Bundang Kyushu Hanyang Fukuoka Seoul Beijing Taipei -20-

23 Abbreviations APAMI : Asia-Pacific Association of Medical Informatics APAN : Asia-Pacific Advanced Network APRU : Association of Pacific Rim Universities EBV : Epstein-Barr virus ERCP : Endoscopic retrograde cholangio-pancreatography EUS : Endoscopic ultrasonography HD : High-definition LADG : Laparoscopy-assisted distal gastrectomy NCC : National Cancer Center, Korea NORTH : Network Organization for Research and Technology in Hokkaido SNU : Seoul National University Accumulation Number of the Events Accumulation Number of the Connected Institutes Accumulation Number of the Connected Countries Figure 5-1 Number of events, institutes and countries -21-

24 6. Event report 1) Programs #1 IT Week

25 #3 Live Surgery (Stomach) Live Demonstration of Endoscopic Gastric Surgery Date : August 22, 2003 (Friday) Time : 9:00-13:00 Place : National Cancer Center, Korea Kyushu University Hospital, Japan Moderator : Dr Shuji Shimizu (Japan), Dr Young-Woo Kim (Korea) 9:00 - Opening remarks (Prof Masao Tanaka, Kyushu University Hospital) 9:05 - Staff introduction (each station) 9:15 - Operation starts Case presentation (Dr Shuji Shimizu, Kyushu University Hospital) 9:30 - Introduction of operation room and surgical instruments (Dr Masahiko Kawamoto, Kyushu University Hospital) 10:00 - Endoscopic procedures begin Discussion along with explanation of surgery 13:00 - Closing (Dr Young-Woo Kim, National Cancer Center, Korea) -23-

26 #5 APAMI Live Demonstration

27 #8 APAN-Hawaii Live Demonstration Genome & Telemedicine Meeting Date : January 29, 2004 (Thursday) Program: 1. Overview of telemedicine and genome projects in Asia-Pacific. by Hiroshi Mizushima (National Cancer Center, Tokyo JAPAN) 2. Telemedicine using DVTS between Korea-Japan. by Young-Woo Kim (National Cancer Center, Seoul KOREA) 3. Activity of Japan Medical Information Network Association as NPO. by Toru Okubo (JAMINA, JAPAN) 4. How to Keep Real Color Appearance in Telemedicine. by Masahiro Nishibori (Tokyo Medical and Dental University Hospital, JAPAN) 5. Demonstration of telemedicine over high speed Hawaii-Japan-Korea Network. by Naoki Nakashima, Shuji Shimizu and Koji Okamura (Kyushu Univ, JAPAN), HS Choi and YJ Park (Hanyang Univ., KOREA), YW Kim (National Cancer Center, KOREA), Hiroshi Mizushima (National Cancer Center, JAPAN) -25-

28 #10 Live Surgery (Neurosurgery) Live Demonstration of Neurosurgery Date : May 25, 2004 (Tuesday) Time : 13:00-15:30 Place : Hanyang University Hospital, Korea Kyushu University Hospital, Japan Moderator : Dr Shuji Shimizu (Japan), Dr Yang Ko (Korea) 13:00 - Opening remarks (Dr Shuji Shimizu, Kyushu University Hospital) 13:05 - Staff introduction (each station) 13:15 - Operation is under way, beginning at 9:30. Introduction of operation room (OR) system Explanation of surgical planning (Dr Yoshihiro Natori, Kyushu University Hospital) 13:30 - Case presentation (Dr Arimura, Kyushu University Hospital) 13:45 - Presentation of the first part of the operation using edited video (Dr Higashino, Kyushu University Hospital) 13:45 - Introduction of OR and surgical instruments 14:00 - Discussion along with explanation of live surgery 15:30 - Closing (Dr Yang Ko, Hanyang University Hospital) -26-

29 #11 Transplantation Teleconference Teleconference on Renal Transplantation between Korea and Japan Date : May 31, 2004 (Monday) Time : 16:00-17:50 Place : Hanyang University Hospital, Korea Kyushu University Hospital, Japan Moderator : Dr Shuji Shimizu (Japan), Dr Oh Jung Kwon (Korea) 16:00 - Opening remarks (Prof Masao Tanaka, Kyushu University Hospital) 16:05 - Staff introduction (each station) 16:15 - Short presentation about network system (Dr Shuji Shimizu, Kyushu University Hospital) 16:30 - Presentation on renal transplantation in Japan (Dr Atsushi Sugitani, Kyushu University Hospital) 17:00 - Presentation on renal transplantation in Korea (Dr Oh Jung Kwon, Hanyang University Hospital) 17:30 - Discussion 17:50 - Closing (Dr Oh Jung Kwon, Hanyang University Hospital) -27-

30 #12 APAN-Cairns Demonstration Medical Teleconference Session Date : July 2, 2004 (Friday) Time : 14:00-17:30 Place : Room B in Hilton Cairns Hotel Chair : Cairns : Naoki Nakashima (Kyushu Univ. Hospital) Endocrinologist/Medical Informatics Moderator : Seoul : Young-Woo Kim (National Cancer Center Seoul) Endoscopic Surgeon Fukuoka : Shuji Shimizu (Kyushu Univ. Hospital) Endoscopic Surgeon Tokyo : Hiroshi Mizushima (National Cancer Center Tokyo) Genomic Epidemiologist/Medical Informatics/APAN member Presenter/Commentator : Cairns : Ashim K Sinha (Cairns Base Hospital) Physician/Endocrinologist Seoul : Sang Jae Park (National Cancer Center Seoul) Transplantation Surgeon Fukuoka : Atushi Sugitani (Kyushu Univ. Hospital) Transplantation Surgeon a doctor from endocrinology group (Kyushu Univ. Hospital) Endocrinologist Tokyo : Hiroshi Mizushima (National Cancer Center Tokyo) 15:00 - Opening Address, Greeting from each station 15:05 - Lecture from Tokyo (Dr Mizushima) The history and expectation of APAN and Medical Network (Transplantation teleconference---pancreatic transplantation-----) 15:20 - Presentation from Japan (Dr Sugitani) -28-

31 Current status of pancreas/kidney transplantation in Japan 15:35 - Presentation from Korea (Dr Park) Experience of Pancreatic & Liver Transplantation in Korea 15:50 - Comments from Cairns and Fukuoka (Endocrinologists) 16:00 - Discussion (by Staffs in all stations) 16:25 - Closing Address -29-

32 #15 Robot Training Seminar Current Status of Robotic Surgery -Symposium cerebrating KOREN Opening- Date : July 15, 2004 (Thursday) Time : 17:00-20:45 17:00 - Registration 17:15 - Opening remarks (KJ Choi, Ewha Womans University) 17:20 - Celebration remarks (Yeng-Hyo Park, President of Ewha Womans Hospital) 17:25 - Introduction of KOREN (Byung-In Moon, Ewha Womans University) Session I Co-chairman: Shuji Shimizu, Kyushu University Byung-In Moon, Ewha Womans University 17:30 - Opening address and introduction of telemedicine (Shuji Shimizu, Kyushu Univiersity) 17:40 - Special Cyber Lecture "Experiences of Robotic Surgery in Japan" (Makoto Hashizume, Kyushu University) 18:00 - Live demonstration of robotic system (Y Kakeji, Kyushu University) 18:20 - Discussion 18:35 - Closing remarks (Byung-In Moon, Ewha Womans University) 18:40 - Coffee Break -30-

33 Session II Chairman: Woo-Jung Lee, Yensei university 19:00 - Clinical Application of Robotic Surgery in Stomach (Hyen-Ho Kim, Seoul National University) 19:15 - Clinical Application of Robotic Surgery in Gynecology (Seung-Cheol Kim, Ewha Womans University) 19:30 - Clinical Application of Robotic Surgery in Chest (Tae-Hee Won, Ewha Womans University) Session III Chairman: Kwang-Ho Kim, Ewha Womans University 19:45 - Clinical Application of Robotic Surgery in Hepatobiliary (Seok-Kee Min, Ewha Womans University) 20:00 - Clinical Application of Robotic Surgery in Urology (Dong-Hyun Lee, Ewha Womans University) 20:15 - Robotic Surgery in the Era of Laparoscopy (Kyeong-Tak Seong, Donga University) 20:35 - Discussion 20:45 - Closing remarks (Keum-Ja Choi, Ewha Womans Univerisity) -31-

34 #16 Seoul Colon Conference

35 #17 Case Teleconference of EBV-Associated Disorders Korea-Japan Case Teleconference of EBV Associated Disorders Date : August 27, 2004 (Friday) Time : 17:30-18:30 17:30 - Opening remarks (Dr Koichiro Muta, Kyushu University Hospital) 17:35 - Staff introduction (each station) 17:40 - System explanation (Dr Shuji Shimizu, Kyushu University Hospital) 17:45 - Presentation from Korea Presentator: Dr MC Kook (Department of Pathology, Seoul National University Hospital) "EBV associated gastric cancer" 18:05 - Presentation from Japan Presentator: Dr Rie Otsuka (Department of Bioregulatory Science, Kyushu University Hospital) "Chronic active EBV infection" Commentator: Dr Shigeo Nakamura (Department of Pathology, Aichi Cancer Center) 18:25 - Discussion 18:30 - Closing -33-

36 #18 Telepathology of EBV-Related Malignancies Korea-Japan Telepathology of EBV Related Malignancies Date : August 28, 2004 (Saturday) Time : 11:00-12:00 11:00 - Opening remarks (Dr Koichiro Muta, Kyushu University Hospital) 11:05 - Staff introduction (each station) 11:10 - System explanation (Dr Young-Woo Kim, National Cancer Center) 11:15 - Presentation from Japan Presentator: Dr Shigeo Nakamura (Department of Pathology, Aichi Cancer Center) 11:35 - Presentation from Korea Presentator: Dr CW Kim and Dr WH Kim (Department of Pathology, Seoul National Cancer Center) 11:55 - Discussion 12:00 - Closing -34-

37 #19 Teleconference on Endoscopy The 3rd Korea-Japan Teleconference on Endoscopy Date : September 15, 2004 (Wednesday) Time : 17:00-18:00 Place : Hanyang University Hospital, Korea Kyushu University Hospital, Japan Chariman : Dr Joon-Soo Hahm, Shuji Shimizu 17:00 - Opening remarks (Dr Dong-Soo Han, Hanyang University Hospital) 17:05 - Staff introduction (each station) 17:10 - Presentation from Japan Speaker: Dr Shinichiro Yada (Department of Medicine and Clinical Science, Kyushu University Hospital) "Recent advance in small bowel endoscopy" 17:30 - Presentation from Korea Speaker: Dr Jun-Dae Won (Department of Internal Medicine, Hanyang University Hospital ) "Endoscopic cystoenterostomy in pancreatic pseudocyst" 17:50 - Discussion and comments 18:00 - Closing (Dr Shuji Shimizu, Kyushu University Hospital) -35-

38 #20 Annual Meeting of Japanese Cancer Association The 63 rd Annual Meeting of the Japanese Cancer Association -Program of the Asia-Pacific Session- Connecting with Korean station (National Cancer Center, Korea) by super-broad banded Internet line using submarine optical cable (KJCN) B room: 9:00~11:30, 30 th September S17 Beyond Diversity: EBV Related Malignancies in Asia-Pacific Region Chairman: Koichiro Muta (Kyushu Univ. Japan) Apiwat Mutirangura (Chulalongkorn Univ. Thailand) 1. EBV-Related Malignancies in Asia-Pacific Region Ih-Jen Su (Division of Clinical Research, National Health Research Institutes and Department of Pathology, National Cheng-Kung University Medical College, Taiwan) 2. Molecular Genetics of Epstein-Barr virus associated Nasopharyngeal Carcinoma: Chulalongkorn University Experience Apiwat Mutirangura (Department of Anatomy, Faculty of Medicine, Chulalongkorn University, Thailand) 3. Molecular pathogenesis of nasal NK/T-cell lymphoma Gopeth Srivastava, L Shen, WY Au, YL Kwong, RHS Liang (Department of Pathology and Medicine, The University of Hong Kong, China) Internet Presentation with Microscope Image from National Cancer Center, Korea 4. Epstein-Barr virus-associated gastric carcinoma: A distinct entity. Woo Ho Kim (Department of Pathology, Seoul National University College of Medicine, Korea), & Myeong-Cherl Kook (Center for Gastric Cancer, National Cancer Center, Korea) 5. Extranodal NK/T-cell lymphoma, nasal type and related lymphoproliferative disorders Dae Seog Heo (Seoul National University Hospital, Korea) -36-

39 6. Burkitt Lymphoma in Papua New Guinea-40 years on Evelyn K Lavu, RR Maraka, M Kiromat, J Morewaya (School of Medicine and Health Sciences, Papua New Guinea) In Asia-Pacific region, as we enjoy diversity in language, life-style and culture, we also find variety of EBV-related malignancies, such as lymphoma, nasopharyngeal cancer and gastric cancer. Beyond this diversity, a single virus genome lies behind. Five distinctive speakers, who are seriously committed to investigate these disorders, are invited across the Ocean to Fukuoka city, to join the Asia-Pacific session. From Korea, we also will have an Internet presentation, to find out new way of scientific communication between Asian countries. Therefore, let s sit together, and share our knowledge and experience in EBV and its related malignancies. This is the question, which could be answered only in Asia Pacific Region. We have a new trial of Internet presentation by Prof. Kim, Woo Ho (Seoul National University) with high quality microscope image from National Cancer Center (NCC) in Goyang, Korea in the session. We deeply appreciate Dr Kim, Young-Woo in the Center for Gastric Cancer in NCC for considerate arrangement of the Korean station, and Dr Hong, Eun Kyoung, Dr Kook, Myeong-Cherl and other doctors in the Department of Pathology in NCC for kind supports the presentation, and the engineering staff especially Prof. Kang Chul-Hee, Mr. Youm, Sung-Kwan, Mr. You, Bong Soo, & Mr. Sung, Doo-Hyun in Korea University NIR (Next Generation Research Center) for persistent supports of the transmission. We also appreciate Prof Okamura, Koji and other members of QGPOP, and engineering Staffs from QIC for faithful network supports in Japanese side. Koichiro Muta, MD, PhD Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University (Organizer of the Asia-Pacific Session, The 63 rd Annual Meeting of the Japanese Cancer Association) -37-

40 #21 APRU Distant Learning Conference APRU 5th Distance Learning and the Internet Conference The First Teleconference between China & Kyushu University Date : October 12, 2004 (Tuesday) Time : 12:30-13:30 (Japan time) Place : Tsinghua University, Beijing, CHINA Kyushu University Hospital, Fukuoka, JAPAN Moderator : Dr Maosheng Dong, Dr Naoki Nakashima (China side) Dr Shuji Shimizu (Japan side) 12:30 - Opening remarks (Dr Masao Tanaka, Kyushu University Hospital) 12:35 - Staff introduction (each station) 12:40 - Network explanation (Dr Naoki Nakashima in China) 12:45 - Presentation from Japan-1 Recent advancement of small bowel endoscopy Speaker: Dr Shinichiro Yada ( 矢田親一朗 ) (Department of Endoscopic Diagnostics and Therapeutics, Kyushu University) 12:55 - Presentation from China-1 "Current situation of endoscopic diagnosis and therapeutics" Speaker: 消化器内科楊雲生教授 (General Hospital of People s Liberation Army) 13:05 - Presentation from Japan-2 Current situation of endoscopic surgery in Kyushu University Speaker: Dr Shuji Shimizu ( 清水周次 ) (Department of Endoscopic Diagnostics and Therapeutics, Kyushu University) -38-

41 13:15 - Presentation from China-2 "Current situation of gastric surgery in China" Speaker: 消化器外科李栄教授 (General Hospital of People s Liberation Army) 13:25 - Closing 程留芳教授 (General Hospital of People s Liberation Army) -39-

42 #22 LADG Conference Joint Korea-Japan Tele-Conference & Round Table Seminar on Techniques of Laparoscopic Gastrectomy Date : October 22, 2004 (Friday) Time : 9:00-17:00 Venue : National Cancer Center, Auditorium Host : Center for Gastric Cancer, National Cancer Center Support : NCC, KISDI, MIC, Korea University NIR, Kyushu University Program 1 st Part : International Tele-Conference on Live Laparoscopic Gastrectomy 9:00 - Registration 9:30 - Greeting Jae-Moon Bae (Deputy Director of Hospital, NCC & Head, Center for Gastric Cancer) 9:35 - Introduction of Advanced Network & Teleconference System Young-Woo Kim (NCC) 9:50 - Introduction of Staff on Each Site (Shuji Shimizu, Young-Woo Kim) 10:00 - Live Surgery Moderator: Young-Woo Kim (NCC) Operator: Hirokazu Noshiro (Kyushu University) Discussant: Japan venue - Shuji Shimizu & Eishi Nagai (Kyushu University) Korea venue Seiichiro Kanaya (Himeji Medical Center), Hyung-Ho Kim (SNUMC), Woo Jin Hyung (YUMC) (12:00 - ) Lunch & Break -40-

43 2 nd Part : Seminar on Techniques of Laparoscopic Gastrectomy 13:30 - Special Lecture I Chair: Han-Kwang Yang (SNU) Intracorporeal Anastomoses in Laparoscopic Distal Gastrectomy" Seiichiro Kanaya (Himeji Medical Center, Japan) 14:00 - Seminar Chair: Kyung-Kyu Park (SCHU) My Technical Tips for Node Dissection 14:00 - Gyu-Seok Cho (SCHU) Omentectomy & Greater Curvature 14:10 - Hyuk-Joon Lee (SNU) Lesser curvature (No.1) 14:20 - Hyung-Ho Kim (SNU) LN dissection, Infrapyloric area (No.6 & No.14) 14:30 - Min-Chan Kim (Dong-A Univ.) LN dissection, suprapyloric area (No.5, No. 8, & No.12) 14:40 - Boowhan Hong (Eulji Univ.) LN dissection, celiac axis & splenic artery (No.7, No 9 & No. 11) 14:50 - Sang-Uk Han (Aju Univ.) Lymph node dissection around 4sb 15:00 - Intermission 15:10 - Panel Discussion Chair: Seung Ho Choi (YUMC) Management of Intraoperative Bleeding 15:10 - Hyung-Ho Kim (SNU) Management of intraoperative bleeding (I) 15:20 - Woo Jin Hyung (YUMC) Management of intraoperative bleeding (II) 15:30 - Young-Woo Kim (NCC) Management of intraoperative bleeding (III) 15:40 - Panel Discussion -41-

44 15:55 - Intermission 16:00 - Special Lecture II (International Tele-lecture) Chair: Young-Woo Kim (NCC) 16:00 - Operation Rooms for Endoscopic Surgery in Kyushu University: Olympus versus Storz Shuji Shimizu (Kyushu University) 16:30 - Tips for Laparoscopic Coagulating Shears: Harmonic scalpel vs Ultrashears vs Sonosurg Hirokazu Noshiro (Kyushu University) 17:00 - Closing -42-

45 #24 EUS Live Demonstration Live Demonstration of EUS-guided Biopsy of Gastric Lesions - Tele-Conference on Techniques and Diagnosis - Date : November 15, 2004 (Monday) Time : 14:00-15:30 Venue : Endoscopic room, Kyushu University Hospital, Japan Conference room of Department of Pathology, National Cancer Center, Korea Support : Kyushu GigaPOP Project (QGPOP) Kyuden Infocom Company (QIC) Korea Advanced Research Network (KOREN) Korea University, Next Generation Internet Research Center (NIR) Program 14:00 - Opening remarks Dr Shuji Shimizu (Endoscopic Diagnostics and Therapeutics, Kyushu U) Dr Young-Woo Kim (Center for Gastric Cancer, NCC) 14:05 - Introduction of each staff Dr Kazuhiko Nakamura (Third Dept of Internal Medicine, Kyushu U) Dr Il Ju Choi (Center for Gastric Cancer, & Chief, Section of Endoscopic Room) 14:10 - Case presentation Dr Noriaki Matsui 14:20 - Explanation of instruments Dr Noriaki Matsui 14:30 - Live EUS (Endoscopic Ultrasonography) starts Operator: Dr Shigetaka Yoshinaga Explained by Drs Hirotada Akiho/Noriaki Matsui Discussant: Dr Sang Gyun Kim (Center for Gastric Cancer, NCC), Dr Woo Jin Lee (Center for Liver Cancer, NCC) -43-

46 15:00 - Pathological discussion when biopsy specimen is taken Drs Hirotada Akiho/Noriaki Matsui Dr Myeong-Cherl Kook (Pathologist, Center for Gastric Cancer, NCC) 15:15 - Total discussion Drs K Nakamura/H Akiho/N Matsui/S Yoshinaga 15:30 - Closing Dr Sang Gyun Kim (Center for Gastric Cancer, NCC) -44-

47 #26 Teleconference in Core University Meeting Joint Seminar of Core University Program and JSPS 163 rd Committee on NGI Date : November 25, 2004 (Thursday) Time : 11:00-15:30 Place : Engineering Building [Medical-1] 11:00-12:30 Chair : Hiroyuki Konomi (Kyushu Univ) Young Woo Kim (National Cancel Center) 1. "Medical applications: expanding fields and regions" Shuji Shimizu (Kyushu Univ.), Naoki Nakashima, Koji Okamura, Young Woo Kim, Joon Soo Hahm, Masao Tanaka 2. "Embryology and surgical anatomy of the human liver with symmetrical point of view" Baik Hwan Cho (Chonbuk Univ) 3. "Progress and problem of ERCP and IDUS in diagnosis of pancreatobiliary diseases with application of 3-D reconstruction image" Hiroyuki Konomi, Shuji Shimizu (Kyushu Univ), 4. "Cyber lecture between Seoul and Kyushu using high speed Internet network and hardware DVTS" Byeong In Moon (Ewha Womans Univ) -45-

48 [Medical-2] 14:00-15:00 Chair : Jong Won Park (Chungnam National Univ) Shuji Shimizu (Kyushu Univ) 1. "Telemedicine system over high speed network" Ho Soon Choi, Joon Soo Hahm, Yong Jin Park (Hanyang Univ) 2. "Recent advance in small bowel endoscopy: capsule endoscopy and enteroscopy with double-balloon method" Shinichiro Yada, Takayuki Matsumoto, Mitsuo Iida (Kyushu Univ) 3. "Firing up Access Grid over Wideband network" Jung Hyun Lee (Seoul National Univ) 4. "Widening medical teleconferencing Infrastructure in Korea: DVTS & access grid on advanced network" Young Woo Kim (National Cancel Center) -46-

49 #28 Teleconference on Hepatoboliary Surgery Hepatobiliary-pancreatic Teleconference between Seoul National University, Ewha Womans University & Kyushu University Date : December 17, 2004 (Friday) Time : 17:00-18:30 Place : Seoul National University Bundang Hospital, Korea Ewha Womans University Mockdong Medical Center, Korea Kyushu University Hospital, Japan Moderator : Dr Ho-Seong Han (Seoul), Dr Byung-In Moon (Seoul), Dr Shuji Shimizu (Fukuoka) 17:00 - Opening remarks (Dr Ho-Seong Han) 17:05 - Staff introduction (each station) 17:10 - Presentation -1 (15 min) Cystic neoplasm of the pancreas: Diagnosis and treatment Speaker: Dr Koji Yamaguchi (Department of Surgery and Oncology, Kyushu University Hospital) 17:30 - Presentation -2 (15 min) Various types of laparoscopic pancreatic surgery Speaker: Dr Ho-Seong Han (Department of Surgery, Seoul National University Bundang Hospital ) 17:50 - Presentation -3 (15 min) Laparoscopic pancreas surgery in Ewha Womans Hospital Speaker: Dr Hyeun-Guk Lee (Department of Hepatobiliary pancreatic surgery, Ewha Womans University Mockdong Medical Center) -47-

50 18:10 - Presentation -4 (15 min) Laparoscopic pancreatic surgery in Kyushu University Speaker: Dr Shuji Shimizu (Department of Endoscopic Diagnostics and Therapeutics, Kyushu University Hospital) 18:30 - Closing (Dr Byung-In Moon) -48-

51 #31 Teleconference on Endoscopic Surgery Teleconference on Endoscopic Surgery between Seoul & Fukuoka with the Guests from Samsung Medical Center Date : January 21, 2005 (Friday) Time : 17:00-18:15 Place : Seoul National University Bundang Hospital, Korea Kyushu University Hospital, Japan Moderator : Dr Ho-Seong Han (Seoul), Dr Shuji Shimizu (Fukuoka), 17:00 - Opening remarks (Ho-Seong Han, Seoul National University Bundang Hospital) 17:05 - Staff introduction (each station) 17:10 - Laparoscopic colectomy in Kyushu University Hospital Speaker: Dr Takashi Ueki 17:25 - Laparoscopic colectomy in Bundang Hospital Speaker: Dr Sung-Bum Kang 17:40 - Laparoscopy-assisted distal gastrectomy in Kyushu University Hospital Speaker: Dr Kazuhiro Noshiro 18:55 - Laparoscopy-assisted distal gastrectomy in Bundang Hospital Speaker: Dr Hyung-Ho Kim 18:10 - Closing (Dr Ho-Kyung Chun, Samsung Medical Center) -49-

52 #32-1 APAN-Bangkok Medical Network BoF Date : January 26, 2005 (Wednesday) Time : 11:00-12:30 local time 1. Introduction of APAN: Mizushima H/Tokyo NCC 2. Current broadband network in AP: Kitamura Y/NICT 3. Situation in Korea-Japan: Telemedical activity in KJ: (on network) Nakashima N/Kyushu U Hospital, Japan 4. Situation in Thailand: Continuous medical education exchanges between the Royal Thai- US Armies via videoteleconference; from ISDN to Internet2 to IronGrid, COL Suwicha Tim Chitpatima, Ph.D. (Genetic Engineering), Phramongkutklao Hospital, Bangkok 5. Situation in Taiwan: Robot-assisted laparoscopic surgery with Zeus system: preliminary results and technical aspects Hurng-Sheng Wu, Show-Chwan Memorial Hospital, Taiwan 6. Discussion 1) Discussion on Charter 2) Regional network: Thai/Taiwan/ 3) Contact person; matching with local engineer 4) Homepage/including event record/mailing list 5) Event plans 6) Collect slides -50-

53 #32-2 APAN-Bangkok Medical Demonstration Date : January 26, 2005 (Wednesday) Time : 12:30-14:00 local time Title : International medical teleconference between Beijing-Seoul-Fukuoka-Bangkok Moderator : Beijing (Dr Dong M), Seoul (Dr Han HS), Fukuoka (Dr Nakashima N), Bangkok (Dr Shimizu S) 1. Opening remarks (Dr Mizushima H) 2. Message and introduction from each station 3. Video presentation of endoscopic surgery (Seoul/Beijing) 1) Dr Ho-Seong Han, Seoul National University Bundang Hospital, Seoul 2) Dr Lin Chen, General Hospital of People s Liberation Army, Beijing 4. Hematology (Thai/Kyushu) 1) Regulatory role of apoptosis in erythropoiesis ( Koichiro Muta, M.D., Kyushu University, Fukuoka ) 2) Thalassemia; from genetic background to phenotypic diversity ( Suthat Fucharoen, M.D., Mahidol University, Bangkok ) 5. Closing remarks (Dr Suthat Fucharoen) -51-

54 #33 Clinico-pathological Teleconference Pancreatobiliary Clinico-pathological Teleconference between Seoul & Fukuoka Date : February 17, 2005 (Thursday) Time : 18:00-19:30 Place : Seoul National University Bundang Hospital, Korea Kyushu University Hospital, Japan Moderator : Dr Ho-Seong Han (Seoul), Dr Shuji Shimizu (Japan), 18:00 - Opening remarks (Prof Masao Tanaka, Kyushu University Hospital) 18:05 - Brief introduction of staff and institution (each station) 18:15 - Case presentation from Kyushu University, chaired by Dr Koji Yamaguchi Case presentation by Dept of Surgery I Radiological images (CT, MRI, etc.) by Dept of Radiology ERCP by Dept of Surgery I EUS by Dept of 3 rd Internal Medicine Short discussion Surgical findings by Dept of Surgical I Pathological presentation by Dept of Pathology II Discussion 18:50 - Case presentation from Bundang Hospital, chaired by Dr Ho-Seong Han Case presentation by Dept of Surgery Radiological images by Dept of Radiology Surgical findings by Dept of Surgery Pathological presentation by Dept of Pathology Discussion 19:25 - Closing (Prof Ho-Seong Han, Seoul National University Bundang Hospital) -52-

55 #35 Pancreatic Transplantation Meeting Teleconference on Pancreatic Transplantation between Beijing-Seoul-Taipei-Fukuoka - Current Status of Pancreas and Islet Cell Transplantation in Asia - Date : March 18, 2005 (Friday) Time : 14:50-16:50 Main venue : Hyakunenn Koudou Memorial Hall, Kyushu University, Fukuoka, JAPAN Moderator : Shuji Shimizu, M.D. PhD., Atsushi Sugitani, M.D. PhD. 14:50 - Opening remarks 14:55 - Presentation by Atsushi Sugitani, M.D. Kyushu University (Fukuoka) 15:10 - Presentation by Song Cheol Kim, M.D. Asan Medical Center (Seoul) 15:25 - resentation by YM Shyr, M.D. Taipei Veterans General Hospital (Taipei) 15:40 - Presentation by Delin Guan, M.D. Tsinghua University (Beijing) 15:55 - Comments by David ER Sutherland, M.D. Ph.D., University of Minnesota, USA Duck-Jong Han, M.D. Ph.D., Asan Medical Center, Korea 16:15 - Free discussion 16:45 - Closing remarks -53-

56 KORENQGPOPKJCN 2) Configuration maps #3 Live Surgery (Stomach) Korea-Japan Tele-Surgery National Cancer Center(Seoul):Auditorium View of auditorium Operating Room in Kyushu Univ. Endoscope image View of conference room & auditorium View of OR Display annotation Tele-Surgery Controller OLYMPUS EndoALPH A S ystem KJCN Image Switching Tele-Surgery Controller Sending annotation data KJCN View of conference room Directly discussion with surgeon View of conf erence and operating room in Ky ushu Univ. Tele-Surgery Controller Tele-Surgery System (OLYMPUS) Video Signal DVSTREAM (Fujitsu Nishi-Nihon Communication Systems) UDP( TCP)/IP Communication Conference room in Department of Endoscopic Diagnostics and Therapeutics in Kyushu Univ. #5 APAMI Live Demonstration Plan of Network Configuration of APAMI2003 Medical Teleconferece notes Kyushu U. Hospital APAMI Meeting Venue Virtual lecture+chat data Preparation by Kyushu.U Hospital Preparation by APAMI Preparation by QIC(e!Project) APAMI Meeting Venue Kyushu Univ. Hospital Screen 1 (Image of Kyushu U. Hosp) Screen 2 (Virtual Lecture+Chat) Screen (Virtual Lecture + Chat) Pla s ma Displa y (Image of APAM meetingi) Speaker Projector Projector Projector Korean PC (for Hangul Input) M/C M/C PC for virtual lecture and chat Chat PC (Hangul Input) Chat PC (Japanese Input) PC for virtual lecture and chat M/C M/C DVTS DVTS Switch APAMI meeting venue Switch audio im age M/C Conference room Audio mixer Digital video camera Digital video camera (for both camera and playback) -54-

57 GPOKOREGPOP#9 ERCP Live Demonstration Plan of Network Configuration of Telemedicine event Hanyang University Hospital Notes ERCP Conference Room of HYU E RCP Side Room of Kyushu U Mixed Audio Au dio Preparation by Kyushu.U Hospital Preparation by HYU Preparation by QIC Kyushu University Hospital ERCP Room Screen (Image of ERCP) Image of ERCP(4screen) Speaker M/C Projector DVTS / C4VPN DVTS Picture in Picture (ERCP Side Room) KORENKJCN QDigital video Video camera Switcher OP Room Endoscope Monitor (Image of HYU) Fluoroscopy Echo Headset ERCP Side Room Video Switcher Plasma Display (Image of ERCP/HYU) Audio Mixer DVTS M/C / C4VPN PPicture in Picture (ERCP Side Room) Conference Room of HYU DVTS M/C Microphone ERCP Side Room of Kyushu U Digital Video Camera Digital Video Camera #10 Live Surgery (Neurosurgery) Plan of Network Configuration of Telemedicine event Hanyang University Hospital Notes En doscope of Kyushu U O P Room of Kyushu U Conference Room of HYU Mixed Audio Au dio Preparation by Kyushu.U Hospital Preparation by HYU Preparation by QIC Kyushu University Hospital Operating Room Screen (Image of Endoscope) Picture in Picture (OP Room) Image of OP Room Digital video camera Endoscope Equipment Image of Endoscope OP Room Endoscope Projector RCApin Headset Monitor (Image of HYU) Speaker Control Room M/C DVTS Digital video camera (for playback) Upconverter Converter(BNC- RCApin) BNC Video Switcher Conference Room of HYU???.???.???.??? / C4VPN DVTS NKJCN Q / C4VPN DVTS RCApin RCApin RCApin Video minipin RCApin Switcher Audio Mixer IEEE RCApin M/C 1394 RCApin RCApin RCApin Plasma Display (Image of Endoscope /HYU) Digital Video Camera IEEE1394 M/C S-imge minipin Microphone Picture in Picture (OP Room) -55-

58 KORESpeaker POP#11 Transplantation Teleconference Plan of Network Configuration of Teleconference event Notes Conference Room of Kyushu U Conference Room of HYU Au dio Preparation by Kyushu.U Hospital Preparation by HYU Preparation by QIC Hanyang University Hospital Kyushu University Hospital Conference Room Screen (Image of Endoscope) Microphone mini-pin Conference Room of Kyushu U Projector M/C RCApin Video Switcher RCApin M/C DVTS???.???.???.??? NKJCN QGDigital video camera RCApin IEEE1394 S-imge???.???.???.??? DVTS RCApin Plasma Display (Image of Kyushu U /HYU) Conference Room of HYU DVTS???.???.???.??? IEEE1394 M/C S-imge Digital Video Camera #12 APAN-Cairns Demonstration System configuration image Change video output image. (Full screen 2 split screens 4 split screens) Video Switcher Genkai XP( Meinohama idc) Input monitor Output monitor Audio Mixer Monitor microphone Convert DV signal/ composite signal IP: /28 M/C M/C DVTS M/C M/C DVTS M/C M/C DVTS RCA pin M/C M/C IEEE1394 DVTS (IP for Chat PC etc.) IP: /28 IP: /28 IP: /28 IP: /28 IP: /28 IP: /28 IP:??.??.??.?? IP:??.??.??.?? IP: IP:??.??.??.?? IP:??.??.??.?? IP:??.??.??.?? DVTS DVTS Commet (WIDE PC) (WIDE PC) DVTS DVTS IEEE1394 RGB IEEE1394 IEEE1394 M/C Commet DVTS? DVTS IEEE1394 IEEE1394 M/C DVTS (WIDE PC) IEEE1394 DVTS (WIDE PC) RGB RCA pin RCA pin DV Camera DV Camera DV Camera DV Camera Display or Projector Display or Projector National Cancer Center Korea Kyushu Univ. Hos pital Tokyo Display or Projector Display or Projector Cairns( Venue for 18 th APAN meeting) -56-

59 KOREGPOP#15 Robot Training Seminar Plan of Network Configuration of Telemedicine event Notes Ro bot of K yushu U Conference Room of Kyushu U Conference Room of Ewha U Mixed Audio Au dio Preparation by Kyushu.U Hospital Preparation by Ewha U Preparation by QIC Ewha Womans University Hospital Kyushu University Hospital Robot Operation Room Screen (Image of Robot) Image of Robot OP Room Digital video camera Robot OP Equipment Image of Robot Projector Speaker Microphone RCApin RCApin Plasma Display (Image of Ewha /Send Image) RCApin S-imge Cable(Existing) Conference Room M/C DVTS NKJCN QPC for PowerPoint VTR DVTS S-imge RCApin S-imge RCApin RCApin RCApin Video Switcher Audio Mixer RCApin RCApin Microphone Digital video camera TV Monitor (Send Image) RCApin Screen (Image of Ewha) Conference Room of Ewha IEEE1394 M/C RCApin RCApin IEEE1394 M/C RCApin S-imge Projector Digital Video Camera #17 Case Teleconference of EBV-Associated Disorders Plan of Network Configuration of Telemedicine event (Final Config.) Notes Image from Kyushu U. Image from NCC Au dio Preparation by Kyushu U. Preparation by NCC Preparation by Olympus Preparation by QIC National Cancer Center of Korea VNC Password: ncc VNC Password: kyushu Kyushu University Hospital Microscope Olympus DP70 PC(Send & Receive) VNC Server & Client VNC Connection (microscope image) VNC Connection (powerpoint image) PC(Receive) VNC Client PC(Send) VNC Server Olympus DP70 Microscope VNC Connection (ppt & microscope image) Screen (Image from Kyushu U.) Projector RGB Screen(Image from NCC DP70) (Image from Kyushu U. Conference) Polycom ViewStation WIDE DVTS KORENKJCN QGPOPMonitor RGB Polycom ViewStation RGB(DVI) Projector Plasma Display (Image from NCC Conf. / Image of local site) RGB Backup System for voice communication Not used actually CometDV IEEE1394 M/C S-Video image Conference Room of NCC IEEE1394 Conference (1/2Rate) Conference (1/2Rate) S-Video image Microphone IEEE1394 Digital Video Camera S-Video image Digital Video Camera Microphone -57-

60 KORESpeaker POP#19 Teleconference on Endoscopy Plan of Network Configuration of Teleconference event Notes Conference Room of Kyushu U Conference Room of HYU Au dio Preparation by Kyushu.U Hospital Preparation by HYU Preparation by QIC Hanyang University Hospital Kyushu University Hospital Conference Room Screen (Image of Endoscope) Microphone mini-pin Conference Room of Kyushu U Projector M/C RCApin Video Switcher RCApin M/C DVTS C4VPN / NKJCN QGDigital video camera RCApin IEEE1394 S-image / C4VPN Comet DVovIP M/C RCApin Plasma Display (Image of Kyushu U /HYU) Conference Room of HYU DVTS IEEE1394 S-image Digital Video Camera #20 Annual Meeting of Japanese Cancer Association Network Configuration for Asian Session in the 63 rd Annual Meeting of the Japanese Cancer Association NCC Korea Fukuoka International Congress Center Seoul XP Korea Advanced Research Network (KOREN) Busan XP APII testbed line (over KJCN) VLAN line (provided by QTNet) Genkai XP Ky ushu Giga-POP Project Network (QGPOP) Ky ushu Univ. The Campus Network in Ky ushu Univ. (KITE) Kyushu Univ. Hospital -58-

61 KORESpeaker POP Conference Room KOREGPOP#21 APRU Distant Learning Conference Plan of Network Configuration of Teleconference event Notes Conference Room of Kyushu U. Conference Room of T singhua U. Au dio Preparation by Kyushu.U Hospital Preparation by Tsinghua U. Preparation by QIC Tsinghua University Kyushu University Hospital Conference Room Screen (Image of Endoscope) Microphone mini-pin Conference Room of Kyushu U. Projector M/C S-imge Video Switcher RCApin M/C DVTS???.???.???.??? NKJCN QGDigital video camera RCApin PC for PowerPoint IEEE1394 S-imge???.???.???.??? DVTS S-imge RCApin Plasma Display (Image of Kyushu U. /Tsinghua U.) Conference Room of Tsinghua U. DVTS???.???.???.??? IEEE1394 M/C S-imge Digital Video Camera #22 LADG Conference Plan of Network Configuration of Telemedicine event Notes En doscope of Kyushu U OP Room an d Conference Room of Kyu shu U. Conference Room of NCC Mixed Audio Au dio Preparation by Kyushu U. Hospital Preparation by NCC Preparation by QIC National Cancer Center of Korea Kyushu University Hospital Screen (Image of Kyushu U. Conference /OP Room) Screen (Image of Endoscope) Image of Endoscope Endoscope Equipment Digital video camera Image of OP Room Operating Room Endoscope OP Room Projector Projector IEEE 1394 IEEE 1394 Audio Mixer Headset Speaker Monitor (Image of NCC /Kyushu U. Conference) Speaker DVTS DVTS M/C / C4VPN DVTS NKJCN Q / C4VPN M/C DVTS M/C Video Switcher Audio Mixer M/C Projector Screen (Image of OP Room) Projector Conference Room of NCC M/C DVTS DVTS IEEE M/C 1394 Plasma Display (Image of NCC) M/C DVTS DVTS Screen (Image of Endoscope) Digital Video Camera IEEE1394 M/C S-image minipin Digital video camera Microphone -59-

62 KORENQGPOPSpeaker #24 EUS Live Demonstration System Configuration for EUS-guided Biopsy Event National Cancer Center of Korea VNC Password: kyushu Kyushu University Hospital Screen PC(Receive) VNC Client PC(Send) Microscope(Digital) VNC Server Endoscope Microscope(Analog) RGB Projector Ultrasonic Instrument Video Mixer S-Video S-Video S-Video S/C S-Video RGB S-Video RGB M/C C4VPN G/W L2SW WIDE DVTS Screen APII Te stbe d L2SW IEEE1394 C4VPN G/W CometDV S-Video PC CometDV IEEE1394 Plasma Display Projector RGB Audio WIDE DVTS IEEE1394 M/C S-Video Audio IEEE1394 DV Camcoder Conference Room Audio Endoscopy Room Audio DV Camcoder Microphone Microphone Audio Mixer #32 APAN-Bangkok System configuration image Handling video output image. (Full screen / 4 split screens ) National Cancer Center, Tokyo Kyushu University DV Quatre System (4ch DVTS Multiplexer) Output monitor line DVTS (WIDE PC) (receive only) Sony PCS-1 Controlled by any web browser Internet / Research Net DVTS (WIDE PC) IEEE1394 DV Camera RGB DVTS (WIDE PC) IEEE1394 RGB DVTS (WIDE PC) RCA pin Comet DVTS DVTS IEEE1394 IEEE1394 M/C RCA pin DVTS (WIDE PC) IEEE1394 DV Camera DV Camera DV Camera ViewStation DVTS (WIDE PC) RGB Display or Projector Display or Projector Plasma Display Display or Projector Bundang Hos p., Seoul Tsinghua Univ., Beijing Kyushu Univ. Hos p.,fukuo ka Amari W.G. Hotel, Bangko k -60-

63 #35 Pancreatic Transplantation Meeting System configuration image Handling video output image. (Full screen / 4 split screens ) Internet / Research Net. Kyushu University DV Quatre System (4ch DVTS Multiplexer) Input monitor Output monitor Controlled by any web browser **.**.**.** **.**.**.** **.**.**.** **.**.**.** **.**.**.** **.**.**.** DVTS (WIDE PC) IEEE1394 DV Camera DVTS (WIDE PC) RGB DVTS (WIDE PC) IEEE1394 RGB DVTS (WIDE PC) RCA pin Comet DVTS DVTS IEEE1394 IEEE1394 M/C RCA pin DVTS (WIDE PC) IEEE1394 DV Camera DV Camera DV Camera DVTS (WIDE PC) RGB Display or Projector Display or Projector Plasma Display Display or Projector Bundang Hos p., Korea Tsinghua Univ., C hina Kyushu Univ. Hosp., Japa n VGH Taipei, Taiwan -61-

64 3) Snaps/ Brief explanation #1 IT Week Event IT week Comments The very first teleconference using our system Date Venue Kyushu University Hospital between Korea and Japan. The medical event, joined with both doctors and nurses, was performed as one of many events in IT week. Hanyang University Hospital At the beginning of teleconference Conference view Prof Hahm JS, counterpart in Korea, is on screen. Recorded video of surgery is transmitted. Korean doctors and nurses at teleconference Picture taken at:hanyang University Hospital Screens in Korean side Picture taken at:hanyang University Hospital -62-

65 #3 Live Surgery (Stomach) Event Live surgery of stomach Date Venue Kyushu University Hospital National Cancer Center, Korea Comments The demonstration of live surgery was performed. Endoscopic surgery of stomach was broadcasted from Japan to Korea. The event was open to mass media for the first time. Teleconference of live surgery Audience with press at the conference. Three screens in the live teleconference Prof Tanaka M and Dr Shimizu S on discussion Endoscopic distal gastrectomy is under way. Operation room view -63-

66 #5 APAMI Live Demonstration Event Asia-Pacific Association of Medical Informatics 2003 Date Comments The first remote attendance to a scientific meeting venue with DVTS by the network. Nursing staffs also discussed between Japan and Korea. Venue Hotel Inter-Burgo in Daegu Kyushu University Hospital The Venue of APAMI 2003 Picture taken at:hotel Inter-Burgo in Daegu Attendants in the Kyushu venue. Greeting video message by Prof Kang CH, and introduction by moderators, Dr Kim YW and Dr Nakashima N. Picture taken at:hotel Inter-Burgo in Daegu Virtual Lecture with auto-translation system used in the conference Picture taken at:hotel Inter-Burgo in Daegu Conference view at Hotel Inter-Burgo in Daegu Picture taken at:hotel Inter-Burgo in Daegu Conference view at Kyushu University Hospital -64-

67 #6 Live Surgery (Colon) Event Live surgery of colon Date Comments Live surgery of endoscopic colon surgery was demonstrated from Korea to Japan. Venue Kyushu University Hospital National Cancer Center, Korea Conference view Commentators in Japan side Surgical view on screen in Japan Operation room of Korean side is on screen. Conference view is recorded by professionals. Audience in Japan watches surgery on screen. -65-

68 #7 Live Surgery (Neurosurgery) Event Live surgery of neurosurgery Date Venue Kyushu University Hospital Hanyang University Hospital Comments The first live demonstration of neurosurgery was transmitted from Korea to Japan. Dr Natori, Japan, is an expert of this particular disease and telementored a surgery from remote site. Conference view Flat monitor is used for clear image. Dr Natori Y and Dr Nakashima N are on discussion. Dr Natori Y makes comments on surgery. Japanese audience in Kyushu University Hospital Surgical view on monitor -66-

69 #8 APAN-Hawaii Live Demonstration Event 17 th Asia-Pacific Advanced Network in Honolulu (APAN Hawaii) Date Venue Hawaii University in Honolulu Kyushu University Hospital National Cancer Center in Tokyo Hanyang University Hospital in Seoul Comments The first multi-station event including USA. We used IPv6 between Tokyo and Hawaii. Prof Tanaka H, president of Japanese Association of Medical Informatics, attended at Tokyo station. The presentation by Dr Mizushima H Picture taken at:the venue of APAN Hawaii The presentation by Dr Kim YW Picture taken at:the venue of APAN Hawaii Conference view at Hawaii venue Picture taken at:the venue of APAN Hawaii Four stations view in the monitor Conference view at Kyushu University Hospital The presentation by Prof Choi HS from Seoul -67-

70 #9 ERCP Live Demonstration Event ERCP Live Demonstration Date Comments This is the first event on endoscopy (ERCP). The examination was performed in X-ray room, from where moving images were transmitted to Korea. Venue Kyushu University Hospital Hanyang University Hospital Network instruments on preparation Staffs in Kyushu University makes opening remarks. Dr Konomi H explains procedures. Both sides are on flat monitor. X-ray image in Japan and Korean audience Discussion is on progress. -68-

71 #10 Live Surgery (Neurosurgery) Event Live demonstration of neurosurgery Date Venue Kyushu University Hospital Hanyang University Hospital Comments Live neurosurgery for acoustic neurinoma was broadcasted from Kyushu University Hospital to Hanyang University Hospital, lead by Dr Natori Y and Dr Ko Y, respectively. Operation room at the back Dr Natori Y, explaining the X-rays Monitor with surgical view and the counterpart Explaining the figures Pointing the location during discussion Instruments used for the event -69-

72 #11 Transplantation Teleconference Event Teleconference on renal transplantation Date Venue Kyushu University Hospital (South 9F) Hanyang University Hospital Comments Teleconference on renal transplantation was performed using Powerpoint presentation. Difference in culture and social backgrounds of transplantation were new findings. Prof Tanaka M makes opening remarks. Dr Sugitani A makes a presentation. Discussion with Dr Kwon OJ in Korea. Two parties on the monitor Attendance in Kyushu University Hospital Smiles during discussion -70-

73 #12 APAN-Cairns Demonstration Event 18 th Asia-Pacific Advanced Network in Date Cairns (APAN Cairns) Comments Pancreas transplantation and type 1 diabetes mellitus were discussed on the network. Venue APAN venue in Cairns Kyushu University Hospital National Cancer Center in Tokyo National Cancer Center in Korea The presentation about network by Dr Nakashima N Picture taken at:apan Cairns venue Four stations on the monitor Picture taken at:apan Cairns venue Attendants at APAN Cairns venue Picture taken at:apan Cairns venue Conference view at Kyushu University Hospital Attendants at Kyushu University Hospital Conference view at APAN Cairns venue Picture taken at:apan Cairns venue -71-

74 #13 NORTH Seminar Event NORTH seminar Date Comments This is the first domestic event in the project, however, the distance between Fukuoka and Sapporo is quite long as about 1300 km. Venue Kyushu University Hospital, Japan Sapporo Medical College, Japan The attendances in Kyushu University Hospital. Dr Nakashima s presentation through the network The transmission of Prof Tatsumi s presentation The discussion between Fukuoka and Sapporo On-line presentation from Sapporo Two station view on the monitor -72-

75 #15-1 Robot Training Seminar Event Robot training seminar (Japan side) Date Venue Kyushu University Hospital Ewha Womans University Comments Surgical robot, called Da Vinci, was demonstrated from Kyushu University Hospital. Medical students from Busan University joined the event while their visit to Kyushu University. Conference view A student tries to manipulate the robot. Discussants on the monitor between Korea-Japan Dr Shimizu S chats with a Korean counterpart. Presentation by Prof Hashizume M. Saying goodbye at the end of the event -73-

76 #15-2 Robot Training Seminar Event Robot training seminar (Korean side) Date Venue Kyushu University Hospital Ewha Womans University Comments Surgical robot, called Da Vinci, was demonstrated from Kyushu University Hospital. Medical students from Busan University joined the event while their visit to Kyushu University. Japanese counterpart is on screen Picture taken at:ewha Womans University Conference view in Korea Picture taken at:ewha Womans University A Korean doctor makes a question to Japan side. Picture taken at:ewha Womans University Korean audience in the conference Picture taken at:ewha Womans University Korean lady staffs Picture taken at:ewha Womans University Engineering staffs in Korean side Picture taken at:ewha Womans University -74-

77 #16 Seoul Colon Conference Event Live demonstration of colon surgery Date Venue National Cancer Center, Korea Kyushu University Hospital, Japan Comments Live demonstration of laparoscopic colon surgery was broadcasted from National Cancer Center in Korea, organized by The Korean Laparoscopic Colorectal Surgery Study Group. Dr Kim YW on presentation at auditorium Picture taken at:national Cancer Center Screen in the auditorium with multiple images Picture taken at:national Cancer Center Conference view at National Cancer Center Picture taken at:national Cancer Center Dr Jeong SY in the operation room Dr Ueki T makes a presentation. Monitors in Japan side -75-

78 #17 Case Teleconference of EBV-Associated Disorders Event Case teleconference of EBV associated disorders Comments The first telepathological event in the project. Date Venue Kyushu University Hospital National Cancer Center, Korea Microscope outputs HDTV moving image. The Korean station on the monitor HDTV image on the high-resolution monitor Discussion using microscope image Attendants in the Japanese station Conference view in the Japanese station -76-

79 #18 Telepathology of EBV-Related Malignancies Event Telepathology of EBV related malignancy Date Comments Discussion on EBV related malignant disease as malignant lymphoma and gastric cancer with pathological image on the network Venue Kyushu University Hospital National Cancer Center, Korea Attendants in the Japanese station Macroscopic image of the organ (stomach) Conference view in the Japanese station Discussion on microscopic image Presentation from the Korean station Conference view in the Japanese station -77-

80 #19 Teleconference on Endoscopy Event Teleconference on endoscopy Date Comments Teleconference on new knowledge of endoscopic fieds. Dr Yada in Kyushu University introduced double balloon bowel endoscopy and capsule endoscopy. Venue Kyushu University Hospital Hanyang University Hospital Dr Yada S makes a presentation. Attendants in Kyushu University Hospital Dr Honda K makes a comment. Company persons also attend the conference. Endoscopic ultrasonography on the screen. Two parties on the monitor -78-

81 #20 Annual Meeting of Japanese Cancer Association Event The 63rd Annual Meeting of the Japanese Cancer Association (the Asia-Pacific Session) Date Venue Fukuoka Convention Center (Room 203) National Cancer Center, Korea Comments Teleconference Connecting with Korean station (National Cancer Center, Korea) by super-broad banded Internet line using submarine optical cable (KJCN). The first transmission of HDTV. The Chairmen, Prof Muta K and Prof Mutirangura A, make opening remarks. Picture taken at:fukuoka Convention Center Prof WH Kim s presentation from Korea. Picture taken at:fukuoka Convention Center Attendants at the venue of the 63rd Annual Meeting of the Japanese Cancer Association Picture taken at:fukuoka Convention Center Panel Discussion including the Korean station Picture taken at:fukuoka Convention Center Attendants in the Korean station Picture taken at:fukuoka Convention Center Transmission of HDTV image from Kyushu U Hospital Picture taken at:fukuoka Convention Center -79-

82 #21 APRU Distant Learning Conference Event APRU 5th Distance Learning and the Internet Conference Date Comments The First medical teleconference between China and Japan in the project. The present situation of gastro-intestinal surgery in both sides was discussed. Venue Kyushu University Hospital Tsinghua University, Beijing, China Attendants in the Chinese station Picture taken at:tsinghua University Transmitted image from the Chinese station. Attendants at the Japanese station Remote presentation from the Japanese station Picture taken at:tsinghua University Remote presentation from the Chinese side Discussion scene during the teleconference -80-

83 #22 LADG Conference Event Live demonstration of gastric surgery Date Venue Kyushu University Hospital National Cancer Center, Korea Comments Live demonstration of laparoscopic gastric surgery was broadcasted from Kyushu University Hospital. The conference was organized by Round Table Seminar on Techniques of Laparoscopic Gastrectomy in Korea. Conference view at Kyushu University Monitor at Kyushu University Hospital Dr Nagai E makes a comment. Conference view at Kyushu University View in the operation room Instruments used for the event -81-

84 #24 EUS Live Demonstration Event Live demonstration of endoscopy Date Venue Kyushu University Hospital National Cancer Center, Korea Comments Live demonstration of endoscopic ultrasonography was broadcasted from Kyushu University Hospital. Fine needle aspiration biopsy of gastric submucosal tumor was useful to make an accurate diagnosis. Explaining the procedures of endoscopy Discussion with the attendance of medical students Endoscopic examination on progress Taking video pictures beside monitors Microscopic examination after staining specimen Explaining microscopic view to audience -82-

85 #26 Teleconference in Core University Meeting Event Teleconference in 4 th Core University Date Program/16 th ITRC Meeting in Daejeon Comments This is the first medical event between Chungnam National University and Kyushu University. Venue Kyushu University Hospital, Japan Chungnam National University, Korea Explanation about the project to the guests from Gyeongsang National University. The view of Kyushu University Hospital on monitor Picture taken at:chungnam National University The chairman, Dr Shimizu S in the Daejeon station Picture taken at:chungnam National University The discussion between Fukuoka and Daejeon Picture taken at:chungnam National University On-line presentation from Kyushu University A comment from a Gyeongsang University guest in Kyushu University Hospital -83-

86 #28 Teleconference on Hepatoboliary Surgery Event Teleconference on hepatobiliary surgery Date Venue Kyushu University Hospital Ewha Womans University Seoul National University Bundang Hospital Comments Teleconference on hepatobiliary pancreatic lesions was held among three stations in Korea-Japan. DV4, digital distributor of DVTS, was first utilized. Dr Yamaguchi K makes a presentation. Conference view in Kyushu University Attendants in Kyushu University Hospital Three stations on screen Monitor in Kyushu University Hospital Conference view at Kyushu University Hospital -84-

87 #31 Teleconference on Endoscopic Surgery Event Teleconference on endoscopic surgery Date Venue Kyushu University Hospital Seoul National University Bundang Hospital Comments Teleconference on endoscopic surgery was performed between Korea and Japan. Doctors and nurses from Samsung Medical Center (MC) in Korea, who visited Kyushu University Hospital, joined the conference. Conference view of the venue Dr Ueki T makes a presentation. Guests from Samsung MC in the operation room. Medial staffs watch the resected specimen. Nurses from Samsung MC with Japanese staffs. Guests from Samsung MC pose for a picture. -85-

88 #32-1 APAN-Bangkok Event Live demonstration in APAN-Bangkok Date Venue Bangkok - Fukuoka- Seoul- Beijing 4 station conference Comments Live demonstration of medical teleconference was performed at the meeting venue of Asia-Pacific Advanced Network in Bangkok, Thailand. Presentations on endoscopic surgery and hematology were carried out. Conference view of the venue Picture taken at:the venue in Bangkok Conference view from back side Picture taken at:the venue in Bangkok Four stations on the screen Picture taken at:the venue in Bangkok Endoscopic surgery on presentation Picture taken at:the venue in Bangkok Engineers on preparation Picture taken at:the venue in Bangkok Engineers at demonstration venue Picture taken at:the venue in Bangkok -86-

89 #32-2 APAN-Bangkok Event Live demonstration in APAN-Bangkok Date Venue Bangkok - Fukuoka- Seoul- Beijing 4 station conference Comments Live demonstration of medical teleconference was performed at the meeting venue of Asia-Pacific Advanced Network in Bangkok, Thailand. Presentations on endoscopic surgery and hematology were carried out. Conference view of the venue Dr Muta K makes a self - introduction. Dr Muta K makes a presentation. Teleconference is on progress. Conference view from back side Four stations on the screen -87-

90 #33 Clinico-pathological Teleconference Event Teleconference on pancreatobiliary disorders Date Venue Kyushu University Hospital (South 9F) Seoul National University Bundang Hospital Comments Clinico-pathological teleconference on pancreaticobiliary diseases was performed between Korea and Japan. One case presentation was made from each station. Prof Tanaka M makes an opening remarks. Dr Mori Y explains an operative findings. Attendants at Kyushu University Hospital Conference view at Kyushu University Hospital Radiologic presentation is on progress. Both stations in the monitor -88-

91 #35 Pancreatic Transplantation Meeting Event Pancreatic transplantation Meeting Date Venue Fukuoka-Seoul-Taipei-Beijing Comments The 32 nd Japanese Association of Pancreas and Islet Cell Transplantation Meeting was held in Kyushu University Hospital. The venue was connected to Seoul National University Bundang Hospital, Taipei Veteran General Hospital, and Tsinghua University. Advertising screen in the venue Conference view Dr Sugitani A makes a presentation. Dr Shimizu S modulates the meeting. Questions from audience Engineering staffs at the venue -89-

92 4) Results of questionnaires #20 Annual Meeting of Japanese Cancer Association Q1 How is your impression of the international telepathology? 1.Very good 37 2.Good 18 3.Not very good 2 4.Bad 0 32% 4% Total 57 64% Q2 Do you think the international telepathology system promotes to exchange medical techniques and understanding with other countries? 1.Yes 43 2.Probably yes 12 3.Probably no 2 4.No 0 21% 4% Total 57 75% Q3 Do you think the international telepathology system increases the efficiency of the pathology? 1.Yes 45 2.Probably yes 8 3.Probably no 3 4.No 1 14% 2% 5% Total 57 79% Q4 Do you want to use the international telepathology system? 1.Yes 24 2.Probably yes 21 3.Probably no 4 4.No 2 5.No answer 6 Total 57 41% 4% 8% 47% -90-

93 Q5 How do you think the image quality of the communication scene between Japan and Korea? 1.Very good 21 2.Good 31 3.Not very good 3 4.Bad 1 5.No answer 1 Total 57 55% 2% 5% 38% Q6 How do you think about the movement of the image to see the communication scene between Japan and Korea? 1.Very good 21 2.Good 26 3.Not very good 8 4.Bad 1 5.No answer 1 Total 57 2% 14% 46% 38% Q7 How do you think about the image quality of the HDTV transmission between the venue and Kyushu University Hospital? 1.Very good 27 2.Good 19 3.Not very good 5 4.Bad 2 5.No answer 4 Total 57 36% 9% 4% 51% Q8 How do you think about the movement of the image to see the HDTV transmission between the venue and Kyushu University Hospital? 1.Very good 21 2.Good 25 3.Not very good 6 4.Bad 1 5.No answer 4 Total 57 11% 2% 47% 40% -91-

94 Q9 How do you think about the voice quality of the communication between Japan and Korea? 1.Very good 26 2.Good 22 3.Not very good 7 4.Bad 0 5.No answer 2 Total 57 40% 13% 47% Q10 How do you think about the time lag between image and voice to see the communication scene between Japan and Korea? 1.Very good 28 2.Good 26 3.Not very good 2 4.Bad 0 5.No answer 1 46% 4% 50% Total 57 Q11 Do you think you can get into the discussion easily in the communication scene between Japan and Korea? 1.Yes 27 2.Probably yes 28 3.Probably no 1 4.No 0 5.No answer 1 50% 2% 48% Total

95 Q12 What is your occupation? 1.Doctor 23 2.Co-medical 11 3.Network engineer 1 4.Others 11 5.No answer Total 57 Q13 What is your age? No answer Total 57 Q14 What is your sex? 1.Female 8 2.Male 38 3.No answer Total

96 #33 Pancreatobiliary Clinico-pathological Teleconference Q1 What is your occupation? 1.Medical doctor 28 2.Co-medical 1 3.Network engineer 0 4.Company employee 0 5.Others Total 29 Q2 About the pathological images 1) What is your comment on image quality? 1.Very good 3 2.Good 13 3.Average 10 4.Poor 1 5.Very poor 0 6.No answer 2 Total 29 37% 4% 11% 48% Q2 About the pathological images 2) What is your impression? 1.Useful for diagnosis 7 2.Useful only for easy diagnosis 10 3.Useful only for presentation 10 4.Not useful 0 5.No answer 2 Total 29 37% 37% 26% Q2 About the pathological images 3) What is your comment on time delay when VNC was used? 1.Very slow 1 2.Slow but durable 21 3.Cannot be used 3 4.No answer 4 Total 29 4% 12% 84% -94-

97 Q3 About the conference 1) What is your comment on image quality? 1.Very good 2 2.Good 16 3.Average 8 4.Poor 0 5.Very poor 0 6.No answer 3 Total 29 31% 8% 61% Q3 About the conference 2) What is your comment on sound quality? 1.Very good 4 2.Good 20 3.Average 3 4.Poor 1 5.Very poor 0 6.No answer 1 Total 29 4% 11% 71% 14% Q3 About the conference 3) What is your comment on sound delay? 1.Stressful 1 2.A little stressful 11 3.Comfortable 16 4.No answer 1 Total 29 57% 4% 39% -95-

98 7. Meeting and lecture list 1. Nakashima N, Okamura K, Hahm JS, Kim YW, Mizushima H, Tatsumi H, Moon BI, Han HS, Park YJ, Lee JH, Youm SK, Kang CH, Shimizu S. Telemedicine with digital video transport system in Asia Pacific area The 19th International Conference on Advanced Information Networking and Applications Taipei, Taiwan 2005/3/28-30 Oral 2. Shimizu S, Nakashima N Current problems in telemedical presentation method The 18th Hyeonhae-Genkai Meeting Jeju, Korea 2005/3/12 Oral 3. Nakashima N Telemedicine beyond the borders by broad band in Asia-Pacific area The 1st International Conference on Remote Robotic Surgery Fukuoka, Japan 2005/3/2 Oral 4. Shimizu S Telemedicine using broadband network Telecommunications Standardization Course of Japan International Cooperation Agency (JICA) Tokyo, Japan 2005/2/14 Lecture 5. Nakashima N, Shimizu S Situation in Korea-Japan: telemedical activity in KJ 19th APAN Meetings Bangkok, Thailand 2005/01/26 Workshop(BoF) 6. Shimizu S, Nakashima N Updated report of medicine in H-G project The 17th Hyeonhae-Genkai Meeting Bangkok, Thailand 2005/1/26 Oral -96-

99 7. Kim YW, Youm SK, Yi YS, Yu BS, Sung DH, Kang CH, Shimizu S, Nakashima N International telemedicine using next generation Internet technologies and digital video transport system 26th MMVR(Medicine Meets Virtual Reallity) Longbeach, USA 2005/01/26-29 Poster 8. Nakashima N, Mizushima H, Kim YW, Hahm JS, Okamura K, Park YJ, Lee JH, Kang CH, Dong M, Kimura M, Shimizu S. Telemedicine beyond the borders by broad band in Asia-Pacific area VJMed-Infotech 2004 Hanoi, Vietnam 2004/12/13 Oral 9. Nakashima N, Mizushima H, Kim YW, Moon BI, Hahm JS, Tatsumi H, Han HS, Okamura K, Park YJ, Lee JH, Youm SK, Kang MD, Shimizu S Telemedicine with high quality moving image by DVTS between China,Japan and Korea The 6th China-Japan-Korea Medical Informatics Conference Nagoya, Japan 2004/11/26 Oral 10. Shimizu S, Nakashima N, Okamura K, Kim JS, Hahm JS, Tanaka M Medical applications: expanding fields and regions Joint Seminar of Core University Program and JSPS 163rd Committee on NGI Deajeon, Korea 2004/11/25-27 Oral 11. Shimizu S Establishment of advanced broadband telemedical network in Asian-Pacific regions: experiences of telemedicine experiments using Korea-Japan APII testbed APII workshop (NICT: National Institute of Information and Communication Technology) Koganei, Tokyo 2004/10/28 Special lecture 12. Nakashima N, Okamura K, Dong Maosheng,Shimizu S Telemedicine with digital video transport system 5th Distance Learning and the Internet Conference Beijing, China 2004/10/11-13 Oral -97-

100 13. Shimizu S Use of the Internet as enabling technology to preceptor/mentor other surgeons 2004 Asia Pacific Surgical Leader's Summit(SLS) Seoul, Korea 2004/10/04-06 Plenary session 14. Nakashima N, Shimizu S Introduction and requests for help of future medical experiment 15th Hyeonehae-Genkai meeting Cairns, Australia 2004/7/4 Oral 15. Nakashima N, Kim YW, Mizushima H, Shimizu S International transplantation teleconference among 3 countries (Japan, Korea and Australia) 18th Asia-Pacific Advanced Network meeting Cairns, Australia 2004/7/2-6 Oral 16. Shimizu S, Tanaka M Telesurgery between Korea and Japan over gigabit Internet: Current Status of Laparoscopic Surgery 1st Anniversary of Opening of Seoul National University Bundang Hospital Seoul, Korea 2004/6/12 Invited lecture 17. Konomi H ERCP and other deagnostic images of pancreatobiliary diseases The 3rd Core University Program Karuizawa, Japan 2004/5/13-15 Oral 18. Natori H Neurosurgery-what we are doing in Kyushu University The 3rd Core University Program Karuizawa, Japan 2004/5/13-15 Oral 19. Nakashima N Current situation of the network in KJ medical team The 3rd Core University Program Seminar Karuizawa, Japan 2004/5/13-14 Oral -98-

101 20. Shimizu S, Nakashima N Topics on 10G applications in telemedicine 14th Genkai-Heonhae Meeting: Toward Post-APII/Lambda Networking Tokyo 2004/5/15 Oral 21. Nakashima N, Shimizu S, Okamura K Giga class medical network between Japan and Korea using KJCN Korea Information Science Society (KISS) Spring workshop Daejeon, Korea 2004/4/23-24 Workshop 22. Shimizu S, Nakashima N, Okamura K Current situation of advanced endoscopic surgery in Japan Chungnam National University seminar Korea, Daejeon 2004/3/30 Invited lecture 23. Nakashima N, Shimizu S Giga class international medical network between Japan and Korea using KJCN Chungnam National University seminar Korea, Daejeon 2004/3/30 Invited lecture 24. Shimizu S Coming plans in telemedicine The 2nd Core University Program Seminar Fukuoka, Japan 2004/2/6-7 Oral 25. Nakashima N, Shimizu S Recent outcomes of telemedicine project between Korea and Japan The 2nd Core University Program Seminar Fukuoka, Japan 2004/2/6-7 Oral 26. Nakashima N, Shimizu S, Okamura K, Choi HS, Park YJ, Kim YW, Mizushima H Demonstration of telemedicine over high speed Hawaii-Japan-Korea network 17th Asia-Pacific Advanced Network Meeting Honolulu, Hawaii 2004/1/27 Oral -99-

102 27. Nakashima N, Shimizu S Giga class international medical network between Japan and Korea using KJCN 17th Asia-Pacific Advanced Network Meeting Honolulu, Hawaii 2004/1/27 Oral 28. Nakashima N, Shimizu S How broad bandwidth do we need in telemedicine? 13th Hyeonhae-Genkai Meeting in Honolulu Honolulu, Hawaii 2004/1/25 Oral 29. Shimizu S, Nakashima N, Okamura K Endoscopic surgery in Japan and telemedicine with Korea National Cancer Center (NCC) Grand Round Seoul, Korea 2003/11/3 Invited lecture 30. Nakashima N, Kim YW, Shimizu S, Youm SK, Lee YS, Choi H-S, Okamura K, Lee JH, Kang CH, Tanaka M DVTS transmission to a medical soceity meeting venune (Report of APAMI 2003) 12th Genakai-Hyeonhae Gigabit Network workshop/meeting,the G-H/APII Joint Workshop/Meeting Nagasaki, Japan 2003/10/31 Oral 31. Nakashima N, Kim YW, Shimizu S, Hahm JS, Park YJ, Lee JH, Youm SK, Lee YS, Okamura K, Choi HS, Kang CH, Kawamoto M, Tanaka M: Telemedicine with digital video transport system over the Korea-Japan cable network. Asia-Pacific Association of Medical Informatics 2003 Daegu, Korea 2003/10/22 Oral 32. Nakashima N, Kim YW, Shimizu S, Hahm JS, Park YJ, Lee JH, Youm SK, Lee YS, Okamura K, Choi HS, Kang CH, Kawamoto M, Noshiro H, Tanaka M: Telemedicine with digital video transport system over the Korea-Japan cable network. Asia-Pacific Association of Medical Informatics 2003 Daegu, Korea 2003/10/21 Telemedicine demonstration -100-

103 33. Shimizu S Telemedicine over gigabit network between Korea and Japan Inauguration and General Symposium of the Core University Program between Kyushu University and Chungnam National University Daejeon, Korea 2003/9/5-6 Oral 34. Shimizu S, Hahm JS, Kim YW, Nakashima N, Okamura K, Tanaka M Telemedicine over gigabit network between China and Japan: next step with Korea-Japan experience 16th Asia-Pacific Advanced Network (APAN) Meetings Busan, Korea 2003/8/24-30 Oral 35. Shimizu S, Kim YW,Youm SK, Nakashima N, Okamura K, Tanaka M Telemedicine over gigabit network between Korea and Japan: Current situation and next thought The 11th Hyeonhae-Genkai Gigabit Network Workshop Busan, Korea 2003/8/24-30 Oral 36. Shimizu S, Kawamoto M, Nakashima N, Okamura K, Tanaka M Medical education and conference over high-speed network between Seoul and Fukuoka 1st QGPOP and KOREN Joint Meeting Kwangju, Korea 2003/4/16-18 Oral 37. Shimizu S, Kawamoto M, Nakashima N, Antoku Y, Uchikubo A Medical education and conference over high-speed between Seoul and Fukuoka Hyeonhae-Genkai Gigabit Network Technical Workshop Fukuoka, Japan 2003/2/27 Oral 38. Shimizu S, Uchikubo A Tele endoscope medical education over high speed network The 8th Hyeonhae-Genkai Gigabit Network Workshop Seoul, Korea 2002/11/30 Oral -101-

104 39. Shimizu S Overview and recent topics of endoscopic surgery in Japan International Symposium of Minimal Invasive Surgery: 30th Anniversary of Hanyang University Hospital Seoul, Korea 2002/5/2 Invited speech Meeting and lecture list (in Japanese) 1. 安徳恭彰 中島直樹 岡村耕二 清水周次アジア太平洋地域における DVTS を用いた遠隔医療カンファレンス事業日本 ME(medical electronics) 学会九州地方会福岡 2005/3/5 一般演題 ( 口演 ) 2. 安徳恭彰 中島直樹 岡村耕二 清水周次アジア太平洋地域の高速学術ネットワークを用いた医療動画伝送実験事業平成 16 年度大学病院情報マネジメント部門連絡会議前橋 2005/1/20-21 一般演題 ( 口演 ) 3. 中島直樹 清水周次 岡村耕二 水島洋 Kim YW Hahm JS 田中雅夫 DVTS 動画による 日韓を軸としたアジア遠隔医療ネットワーク第 24 回医療情報学連合大会名古屋 2004/11/26 一般演題 ( 口演 ) 4. 清水周次 能城浩和 中島直樹 岡村耕二 田中雅夫大容量インターネットを利用した国際間手術画像配信システム第 66 回日本臨床外科学会岩手 2004/10/15 シンポジウム 5. 水島洋 中島直樹 入沢厚 Young-Woo Kim Joon-Soo Hahm 清水周次 永田宏 田中博 APAN 上における DVTS を用いた国際高品位遠隔カンファレンス第 8 回遠隔医療研究会岩手 2004/8/21 一般演題 ( 口演 ) -102-

105 6. 清水周次 中島直樹 許斐裕之 名取良弘 岡村耕二 Young-Woo Kim Joon-Soo Hahm 田中雅夫日韓遠隔医療システムの構築 : 非圧縮デジタル動画像のインターネット配信第 8 回遠隔医療研究会岩手 2004/8/21 一般演題 ( 口演 ) 7. 中島直樹 清水周次 岡村耕二 水島洋 APAN において実現した日韓米 DVTS 遠隔医療カンファレンス第 10 回 NORTH(Network Organization for Research and Technology) Internet Symposium 札幌 2004/3/12-13 ワークショップ 8. 清水周次 川本雅彦 中島直樹 岡村耕二 能城浩和 田中雅夫広域インターネット網を介した内視鏡手術画像配信システム第 16 回日本内視鏡外科学会総会岡山 2003/12/4-5 特別企画 9. 清水周次 中島直樹超高速インターネットを介した日韓遠隔手術支援第 23 回医療情報学連合大会千葉 2003/11/23 一般演題 ( 口演 ) 10. 清水周次 中島直樹遠隔医療の活動状況と今後の計画福岡県 e! プロジェクト報告会福岡 2003/10/7 講演 11. 清水周次遠隔医療の現状と九州大学での試み第 11 回北九州内視鏡外科フォーラム北九州 2003/4/16 教育講演 -103-

106 8. Paper list 1. Nakashima N, Okamura K, Hahm JS, Kim YW, Mizushima H, Tatsumi H, Moon BI, Han HS, Park YJ, Lee JH, Youm SK, Kang CH, Shimizu S Telemedicine with digital video transport system in Asia Pacific area Proceeding of Advanced Information Networking and Applications (AINA) 2005 pp , Nakashima N, Mizushima H, Kim YW, Hahm JS, Okamura K, Park YJ, Lee JH, Kang CH, Dong M, Kimura M, Shimizu S Telemedicine beyond the borders by broad band in Asia-Pacific area Proceeding of the 1st Vietnam-Japan Med Info Tech pp6-9, Nakashima N, Mizushima H, Kim YW, Moon BI, Hahm JS, Tatsumi H, Han HS, Okamura K, Park YJ, Lee JH, Youm SK, Kang Ch, Dong M, Shimizu S Telemedicine with high quality moving image by DVTS between China, Japan and Korea Proceeding of the 6th China-Japan-Korea medical Informatics Conference pp85-88, Hahm JS, Shimizu S, Nakashima N, Byun TJ, Lee HL, Choi HS, Ko Y, Lee KG, Kim SI, Kim TE, Yun J, Park YJ Telemedicine with digital video transport system Korean Journal of Gastroenterology 43: , Kawamoto M, Shimizu S, Tanaka M, Nakashima M, Okamura K, Kim YW, Hahm JS Telesurgery between Korea and Japan over broadband Internet Kyushu University Asia Research Organization News Letter (KUARO) 3:7, Okamura K, Shimizu S, Shimokawa T Case studies of advanced applications between Japan and Korea using APII Proceedings of 29th Asian Info-communications, Tokyo, Dec 1-4,

107 7. Shimizu S, Hahm JS, Kim YW, Park YJ, Lee JH, Youm SK, Okamura K, Nakashima N, Choi HS, Kang CH, Kawamoto M, Tanaka M Telemedicine with digital video transport system over the Korea-Japan cable network Journal of Korean Medical Informatics 9:S322-S326, 清水周次 中島直樹 岡村耕二 田中雅夫 Hahm JS Kim YW 日韓遠隔医療システムの構築超高速遠隔医療システムの意義新医療 ( 特集 : ここまできた遠隔医療 )32: , 中島直樹 清水周次 岡村耕二 水島洋 Kim Young-Woo Hahm Joon-Soon DVTS 動画による 日韓を軸としたアジア遠隔医療ネットワーク医療情報学 24:S348-S349, 清水周次 中島直樹 名取良弘 許斐裕之 岡村耕二 Kim YW Hahm JS 田中雅夫日韓遠隔医療システムの構築 - 非圧縮デジタル動画像のインターネット配信 - 第 8 回遠隔医療研究会抄録集 pp54-55, 水島洋 中島直樹 入沢厚 Kim YW 清水周次 永田宏 田中博 APAN 上における DVTS を用いた国際高品位遠隔カンファレンス第 8 回遠隔医療研究会抄録集 pp52-53, 川本雅彦 清水周次 田中雅夫 中島直樹 岡村耕二玄海プロジェクト超高速インターネットを介した日韓手術支援九州アジア総合センター (KUARO) NewsLetter 3:7, 清水周次 田中雅夫日韓超高速インターネットを利用した手術画像伝送とテレカンファレンス九州大学研究紹介 ( 九州大学 ) 21:93-94, 清水周次 Young-Woo Kim 川本雅彦 中島直樹 岡村耕二 能城浩和 田中雅夫超高速インターネットを介した日韓遠隔手術支援医療情報学 23:S672-S673,

108 9. Press list Press Release Japan s First International Tele-Surgery via Ultrahigh-Speed Internet Connection Japan-Korea Tele-Surgery Support Implemented Using Gigabit Connection Three-Country Medical Collaboration via Ultrahigh-Speed Internet Connection Tele-Medical Conference between Japan, South Korea and Hawaii Conducted Using Ultrahigh-Speed Line International Medical Collaborations via Ultrahigh-Speed Internet Connection Tele-Pathology Lecture from South Korea Using High-Quality Video Images at Meeting of Japanese Cancer Association Newspaper THE JAPAN ECONOMIC REVIEW First broadband international tele-surgery link for Japan--Gigabit connection promotes Japan-Korea tele-surgery 西日本新聞日韓間の遠隔手術を承認国内初 今夏にも実施 毎日新聞光ケーブル使い日韓で手術実況中継 朝日新聞手術見学ネットで国超え ~ 画像 音声リアルタイムに -106-

109 読売新聞 九大の手術韓国に中継 ~ 光ケーブルで 600 キロ 日本工業新聞胃切除の映像 同時伝送 ~ 内視鏡手術の普及支援 日刊工業新聞海超え画像で手術の助言 ~ 内視鏡外科手術を韓国専門医に配信 電気新聞光海底ケーブル活用し配信 ~ 手術中継で日韓を橋渡し 電気新聞 3 カ国 4 地点結び遠隔医療会議開催 ~ 九州電力などの回線利用 西日本新聞日韓米結び医療会議 ~ 九大病院大容量ネット回線使い 読売新聞九大病院 米韓とTV 会議 ~ 遠隔医療 初の 3 か国間配信 毎日新聞 3 か国間で遠隔医療 ~ 九大などと米韓の大学が実験 毎日新聞韓国にがん映像送信 読売新聞国境超え大学連携 ~ 手術の様子配信 遠隔医療講義 TV NHK 福岡 九州朝日放送 -107-

110 テレビ西日本 RKB 毎日放送 テレビ西日本 九州朝日放送 TVQ 九州放送 NHK 福岡 テレビ西日本 テレビ西日本 Magazine 医療タイムス Expert Nurse vol.19 No.10 Web page IPv6 online journal アジアの情報ハブを目指す九州で 日韓の国際文化交流を実現 IPv6 関連技術で遠隔医療をはじめとする高度 IT 社会での先進アプリケーションを実証

111 10. Collaborating institutes (In order of ABC) ANF: Advanced Network Forum (English) APAN: Asia-Pacific Advanced Network (English) Chungnam National University (Korean) (English) Core University Program: Development and Operation of the NGI (Next Generation Internet) Technologies (English) (Japanese) e! project (Japanese) Ewha Womans University (Korean) (English) Hospital (Korean) (English) G/H project: Hyeonhae/Genkai project (Japanese) General Hospital of People s Liberation Army (English) -109-

112 GIST: Gwangju Institute of Science and Technology (English) (Korean) Hanyang University (Korean) (English) Hospital (Korean) HIJK: High Internet Project between Japan and Korea (English) (English) JAMINA: Japan Medical Information Network Association (Japanese) KOREN: Korea Advanced Research Network (English) (Korean) Kyushu Electric Power Co., Inc. (Japanese) (English) Kyushu University (Japanese) (English) Hospital (Japanese) (English) Mahidol University (Thai) (English) -110-

113 National Cancer Center, Goyang, Korea (Korean) National Cancer Center, Tokyo, Japan (Japanese) (English) NICT: National Institute of Information and Communications Technology (English) (Japanese) NII: National Institute of Informatics (English) (Japanese) NORTH: Network Organization for Research and Technology in Hokkaido (Japanese) QGPOP: Kyushu GigaPOP Project (English) QIC: Kyuden Infocom Company, Inc. (Japanese) QTNet: Kyushu Telecommunication Network Co., Inc. (Japanese) (English) Sapporo Medical College (Japanese) (English) Hospital (Japanese) -111-

114 Seoul National University (Korean) (English) Main Hospital (Korean) (English) Bundang Hospital (Korean) Taipei Veterans General Hospital (Chinese) (English) Tokyo University (Japanese) (English) Tsinghua University (Chinese) (English) Yamanashi University (Japanese) (English) -112-

115 11. Closing Brothers! Let s Unite to Spread Benefits across Borders by Broadband! We look forward to the era of the ubiquitous society with the next generation Internet communication technology. In the fields of healthcare, medicine and welfare, we will be able to manage daily life for the elderly and those suffering from dementia, to effect life-style management, to provide education through e-learning concerning life-style related diseases such as diabetes mellitus and to provide a remote medical consultation service for those patients at home. These should provide the environment necessary for realization of a user-oriented, highly efficient, low cost and precise healthcare system. Our project, which comprises the Asian medical network, is based on a concept similar to that described above. Even from your seat in your own office, you will be able to see and learn even detailed finger movements involved in the newest medical techniques in the world; you will be able to understand in concrete terms conditions of an emergent infectious disease which you have never seen and you will be able to prepare for the approaching spread of the disease; you will also be able to make clear presentations at international academic meetings from a remote location 5,000 km distant from the venue 30 minutes after your medical consultation with your outpatients. Thus, we are aiming to provide the essential environment to acquire the best and newest healthcare techniques without placing additional stress on medical staff (cost, time, anxiety regarding the risk of infection, etc). In rivalry with United States, the European Union (EU) is developing rapidly. Accordingly, many of the world s industries and dense information networks are becoming bipolarized. On the other hand, unification of Asia is slow due to such factors as political instability, economic disparities and religious differences, although Asia contains some of the most populated and/or rapidly growing countries in the world. The delay in development of information services will prove a major factor in the widening of the gap between Asia and US/EU, will contribute to difficulties in making good use of resources and will exacerbate the brain drain phenomenon. In the field of medicine, the slow development of information sharing of advanced medical techniques (e.g. endoscopic surgery, robotic surgery and measures against emergent infectious disease or acts of bio-terrorism), medical ethical consensus (e.g. transplantation, regeneration therapy and genomic therapy) and medical peripherals (e.g. medical devices and medicines) will also be a major contributing factor to disadvantages for -113-

116 medical practitioners, patients and citizens alike. In other words, the promotion of unification of the Asian medical society may contribute to world-wide medical development through the creation of a third medical pole. Our goal in this project is to promote the unification of the Asian medical society and to share medical information and attitudes towards medicine including friendship between medical staffs fostered by information communication technology Asian brothers! Let s unite to spread benefits across borders by broadband! March 2005 Naoki Nakashima, MD, PhD Department of Medical Informatics Kyushu University Hospital -114-

117 Authors Shuji Shimizu, MD, PhD Department of Endoscopic Diagnostics and Therapeutics Kyushu University Hospital Maidashi, Higashi-ku, Fukuoka , Japan Tel & Fax: Naoki Nakashima, MD, PhD Department of Medical Informatics Kyushu University Hospital Maidashi, Higashi-ku, Fukuoka , Japan T e l: Fax: nnaoki@info.med.kyushu-u.ac.jp Koji Okamura, PhD Computing and Communications Center Kyushu University Hakozaki, Higashi-ku, Fukuoka , Japan T e l: Fax: oka@ec.kyushu-u.ac.jp Motohiro Ishii Internet Data Center Kyuden Infocom Company, Inc Watanabe-dori, Chuo-ku, Fukuoka , Japan T e l: Fax: ishii@qic.co.jp Hiroshi Imamura e-business Group Kyuden Infocom Company, Inc Watanabe-dori, Chuo-ku, Fukuoka , Japan T e l: Fax: imamura@qic.co.jp