CESNET and Czech Medical Community as Partners for World Telemedicine 5 th Asian Telemedicine Symposium Fukuoka, Japan, December 16 th -17 th,2011 Jiří Navrátil jiri@cesnet.cz Pavel Pečiva pavel.peciva@kzcr.eu Modern medicine opens wide possibilities for telemedicine applications MR scan Opth. operational microscope Xray CT Robot davinchi
Dr. Shimizu, Kyushu University in 2008: How I see this after couple of years of experiencies: still true Technical barriers disappeared (more or less) - HD, 3DHD cameras, big TV screens (LG, Panasonic, etc.) - High speed networks everzwhere - Main problems? Last mile (inside the city, hospitals) Social barriers still persist - problem of professional courage of teachers - problem of Spectators/Listeners - time and desire to learn IT of MD Integration/Implementation new application to the community IS CHALLENGE Depends on: - active strong Organizer = Engine - community size - community sustainability
CESNET is NREN not Medical Institution No direct mission and goals for Health care Supports advanced applications which needs: specific connections (speed, stability and security) as - video transmission - remote surgeries - Cooperation on federalization principles - eduroam - eduid Federelization example EDU portal for all medical students from all medical faculties with individual access rights set by each university
all Med. Faculties and nearly all larg country University hospitals (11) Military hospitals (2) Research hospitals (16) via NIX to other hospitals in the regions To other hospitals Písek Havl.Brod Nové Město na M. Hodonín We create the environment for collaboration Czech Republic is small country we are looking for partners in International communities Member of GN3 network
MTI GLIF Global Lambda Integrated facility http://www.glif.is/participants/ Resolution x Bandwidth x Latency 1920 pixels HD (1920x1080) 4CIF (4 Common Intermediate Format) * 704x576 in PAL * 704x480 in NTSC = SDTV CIF (Common Intermediate Format) * 352x288 in PAL * 352x240 in NTSC DVTS Low latency time HD HD compressed latency time 250 ms 4 s
H.323 Multipoint videoconference UVN Praha Conference room at Central Military Hospital FN HK MCU (CODIAN) PASNET VFN Praha FN Ostrava Surgery day Live video since 2000 every year Example from 2007 4 sites, 6 teams, 26 patients Live Video Surgery Central Military Hospital Prague 22.-23.1.2010
CMH Prague Taiwan (NCHC, CHKU) Engine for Ophthalmologists + 360 specialists from 16 countries Canada, Germany, France, Italy, United Kingdom, Switzerland, Austria, Hungary, Poland, Czech republic, Slovakia, Russia, Ukraine, Turkey, South Korea, Egypt MD. L.Rejmont from CMH Announced on World conference 1998 2005 DVTS - Plus Multipoint VC, principle: Client-Server 2010 2010 35 Mbps Server MCU
MHUL TNC DVTSˇplus server AIG DVTSˇplus server THU RJH ZJU ZSH MGU KUH UOM TNC 2011 UCT NMSM TNC 2011 TNC 2011
MD. J.Stehlik from MNUL Gastro type of surgery via DVTS plus TNC 2011 Thank You for attantion APAN 2011
Prof. T.Fukushima in MNUL Neurosurgery via DVTS plus Prof. T. Fukushima in MNUL Neurosurgery via DVTS plus
Robot davinci HD resolution 3D Video unit HD 3D camera 1,3 Gbps 1,3 Gbps Left eye Right eye
Robot da Vinci 3D fullhdvideo from robot davinci General scenario Modular Video Transport Platform - codec http://www.ces.net/project/qosip/hw/mvtp-4k.pdf MVTP-4k 2 HD videosignals left and right eye NETWORK 10Gbps Video from Operation room H323 Video conference 2 HD videosignals left and right eye MVTP-4k F10 AS3D Stereo projector F10AS3D ZD101 DLP Hardware development MVTP-4K (Modular Video Transfer Platform) 2x 4K or 8x 2K/HD unlimited distance over regular Internet full-duplex embedded audio adds less than 1 ms to networking delay output synchronization without clock source IN: 8x HD-SDI OUT: 8x HD-SDI Network 10 Gigabit Ethernet
Optical cable for 10 Gbps link to the Venue switch left eye view Video cables to projector right eye view Optical cable connecting local switch and MVTP-4K 3D video in monoscopic view (without 3D glasses, all is doubled, blurred) MVTP-4k Robot da Vinci First public DEMO 19.10. 2010 7:00 14:00 F10 AS3D MVTP-4k
MVTP-4k KEK, Thu Nov 18th 2010 16:00 18:00 Robot da Vinci Tsukuba Via Shared IP Internet MVTP-4k F10 AS3D MVTP-4k On dedicated E2E links MNUL CZ Robot da Vinci HKCEC MVTP-4k APRICOT-APAN 2011 HKCEC F10 S421 AS3D Tue Feb 22nd 2011 4pm
APRICOT-APAN 2011 3D with Active Polarization Glasses
Telebridge to Slovakia 3D with Simple Circular Polarization Glasses CESNET SANET Collaboration: davinchi operation in MNUL to Banska Bystrica
ITU World Networking Geneva, October 2011
Temdec and CESNET-MNUL started testing HD via MEDIAEDGE
Thank You for Your Attention