Endoscopy

Endoscopic Telemedicine Activity
in KOREA
Hosoon Choi
Hanyang University Medical Center
Seoul, Korea
Conventional telemedicine
Satellite Broadcasting system
Endoscopy
Room 1
CAM 1
MIC1 & RET
Endoscopy
Room 2
PGM
F/S-1
Transmission by Optical Cable
Endoscopy
Room 3
CAM 2
F/S-2
KyungHee University
Hospital
Remote Seminar Place
Network Configuration
DVTS
<Conference room>
<OP/Endos room>
Telemedicine System
Image and Sound
Telemedicine System
Security
GW
GW
KOREN
KJCN
Security
GW
GW
Image and Sound
<OP/Endosc room>
<Conference
room>
Telemedicine
System
Telemedicine System
HMC
AMC
KUMC
SCHUH
SNUBH
AJOUMC
CBNUH
CUH
Remote Educational
Place (Paiknam AICL
of HYU)
Multiple station KOREN
configuration
KUH
SCHU
AMC
HMC
AJUH
SNUBH
CNUH
CNU
H
Required equipments
Surgical instrument
DV Camcoder DVTS PC
Internet
>30Mbps
IEEE1394
Audio
Microphone
UTP(Ethernet)
• DVTS: free software
• No special teleconferencing equipments
BROADBAND network is essential!
Korea-Japan Cable Network
Broadband fiber-optic cable system between Korea and Japan was established
Korea
on 2001
Japan
KOREN 기반 의료분야 연구기관 (직,간접포함)
MSPP
MSPP
10G
10G*2
분당서울대병원
아주대(의대)
MLX
MSPP
MSPP
MLX
고려대(병원)
국립 암센터
서울대의대(연건)
서울아산병원
순천향대 병원
연세의료원(신촌)
한양대 [병원]
삼성의료원
한양대 구리병원
서울성모병원
건국대병원
10G
충북대 (의대)
10G
MLX
10G
MSPP
MSPP
전북대 병원
전남대병원(광주)
제주대(의대)
경상대(병원)
빨간색 기관은 학교 통해 연동
2010년 12월 기준
Major achievements of
telemedicine
1.
2.
3.
Many new connectioning sites
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18 university hospital
Guri Hanyang University Hospital
Catholic University of Daegu
Collaboration with new societies
KSGE, KPBS, SGI
EUS research group of KSGE
Endoscopic activities
Endoscopic teleconferences
Live demonstration (real time)
Academic meeting for education
Endoscopic teleconferences activities
Date
Event
Contents
Venue
2003.2.12
Endoscopy conference in IT
WEEK event
Conference,
Slide, video
Kyushu University
Hanyang University
2004.1.29
The 17th APAN Meetings in
Honolulu, (APAN Hawaii)
Conference,
Slide
Hawaii U, HUH
KUH, NCC in Tokyo
2004. 2. 24
ERCP Teleconference
Conference,
video
HUH, KUH
2004.09.15
Korea-Japan Teleconference on
small bowel endoscopy
Slide, video
HUH
KUH
2008.5
Teleconfernce between
universities in Korea
Slide, video
HUH, CNNUH
SCHUH, AUH, Jeju UH
2008.5.2 - 2009
(x 5)
1st IEE international teaching
project with Stanford Univ.
slide
Stanford, USA
Tokyo, Fukuoka. JP
HUH
2008.4.17 - 2010
(x10)
JKT Endoscopic
Slide, video
KUH, Kyoto Second Red
Cross, Hospital (Japan),
HUH(Korea),
National Taiwan University
(Taiwan)
Teleconference
Experiment
• Endoscopy nurse conference in IT WEEK event
(2003.2.12)
– Send the endoscopy stream to each other
Kyushu Univ.
Hanyang Univ.
Teleconfernce between domestic universities
in Korea; Mar. 2008
First teleconfernce with Stanford Univ.
Apr. 2008
Fukuoka, JP
Kyoto, JP
Stanford, USA
Seoul, KR
JKT Conference
Academic meetings
Date
Event
Contents
Venue
2004.11.11
The Introduction of
Hanyang medical
college using HD
Slide, movie
Kyushu University
Hanyang University
2010.2.28
Training course of
gastroenterology
center(2/28)
Conference,
Slide, video
Guri HUH
Hanyang University
2010.8.10
30th APAN Meeting
Conference,
Slide
Hanoi_vt, KUH_jp,
HUH_kr
Experiment 5
•
The Introduction of Hanyang medical college using HD
(2004.11.11)
HD image
DV image
- Hanyang Univ. -
DV image
-Kyushu Univ15
Training course of gastroenterology center
2010.2.28 - Hanyang Univ. HIT, Hanyang Hosp. operating room
for endoscope
30th APAN Meeting
2010.8.10 - Hanoi_vt, KUH_jp, HUH_kr
Live demonstration (real time)
Date
Event
Content Venue
s
2006.1.25
Multi-station (4) live endoscopy;
live
KUH, Tokyo, NTU
HUH
2007.8
Multi-station (8) Live Demonstraion
of Endoscopy
live
Xian, CN, Fukuoka, JP, Seoul, KR
Taipei, TW, Kyoto, JP, Hamburg,
GR, Kuala Lumpur, MY, Bangkok,
TH
2008.3.28
ESD Live Demonstration 2008 in
KSGE (4 stations)
Live
(satellite +
tele)
HUMC, NCC, Kyoto 2nd redcross
hospital, Iwata USM
2009.3
ESD Live Demonstration 2009 in
KSGE (5 stations)
live
HYMC, SCHU, CBNUH, CNUH,
and Kyoto 2nd redcross hospital
2009.2
ERCP live 2009 of KPBS
(8 stations)
live
8 different hospitals through
Qatro
2009.11.7
13th China EUS
Symposium in PUMCH-1
Endoscopy, Peking UMVH, Tsinghua U (Ch),
Live
ASAN medical center (Korea),
Tokyo Science Foundation
(Japan)
2010.2.6
ERCP Live 2010 in KPBS
(8 stations)
live
8 different hospitals through
Qatro
Multi-station (4) live endoscopy;
2006.1.25
Toky
o
Kyushu U
Endoscopic view
NTU
Korea
2006.1.25
With multi-point security
ESD Live Demonstration 2008 in KSGE
DVTS
<Conference room>
<Conference
room>
Telemedicine
System
Telemedicine System
Network Configuration
Image and Sound
Security
GW
GW
KOREN
KJCN
Security
GW
GW
Image and Sound
<OP/Endosc room>
Telemedicine System
<OP/Endos room>
Telemedicine System
Hanyang University Hospital,
National Cancer Center,
Kyoto Second Red Cross Hospital
Igata University School of Medicine
Remote Educational
Place (Grand Hilton
Seoul Hotel)
Methods;
ESD Live 1
ESD Live Demonstration 2009 in KSGE
Multiple KOREN in ESD live 2009
SCHU
CNUH
HMC
CBNUH
KRCH
ERCP Live 2009 in KSPB
Date; Feb. 21th, 2009
Remote place; Paiknam of HYU
Participants; 450
KPBS, Seoul, Korea
ERCP Live 2010 in KPBS
ERCP LIVE 2010(2/6) - Sheraton Warlkerhill, Hanyang Univ.
Hosp., etc.
Future Plan (2011)
• Multi-station ESD live demonstration in
ESD study group of KSGE
• Multi-station ERCP live demonstration in
KSPBD
• Diagnostic EUS & therapeutic EUS live
demonstration in EUS study group of
KSGE
• Regular domestic & international
endoscopic conference
• HDTS