Topics on 10 G applications in telemedicine Transmission

Topics on 10 G applications in telemedicine: Transmission of High-Definition images　 Shuji Shimizu Naoki Nakashima Koji Okamura Kyushu University, Fukuoka, Japan

Korea-Japan Medical Network Kyushu-Univ. Korea Digital Video Transfer System ＤＶＴＳ APII Gigabit Network ＤＶＴＳ Digital Video Transfer System • No compression of images • Minimal time delay

Need for even better quality… • Telepathology • Telesurgery • PC presentation Transmission of HD quality should be tried

Menu for today n Telepathology n What is pathology? n Surgical n with HDTV application New surgical instrument n Possible solution for PC presentation? Kyushu Univ. , Fukuoka

For making the final diagnosis X-ray Resected specimen Malignant or benign? How advanced?

Final diagnosis by pathology Magnified view Microsope

What we need for telepathology is … n Very high-resolution!!! HDTV quality should be mandatory. n Moving image is required. To examine all the fields on site Kyushu Univ. , Fukuoka

Image of telepathology between Korea and Japan Seoul Kyushu-Univ. ＤＶＴＳ HDTV Hyeonhae-Genkai Gigabit　Network DVTS is not satisfactory in quality. ＤＶＴＳ HDTV

HTDV equipments for pathology Panasonic NTT Ikegami

High denisity Telepathological System SONY HDC-X 300 (HD-SDI) Fujitsu IP-7500 Olympus Microscope

Menu for today n Telepathology n What is pathology? n Surgical n with HDTV application New surgical instrument n Possible solution for PC presentation? Kyushu Univ. , Fukuoka

Change in surgical instruments… n Analog to digital Recording: SVH to DV or DVD Direct digital output n DV to HD HD model in process Huge market is moving toward High-Vision instruments.

◆ Improvement in surgical instruments Presentation method-3 Live surgery 1 Ａｎａｌｏｇ HD D/A DV DVTS IE 1394 S-VHS 2 DV 3 HD

HTDV equipments for surgery Not commercially available yet Olympus

Menu for today n Telepathology n What is pathology? n Surgical n with HDTV application New surgical instrument n Possible solution for PC presentation? Kyushu Univ. , Fukuoka

◆ Does HD improve the quality of PC presentation? Presentation method 1 In-put method for presentation Loss of quqlity Ａｎａｌｏｇ Ｔｗｉｎ　Ｐａｃｔ 5 DV DVTS IE 1394 ＲＧＢ DV 2 IEEE 1394 ＨＤ？ Even worse! 3 ＶＮＣ • Quality • Speed • Movies 4 DV? HD?

Multicast is necessary Hanyang University Hospital ＫＩＸ 1 G Singapore Seoul-XP SEOUL ６Ｍ Europe 10Ｍ National Cancer Center GSR ＵＳＡ 155Ｍ Seoul National Univ (Bundang Hospital) 155 M Ehwa Womans Univ TAEGU GSR SUWON GSR Seoul National Univ　(Main Hospital) DEAJON Samsung Medical Center GSR Chungnam National University Gyeongsang Univ GSR BUSAN 2Ｇ Japan KWANJU Connected Expected Pusan University 1 GMbps Subscriber

Conclusions • • • There are strong needs and demands of High. Definition quality in telemedicine. Telepathology and surgery are good candidates and ready for trial. HD may also be expected to improve the quality of PC presentation. Multicast is strongly requested in telemedicine, which needs more bandwidth between KJ.