Teleoncology What is it all about? PREPARED BY- SHIVIKA BISEN(09BMD011) ASHITA PALIWAL(09BMD006)

2 What is Teleoncology Use of Video Conferencing equipment to perform real time patient consults with clients living in rural, remote and urban locations. Cancer is 2 nd leading cause of death worldwide(WHO report) Cancer, experts say, is likely to emerge as the largest killer in India by 2020 if present trend continues. Application of telemedicine in cancer care TYPES OF CANCERS- Breast Colorectal Lung GI cancer Ovarian,testis cancer Blood cancer Cervical cancer

3 Why use it ??? Teleoncology consulting would : – Reduces travel burden - Decrease costs/delay (referral for ongoing tests) - Remote clinics get on-line suggestion - Comprehensive system for the management of cancer at the state/national level. - Facilitate to detect cancer at the early stages - Public awareness – Paitents comfortable with local appointments only – Rural/local staff skill development / involvement in cancer care - Wide scope of application- Townsville Cancer Centre (TCC) in Queensland (for cancer kids with working parents)

4 How will does it works ???? Each site:Video conferencing setup Norms Appointment times will occur in blocks according to appointment date,time from city center to patient/local center Appointment booking by local center for video conferencing & equipment. Explanation & consent by local center Set next appointment

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7 BrightOutcome Teleoncology care model software

8 consult” “What do I need to do” htm India:- 1 st Tele-Oncology implementation in India “ ONCONET” Kerala(2003) by:- Department of Information Technology (DIT), Government of India. Centre for Development of Advanced Computing(CDAC) Thiruvananthapuram & ISRO asssistance Regional Cancer Centre, Thiruvananthapuram (RCC-T) & Malabar cancer care society Ministry of Health and Family Welfare (MOHFW), GoI established National Tele-Oncology network :25 RCC(regional cancer centers)&100 peripheral centers Teleoncology In India

9 ONCONET High bandwidth connectivity : 384 Kbps[ through VSAT (Very Small Aperture Terminal)by ISRO ] Web based telemedicine system integrated with hospital information system TEJHAS (Telemedicine Enabled Java based Hospital Automation System)& Oncology resource centre. Telecommunications by satellite & as back up uses128 Kbps ISDN Systems complied to industry standard (HL-7,DICOM) Online updating of patient data in National Cancer Registry

10 Teleoncology network requirements( nationwide) 1.RCCs :- high bandwidth terrestrial Broadband L3 (Layer 3) + VPN (Virtual Private Network) connectivity of 384 Kbps + Multi Protocol Label Switching (MPLS) backbone from BSNL. 2.Peripheral centres (4 for each RCC) with 512 Kbps Broadband

11 Tele-oncology Infrastructure

12 Tele-Oncology web portal: Provides up-to-date National cancer statistics to Ministry of Health and health care providers Oncology Resource Centre (Digital Library): Major component of ONCONET-India : Provides cancer related information to clinicians, researchers, health planners and administrators at each RCC.(Available on telemedicine network,hospital intranet, internet)

13 Recent trends Sanjeevani : 1 st mobile Tele-oncology unit in India(on 25/04/10) at the MCCS (Malabar Cancer Society) in association with ISRO & C-DAC team Vehicle built by Ashok leyland # uses VSAT link Cancer Control Program:Early cancer detection, follow up, consultation.(in 150 remote hospitals) Active in 5 Districts of the Malabar Region of Kerala.

14 REFERENCES sessions/.../OncoNET.doc 08/vol7_no1/7_discourse_1.pdf