1. Current activity Faculty of Medicine Chulalongkorn University King Chulalongkorn Memorial Hospital Thailand 22 nd APAN Meeting Singapore 19 th July 2006

2. Pornarong Chotiwan MD icd10th@hotmail.com Chakaphan Sookcharoen Chidapha Adul-Tanagan Computer Unit Faculty of Medicine Chulalongkorn University Thailand

3. History The Faculty of Medicine. Chulalongkorn University has been founded in keeping with the wishes of H.M. King Anandhamahidol to see the University of Medical Sciences produce more doctors so as to provide better health care for his people. Acting on H.M. the King's wish, the govemment allocated a sum of money for expanding medical education. A second medical school was then established in King Chulalongkorn Memorial Hospital, the Thai Red Cross Society. Inpursuance of a royal decree, the Faculty of Medicine was established April 22, 1947 and was officially opened on June 11, 1947 On October 1, 1967 the school was transferred to Chulalongkorn University and renamed as " Faculty of Medicine, Chulalongkorn University.

4. Research Projects utilizing JGN2 Asian Circuits Research ProjectMember Organizations 1Telemedicine System Joint Experiment using the MPEG4 Scalable Video CODEC JPNTT Com, NTT lab, Kyushu Univ., Univ. of Tokyo THChulalongkorn Univ. 2Experiment of Telemedicine in Ophthalmology based 3D-HD and Broadband Network JPPanasonic, NTT Com, Asahikawa Medical College THChulalongkorn Univ. SGSingapore National Eye Center 3IPv6 Distance Learning Joint ExperimentJPNTT Com, IBM Japan, Mitaka-city, Osaka Univ., Univ. of Hyogo, Waseda Univ. THNECTEC, Thammasat Univ.(SIIT), Chulalongkorn Univ. SGIDA, Catholic High School

5. Structure of Cooperation Chulalongkorn Univ.Kyushu Univ. NTTCom(Thai) NTT-Lab / NTTCom *Prime Coordinator Coordination Thailand Japan Support (Network Survey / System Integrate) Joint Experiment MICT/NECTEC Ministry Of Internal Affairs and Communication (MIC) NICT

6. Telemedicine Joint Experiment Chulalongkorn Univ. (Thai) ／ Kyushu Univ. (Japan)

7. The Review of Telemedicine Joint Experiment 2005 (Round 1) Nov.25, 2005Basic Experiment (Teleconference) (Round 2)Dec.22, 2005Training Box Tele-mentoring (Round 3)Jan 30-31, 2006Robotic Tele-Surgery trial and International Workshop 1.Established strong relationship between Chulalongkorn U. and Kyushu U. 2.Confirmed the effectiveness of Tele-mentoring 3.Success of robotic Tele-surgery The outcome.... *Challenges for the experiment this year- - The improvement of the video quality - Continuous discussion of the training program between the universities

8. Experiment Network Japan Thailand ATM45Mbps ThaiSARN JGN2 UniNET Kyushu University Chulalongkorn University

9. 1.Tele-mentoring using the “ Training Box ” for endoscopic surgery 2.Tele-mentoring using the “ VR-Simulator ” for endoscopic surgery (If possible) 3.Endoscopic surgery training using cadaver ※ We will try to take more time to discuss the training plans during the experiment period (e.g. tele-conference once a month). The Plan for Telemedicine Joint Experiment 2006 (Detail discussion on 28 th July 06 by VCS) Experiment Plans “ Training Box ” training “ VR Simulator ” training

10. Schedule (Draft) 2006 2007 AprMayJun e JulyAugSepOctNovDecJanFebMar Coordination with both parties (Japan/Thailand) Meetings ▲ ★ ★★ Implementation of experimental platform Training Box ▲ ▲ ▲ VR Simulator ▲ ▲ ▲ Cadaver operation ▲ Evaluation and Reporting Site survey / System design Installation/ Test ※ Remarks: This joint experiment is planned to continue till 2007. However, the detailed plans of yearly experiment is decided at the beginning of each fiscal year by MIC. Feedback Delegation from Japan Teleconf.#1 Teleconf.#2 Teleconf. as needed

11. Telemedicine System Joint Experiment using the MPEG4 Scalable Video CODEC Objectives: Development of base technology of telemedicine on broadband network Demonstration of tele-instruction between Japan and Thailand Technology to construct next-generation IP network based on IPv6 Technologies used in this experiment: Sharing of medical images by utilizing MPEG4 scalable CODEC Real-time operation performance via low latency MPEG-2 CODEC system Bi-directional real time video communication Demonstration of remote robotics surgery: Jan 30, 2006 Maser-Slave type surgical robot developed by Univ. of Tokyo Sature/Removal demonstration with Live-Tissue

12. Lecture Room Flet’s Phone ROBOT(Master) ROBOT(Slave) Camera (backup) MPEG4 Decoder Whole image Of class Surgeon Endoscope Camera Endoscopic Image (for Surgeon) Endoscopic Image (for participants) MPEG2 Encoder MPEG4 Encoder Back up （ single channel ） alternative Image of Operation Camera (operation) Endoscopic Image (backup) MPEG2 Decoder MPEG2 Decoder Camera (assistant) Robot Endoscope Camera Image of Slave Robot (for surgeon) Switcher MPEG2 LL Encoder Image of Slave Robot (for participants) MPEG2 LL Decoder MPEG2 Encoder MPEG4 Enc/Dec Chulalongkorn Univ. Kyushu Univ. (voice) ThaiREN JGN2 AsiaBB NW 6Mbps MPEG4 Scalable (3 - 10Mbps) 6Mbps 6 - 4Mbps 6Mbps; 180ms delay 4mbps; 140ms delay < 1Mbps 0.5 - 1Mbps Telemedicine System Joint Experiment using the MPEG4 Scalable Video CODEC

13. Kyushu University Chulalongkorn University ROBOT (Master) ROBOT (Slave) JGN2 Asia Network Telemedicine System Joint Experiment using the MPEG4 Scalable Video CODEC

14. Chulalongkorn Univ. Kyushu Univ. Image from Japan: environment Image from Japan: Endoscope Live-Tissue on operating table Slave Robot Participants Surgeon (Dr. Hashizume) Master Robot 45inch display or participants

15. Experiment of Distant Medicine Using ROI Chulalongkorn Univ. (Thai) ／ Asahikawa Medical Univ. (Japan)

16. Experiment of Telemedicine in Ophthalmology based 3D-HD and Broadband Network Objectives: This experiment aims at evaluation of the network and services in ophthalmologic telemedicine utilizing the technologies of 3D-HD and broadband network. Outline of the experiment: Evaluation of telemedicine by high-definition surgery image transmission. Through the broadband network, high-definition surgery image (ophthalmology) will be transmitted from Japan to Singapore at real- time. At the same time, a conference will be set to evaluate the effectiveness of the usage of the transmitted high-definition image. Evaluation of the interaction of ROI (Region of Interest) and 3D-HD over the telemedicine platform. By using the ROI platform, SD (normal size) images converted from HD images is shared among the medical agencies between Thailand and Japan.

17. Experiment of Telemedicine in Ophthalmology based 3D-HD and Broadband Network Thailand Singapore Japan NTSC Joy stick ROI Platform 3D-HD encode / distribute server Operation room HD Conference image for Remote diagnostics H.264 IPVC DLP Projector 3D-HD Player Asahikawa Medical College ROI Image H.264 IPVC Conference image for Remote diagnostics 3D-HD Player DLP Projector 3D Screen 3D Glass H.264 IPVC Asia Broadband Network 3D-HD camera system for surgery AP SingAREN AP ThaiSarn /Uninet AP Access Point 3D-HD Link :1Link (50Mbps) IP-Video Conference :1Link (2Mbps) ROI platform :1Link (6Mbps) Asahikawa Medical College Hospital Telemedicine Center 3D-HD camera system for surgery Microscopic HD camera head ROI control PC Singapore National Eye Center Chulalongkorn University & Hospital Department of Ophthalmology Joy stick ROI Platform ROI control PC Conference image for Remote diagnostics

18. Experiment of Telemedicine in Ophthalmology based 3D-HD and Broadband Network Experiment between Thailand and Japan: (1)Mar 1, 2006 (2)Mar 2, 2006 ROI Image (left), Operation room (right) (Mar 1, 2006) Venue in Asahikawa Medical College (Mar 1, 2006) Venue in Chulalongkorn University (Mar 1, 2006)