Asia Pacific Information Infrastructure workshop 2014

Medical area activity progressin Korea( A Field Trial Research on Global Networked Medical e-Learning
using Domestic ICT Equipment and Systems )2014. 10. 8Seoul Naitional University Bundang Hospital
Junghun Lee, Ho-Seong Han,
Mijin Kim, Inho Lee

AgendaI. The Challenges
II. MIS
III. Share the knowleage
IV. Digital ConvergenceAgendaI. The Challenges
II. MIS
III. Share the knowleage
IV. Digital ConvergenceAsia Pacific Information Infrastructure workshop 2014

The 10year’s challenges fortelemedicine• Traditionally telemedicine has been heldback by the bandwidth requirements
needed to transmit high-quality images
between hospitals.

AgendaI. The Challenges
II. MIS
III. Share the knowleage
IV. Digital ConvergenceAsia Pacific Information Infrastructure workshop 2014

MIS

“Our hospital is a pioneer in Minimally Invasive Surgery (MIS), which helps patients recoverfaster and leaves a much smaller scar than traditional techniques. Through live streaming ofoperations we have been able to train hundreds of surgeons across Asia, without the needor cost for them to travel to Korea. This MTC activity has widened the benefits MIS brings toa much larger population and undoubtedly helped save lives.”

Prof. Ho-Seong Han,
Vice Director of Seoul National University
2014.8.20, www.tein.com

Asia Pacific Information Infrastructure workshop 2014

Long-Term Survival Analysis of Pure Laparoscopic
vs. Open Hepatectomy for HCC in Patients with Cirrhosis

Cheung TT, et al. Ann Surg 2013

Asia Pacific Information Infrastructure workshop 2014

Long-Term Survival Analysis of Pure Laparoscopic
vs. Open Hepatectomy for HCC in Patients with Cirrhosis

Overall survival
Disease Free Survival

Cheung TT, et al. Ann Surg 2013

Asia Pacific Information Infrastructure workshop 2014

International Training Program(2006~2014)
The Total Number of doctors

160
International Doctors who participated in SNUBH training programs :Japan(39), China(27), France(1), Italy(1), UK(3), USA(7), Russia(13), Germany(2),Sweden(5), HongKong(1), Singapore(8), Taiwan(5), India(8), Uzbekistan(5),Kazakhstan(7), Ukraine(2) Thailand(14), Malaysia(1), Philippines(5), Vietnam(1),Nepal(2), Ecuador(1), Bosnia(2)AgendaI. The Challenges
II. MIS
III. Share the knowleage
IV. Digital ConvergenceAsia Pacific Information Infrastructure workshop 2014

Share Knowledge and promote
standardization in Medical fieldVideo
New surgery
Telemedicine
English

Demostration

Bundang HKyushu U11

Asia Pacific Information Infrastructure workshop 2014

Tele-Education for Medical
Student in Kyushu University

May 13 2009

Asia Pacific Information Infrastructure workshop 2014

Spreading best practice• Streaming of examinations using endoscopic
techniques (which involves a small camera being
inserted into the patient) in order to diagnose
and treat gastric cancers at an early stage without full surgery, thus reducing patient riskand cost, as well as saving lives across theregion.
• The technique of minimally invasive endoscopicsurgery, which is being pioneered by SNUBH, isbeing taught through telesurgery, helping
spread best practice in a scalable manner.

Asia Pacific Information Infrastructure workshop 2014

MTC Project (with 9countries)

Asia Pacific Information Infrastructure workshop 2014

What is MTC Project!
• Our project name is MTC. The MTC’smean is Medical Tele-Collaboration
among members.
• We are going to connect our hospital tomember of countries and have regularLive Surgery, Tele-education and Telecommunication.

AgendaI. The Challenges
II. MIS
III. Share the knowleage
IV. Digital ConvergenceAsia Pacific Information Infrastructure workshop 2014

Project’s Goal
• Construct adequate environment for advanced
researched network and accomplish Telemedical education by ICT equipment (Made inKorea).
– Produce Tele-medical education contents
about Minimal Invasive Surgery(Laparoscopeand endoscope)– Co-work in field of related with cooperated
hospitals– Sign for MOU (Memorandum Of
Understanding) for fluent process.

Asia Pacific Information Infrastructure workshop 2014

Detailed Promotion Table
Mile stone’s nameSign MOU for global collaboration

Main contents
Provide medical education contents about Live surgery and Tele-lecture.

Check Test-best construction between global Contract of adequate equipment for international cooperated institutions for thecooperated institutions with Korean ICT project and study.
equipment.
Medical education network interlock and testwith NREN and TEIN network

Complete setting up and testing Korean ICT equipment
Complete interlock test with cooperated institution.

Produce and transmit HD Medical education Produce video contents of MIS
contents
Transmit test of real time live surgery video contents
Tele-medical education program with Diagram Start transmitting produced contents between cooperated hospitals.
Test Network
Verify, figure out advantage & disadvantage
and improvement of Korean ICT equipment.

Assessment of Korean ICT equipment.

Prepare bridgehead of Korean ICT equipment’s Continuous cooperation between hospitals, countries, NREN and etc
exportation.

Asia Pacific Information Infrastructure workshop 2014

Education Contents

Lecture of Live surgery

• Totally laparoscopic mono-segmentectomyof S5 is possible with Glissonian approach.

Asia Pacific Information Infrastructure workshop 2014

Laparoscopic S4 segmentectomy

Asia Pacific Information Infrastructure workshop 2014

Domestic ICT Equipment andSystems
구분

V7502(Bancbone)

V2624G(Workgroup)

H160N(wifiAP)

M300(SSLVPN)

Image
Switching
Fabric• 192Gbps• 56Gbps

SwitchingThroughput• 144 Mpps

• 41.6Mpps

Flash Memory• 64MB• 32MB

DRAM Memory• 512MB• 128MB• 2 slot제공( 10/100/1000Base-TX
or 100/1000Base-X or 10G)

• 10/100/1000BASE-T(RJ45) : 24 Port(service)• 1000Base-X SFP : 4Port(uplink)

MAC Address• 최대 512K

• 16K

VLAN

• 4K 지원

• 4K• 432mm x 43mm x 340mm( 19인치 랙 타입 )• 440mm x 44mm x326mm( 19인치 랙 타입 )InterfaceDimensions(W x H x D)상세기능

• 2x2:2 MIMO 안테나 지원• 802.11n 사용을 위한
1000Mbps Uplink Port• 방송통신기자재 적합 인증장비• 전자파적합(EMC) 시험적합 장비• 2.4Ghz와 5Ghz 대역 동시사용 가능• 멀티캐스트 지원• 사용자 로드 밸런싱지원으로 사용자 폭주로인한 서비스 장애 방지• 802.11i WPA2 – AES 지원• 802.1x 사용자 인증방식지원
• SSID가 보이지 않게Hidden 설정 지원• SSID 별 VLAN 설정 가능• VLAN tagged 설정 가능• 2.4GHz 13개 채널 지원• 5GHz 19개 채널 지원• 무선 채널 및 파워 자동조절 가능• 802.3at PoE 지원• Memory : 4GB• HDD : 500GB• Interface : 1000B-TX *4Port• DRAM Memory : 512MB• Power : AC100~240V (Single)• 최대동시접속사용자 : 300User• 최대CCTV망 : 30EA
• Diminsions : 438 x 292 x 44
• 암호알고리즘 선택
기능(AES256, ARIA, SEED)• 웹 서버 인증서 등록 및 생성기능• 사용자 원격 지원• 가속 기능(FTP, Web)
• Site-To-Site 기능• 서버별/그룹별/사용자별 감사기록• 다양한 사용자 운영체제 지원• Mobile 지원(Smartphone,CCTV, ATM, POS 등)• Dual WAN(Multi WAN) 기능Asia Pacific Information Infrastructure workshop 2014

Table of Cisco vs Dasan

제조사DASAN
V2624GCisco
2960-24TC-L

alcatelOS6300Switching Fabric56Gbps

32Gbps

48GbpsThroughput

41.6Mpps

35.7Mpps

35.7Mpps

Flash Memory

32MB

32MB

16MB

MAC Address

16K

8K

16K

VLAN

4K

255

255

IGMP Snooping

V1/v2/v3

V1/v2/v3

V1/v2/v3

QoS

SP/WRR/DRR

SP/WRR

SP/WRR

SNMP

V1/v2/v3

V1/v2/v3

V1/v2/v3

CLI/콘솔 포트지원지원지원포트 미러링지원

지원지원

제조사

DASAN H160N

Cisco AIR-SAP1602E-K-K9

무선랜 규격

802.11a/b/g/n

802.11a/b/g/n업링크 포트

10/100/1000Bast-T (PoE 지원)

10/100/1000Bast-T (PoE 지원)

RF

2.4GHz & 5Hz

2.4GHz & 5Hz

소비전력

23W

12.9W

안테나2*2 MIMO 내장형 안테나, 2.4GHz * 2 5GHz * 2

2*2 MIMO, 안테나 별매콘솔포트

RS-232

RJ-45

Asia Pacific Information Infrastructure workshop 2014

Composition
Coperated hospitals

SNUBH: Malaysia, Kazakhstan,International professional group
For Tele-medicine

Global Tele-medical
education Center

Medicalteam(간암센터 ,갑상선암센터 , 근골격종양센터뇌종양센터 ,담도 / 췌장암센터대장암센터 , 두경부암센터부인암센터 ,비뇨기 / 전립선암센터 ,소아청소년
혈액종양센터 , 식도암센터 ,위암센터 ,유방암센터 , 종양내과센터 , 척추종양센터 , 폐암센터 ,혈액암센터 ,암통합지지센터 )Supportive
team :- HD, UHD
Transmission- Livesurgery- video- Educational
engineering

Domestic’s ICT SI/NIcompany group- 국산 ICT 장비 납품- 현지 장비 설치 망연동시험 운용Asia Pacific Information Infrastructure workshop 2014

MOUCountry

Hospital

Malaysia

1. University Malaya Medical Centre withMYREN
2. Sunway Medical CentreKazahstan

Medical Center of the President's Affairs
Administration of the Republic ofKazakhstan with CAREN

Asia Pacific Information Infrastructure workshop 2014[상호협력합의각서 작성 국문 예][상호협력합의각서 작성 영문 예]

Asia Pacific Information Infrastructure workshop 2014

SupportDonate to partner hospital , Korea ICT Equipment and Systems forEducation and trainig to network engineer

Asia Pacific Information Infrastructure workshop 2014

Design of homepage

Asia Pacific Information Infrastructure workshop 2014

Activity-I
CAREN Conference in Almaty in Kazakhstan(2014.10.1)

Asia Pacific Information Infrastructure workshop 2014

Activity-II
e-PANC KR1-JP8(2014.9.11)• (P)Seoul National University Bundang Hospital : Prof. Ho-Seong Han• (P)Hokkaido University : Prof. Satoshi Hirano• Tohoku University : Prof. Shinichi Egawa• (P)Kanazawa University, Prof. Tetsuo Ohta, Prof. Hirohisa Kitagawa,• Teikyo University (Tokyo, JJDI), Prof. Keita Wada
• (P)Nippon Medical School (Tokyo, JJDI), Prof. Eiji Uchida, prof. YoshiharuNakamura• Kyoto University, Prof. Kyoichi Takaori• Kyushu University, Prof. Shunichi Takahata, Prof. Takao Otsuka• Kawasaki Medical School, Prof. Masafumi Nakamura, Prof. Hiroshi Nakashima

Asia Pacific Information Infrastructure workshop 2014

Plan
• To activate NREN network by Tele-education between
collaborated hospitals on regular basis.
• To share medical knowledge with NREN countries so we
can decrease the gap of knowledge in medical field and it
can promote medical standardization.
• Collaboration to improve medical standard in their owncountries.
• Q&A data from the conference about post laparoscopic
Live surgery will be produced as medical educational
contents.
• Medical educational contents from lecture and conference
will be uploaded on web site and members from othercountries can receive them as educational service.

SNUBHAsia Pacific Information Infrastructure workshop 2014

Plan X.

Asia Pacific Information Infrastructure workshop 2014

Thank you very much !