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KIWI ADVANCED RESEARCH AND EDUCATION NETWORK
Medical Working Group
From KAREN wiki
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Really enjoyed Cataract eye surgery session. Where can you go to see live surgery first hand. Brilliant and innovative.
Minutes in action
Wednesday 9am - 10.30am
Dr Stuart Gowland, Mobile Surgical Services, presented use of network technology for teaching surgeons from remote locations with a live feed to Oxford Clinic Christchurch to watch cataract surgery performed by Dr David Kent. The paitient's pupil filled the whole screen with absolute clarity. Dr Shimizu from Kyushu University was asked to drive the remote camera. He was able to select different views - and when the surgeon was not deep in concentration - they were able to discuss the procedure. The patient was conscious and her eye anaethetised with eye drops. We could hear the paitent and surgeon talking to each other - the surgeon giving the patient instructions to look at the light. No latency - no packet loss: using connectivity rate of 5Mbps duplex over KAREN. This is the first time the Mobile Surgical Services team have used KAREN.
Mark Billinghurst, HITLab
Looking to the future: applying augmented reality to computer added surgery. Started with surgeons wearing headsets with ultrasound capability about 15 years ago.
Tracking systems have developed overtime with surgeons still wearing head gear with stereo video displays with a graphic overlay - this allows surgeons to get a precise three dimensional view of bone structure.
AR has developed since to systems that don't need headgear eg Sonic flashlight used for finding veins in the hand and mobile panels to provide augmented reality removing the incumberance of surgical head gear.
Big challenge displaying a correct sense of depth Augmented reality used for training and remote collaboration
CSIRO haptics demonstration for teaching between Perth and Canberra.
Mark demonstrated the KAREN Capability Build Funded project run by HITLab, a Shared Graphic plug-in for Access Grid allowing: 3D manipulation, video conferencing, and collaboration.
Thursday 7 August Medical Session - Network and Technology update
Greg Wickham, AARNET
Used google earth to show where AARNET's core network is then overlayed locations of hospitals that have links to Universities. There is low take up of cyberinfrastructure for telemedicine teaching purposes overall - this is being addressed through the establishment of the Australasian Telehealth Society.
Suhaimi Napis, Malaysian Research and Eduation Network MREN
- Established in 2005 - 14 members connected
- Use simple video conferencing for some telehealth - slowly moving to DVTS for higher bandwidth
- Collaborative services are: e-Lecture, remote interviews, IP streaming and video conferencing
- MYREN is looking at phase 2 development - has last mile funding issues to reach hospitals
- Looking at up to 2.5Gps connectivity
- TEIN2 topology: 45Mbps connectivity
- Looking to reach out to the Indonesian Medical Schools - have shortage of Medical Teachers
VinaREN update Nguyen Ngoc Binh
- Network runs down country over 2,000km have five NOCs
- 2 years old
- 41 members - universities and medical centres
- Working actively to connect up medical teaching hospitals
- Organised own working groups in line with APAN's working groups
- Minister of Science and Technology has committed to joining TEIN3 with upgrade to 155Mbps
ERNet India Medical Update by A Singh
- 15 POPs with 155Mbps
- connecting remote and "far flung" places by satellite network
- currently have five medical institutions connected
- planning to connect more than 200 medical institutes over a 2 year timeframe
Surgical Live Demonstration
- Topic: Colo-rectal laproscopic surgery
- Hospitals connected to:
- Kyoto University
- Kyushu University
- Royal Hospital Brisbane
- Concord Hospital Sydney
- Auckland University
- Phillippine University
- The patient is a 43 year old woman with anemia - a tumour in the rectal area. The DVTS was streaming at 30Mbps allowing us to see in full screen what the surgeon is seeing. It is important for surgeons to have such high definition so that they can distinguish any variations in tissue colouration along with beng able to identify the tiny veins and arteries - with 1mm wide transection margins.
Photos
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 Prof Shimizu and Medical WG Audience |
 Dr Greg Wickham (AARNet) |
 Suhaimi Napis (MYREN) |
 VinaREN network VNNOC diagram |
 Nguyen Ngoc Binh (VinaREN) |
 Prof Shimizu and University of Auckland participants Dr. John Windsor, Dr. Julian Hayes |
