Today I am going to talk about a multimedia telemedicine system over the internet between Sri Lanka and Japan for supporting facial prothetic treatment and cleft lip/palate surgery. I think you better introduce the co-authors and your self here
The image can be directed to the shared-board or send back to the sending host for asking questions or giving explanations.
Multimedia telemedicine system over the Internet has some advantages compare to the former medical collaboration as follows, Surgeons in Japan who will go to Sri Lanka for surgeries can get accustomed to there situation while being in home town. They can remotely observe their patients with the help of local physicians and medical appliances available, and plan properly before leaving for Sri Lanka. This enables the Japanese experts to spend their limited time in Sri Lanka effectively, while transferring the clinical know-how to the local doctors and serving a large number of patients. While the Japanese medical experts are in Sri Lanka , they often require to contact their superiors in Japan for advice. Such discussions can be carried out effectively using the designed system. After returning to Japan, the medical personnel can observe their patients remotely and prescribe necessary treatment and advice. The local physician may show these patients to the experts in Japan, conducting web conversations at regular clinical sessions. The medical experts in Japan can use the designed tool to give educational presentations or demonstrations to local physicians in Sri Lanka .
Department of Oral and Maxillofacial Surgery, Saga University , Japan
Department of Information Science, Saga University , Japan
3) Department of Oral and Maxillofacial Surgery, University of Peradeniya , Sri Lanka
Internet-based collaboration for transferring medical technology to developing countries T. Katsuki (1) , M. Goto (1) , K. Ihara (1) , M. Shigematu (1) Y. Hayashida (2) , D. Nishantha (2) N. Amaratunga (3) , J. Weerasinghe (3) Cleft-2004, Nova Scotia, Canada
Background International Support e.g. JICA (Japan International Cooperation Agency) Monetary funds Provision of materials Dispatch of experts Dispatch of experts Multimedia Medical collaboration over the Internet Developing countries Health Education Industry Commerce Food Politics ? ? ? ? ? ? ? Medical technology
Goals of multimedia medical collaboration Pre - Observation of patients Post-observation of patients Immediate support in critical medical situations Remote lecturing
Medical Collaboration Requires … User friendly operational interface Functions to support medical discussions Interactive audio communication Real-time or quasi-real time image flow High-quality images
Conventional methods of international communication Need a communication system that facilitates real-time, interactive multimedia delivery Emails International telephony Facsimile ??
Practical realization Department of Oral and Maxillofacial Surgery Saga University Japan Department of Oral and Maxillofacial Surgery, University of Peradeniya Sri Lanka Department of Information Science Saga University Japan Medical collaboration A dedicated software
Collaboration System Setup Monitor Personal computer Key board Head-phone with mic Digital Video Camcorder 3-button mouse
GUI snap-shot (Japan-side) Control panel Image rate and quality control Receive window (Sri Lankan-side image) Shared board (accessed by both sides) Transmit window (Japan side image) Web-browser (presentation slide shows)
Features of the system No special devices are required. (Requires a video camera (any type), microphone, personal computer and access components to the Internet) Adaptive from narrow to broadband Internet channels. (while preserving high quality quasi-real-time image and voice delivery) Operation of software is simple and straightforward (User friendly GUI, automated controls) Provides indispensable tools to support collaboration. (shared-board, graphically pointing on the patient’s images, text chat, delivery of presentation slide shows, multi-stream session recording etc)
The local medical staff must be such that they are easy enough to learn and applicable on local patients without much difficulty. A sustainable system The equipments and the technology that are already available in the recipient country must be used as far as possible
Surgeons in Japan who will go to Sri Lanka for surgeries can get accustomed to there situation while being in home town.
While the Japanese medical experts are in Sri Lanka , they often require to contact their superiors in Japan for advice.
After returning to Japan, the medical personnel can observe their patients remotely and prescribe necessary treatment and advice.
The medical experts in Japan can use the designed tool to give educational presentations or demonstrations to local physicians in Sri Lanka .
Discussion Advantages using multimedia telemedicine system
Simplified structure of the multimedia collaboration system synchronous collaboration boundary real time audio real time audio real time text real time text sending image receiving image sending image receiving image Local storage Local storage shared board synchronous transmission synchronous transmission asynchronous collaboration boundary recorded images recorded image asynchronous transmission Japan Sri-Lanka
Image and Voice transceiving Japanese doctors discuss with Sri Lanka doctor Sri Lanka lady with cleft lip