The development of the medicaltele-education system supporting multimedia applications, which is open to the regional students and doctors.

开发了一个支持多媒体应用的医学远程教育系统，包括静止图像和运动图像。该系统的目的是开放，不仅对医学生，但谁希望学习当前的医学主题作为一个经常性的研究生医学教育的从业人员。在2001年（本研究的第一年），由于我们只能使用ISDN（64kbps），安全性被确认为与1999年推出的远程医疗诊断系统相同。当时，这些材料仅限于静止图像，由于频带狭窄，因此通过扫描仪将其数字化为JPEG图像文件。在将图像注册到数据库服务器时，需要患者的姓名和ID号、主诉、科室、图像和模态的分类、关键的五个字到十个字符、注释和诊断的关键点。在客户端的Web视图上，患者的姓名和ID号永远不会显示。图像可以通过参考键检索。在本研究的最后一年（2002年），当宽带通信系统在我们的大学，该系统被定制为支持运动图像（MPEG 2）。同时，在数据库服务器之外引入了Web服务器，并改变了网络配置。虽然与Web上的JPEG文件相比，很难显示缩略图，但我们成功地使用免费软件（Quick Time）显示了静态缩略图。该系统还设计了一个软件，可以加密的html文件（由另一个基金），以防止二次使用的图像。总之，该系统是广泛的应用在研究生和研究生医学教育的宽带通信网络迅速蔓延。

The medical tele-education system supporting multimedia applications including both still images and moving pictures is developed. This system is designed to be open not only to the medical students but to practitioners who hope to learn current medical topics as one of the recurrent post-graduate medical education. In 2001 (the first year of this research), as we could utilize only ISDN(64kbps), the security was confirmed as same as the telemedicine system for diagnosis which was introduced in 1999. At that time, the materials were confined to the still images and were digitized as JPEG image files by a scanner because of the narrow band. In registering the images to the database server, patients' name and ID number, chief complaint, department, the sort of the images and modalities, the key five words up to ten characters, comments, and key points of the diagnosis are required. On the Web view on the clients, patients' name and ID number are never displayed. The images can be retrieved by reference keys. In the final year of this research (2002) when the broadband communication system was available in our university, the system was customized to support the moving pictures(MPEG 2). Simultaneously, the Web server was introduced apart from database server and the network configuration was also changed. Although it was difficult to show the thumbnail images compared with JPEG files on the Web, we succeeded to display the still thumbnail by using the free software (Quick Time). The system was also designed to prevent the secondary usage of the images by applying the software which could encrypt the html files (by another fund).In conclusion, this system is widely useful in both pre-graduate and post-graduate medical education through broadband communication network spreading rapidly.