Advances in medicine through technological innovation 第二回 NRW- 福島先進医療合同シンポジウム 2 nd NRW-Fukushima Joint Symposium on Advances in Medicine December 1 and 2, 2017 Venue: Koriyama City, Fukushima Prefecture Program Organized by Southern TOHOKU General Hospital and Medical Faculty of University Duisburg-Essen Supported by the Prefectural Government of Fukushima, the City of Koriyama, the City of Essen the Embassy of the Federal Republic of Germany Tokyo and NRW.INVEST / NRW Japan K.K. In collaboration with East Japan Studying Forum of Bio-Medical Engineering
Message from Prof. Dr. Andreas Pinkwart State Minister for Economics, Innovatin, Digitalisation and Energy of North Rhine- Westphalia (NRW) Im vergangenen Jahr durfte die Stadt Essen Gastgeber des ersten wissenschaftlichen Symposiums zur Spitzentechnologie in der Medizin sein. Es freut mich sehr, dass der Expertenaustausch nun in Koriyama fortgesetzt wird. エッセン市は昨年 第一回 NRW- 福島先進医療合同シンポジウムをエッセン市にて開催しました この度 この専門家交流が郡山で継続されることを非常に嬉しく思います Die zentralen Themen in diesem Jahr sind Künstliche Intelligenz und Robotik in der Medizin. Sowohl Nordrhein- Westfalen als auch Fukushima streben danach, die Zukunftsfragen der gesundheitlichen Versorgung mithilfe modernster Technologien zu lösen. Diagnostik und Therapien werden zielgenauer, Krankheiten durch Prävention vermieden oder deren Symptome reduziert. Die Politik erwartet dadurch Einsparungen, um den steigenden Kosten im Zuge der fortschreitenden Medizin und der demographischen Entwicklung entgegen zu wirken. 今年の主要テーマは医学における人工知能とロボティクスです NRW 州と福島県は共に最先端技術を駆使しつつ 将来のヘルスケアに関連する課題を解決することを目指しています つまり ターゲットを絞った診断と治療法 予防による疾病回避 あるいは症状緩和です その成果として 昨今の医療技術の進歩と高齢化社会ゆえに上昇するコストの抑制が可能になると 政策面からも期待されています Die Digitalisierung der Gesundheitswirtschaft muss oberste Priorität haben, wenn in der Medizin und der pflegerischen Versorgung moderne Technologien zum Einsatz kommen sollen. Deshalb wollen wir den Transformationsprozess im Gesundheitswesen wie auch in allen anderen Branchen intensiv vorantreiben und die damit verbundenen Chancen konsequent zum Wohle der Patienten nutzen. In Japan ist die Digitalisierung der Gesundheitswirtschaft Teil der nationalen Wachstumsstrategie. 医療や介護に最新技術を導入するには まず最優先課題としてヘルスケア産業のデジタル化に取り組む必要があります それゆえ 私共は他のあらゆる分野同様に 医療の変革プロセスを積極的に推進し そこで生まれるチャンスを患者利益に一貫して活用することを目指しています 一方 日本も医療産業のデジタル化を国家成長戦略の一部に位置付けています Diese vielfältigen Übereinstimmungen in unseren Zielsetzungen haben dazu geführt, dass NRW und Fukushima bereits seit mehreren Jahren im Bereich der Medizintechnik zusammenarbeiten. Was als Hilfe nach der Nuklearkatastrophe in 2011 angefangen hat, ist inzwischen ein enger Austausch zwischen Unternehmen und Wissenseinrichtungen zum Vorteil beider Regionen. このように共通する目標を掲げる NRW 州と福島県は 数年来 医療技術分野での協力を推進してきました 2011 年の原子力発電所事故の後 支援として始まったこの交流は 現在 企業ならびに研究機関間の緊密な交流へと発展し 両地域に利益をもたらしています Gleich zu Beginn meiner Amtszeit durfte ich die Verlängerung des Memorandums zur Medizintechnik zwischen NRW und Fukushima unterzeichnen. Damit haben wir dokumentiert, dass wir die Zusammenarbeit auch für die kommenden Jahre fortsetzen wollen. Unsere Unternehmen profitieren von dem produktiven Austausch, das medizinische Wissen wird erweitert und kommt in Diagnostik, Therapie und Pflege zur Anwendung. 私は NRW 州経済大臣就任直後に NRW 州と福島県の医療技術に関する覚書の延長に署名させていただきました これにより私共は今後も協力関係を継続するという意思を明らかにしたのです この生産的交流は両地域の企業に最大限に活用され 医療知識の拡大 ならびに診断 治療 介護分野での知識応用に貢献しています In diesem Sinne wünsche ich dem Symposium viele Erkenntnisse, Erfahrungen und Ideen, die weit über die zwei Tage hinausreichen. その意味で 多くの知見 経験またアイディアが 2 日間にわたるシンポジウムの枠を超え さらに広がることを願っています Prof. Dr. Andreas Pinkwart Minister für Wirtschaft, Innovation, Digitalisierung und Energie des Landes Nordrhein-Westfalen NRW 州経済 イノベーション デジタル化 エネルギー省大臣 Prof. Dr. アンドレアス ピンクヴァート
Message from Masao Uchibori Governor of Fukushima Prefecture It has been 6 years and 8 months since the Great East Japan Earthquake. In the years since then, Fukushima Prefecture has made steady progress towards revitalization thanks to warm support from the rest of the world and the constant efforts of its citizens. In order to further secure this foundation and accomplish reconstruction, the prefecture is continuing to focus its efforts into the development of medical device-based industrial clusters. 東日本大震災から 6 年 8 か月が経過いたしました この間 福島県は国内外からの温かい御支援と県民のたゆまぬ努力により 復興への歩みを着実に進めてまいりました こうした流れをより確かなものとし 確実な復興を成し遂げるために 本県では医療関連産業の集積に力を入れております The value of medical device parts and components produced in Fukushima is ranked 1st in Japan, and this demonstrates just how many technologically-advanced companies are located within Fukushima. 本県の 医療用機械器具の部品等生産額 は日本国内で第 1 位となっており 本県には優れた技術力を持つ企業が多数立地しております Moreover, we are promoting business activities between the State of North Rhine-Westphalia and our prefecture, in the field of medical devices. In September 2014, we signed a MoU (Memorandum of Understanding) with the Ministry of Economic Affairs, Energy and Industry of the State of North Rhine- Westphalia to strengthen this cooperation, resulting in many business discussions and cooperation between companies in both regions. Based on this progress, the MoU was renewed this August, and we will continue to work closely together. また 本県では ドイツ ノルトライン = ヴェストファーレン (NRW) 州との間で 医療機器分野におけるビジネス交流を推進しております 2014 年 9 月に 本県と NRW 州経済省との間で連携強化に関する覚書を初めて締結して以来 両地域で活発な商談や連携事業が行われてきました この成果を踏まえ 本年 8 月にはこの覚書を更新し 更なる連携を進めていくことを確認したところであります The first of these symposiums was held in the City of Essen last year through the coordinated efforts of the Southern TOHOKU General Hospital, located here in Koriyama City, and the Essen University Hospital in NRW. It is our great pleasure to host the second symposium here in Fukushima. 本日はここ郡山市に立地する総合南東北病院と NRW 州のエッセン大学病院との連携により 昨年度 エッセン市で開催された第 1 回目のセミナーに引き続き 今回 第 2 回目のセミナーが当地で開催となりますことを大変うれしく思います Lastly, I would like to ask all participants to try to learn about Fukushima s present condition, progress and upcoming initiatives towards revitalization, and to further support the cooperation between North Rhine-Westphalia and Fukushima. セミナーにご参加の皆様におかれましては 是非 震災からの復興を進めている福島の現状について御理解いただき 更なる復興に向けた取組や 両地域の連携に向け積極的に御支援いただけますようお願い申し上げます Masao Uchibori Governor Fukushima Prefecture 3
1 st December 2017 Day 1 Translation from industry to clinics Arrival at Koriyama Station and transfer to Fukushima Medical Device Development Support Center by bus 10:15-12:50 Visit to Fukushima Medical Device Development Support Centre Venue: The Fukushima Medical Device Development Center 10:30-10:45 Welcome Greeting and Introduction Maki Takizawa 10:45 11:45 Guided tour through the Centre 11:45 12:15 Bento Lunch Seminar Maki Takizawa 12:15-12:50 Transfer to Koriyama View Hotel by bus 13:00-13:40 Signing ceremony between Koriyama and Essen Venue: Koriyama View Hotel Annex, 4 th floor, Room Yamazakura Language: English / Japanese with consecutive translation 13:00 13:30 Greetings / Signing Ceremony / Exchange of Gifts / Photo Session Greetings:Shinagawa Masato Lord Mayor of Koriyama Thomas Kufen Lord Mayor of Essen Masaki Sato Chairperson Signatories:Shinagawa Masato Thomas Kufen Witnesses :Masao Uchibori Karl-Uwe Bütof Daniel Ockenfeld Lord Mayor of Koriyama Lord Mayor of Essen Governor of Fukushima Prefecture Ministry of Economic Affairs, Innovation, Digitalization and Energy of the State of North Rhine-Westphalia German Embassy Tokyo 13:30-13:40 Q&A 4
14:00 17:15 Seminar: Focus Fukushima Chair: Shoichi Shimizu Venue: Koriyama View Hotel Annex, 4 th floor, Room Hanakatsumi Language: German / Japanese with simultaneous translation 14:00-14:10 Greetings of hosts: Masao Uchibori Governor of Fukushima Prefecture Karl-Uwe Bütof Ministry of Economic Affairs, Innovation, Digitalisation, and Energy of the State of North Rhine-Westphalia 14:10-14:25 Greetings of guests: Masato Shinagawa Lord Mayor of Koriyama Thomas Kufen Lord Mayor of Essen Daniel Ockenfeld First Secretary of German Embassy Tokyo 14:25-14:55 Keynote speech Revitalization of Fukushima and the Creation of New Industry Governor Masao Uchibori 14:55-15:25 Cooperation between NRW and Karl-Uwe Bütof Fukushima Prefecture Ministry of Economic Affairs NRW 15:25 15:40 Coffee break 15:40 15:50 Greeting: Fukushima Global Business Akihiro Hayashi Working Group 15:50 16:10 Innovation for the Future Japanese Petra Wassner companies in North Rhine-Westphalia, Europe s leading R&D location 16:10 16:30 How to enter the European market for Christian Dierks medical devices 16:30 16:45 The role of Notified Bodies in market Junya Onae entry to Europe 16:45-17:00 Experience report on cooperation with Takashi Oi a university hospital n NRW 17:00 17:15 Experience report on cooperation with a Shizuko Miyasaka company in NRW 5
17:20 19:00 Fukushima-NRW Reception Venue: Koriyama View Hotel Annex, 3 rd floor, Room Uzumine 17:20 17:25 Greeting: Vice-Governor Hata 17:25-17:30 Toast: Prof. Wolfgang Sauerwein 17:30 19:00 Networking We thank the Fukushima Prefectural Government for initiating and supporting this symposium 6
2 nd December 2017 Day 2 Innovating the Hospital Venue: NABE Hall, Southern Tohoku General Hospital Introduction 09:00 09:05 Introduction Wolfgang Sauerwein and Kanichi Seto 09:05 09:30 Welcome Addresses Shinagawa Masato Thomas Kufen Shunji Iizuka Kazuo Watanabe Lord Mayor of Koriyama City Lord Mayor of Essen City Director General Fukushima Prefecture President Southern Tohoku General Hospital Keynote lectures Artificial Intelligence in Medicine and the Hospital of the Future Chairs Toshiyo Tamura and Michael Oeverhaus 09:30 10:00 Artificial Intelligence in Medicine Michael Forsting, University of Essen 10:00 10:30 Deep Learning-Based Assessment of Cognitive Dysfunction for Screening Test of Dementia K. Sakatani( 酒谷薫 日本大学工学部 医学部 ) 10:30 10:45 Coffee break Session 1 Health management of the future Chairs Kanichi Seto and Michael Forsting 10:45-11:00 The future of Health Care is in Big Data Analytic. Usman Iqbal, ( 台北医学大学 ) 11:00 11:15 Hospitals in Germany and Japan Yoshiaki Nakagawa, Yoshinobu Nakagawa, Wolfgang Sauerwein and Andreas Stang ( 中川義信 中川義章 独立行政法人国立病院機構 ; ヴォルフガング ザウアーヴァイン アンドレアス シュタング エッセン大学病院 ) 11:15 11:30 Photocatalysis: fundamentals and medical applications Tsuyoshi Ochiai and Akira Fujishima ( 落合剛 藤嶋昭 東京理科大学 ) 7
11:30 11:45 Photocatalystic system for Infection control Shunsuke Sejima( 瀬島俊介 NPO 法人バイオメディカルサイエンス研究会 ) 11:45 12:00 Artifical Intelligence and Predictive Modeling in the battle against chronic kidney disease (CKD) Michael Etter ( ミヒャエル エッター フレゼニウス メディカル ケア アジア パシフィック ) 12:00 13:00 Lunchtime Session 2 The next generation of particle beam therapies Chairs Wolfgang Sauerwein and Masao Murakami 13:00 13:15 Clinical results of proton radiotherapy Masao Murakami( 村上昌雄 南東北がん陽子線治療センター ) 13:15 13:30 Current status and perspectives in hospital-installed acceleratorbased BNCT Katsumi Hirose( 廣瀬勝己 南東北 BNCT 研究センター ) 13:30 13:45 Future outlook on BNCT from the clinical viewpoint Minoru Suzuki( 鈴木実 京都大学原子炉実験所 ) 13:45 14:00 Future prospects for boron agents in BNCT Hiroyuki Nakamura( 中村浩之 東京工業大学 ) Session 3 Minimal invasive surgery by means of endoscopes and robot Chair Yasushi Teranishi and Hung-Cheng Lai 14:00 14:15 The future of minimal invasive surgery in gastric cancer Michitaka Honda( 本多通孝 福島医科大学 総合南東北病院 ) 14:15 14:30 Minimally invasive surgery for preservation of anatomical function in gynecologic oncology Hironori Asada( 浅田弘法 新百合ヶ丘総合病院 ) 14:30 14:45 Challenges of robot assisted surgery in gynecology-taiwan Experience Hung-Cheng Lai( 台北医学大学 雙和病院 ) 14:45 15:00 Minimally invasive thoracic surgery: Current status and future aspects from Japan Makoto Oda( 小田誠 新百合ヶ丘総合病院 ) 8
15:00 15:15 The need to teach robotics to students in medicine and how to do it Lorenzo Brualla and Wolfgang Sauerwein ( ロレンツォ ブルアラ ヴォルフガング ザウアーヴァイン エッセン大学病院 ) 15:15 15:45 Coffee break Session 4 Innovative technologies from bio-medical engineering Chairs Hiroyuki Nakamura, Georg Löer 15:45 16:00 Rhythmic gait assisted robot WALK-MATE and its application to Parkinson s disease Yoshihiro Miyake( 三宅美博 東京工業大学 ) 16:00 16:15 My chipping technique for non-union and deformity including shortening Takashi Matsushita ( 松下隆 福島県立医科大学 総合南東北病院 ) 16:15 16:30 Give me my vision back: innovative laser technologies in ophthalmology. Michael Oeverhaus and Mitsuru Sugawara ( ミヒャエル エーヴァーハウス エッセン大学病院 ; 菅原充 株式会社 QD レーザ ) 16:30 16:45 Dental implant with periodontal ligament Isao Ishikawa, Kaoru Washio and Teruo Okano( 石川烈 東京女子医科大学 ) 16:45 17:00 Micro/ nano robotics for future medicine Koji Ikuta( 生田幸士 東京大学 ) 17:00 17:15 Coffee break Session 5 International collaboration in Patient treatment Chairs Christian Dierks, Yujiro Handa 17:15 17:30 The international use of expensive facilities in radiation oncology Wolfgang Sauerwein ( ヴォルフガング ザウアーヴァイン エッセン大学病院 ) 17:30 17:45 New concept of international hospital sharing Kanichi Seto( 瀬戸晥一 公益財団法人国際医療財団 総合南東北病院 ) 17:45 17:50 Concluding Remarks Kanichi Seto and Wolfgang Sauerwein 9
Faculty ASADA Hironori Executive Vice President Shin-Yurigaoka General Hospital Dept. of Obstetrics Gynecology Hironori.asada.kuroshima@gmail.com BRUALLA Lorenzo BNCT team Department of Radiation Oncology University Hospital Essen lorenzo.brualla@uni-due.de BÜTOF Karl-Uwe Director General State Economic Policy, Industry, Service Sector, Clusters, Ministry of Economic Affairs, Innovation, Digitalisation and Energy of the State of North Rhine-Westphalia karl-uwe.buetof@mwide.nrw.de Dierks Christian Dierks+Bohle, Rechtsanwälte PartmbB Berlin Düsseldorf Brüssel dierks@db-law.de ETTER Michael Chief Medical Officer and Senior Vice President Medical Affairs Fresenius Medical Care Asia Pacific Ltd. Michael.Etter@fmc-asia.com FORSTING Michael Professor and Chair Institut für Diagnostische und Interventionelle Radiologie und Neuroradiologie University Hospital Essen michael.forsting@uni-due.de FUJISHIMA Akira President Tokyo University of Science president@admin.tus.ac.jp HATA Toshiyuki Vice Governor Fukushima Prefecture medical-unit@pref.fukushima.lg.jp HAYASHI Akihiro President Fukushima Global Business Working Group kunio.masuko@hayashiseiki.co.jp HIROSE Katsumi Southern Tohoku BNCT Research Center khirose@hirosaki-u.ac.jp HONDA Michitaka Dept. of Minimal Invasive Surgery and Medical Oncology Fukushima Medical University Southern TOHOKU General Hospital mhonda@fukushimamed. Com IKUTA Koji Professor and Director Biomicro Mechatronics and Robotics Lab University of Tokyo ikuta@rcast.u-tokyo.ac.jp IQBAL Usman Assistant Professor Master s Program in Global Health & Development, College of Public Health Taipei Medical University, Taipei, Taiwan usmaniqbal@tmu.edu.tw KUFEN Thomas Oberbürgermeister der Stadt Essen Lord Mayor of Essen oberbuergermeister@essen.de 10
LAI Hung-Cheng Professor & Chair Department of OB/ GYN, School of Medicine, College of Medicine, Taipei Medical University Vice Superintendent & Chairman Department of OB/ GYN, Taipei Medical University - Shuang Ho Hospital Ministry of Health and Welfare, Taiwan hclai@s.tmu.edu.tw LOER Georg Representative Director & President NRW Japan K.K. Economic Development Agency of the German State of North Rhine-Westphalia (NRW) g.loeer@nrw.co.jp MATSUSHITA Takashi Professor and Chair Department of Traumatology Fukushima Medical University Director of Trauma and Reconstruction Center Southern TOHOKU General Hospital takashi@matsushita.net MIYAKE Yoshihiro Dept. of Computer Science Tokyo Institute of Technology miyake@c.titech.ac.jp MIYASAKA Shizuko Representative Director & President Echo Electricity Co., Ltd. k-tani@echo-mf.jp MURAKAMI Masao Director Southern TOHOKU Proton Therapy Center mmuraka2013@gmail.com NAKAGAWA Yoshiaki National Hospital Organization Shikoku Medical Center for Children and Adults paora@kuhp.kyoto-u.ac.jp NAKAGAWA Yoshinobu President Shikoku Medical Center for Children and Adult Exective Bord member of National Hospital Organization nakaga-d@hosp.go.jp NAKAMURA Hiroyuki President Japanese BNCT Society Professor of Synthetic Organic Division Tokyo Institute of Technology hiro@res.titech.ac.jp OCHIAI Tsuyoshi Kanagawa Academy of Science and Technology Tokyo Univ. of Science pg-ochiai@newkast.or.jp OCKENFELD Daniel First Secretary Economic Affairs Embassy of the Federal Republic of Germany, Tokyo wi-3@toky.auswaertiges-amt.de ODA Makoto Director Dept. of thoracic surgery Tokyo General Hospital Shin-Yurigaoka General Hospital Oda0419@gmail.com OEVERHAUS Michael Department of Ophthalmology University Hospital Essen michael.oeverhaus@uk-essen.de Oi Takashi Director PURERON JAPAN CO.,LTD. takashi@pureron.co.jp ONAE Junya Manager, Medical Products, Global Technology Assessment Center, TUEV Rheinland Japan Ltd junya.onae@tuv.com 11
SAKATANI Kaoru Director NEWCAT Research Institute Department of Neurological Surgery School of Medicine Professor Department of Electrical and Electronic Engineering College of Engineering Nihon University sakatani.kaoru@nihon-u.ac.jp SUGAWARA Mitsuru President & CEO QDLaser sugawara@qdlaser.com SUZUKI Minoru Director Particle Radiation Oncology Kyoto University Research Reactor Insitute msuzuki@rri.kyoto-u.ac.jp SATO Masaki Chairperson Koriyama City Assembly SAUERWEIN Wolfgang Faculty Representative for Exchanges with Japan Director BNCTeam Department for Radiation Oncology University Duisburg-Essen w.sauerwein@uni-due.de SEJIMA Shunsuke President NPO Biomedical Science Association(BMSA) sejima@npo-bmsa.org TAKAI Yoshihiro Director Southern Tohoku BNCT Research Center yoshihiro.takai@mt-strins.or.jp TAKIZAWA Maki Director Fukushima Medical Device Development Support Centre centre@fmdipa.or.jp TAMURA Toshiyo Visiting Senior Researcher Institute for Healthcare Robotics, Future Robotic Organization, Waseda University tamurat@aoni.waseda.jp SETO Kanichi Senior advisor Southern TOHOKU General Hospital Group President International Healthcare Foundation kanichiseto@gmail.com UCHIBORI Masao Governor Fukushima Prefecture medical-unit@pref.fukushima.lg.jp SHINAGAWA Masato Lord Mayor of Koriyama city shinagawa-masato@city.koriyama.lg.jp STANG Andreas Director Center for Clinical Epidemiology University Hospital Essen Andreas.Stang@uk-essen.de WASSNER Petra CEO NRW.Invest GmbH, Economic Development Agency of the German State of North Rhine-Westphalia (NRW) wassner@nrwinvest.com WATANABE Kazuo President and CEO Southern Tohoku Hospital Group dr-kazu@mt.strins.or.jp 12