CLUE WG                                                       A. Romanow
Internet-Draft                                                     Cisco
Intended status: Informational                                 S. Botzko
Expires: October 08, 2013                                   M. Duckworth
                                                            R. Even, Ed.
                                                     Huawei Technologies
                                                          April 06, 2013

                Use Cases for Telepresence Multi-streams


   Telepresence conferencing systems seek to create the sense of really
   being present for the participants.  A number of techniques for
   handling audio and video streams are used to create this experience.
   When these techniques are not similar, interoperability between
   different systems is difficult at best, and often not possible.
   Conveying information about the relationships between multiple
   streams of media would allow senders and receivers to make choices to
   allow telepresence systems to interwork.  This memo describes the
   most typical and important use cases for sending multiple streams in
   a telepresence conference.

Status of This Memo

   This Internet-Draft is submitted in full conformance with the
   provisions of BCP 78 and BCP 79.

   Internet-Drafts are working documents of the Internet Engineering
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   This Internet-Draft will expire on October 08, 2013.

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Table of Contents

   1.  Introduction  . . . . . . . . . . . . . . . . . . . . . . . .   2
   2.  Telepresence Scenarios Overview . . . . . . . . . . . . . . .   3
   3.  Use Case Scenarios  . . . . . . . . . . . . . . . . . . . . .   5
     3.1.  Point to point meeting: symmetric . . . . . . . . . . . .   6
     3.2.  Point to point meeting: asymmetric  . . . . . . . . . . .   7
     3.3.  Multipoint meeting  . . . . . . . . . . . . . . . . . . .   8
     3.4.  Presentation  . . . . . . . . . . . . . . . . . . . . . .   9
     3.5.  Heterogeneous Systems . . . . . . . . . . . . . . . . . .  11
     3.6.  Multipoint Education Usage  . . . . . . . . . . . . . . .  12
     3.7.  Multipoint Multiview (Virtual space)  . . . . . . . . . .  13
     3.8.  Multiple presentations streams - Telemedicine . . . . . .  14
   4.  Acknowledgements  . . . . . . . . . . . . . . . . . . . . . .  15
   5.  IANA Considerations . . . . . . . . . . . . . . . . . . . . .  15
   6.  Security Considerations . . . . . . . . . . . . . . . . . . .  16
   7.  Informative References  . . . . . . . . . . . . . . . . . . .  16
   Authors' Addresses  . . . . . . . . . . . . . . . . . . . . . . .  16

1.  Introduction

   Telepresence applications try to provide a "being there" experience
   for conversational video conferencing.  Often this telepresence
   application is described as "immersive telepresence" in order to
   distinguish it from traditional video conferencing, and from other
   forms of remote presence not related to conversational video
   conferencing, such as avatars and robots.  The salient
   characteristics of telepresence are often described as: actual sized,
   immersive video, preserving interpersonal interaction and allowing
   non-verbal communication.

   Although telepresence systems are based on open standards such as RTP
   [RFC3550], SIP [RFC3261], H.264, and the H.323[ITU.H323]suite of

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   protocols, they cannot easily interoperate with each other without
   operator assistance and expensive additional equipment which
   translates from one vendor's protocol to another.  A standard way of
   describing the multiple streams constituting the media flows and the
   fundamental aspects of their behavior, would allow telepresence
   systems to interwork.

   This draft presents a set of use cases describing typical scenarios.
   Requirements will be derived from these use cases in a separate
   document.  The use cases are described from the viewpoint of the
   users.  They are illustrative of the user experience that needs to be
   supported.  It is possible to implement these use cases in a variety
   of different ways.

   Many different scenarios need to be supported.  This document
   describes in detail the most common and basic use cases.  These will
   cover most of the requirements.  There may be additional scenarios
   that bring new features and requirements which can be used to extend
   the initial work.

   Point-to-point and Multipoint telepresence conferences are
   considered.  In some use cases, the number of displays is the same at
   all sites, in others, the number of displays differs at different
   sites.  Both use cases are considered.  Also included is a use case
   describing display of presentation material or content.

   The document structure is as follows:Section 2 gives an overview of
   scenarios, and Section 3 describes use cases.

2.  Telepresence Scenarios Overview

   This section describes the general characteristics of the use cases
   and what the scenarios are intended to show.  The typical setting is
   a business conference, which was the initial focus of telepresence.
   Recently consumer products are also being developed.  We specifically
   do not include in our scenarios the infrastructure aspects of
   telepresence, such as room construction, layout and decoration.

   Telepresence systems are typically composed of one or more video
   cameras and encoders and one or more display monitors of large size
   (diagonal around 60").  Microphones pick up sound and audio
   codec(s)produce one or more audio streams.  The cameras used to
   capture the telepresence users we will call participant cameras (and
   likewise for displays).  There may also be other cameras, such as for
   document display.  These will be referred to as presentation or
   content cameras, which generally have different formats, aspect
   ratios, and frame rates from the participant cameras.  The
   presentation streams may be shown on participant monitor, or on

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   auxiliary display monitors.  A user's computer may also serve as a
   virtual content camera, generating an animation or playing back a
   video for display to the remote participants.

   We describe such a telepresence system as sending M video streams, N
   audio streams, and D content streams to the remote system(s).  (Note
   that the number of audio streams is generally not the same as the
   number of video streams.)

   The fundamental parameters describing today's typical telepresence
   scenario include:

   1.   The number of participating sites

   2.   The number of visible seats at a site

   3.   The number of cameras

   4.   The number and type of microphones

   5.   The number of audio channels

   6.   The screen size

   7.   The display capabilities - such as resolution, frame rate,
        aspect ratio

   8.   The arrangement of the monitors in relation to each other

   9.   The same or a different number of primary monitors at all sites

   10.  Type and number of presentation monitors

   11.  Multipoint conference display strategies - for example, the
        camera-to-display mappings may be static or dynamic

   12.  The camera viewpoint

   13.  The cameras fields of view and how they do or do not overlap

   The basic features that give telepresence its distinctive
   characteristics are implemented in disparate ways in different
   systems.  Currently Telepresence systems from diverse vendors
   interoperate to some extent, but this is not supported in a standards
   based fashion.  Interworking requires that translation and
   transcoding devices be included in the architecture.  Such devices
   increase latency, reducing the quality of interpersonal interaction.
   Use of these devices is often not automatic; it frequently requires

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   substantial manual configuration and a detailed understanding of the
   nature of underlying audio and video streams.  This state of affairs
   is not acceptable for the continued growth of telepresence -
   telepresence systems should have the same ease of interoperability as
   do telephones.

   There is no agreed upon way to adequately describe the semantics of
   how streams of various media types relate to each other.  Without a
   standard for stream semantics to describe the particular roles and
   activities of each stream in the conference, interoperability is
   cumbersome at best.

   In a multiple screen conference, the video and audio streams sent
   from remote participants must be understood by receivers so that they
   can be presented in a coherent and life-like manner.  This includes
   the ability to present remote participants at their actual size for
   their apparent distance, while maintaining correct eye contact,
   gesticular cues, and simultaneously providing a spatial audio sound
   stage that is consistent with the displayed video.

   The receiving device that decides how to display incoming information
   needs to understand a number of variables such as the spatial
   position of the speaker, the field of view of the cameras; the camera
   zoom; which media stream is related to each of the displays; etc.  It
   is not simply that individual streams must be adequately described,
   to a large extent this already exists, but rather that the semantics
   of the relationships between the streams must be communicated.  Note
   that all of this is still required even if the basic aspects of the
   streams, such as the bit rate, frame rate, and aspect ratio, are
   known.  Thus, this problem has aspects considerably beyond those
   encountered in interoperation of single-node video conferencing

3.  Use Case Scenarios

   Our development of use cases is staged, initially focusing on what is
   currently typical and important.  Use cases that add future or more
   specialized features will be added later as needed.  Also, there are
   a number of possible variants for these use cases, for example, the
   audio supported may differ at the end points (such as mono or stereo
   versus surround sound), etc.

   The use cases here are intended to be hierarchical, in that the
   earlier use cases describe basics of telepresence that will also be
   used by later use cases.

   Many of these systems offer a full conference room solution where
   local participants sit on one side of a table and remote participants

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   are displayed as if they are sitting on the other side of the table.
   The cameras and screens are typically arranged to provide a panoramic
   (left to right from the local user view point) view of the remote

   The sense of immersion and non-verbal communication is fostered by a
   number of technical features, such as:

   1.  Good eye contact, which is achieved by careful placement of
       participants, cameras and screens.

   2.  Camera field of view and screen sizes are matched so that the
       images of the remote room appear to be full size.

   3.  The left side of each room is presented on the right display at
       the far end; similarly the right side of the room is presented on
       the left display.  The effect of this is that participants of
       each site appear to be sitting across the table from each other.
       If two participants on the same site glance at each other, all
       participants can observe it.  Likewise, if a participant on one
       site gestures to a participant on the other site, all
       participants observe the gesture itself and the participants it

3.1.  Point to point meeting: symmetric

   In this case each of the two sites has an identical number of
   screens, with cameras having fixed fields of view, and one camera for
   each screen.  The sound type is the same at each end.  As an example,
   there could be 3 cameras and 3 screens in each room, with stereo
   sound being sent and received at each end.

   The important thing here is that each of the 2 sites has the same
   number of screens.  Each screen is paired with a corresponding
   camera.  Each camera / screen pair is typically connected to a
   separate codec, producing a video encoded stream for transmission to
   the remote site, and receiving a similarly encoded stream from the
   remote site.

   Each system has one or multiple microphones for capturing audio.  In
   some cases, stereophonic microphones are employed.  In other systems,
   a microphone may be placed in front of each participant (or pair of
   participants).  In typical systems all the microphones are connected
   to a single codec that sends and receives the audio streams as either
   stereo or surround sound.  The number of microphones and the number
   of audio channels are often not the same as the number of cameras.
   Also the number of microphones is often not the same as the number of

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   The audio may be transmitted as multi-channel (stereo/surround sound)
   or as distinct and separate monophonic streams.  Audio levels should
   be matched, so the sound levels at both sites are identical.
   Loudspeaker and microphone placements are chosen so that the sound
   "stage" (orientation of apparent audio sources) is coordinated with
   the video.  That is, if a participant on one site speaks, the
   participants at the remote site perceive her voice as originating
   from her visual image.  In order to accomplish this, the audio needs
   to be mapped at the received site in the same fashion as the video.
   That is, audio received from the right side of the room needs to be
   output from loudspeaker(s) on the left side at the remote site, and
   vice versa.

3.2.  Point to point meeting: asymmetric

   In this case, each site has a different number of screens and cameras
   than the other site.  The important characteristic of this scenario
   is that the number of displays is different between the two sites.
   This creates challenges which are handled differently by different
   telepresence systems.

   This use case builds on the basic scenario of 3 screens to 3 screens.
   Here, we use the common case of 3 screens and 3 cameras at one site,
   and 1 screen and 1 camera at the other site, connected by a point to
   point call.  The display sizes and camera fields of view at both
   sites are basically similar, such that each camera view is designed
   to show two people sitting side by side.  Thus the 1 screen room has
   up to 2 people seated at the table, while the 3 screen room may have
   up to 6 people at the table.

   The basic considerations of defining left and right and indicating
   relative placement of the multiple audio and video streams are the
   same as in the 3-3 use case.  However, handling the mismatch between
   the two sites of the number of displays and cameras requires more
   complicated manoeuvres.

   For the video sent from the 1 camera room to the 3 screen room,
   usually what is done is to simply use 1 of the 3 displays and keep
   the second and third displays inactive, or put up the date, for
   example.  This would maintain the "full size" image of the remote

   For the other direction, the 3 camera room sending video to the 1
   screen room, there are more complicated variations to consider.  Here
   are several possible ways in which the video streams can be handled.

   1.  The 1 screen system might simply show only 1 of the 3 camera
       images, since the receiving side has only 1 screen.  Two people

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       are seen at full size, but 4 people are not seen at all.  The
       choice of which 1 of the 3 streams to display could be fixed, or
       could be selected by the users.  It could also be made
       automatically based on who is speaking in the 3 screen room, such
       that the people in the 1 screen room always see the person who is
       speaking.  If the automatic selection is done at the sender, the
       transmission of streams that are not displayed could be
       suppressed, which would avoid wasting bandwidth.

   2.  The 1 screen system might be capable of receiving and decoding
       all 3 streams from all 3 cameras.  The 1 screen system could then
       compose the 3 streams into 1 local image for display on the
       single screen.  All six people would be seen, but smaller than
       full size.  This could be done in conjunction with reducing the
       image resolution of the streams, such that encode/decode
       resources and bandwidth are not wasted on streams that will be
       downsized for display anyway.

   3.  The 3 screen system might be capable of including all 6 people in
       a single stream to send to the 1 screen system.  For example, it
       could use PTZ (Pan Tilt Zoom) cameras to physically adjust the
       cameras such that 1 camera captures the whole room of six people.
       Or it could recompose the 3 camera images into 1 encoded stream
       to send to the remote site.  These variations also show all six
       people, but at a reduced size.

   4.  Or, there could be a combination of these approaches, such as
       simultaneously showing the speaker in full size with a composite
       of all the 6 participants in smaller size.

   The receiving telepresence system needs to have information about the
   content of the streams it receives to make any of these decisions.
   If the systems are capable of supporting more than one strategy,
   there needs to be some negotiation between the two sites to figure
   out which of the possible variations they will use in a specific
   point to point call.

3.3.  Multipoint meeting

   In a multipoint telepresence conference, there are more than two
   sites participating.  Additional complexity is required to enable
   media streams from each participant to show up on the displays of the
   other participants.

   Clearly, there are a great number of topologies that can be used to
   display the streams from multiple sites participating in a

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   One major objective for telepresence is to be able to preserve the
   "Being there" user experience.  However, in multi-site conferences it
   is often (in fact usually) not possible to simultaneously provide
   full size video, eye contact, common perception of gestures and gaze
   by all participants.  Several policies can be used for stream
   distribution and display: all provide good results but they all make
   different compromises.

   One common policy is called site switching.  Let's say the speaker is
   at site A and everyone else is at a "remote" site.  When the room at
   site A shown, all the camera images from site A are forwarded to the
   remote sites.  Therefore at each receiving remote site, all the
   screens display camera images from site A.  This can be used to
   preserve full size image display, and also provide full visual
   context of the displayed far end, site A.  In site switching, there
   is a fixed relation between the cameras in each room and the displays
   in remote rooms.  The room or participants being shown is switched
   from time to time based on who is speaking or by manual control,
   e.g., from site A to site B.

   Segment switching is another policy choice.  Still using site A as
   where the speaker is, and "remote" to refer to all the other sites,
   in segment switching, rather than sending all the images from site A,
   only the speaker at site A is shown.  The camera images of the
   current speaker and previous speakers (if any) are forwarded to the
   other sites in the conference.  Therefore the screens in each site
   are usually displaying images from different remote sites - the
   current speaker at site A and the previous ones.  This strategy can
   be used to preserve full size image display, and also capture the
   non-verbal communication between the speakers.  In segment switching,
   the display depends on the activity in the remote rooms - generally,
   but not necessarily based on audio / speech detection).

   A third possibility is to reduce the image size so that multiple
   camera views can be composited onto one or more screens.  This does
   not preserve full size image display, but provides the most visual
   context (since more sites or segments can be seen).  Typically in
   this case the display mapping is static, i.e., each part of each room
   is shown in the same location on the display screens throughout the

   Other policies and combinations are also possible.  For example,
   there can be a static display of all screens from all remote rooms,
   with part or all of one screen being used to show the current speaker
   at full size.

3.4.  Presentation

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   In addition to the video and audio streams showing the participants,
   additional streams are used for presentations.

   In systems available today, generally only one additional video
   stream is available for presentations.  Often this presentation
   stream is half-duplex in nature, with presenters taking turns.  The
   presentation stream may be captured from a PC screen, or it may come
   from a multimedia source such as a document camera, camcorder or a
   DVD.  In a multipoint meeting, the presentation streams for the
   currently active presentation are always distributed to all sites in
   the meeting, so that the presentations are viewed by all.

   Some systems display the presentation streams on a screen that is
   mounted either above or below the three participant screens.  Other
   systems provide monitors on the conference table for observing
   presentations.  If multiple presentation monitors are used, they
   generally display identical content.  There is considerable variation
   in the placement, number, and size or presentation displays.

   In some systems presentation audio is pre-mixed with the room audio.
   In others, a separate presentation audio stream is provided (if the
   presentation includes audio).

   In H.323[ITU.H323] systems, H.239[ITU.H239] is typically used to
   control the video presentation stream.  In SIP systems, similar
   control mechanisms can be provided using BFCP [RFC4582] for
   presentation token.  These mechanisms are suitable for managing a
   single presentation stream.

   Although today's systems remain limited to a single video
   presentation stream, there are obvious uses for multiple presentation

   1.  Frequently the meeting convener is following a meeting agenda,
       and it is useful for her to be able to show that agenda to all
       participants during the meeting.  Other participants at various
       remote sites are able to make presentations during the meeting,
       with the presenters taking turns.  The presentations and the
       agenda are both shown, either on separate displays, or perhaps
       re-scaled and shown on a single display.

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   2.  A single multimedia presentation can itself include multiple
       video streams that should be shown together.  For instance, a
       presenter may be discussing the fairness of media coverage.  In
       addition to slides which support the presenter's conclusions, she
       also has video excerpts from various news programs which she
       shows to illustrate her findings.  She uses a DVD player for the
       video excerpts so that she can pause and reposition the video as

   3.  An educator who is presenting a multi-screen slide show.  This
       show requires that the placement of the images on the multiple
       displays at each site be consistent.

   There are many other examples where multiple presentation streams are

3.5.  Heterogeneous Systems

   It is common in meeting scenarios for people to join the conference
   from a variety of environments, using different types of endpoint
   devices.  A multi-screen immersive telepresence conference may
   include someone on a PC-based video conferencing system, a
   participant calling in by phone, and (soon) someone on a handheld

   What experience/view will each of these devices have?

   Some may be able to handle multiple streams and others can handle
   only a single stream.  (We are not here talking about legacy systems,
   but rather systems built to participate in such a conference,
   although they are single stream only.)  In a single video stream ,
   the stream may contain one or more compositions depending on the
   available screen space on the device.  In most cases an intermediate
   transcoding device will be relied upon to produce a single stream,
   perhaps with some kind of continuous presence.

   Bit rates will vary - the handheld and phone having lower bit rates
   than PC and multi-screen systems.

   Layout is accomplished according to different policies.  For example,
   a handheld and PC may receive the active speaker stream.  The
   decision can either be made explicitly by the receiver or by the
   sender if it can receive some kind of rendering hint.  The same is
   true for audio -- i.e., that it receives a mixed stream or a number
   of the loudest speakers if mixing is not available in the network.

   For the PC based conferencing participant, the user's experience
   depends on the application.  It could be single stream, similar to a

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   handheld but with a bigger screen.  Or, it could be multiple streams,
   similar to an immersive telepresence system but with a smaller
   screen.  Control for manipulation of streams can be local in the
   software application, or in another location and sent to the
   application over the network.

   The handheld device is the most extreme.  How will that participant
   be viewed and heard?  It should be an equal participant, though the
   bandwidth will be significantly less than an immersive system.  A
   receiver may choose to display output coming from a handheld
   differently based on the resolution, but that would be the case with
   any low resolution video stream, e.  g., from a powerful PC on a bad

   The handheld will send and receive a single video stream, which could
   be a composite or a subset of the conference.  The handheld could say
   what it wants or could accept whatever the sender (conference server
   or sending endpoint) thinks is best.  The handheld will have to
   signal any actions it wants to take the same way that immersive
   system signals actions.

3.6.  Multipoint Education Usage

   The importance of this example is that the multiple video streams are
   not used to create an immersive conferencing experience with
   panoramic views at all the site.  Instead the multiple streams are
   dynamically used to enable full participation of remote students in a
   university class.  In some instances the same video stream is
   displayed on multiple displays in the room, in other instances an
   available stream is not displayed at all.

   The main site is a university auditorium which is equipped with three
   cameras.  One camera is focused on the professor at the podium.  A
   second camera is mounted on the wall behind the professor and
   captures the class in its entirety.  The third camera is co-located
   with the second, and is designed to capture a close up view of a
   questioner in the audience.  It automatically zooms in on that
   student using sound localization.

   Although the auditorium is equipped with three cameras, it is only
   equipped with two screens.  One is a large screen located at the
   front so that the class can see it.  The other is located at the rear
   so the professor can see it.  When someone asks a question, the front
   screen shows the questioner.  Otherwise it shows the professor
   (ensuring everyone can easily see her).

   The remote sites are typical immersive telepresence room with three
   camera/screen pairs.

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   All remote sites display the professor on the center screen at full
   size.  A second screen shows the entire classroom view when the
   professor is speaking.  However, when a student asks a question, the
   second screen shows the close up view of the student at full size.
   Sometimes the student is in the auditorium; sometimes the speaking
   student is at another remote site.  The remote systems never display
   the students that are actually in that room.

   If someone at the remote site asks a question, then the screen in the
   auditorium will show the remote student at full size (as if they were
   present in the auditorium itself).  The display in the rear also
   shows this questioner, allowing the professor to see and respond to
   the student without needing to turn her back on the main class.

   When no one is asking a question, the screen in the rear briefly
   shows a full-room view of each remote site in turn, allowing the
   professor to monitor the entire class (remote and local students).
   The professor can also use a control on the podium to see a
   particular site - she can choose either a full-room view or a single
   camera view.

   Realization of this use case does not require any negotiation between
   the participating sites.  Endpoint devices (and an MCU if present) -
   need to know who is speaking and what video stream includes the view
   of that speaker.  The remote systems need some knowledge of which
   stream should be placed in the center.  The ability of the professor
   to see specific sites (or for the system to show all the sites in
   turn) would also require the auditorium system to know what sites are
   available, and to be able to request a particular view of any site.
   Bandwidth is optimized if video that is not being shown at a
   particular site is not distributed to that site.

3.7.  Multipoint Multiview (Virtual space)

   This use case describes a virtual space multipoint meeting with good
   eye contact and spatial layout of prticipants.The use case was
   proposed very early in the development of video conferencing systems
   as described in 1983 by Allardyce and Randal [virtualspace].  The use
   case is illustrated in figure 2-5 of their report.  The virtual space
   expands the point to point case by having all multipoint conference
   participants "seat" in a virtual room.  In this case each participant
   has a fixed "seat" in the virtual room so each participant expects to
   see a different view having a different participant on his left and
   right side.  Today, the use case is implemented in multiple
   telepresence type video conferencing systems on the market.  The term
   "virtual space" was used in their report.  The main difference
   between the result obtained with modern systems and those from 1983
   are larger display sizes.

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   Virtual space multipoint as defined here assumes endpoints with
   multiple cameras and displays.  Usually there is the same number of
   cameras and displays at a given endpoint.  A camera is positioned
   above each display.  A key aspect of virtual space multipoint is the
   details of how the cameras are aimed.  The cameras are each aimed on
   the same area of view of the participants at the site.  Thus each
   camera takes a picture of the same set of people but from a different
   angle.  Each endpoint sender in the virtual space multipoint meeting
   therefore offers a choice of video streams to remote receivers, each
   stream representing a different view point.  For example a camera
   positioned above a display to a participant's left may take video
   pictures of the participant's left ear while at the same time, a
   camera positioned above a display to the participant's right may take
   video pictures of the participant's right ear.

   Since a sending endpoint has a camera associated with each display,
   an association is made between the receiving stream output on a
   particular display and the corresponding sending stream from the
   camera associated with that display.  These associations are repeated
   for each display/camera pair in a meeting.  The result of this system
   is a horizontal arrangement of video images from remote sites, one
   per display.  The image from each display is paired with the camera
   output from the camera above that display resulting in excellent eye

3.8.  Multiple presentations streams - Telemedicine

   This use case describes a scenario where multiple presentation
   streams are used.  In this use case, the local site is a surgery room
   connected to one or more remote sites that may have different
   capabilities.  At the local site three main cameras capture the whole
   room (typical 3 camera Telepresence case).  Also multiple
   presentation inputs are available: a surgery camera which is used to
   provide a zoomed view of the operation, an endoscopic monitor, an
   X-ray CT image output device, a B-ultrasonic apparatus, a cardiogram
   generator, an MRI image instrument, etc.  These devices are used to
   provide multiple local video presentation streams to help the surgeon
   monitor the status of the patient and assist the process of the

   The local site may have three main screens and one (or more)
   presentation screen(s).  The main screens can be used to display the
   remote experts.  The presentation screen(s) can be used to display
   multiple presentation streams from local and remote sites
   simultaneously.  The three main cameras capture different parts of
   the surgery room.  The surgeon can decide the number, the size and
   the placement of the presentations displayed on the local
   presentation screen(s).  He can also indicate which local

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   presentation captures are provided for the remote sites.  The local
   site can send multiple presentation captures to remote sites and it
   can receive multiple presentations related to the patient or the
   procedure from them.

   One type of remote site is a single or dual screen and one camera
   system used by a consulting expert.  In the general case the remote
   sites can be part of a multipoint Telepresence conference.  The
   presentation screens at the remote sites allow the experts to see the
   details of the operation and related data.  Like the main site, the
   experts can decide the number, the size and the placement of the
   presentations displayed on the presentation screens.  The
   presentation screens can display presentation streams from the
   surgery room or from other remote sites and also local presentation
   streams.  Thus the experts can also start sending presentation
   streams, which can carry medical records, pathology data, or their
   reference and analysis, etc.

   Another type of remote site is a typical immersive Telepresence room
   with three camera/screen pairs allowing more experts to join the
   consultation.  These sites can also be used for education.  The
   teacher, who is not necessarily the surgeon, and the students are in
   different remote sites.  Students can observe and learn the details
   of the whole procedure, while the teacher can explain and answer
   questions during the operation.

   All remote education sites can display the surgery room.  Another
   option is to display the surgery room on the center screen, and the
   rest of the screens can show the teacher and the student who is
   asking a question.  For all the above sites, multiple presentation
   screens can be used to enhance visibility: one screen for the zoomed
   surgery stream and the others for medical image streams, such as MRI
   images, cardiogram, B-ultrasonic images and pathology data.

4.  Acknowledgements

   The draft has benefitted from input from a number of people including
   Alex Eleftheriadis, Marshall Eubanks, Tommy Andre Nyquist, Mark
   Gorzynski, Charles Eckel, Nermeen Ismail, Mary Barnes, Pascal Buhler,
   Jim Cole.

   Special acknowledgement to Lennard Xiao who contributed the text for
   the telemedicine use case

5.  IANA Considerations

   This document contains no IANA considerations.

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6.  Security Considerations

   While there are likely to be security considerations for any solution
   for telepresence interoperability, this document has no security

7.  Informative References

              "Role management and additional media channels for
              H.300-series terminals", ITU-T Recommendation H.239,
              September 2005.

              "Packet-based Multimedia Communications Systems ", ITU-T
              Recommendation H.323, December 2009.

   [RFC3261]  Rosenberg, J., Schulzrinne, H., Camarillo, G., Johnston,
              A., Peterson, J., Sparks, R., Handley, M., and E.
              Schooler, "SIP: Session Initiation Protocol", RFC 3261,
              June 2002.

   [RFC3550]  Schulzrinne, H., Casner, S., Frederick, R., and V.
              Jacobson, "RTP: A Transport Protocol for Real-Time
              Applications", STD 64, RFC 3550, July 2003.

   [RFC4582]  Camarillo, G., Ott, J., and K. Drage, "The Binary Floor
              Control Protocol (BFCP)", RFC 4582, November 2006.

              Allardyce, and Randall, "Development of Teleconferencing
              Methodologies With Emphasis on Virtual Space Videe and
              Interactive Graphics", 1983.

Authors' Addresses

   Allyn Romanow
   San Jose, CA  95134


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   Stephen Botzko
   Andover, MA  01810


   Mark Duckworth
   Andover, MA  01810


   Roni Even (editor)
   Huawei Technologies
   Tel Aviv


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