ESA and University of Glasgow demonstrate end-to-end medical visit with satellite-powered remote medicine

Publication date

20 Jan 2026

Consulting dentist performing the remote dental inspection from the 5G/6G Hub in ESA’s ECSAT. Image credit: European Space Agency

The European Space Agency (ESA) and the University of Glasgow successfully performed a remote dental inspection over satellite signal using the pop—up 5G network developed by ESA’s 5G REMOTE project. This experiment showcases the benefits of satellite communications for telemedicine – enabling healthcare professionals to engage and even physically interact with patients from hundreds of miles away.

This simulation was conducted in a partnership between ESA Connectivity and Secure Communications, and the Glasgow Next—Generation (GXG) testbed at the University of Glasgow. The experiment was funded under ESA’s Space for 5G/6G & Sustainable Connectivity programme within the Advanced Research in Telecommunications Systems (ARTES) programme, with support from the UK Space Agency.

The test team at ESA’s ECSAT in Harwell. Image credit: European Space Agency

The test demonstrated a complete, end—to—end remote patient experience. The user equipment located in the 5G/6G Hub at ESA’s European Centre for Space Applications and Telecommunications (ECSAT) site at the Harwell Science and Innovation Campus connected through a OneWeb satellite backhaul to the University of Glasgow’s 5G pop—network. This pop—up network enabled the team to connect to a robotic arm located at the University of Glasgow’s Loch Lomond facility, using a 5G edge breakout to optimize user plane traffic. Through this remotely controlled robotic arm, the doctor at ESA ECSAT was able to perform a dental examination of the simulated patient at Loch Lomond. The Space for 5G/6G team then dispatched a drone to deliver medication to the patient, all the while monitoring and tracking its payload over a 5G—enabled Long—Range Wide Area Network (LoRaWAN).

This seamless experience — blending terrestrial and non—terrestrial networks with robotic systems and drones while leveraging edge computing capabilities — highlights the transformative potential of integrated terrestrial and non—terrestrial connectivity for secluded areas. Where terrestrial networks are not economically viable or practical due to geographical or demographic constraints, hybrid 5G and satellite—enabled connectivity can bridge the gap and enable advanced telemedicine services. By integrating terrestrial and non—terrestrial networks, new and faster communications standards being developed by industry will help to enable stable and continuous connections worldwide.

The robotic arm and simulated patient at University of Glasgow’s Loch Lomond facility. Image credit: University of Glasgow

Leveraging the potential of ubiquitous signal coverage afforded by integrated terrestrial and non—terrestrial networks, the 5G REMOTE project combines satellite connectivity with a portable 5G pop—up network that can be rapidly deployed in remote locations where only satellite coverage can reach. This hybrid solution supports critical services, such as telemedicine, by enabling new robotic and unmanned solutions that extend the reach and effectiveness of healthcare providers. For emergency situations, this technology can help provide critical care, even in geographically isolated and otherwise hard—to—reach locations. The technology can also reduce cost by removing transportation from the equation.

“This kind of reliable and flexible connectivity has potentially transformative applications for improving the wellbeing of millions of people,” said Antonio Franchi, Head of ESA’s Space for 5G/6G & Sustainable Connectivity programme. “We are combining satellite communications technology with new advances in mobile signals and robotics to unlock the full power of telemedicine and help to overcome the digital divide.”

 “Access to healthcare should not depend on postcode or proximity to a major hospital. Our team’s work with ESA demonstrates a practical pathway to bring specialist assessment and timely intervention closer to remote and rural communities,” said Professor Muhammad Imran, Head of James Watt School of Engineering at the University of Glasgow. “This was enabled by using integrated 5G and satellite connectivity (terrestrial and non—terrestrial networks) to support real—time interaction, remote examination and delivery of essentials when every minute matters.”

ESA, Telesat and RAL Space successfully demonstrate Q-Band satellite link over low Earth orbit

Publication date

03 Jun 2025

A group of people posing for a photograph
The Telesat and RAL Space team, with Technical Contributor for ESA Antonio Martellucci (right). Image credit: ESA

ESA, Telesat and the Science and Technology Facilities Council’s (STFC) RAL Space have reported a groundbreaking milestone in telecommunications technology, successfully establishing a Q-Band (38-39 GHz) link over LEO, between the RAL Space Chilbolton Observatory and the Telesat LEO 3 demonstration satellite.

The achievement was performed under a Memorandum of Understanding signed in early 2024 between Telesat and ESA, and showcases the newest milestone in the partnership, building on the world-first 5G NTN demonstration in December 2024.  

This project was funded as an ARTES Advanced Technology activity under the Space for 5G/6G and Sustainable Connectivity programme line, supported by the UK Space Agency. The resulting achievement represents a significant leap forward in satellite communication technologies, validating the performance of millimetre-wave Q-Band communications in LEO. 

The team, brought together experts from the ESA Connectivity and Secure Communications, and Technology, Engineering and Quality directorates, and also marked the first mission for ESA Technology’s mobile laboratory van which will support future campaigns, and leveraged expertise from the Technology directorate’s Wave Interaction and Propagation section. 

A Q-Band receiver developed by RAL Space was mounted on Chilbolton Observatory’s large 25m dish, which is normally used as a LEO satellite tracking radar. The team at the observatory used this radar tracking capability to monitor the state of the satellite and its orbit effectively during each pass. The team established a stable link with a collocated Ka-Band uplink antenna to the Telesat LEO 3 satellite, and maintained connectivity from approximately 15° elevation to a maximum of 80°.  The Telesat LEO 3 satellite also provided frequency up-conversion to Q-Band, amplification and retransmission to ground. The Telesat satellite station transmitted a DVBs signal with fixed QPSK ¼ modulation and fixed power, with the ESA modem locked with a margin of up to 13 dB and Es/N0 of up to 10.66 dB. 

In addition, thanks to a Software Defined Radio (SDR) available at the receiver, the RAL scientists and engineers collected critical wave propagation data for the entire satellite visibility periods. This allows us to evaluate the characteristics of atmospheric Q-Band propagation channel,. including in-excess attenuation, total attenuation and its components, scintillation and Doppler effect. Such propagation experiments are carried out in collaboration with Joanneum Research, Austria, for their experience with LEO measurements gained in the ESA ARTES W-Cube project. 

By studying Q-band and higher frequency communications, ESA is driving a fundamental shift in how satellite communication systems are conceived. This follows on from the legacy of Alphasat TDP5 and the Aldo Paraboni experiment, where ESA and a Thales Alenia Space-led Italian consortium, conducted a similar technological demonstration in geostationary (GEO) orbit. As the satellite communications market moves further into leveraging LEO capabilities, this latest demonstration showcases ESA’s commitment to driving European industry capabilities in an increasingly competitive global market. 

Demonstrations like this support a potential, more intensive use of Q-Band by LEO constellations, which, in turn, brings several critical advantages such as considerably smaller antennas, making it particularly attractive for aerial and land-mobile satellite communications. The Q-Band over LEO is also attractive for aerial (drone/HAPS) relay backhaul using the 5G New Radio (NR) standard, which is a novel approach for 5G networks. Additionally, Q-Band may be an attractive option for downlinking LEO traffic to gateways, freeing up Ku- and Ka-Band spectrum for additional user traffic. 

The most significant implication is the potential for consumers and business to access a much wider frequency spectrum. Satellite and terrestrial networks convergence is unlocking new innovations which will help connect communities, support emergency response systems, and enabling new possibilities for 5G and future 6G communications across the economy and society. 

Fabrizio De Paolis, ESA’s 5G/6G Implementation Manager, said: “We’re proud to be building truly world-leading connectivity capabilities in Europe and Canada, demonstrations like this showcase how ESA is working hand-in-hand with our industry partners. driving our competitiveness on the global scale.” 

Antonio Franchi, ESA’s Head of Space for 5G/6G and Sustainable Connectivity programme line, said: “We are proud to see our collaboration with Telesat – and now RAL Space – continue to grow, unlocking new opportunities through higher frequency communications. This latest demonstration, supported by the dedicated teams from ESA, is a key step toward enabling new 5G and 6G NTN capabilities. It highlights how our Member States are driving innovation to meet both market needs and societal challenges. Congratulations once again to the entire team!” 

Alberto Ginesi, Head of the Telecom Systems and Techniques Section of the Directorate of Technology, Engineering, and Quality, said: “The quest for higher frequency has always been at the centre of ESA R&D investigations over the last half century. This achievement represents yet another important milestone in that direction and reaffirms the role that the Agency wants to play in helping its member/supporting state industry in exploring innovative systems and technologies.” 

Antonio Martellucci, propagation engineer and Nicolas Floury Head of Wave Interaction and Propagation Directorate of Technology, Engineering, and Quality, said, “The experimental assessment of the satellite radio channel and atmospheric propagation effects at high frequencies is an essential step for the design and operation of efficient and reliable satellite services and provides the foundation for radio regulatory studies. This is made possible by the commitment to develop propagation instruments and experimental techniques in ESA programmes.” 

Mario Neri, Telesat’s Director of Spectrum Strategy, Innovation and Space Sustainability said “Telesat applauds this cooperation with ESA and RAL space. Telesat has been continuously innovating to meet the connectivity demands of the future, and the data collected from this demonstration is invaluable as we consider higher frequency bands for future expansion of the Telesat Lightspeed LEO constellation. I’d personally like to recognise and thank Telesat’s engineering professionals who supported this programme.” 

Dr Emal Rumi, Principal Research and Development Engineer at STFC RAL Space said: “We’re witnessing a shift in satellite communications as many operators move from targeting distant geostationary orbits only to increasingly including low earth orbits. This Q-band breakthrough addresses two crucial challenges – the increasing demand for high-speed data, and the rapid growth of LEO telecommunication satellites. Chilbolton Observatory has been driving telecommunication research since the 1980s, and this milestone demonstrates that our expertise in RF design and signal propagation studies is just as relevant today to support partners delivering new research, technologies, and services.”

How ESA is enabling AI adoption in telecommunications

Publication date

12 May 2025

Connectivity lines on a globe of Earth over Europe
The research detailed in the document, outlines how governments, telecommunications operators, and technology developers can integrate AI across terrestrial networks and non-terrestrial networks to enhance global connectivity and reduce latency. Image credit: Shutterstock

A strategic vision for the future of telecommunications, where artificial intelligence (AI) serves as the cornerstone of next-generation networks, has been presented in a new white paper released by the European Space Agency’s (ESA) Space for 5G/6G and Sustainable Connectivity programme. The research detailed in the document, outlines how governments, telecommunications operators, and technology developers can integrate AI across terrestrial networks and non-terrestrial networks to enhance global connectivity and reduce latency.

The white paper demonstrates how AI is revolutionising network architecture from radio access networks to core infrastructure. The integration of advanced technologies such as federated learning, generative AI and network data analytics functions are proving instrumental in optimising network performance whilst maintaining robust data privacy standards.

Looking towards the horizon of 6G networks, the white paper positions AI as a fundamental building block rather than a mere enhancement. The research explores cutting-edge hardware developments, including quantum advancements and CubeSats, which will serve as crucial enablers for AI-native 6G networks. The concept of AI for the cyber-physical world introduces revolutionary applications such as digital twins and physics-aware AI, promising to reshape network infrastructure management.

ESA is supporting a competitive connectivity industry with interoperable and adopted standards being crucial for this. The research examines AI standardisation through the lens of 3rd Generational Partnership Project (3GPP) efforts, which enables industry-wide alignment. This standardisation framework proves crucial for ensuring seamless connectivity across diverse network environments, a key consideration for policymakers working to foster technological innovation whilst maintaining system compatibility.

For decision-makers, the white paper emphasises the importance of strategic investment in AI technologies and advocates for collaborative frameworks to ensure secure and efficient transition to 6G systems. The research underscores the necessity for proactive policy development to support this evolution whilst addressing critical considerations around data privacy, security, and ethical AI deployment.

“AI is transforming lives and businesses across the world. It is crucial that ESA enables and encourages responsible industry-wide adoption to ensure the competitiveness on the global market. The early adoption and strategic alignment with AI-driven telecommunications will be crucial for maintaining competitive advantage in the global digital economy. ESA is already driving this AI-driven 6G non-terrestrial networks through its 6G Satellite Precursor initiative, supporting European industry to foster positive change for the lives of citizens and enable new opportunities across the economy,” said Antonio Franchi, Head of ESA’s Space for 5G/6G and Sustainable Connectivity programme.

“AI is redefining how networks are designed, operated and optimised, from Radio Access Networks (RANs) and core automation to edge intelligence and user device adaptability. This white paper outlines how AI’s convergence with terrestrial and non-terrestrial network technologies, guided by evolving 3GPP standards, is laying the groundwork for truly intelligent, self-optimising 6G networks. Explainability and transparency will be critical to building AI-native networks that are trustworthy, resilient, scalable, and ready for 6G,” said Ana Stroescu, Internal Research Fellow at ESA’s Space for 5G/6G and Sustainable Connectivity programme, part of the Connectivity and Secure Communications directorate.

Read the white paper in full.

ESA drives European and Japanese Partnerships for 5G/6G technological collaboration

Publication date

05 May 2025

The European Space Agency (ESA) and the National Institute of Information and Communications Technology (NICT) of Japan met at the NICT Innovation Center in Tokyo on 31 March. The meeting discussed the key results of trials resulting from the ESA-NICT collaboration on 5G/6G and satellite, the lessons learned, and technical areas of interest for an extension of the collaboration, funded under ESA’s Space for 5G/6G and Sustainable Connectivity.

ESA and NICT first signed a Letter of Intent in 2018 on joint efforts for cooperation in the field of 5G satellite communications. The agreement has been organised in phased activities, designed to enable long-term success and benefit both European and Japanese industry.

ESA and NICT support their own Industries to investigate technology path finders for global satellite communication networks convergence, integration in 5G and validate use cases of interest, such as natural disaster prevention and mitigation, global maritime transportation, and Internet of Things (IoT) to cover oceans and airspaces.

The project brought together a European industrial team, primed by Eurescom GmBH with Fraunhofer FOKUS as technical manager. The Japanese industrial team was led by Japan Radio Co., Ltd, with SKY Perfect JSAT Corporation and the University of Tokyo as partners.

Under the first phase, industry partners worked on the interconnection of local 5G systems via satellite, as well as the management of long-distance networks between Europe and Japan. The teams achieved a network quality evaluation of satellite and 5G connection, working to understand the feasibility of satellite 5G networks via international long-distance communications, as well as the successful transmission of 4K Video and IoT Data.

The second phase investigated and validated multi-orbit (geostationary (GEO) / low Earth orbit (LEO)) 5G transport solutions and the multi-5G-Core enhancements, which are typical for international communications. These topics were introduced and are now being discussed in 3GPP Rel 19/20.

Under this phase, the European team concentrated on links performance monitoring; dynamic path selection between GEO-LEO-Terrestrial networks; and data path management. Meanwhile, the Japanese team concentrated on network slicing, Quality of Service, active bandwidth control and application detection in switching GEO-LEO-Terrestrial link scenarios.

Technical achievements from European partners included: experimenting and validating services in Public Protection and Disaster Relief (PPDR) fire-fighting scenarios with 5G temporary local networks interconnected via satellite, including User Equipped UAVs for video monitoring, with experimentation taking place in Berlin, Brandenburg area in Germany.

Additionally, the Japanese team showcased their experimentation and validation of PPDR use cases utilising Non-Public 5G networks over satellite, such as 4K video footage viewed through Virtual Reality lenses, remote control of field-deployed robot via video transmission, and various applications for remote areas.

Overall, the European and Japanese Phase 2 trials confirmed the feasibility of real-time switching of multi-orbit satellite links, and the associated network components and applications sessions. Additionally, the Over the Air validation trials demonstrated the feasibility of the seamless path switching.

Looking forward, the collaboration between European and Japanese partners will continue, focusing on extending the collaboration towards Beyond 5G, and 6G Non-Terrestrial Networks (NTN). ESA and NICT are exchanging with their own Industry to identify their areas of interests and capabilities.

“Expanding our international partnerships in close collaboration with industry is essential to securing the long-term competitiveness of the space sector. ESA is proud to be playing a central role in enabling and advancing these collaborations. We will continue our bilateral exchanges with NICT to explore opportunities for extending our cooperation beyond Phase 2,” said Antonio Franchi, ESA’s Head of the Space for 5G/6G and Sustainable Connectivity programme.

“Intercontinental communications are a key differentiator for 5G/6G NTN,” said Maria Guta, Senior 5G/6G Satellite Solutions Architect at ESA. “Globally connected regions served by private 5G/6G networks and linked through NTN represent a vital use case. Investigating key challenges across multiple use cases and vertical sectors, alongside global scale experimentation, is essential to accelerate developments, deployment and ecosystem growth. The collaboration between European and Japanese industries has proven very valuable, laying the groundwork for continued cooperation and helping to align ecosystems and support the path toward viable NTN deployments.”

Hiroaki Harai, Director General of the Network Research Institute at NICT, said: “We are proud to have been part of this Japan-Europe international collaboration, successfully completing the joint experiment on satellite-5G interconnection and the multi-backhaul demonstration through these two phases of the project. This project has strengthened the collaboration between NICT and ESA, as well as among Japanese and European stakeholders in the field of NTNs. We will continue our efforts to advance NTNs through ongoing research and further international collaboration.”