IMAGE MANAGEMENT AND COMMUNICATIONS SYSTEM

美国国家癌症研究所放射肿瘤学计划(ROSP)正在积极赞助一项临床推广计划，称为科学伙伴计划(TM)。此外，NCI放射肿瘤科(ROB)是Rosp的一个组成部分，正在继续开发专门的放射治疗计划系统，以满足他们的方案要求。最后，NCI ROB支持与沃尔特里德陆军医疗中心(WRAMC)和国家海军医疗中心(NNMC)联合开展的临床培训计划。出于这三个原因，NCI Rosp对高速医学图像通信和远程医疗系统感兴趣。在另一项计划中，美国国立卫生研究院临床中心(CC)此前实施了远程医疗诊所，以展示在管理医疗和成本控制时代远程医疗提供的可行性，并促进涉及地理分布的合作者的医疗协议。为此，CIT、NCI和CC正在合作开发探索图像通信和远程医疗技术的示范项目。CBEL已经开发了定制设计的医疗咨询工作站(MCWS)，目前部署在NCI Rob和CIT环境中。NCI最近在TELESYNERGY(TM)标识下为NIH注册了MCWS系统的商标，并选择TELESYNERGY(TM)作为他们科学伙伴(TM)计划的使能技术。基于异步传输模式(ATM)技术的MCWS允许分布式站点之间的实时多媒体会议，该系统包括用于显示CT、MRI或胸片图像的高分辨率电子视频箱。还包括一个高分辨率视频链接，用于展示顾问的观点，展示录像医学图像或现场演示，或展示从遥控显微镜获得的组织病理学图像。MCWS系统最近得到了改进，允许ATM网关通过高速ISDNPRI电话服务访问远程站点。更多的MCWS系统将在新设计的CC 11楼远程医疗诊所、WRAMC和NNMC在2000财年前三分之一安装。目前的计划还包括在同一时期与劳伦斯·利弗莫尔国家实验室(LLNL)举行电话会议，以支持新的NCI ROB协议，通过使用LLNL百富勤剂量计算引擎来开发改进的剂量计算。还实现了一个基于ATM交换技术的高速图像通信网络原型，它允许用户之间进行155Mbit/s的多媒体通信。这个ATM原型网络连接到由DARPA资助的先进技术开发网络(ATDnet)。ATDnet链接将允许NIH与几个地方站点之间的合作，如WRAMC和NNMC。ATDnet还将允许连接到NASA NREN网络，以便与LLNL通信。-远程医疗、医疗咨询、诊断成像、放射治疗计划

The National Cancer Institutes Radiation Oncology Sciences Program (ROSP) is actively sponsoring a clinical outreach program, known as the Partnership in Science Program(TM). In addition, The NCI Radiation Oncology Branch (ROB), which is a component of ROSP, is continuing the development of a specialized radiotherapy treatment planning system, to suit their protocol requirements. Finally, the NCI ROB supports a clinical training program jointly with the Walter Reed Army Medical Center (WRAMC) and the National Naval Medical Center (NNMC). For these three reasons, the NCI ROSP is interested in high-speed medical image communication and telemedicine systems. In a separate initiative, the NIH Clinical Center (CC) has previously implemented a Telemedicine Clinic to demonstrate the feasibility of remote health care delivery in the age of managed care and cost containment, as well as to facilitate medical protocols involving geographically distributed collaborators. Toward these ends, CIT, NCI, and the CC are collaborating to develop demonstration projects which explore image communication and telemedicine technologies. A custom-designed Medical Consultation WorkStation (MCWS) has been developed by CBEL, and is currently deployed in the NCI ROB and the CIT environments. The NCI has recently Trademarked the MCWS System for the NIH, under the TELESYNERGY(TM) Logo, and has selected TELESYNERGY(TM) as the enabling technology for their Partnership in Science(TM) Program. The MCWS, which is based upon Asynchronous Transfer Mode (ATM) technology, allows real-time multimedia conferencing between distributed sites, and the systems includes high-resolution electronic view boxes for the display of CT, MRI or chest film images. Also included is a high-resolution video link for the presentation of a view of the consultant, the display of video- taped medical images or live presentations, or the display of histopathology images obtained from remote-controlled microscopes. The MCWS System was recently enhanced to allow ATM-gateway access to remote sites via high-speed ISDN PRI telephone service. Additional MCWS Systems will be installed in the newly redesigned CC 11th floor Telemedicine Clinic, the WRAMC, and the NNMC during the first third of FY00. Current plans also include teleconferencing with the Lawrence Livermore National Laboratory (LLNL), in the same time period, to support a new NCI ROB protocol for the development of improved dose calculations through the use of the LLNL PEREGRINE Dose Calculation Engine. Also implemented, is a prototype high-speed image communication network, based on ATM Switch technology, which allows 155 Mbit/sec multi-media communication between users. This prototype ATM network is connected to the DARPA-funded Advanced Technology Development Network (ATDNet). The ATDNet link will allow collaboration between the NIH and several local sites, such as the WRAMC and the NNMC. ATDNet will also allow a connection to the NASA NREN network, for communication to the LLNL. - Telemedicine, Medical Consultation, Diagnostic Imaging, Radiotherapy Treatment Planning