TELESYNERGY(R) Medical Consultation WorkStation Environm

美国国家癌症研究所的放射肿瘤学计划(ROSP)正在积极发起一项临床推广计划，称为科学伙伴关系(TM)计划。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。NCI Rob还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)联合开展的住院医师培训计划。最后，NCI是NCI全爱尔兰癌症联盟的成员，该联盟将贝塞斯达、贝尔法斯特和都柏林的癌症治疗能力结合在一起，建立了为期五年的合作伙伴关系，旨在对爱尔兰的癌症进行多层次的攻击。出于这四个原因，NCI和Rosp对高速医学图像通信和远程医疗系统感兴趣。因此，CIT和NCI正在合作开发和实施先进的远程医疗技术，特别是TELESYNERGY(R)系统。TELESYNERGY(R)医疗咨询工作站(MCWS)由CBEL开发，最初部署在NCI Rob和CIT环境中的NIH园区。MCWS基于异步传输模式(ATM)网络体系结构，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盒。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。作为该项目的一个组成部分，实现了一个基于ATM交换技术的高速医学图像通信网络原型，该网络支持用户之间155Mbit/s的多媒体通信。MCWS系统还允许ATM网关通过高速ISDNPRI电话服务访问远程/远程站点。NCI已经选择TELESYNERGY(R)系统作为他们的科学伙伴关系(R)计划的使能技术，其中第一个使用TELESYNERGY(R)系统实施的伙伴关系地点是位于佛罗里达州劳德代尔堡的圣十字医院。TELESYNERGY(R)系统于2001财年4月在WRAMC安装。位于西弗吉尼亚州惠灵市惠灵医院的希夫勒癌症中心是第二个科学伙伴关系(TM)网站，该中心的系统安装工作已于2002财年1月完成。此外，TELESYNERGY(R)系统在2002财年夏天在英国新泽西州贝尔法斯特的贝尔法斯特市医院和爱尔兰共和国都柏林的圣卢克医院实施。其他MCWS系统目前正在重新设计的CC 11楼远程医疗诊所安装，并在2003财年期间安装在NNMC。TELESYNERGY(R)环境的便携式版本在2002财年期间开始开发，以便能够针对医疗紧急情况提供临时的高性能远程医疗解决方案。该系统将在本财年期间完工，并将在2004财年完工。自1999年9月以来，我们一直计划在约旦安曼的King Husein癌症中心内安装TELESYNERGY(R)系统，作为NCI-约旦癌症联盟的一部分。在2003财年期间，TELESYNERGY(R)系统的安装已得到KCC的全额资助，组件正在组装中，准备在2004财年第一季度在约旦安装。在2003财年开始的一项新举措是在爱尔兰共和国都柏林的三一学院放射治疗学院实施TELESYNERGY(R)系统。这两个新安装使最初的TELESYNERGY(R)系统总数达到12个站点，其中4个站点通过ATM连接相互连接，其中8个站点使用ISDNPRI扩展以达到以NIH为中心的ATM环境。

The National Cancer Institute's Radiation Oncology Sciences Program (ROSP) is actively sponsoring a clinical outreach program, known as the Partnerships in Science(TM) Program. 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. The NCI ROB also supports a residency training program jointly with the Walter Reed Army Medical Center (WRAMC) and the National Naval Medical Center (NNMC). Finally, the NCI is a participant in the NCI All Ireland Cancer Consortium which combines the cancer treatment capabilities of Bethesda, Belfast, and Dublin in a five-year relationship aimed at a multilevel attack on cancer in Ireland. For these four reasons, the NCI and ROSP are interested in high-speed medical image communication, and telemedicine systems. The CIT and the NCI are, therefore, collaborating in the development and implementation of advanced telemedicine technologies, in general, and the TELESYNERGY(R) System, in particular. The TELESYNERGY(R) Medical Consultation WorkStation (MCWS) has been developed by CBEL, and was initially deployed in the NCI ROB and the CIT environments on the NIH campus. The MCWS, which is based upon Asynchronous Transfer Mode (ATM) network architecture, 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. As a component of this project, a prototype high-speed medical image communication network was implemented, based on ATM switch technology, which allows 155 Mbit/sec multi-media communication between users. The MCWS System also allows ATM-Gateway access to remote/distant sites via high-speed ISDN PRI telephone service. The NCI has selected the TELESYNERGY(R) System as the enabling technology for their Partnerships in Science(R) Program, and the first of these partnerships sites to be implemented with the TELESYNERGY(R) System was the Holy Cross Hospital, in Fort Lauderdale, Florida, during the Summer of FY00. A TELESYNERGY(R) System was installed at the WRAMC in April of FY01. A second Partnerships in Science(TM) site, the Schiffler Cancer Center at the Wheeling Hospital, in Wheeling, West Virginia, had a System installation completed during January of FY02. In addition, TELESYNERGY(R) systems were implemented at the Belfast City Hospital in Belfast, N.I., U.K., and at the St. Luke's Hosptial in Dublin, Republic of Ireland, during the summer of FY02. Other MCWS Systems are currently being installed in the redesigned CC 11th floor Telemedicine Clinic, and at the NNMC, during FY03. The development of a portable version of the TELESYNERGY(R) Environment was begun during FY02, in order to be able to provide a temporary high-performance telemedicine solution in response to a medical emergency. This System is being completed during the current Fy and will be finished during FY04. Since September 1999, we have been planning the installation of a TELESYNERGY(R) System within the King Husein Cancer Center (KHCC) in Amman, Jordan, as part of an NCI-Jordan Cancer Consortium. The installation of the TELESYNERGY(R) System has been fully funded by the KHCC during FY03, and the components are being assembled for installation in Jordan during the first quarter of FY04. A new initiative, begun during FY03, is the implementation of a TELESYNERGY(R) System at the Trinity College School of Radiation Therapy in Dublin, Republic of Ireland. These two new installations bring the total number of orignal TELESYNERGY(R) Systems to twelve sites, four of which are interconnected by an ATM connectivity, and eight of which utilize ISDN PRI extentions to reach the NIH-centered ATM environment.