TELESYNERGY(R) Medical Consultation WorkStation Environm

TELESYNERGY(R)医疗咨询工作站(MCWS)最初由CBEL在20世纪90年代中期开始开发，并于1997年初首次部署在美国国立卫生研究院园区的信息技术中心(CIT)和NCI放射肿瘤科(ROB)环境中。由于国家癌症研究所？S放射肿瘤学计划(ROSP)是：(1)临床推广计划(伙伴关系科学(TM))的赞助者，(2)与沃尔特里德陆军医疗中心和国家海军医疗中心(NNMC)联合参与的住院医师培训计划，(3)参与NCI全爱尔兰癌症联盟(该联盟结合了贝塞斯达、贝尔法斯特和都柏林的癌症治疗能力，为期五年，旨在对爱尔兰的癌症进行多层次攻击)，以及最后，(4)支持约旦安曼侯赛因国王癌症中心的复兴，TELESYNERGY(R)系统通过NCI和CIT的合作迅速成为这些项目的主要IT组成部分。 MCWS最初基于异步传输模式(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。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，用户之间可以进行155Mbit/s的多媒体通信。MCWS系统还允许ATM网关通过高速ISDN主速率接口(PRI)电话电路访问远程/远程站点。 NCI选择TELESYNERGY(R)系统作为他们的科学伙伴关系(TM)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。2001财年4月在WRAMC安装了TELESYNERGY(R)系统，并在2004财年最后一个季度安装了升级版本。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(注册商标)网站，它的TELESYNERGY(注册商标)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(ROI)实施。2004财年2月，第二套ROI系统安装在都柏林三一学院放射治疗学院(TCD)。2006财年冬季，科克大学医院和高威大学学院医院安装了TELESYNERGY(R)系统。此外，在TCD内部同时安装了一个简化的、可升级的TELESYNERGY(R)-Lite系统，作为TCD工作人员在ROI的五个较小癌症中心复制的样本。 自1999年9月以来，我们一直计划在约旦安曼的侯赛因国王癌症中心内安装TELESYNERGY(R)系统，作为NCI-约旦癌症联盟的一部分。这一最先进的TELESYNERGY(R)系统的安装工作已于2004财年1月顺利完成。另一个TELESYNERGY(R)系统安装在临床中心-S在2004财年夏天重新设计了11楼的远程医疗诊所。目前，全球共安装了12个TELESYNERGY(R)系统，并得到CIT工作人员的支持。在美国境内安装的另外13个系统由NCI工作人员提供支持。 2006财年期间，完成了基于ISDN的中央通信中心的安装，并激活了该中心，以取代基于ATM的分布式中央通信云。软件开发继续将最初基于ATM的TELESYNERGY(R)环境的功能嵌入到新实施的基于ISDN的中央通信枢纽中。即将完成的任务是将TELESYNERGY(R)软件从原来的Sun/Solaris工作站环境转换到PC/Linux工作站环境。 TELESYNERGY(R)环境的便携式和坚固包装版本的开发是在02财年开始的，目的是能够提供一种临时的高性能远程医疗解决方案，以应对大规模医疗紧急情况。在2006财年期间，移动TELESYNERGY(R)系统内众多子系统的制造和组装已经完成，新收购的甚小口径终端(VSAT)卫星天线系统也已完工。 在2007财年，我们预计将在模拟紧急救灾的情况下，部署新完成的可快速部署的模块化TELESYNERGY(R)系统，用于其第一次现场试验。

The TELESYNERGY(R) Medical Consultation WorkStation (MCWS) development was initially begun by CBEL in the mid 1990s, and was first deployed in the Center for Information Technology (CIT) and NCI Radiation Oncology Branch (ROB) environments on the NIH campus in early 1997. Since the National Cancer Institute?s Radiation Oncology Sciences Program (ROSP) is: (1) sponsor of a clinical outreach program (Partnerships in Science(TM), (2) participant in a residency training program jointly with the Walter Reed Army Medical Center (WRAMC) and the National Naval Medical Center (NNMC), (3) 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), and finally, (4) supportive of the re-vitalization of the King Hussein Cancer Center (KHCC) in Amman Jordan, the TELESYNERGY(R) System quickly became a major IT component of these programs through NCI and CIT Collaboration. The MCWS, which was originally 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 multimedia communication between users. The MCWS System also allows ATM-Gateway access to remote/distant sites via high-speed ISDN Primary Rate Interface (PRI) telephone circuits. The NCI selected the TELESYNERGY(R) System as the enabling technology for their Partnerships in Science(TM) 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, and an upgraded version was installed during the last quarter of FY04. A second Partnerships in Science(TM) site, the Schiffler Cancer Center at the Wheeling Hospital, in Wheeling, West Virginia, had its TELESYNERGY(R) 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 Hospital in Dublin, Republic of Ireland (ROI), during the summer of FY02. A second ROI system was installed at the Trinity College Dublin (TCD) at the School of Radiation Therapy in February of FY04. TELESYNERGY(R) Systems were installed at Cork University Hospital and the University College Hospital Galway during the winter of FY06. In addition, a simplified and upgradeable TELESYNERGY(R)-Lite System was installed at the same time, within TCD, as a sample for duplication at five smaller cancer centers in the ROI by TCD Staff. Since September 1999, we had planned for the installation of a TELESYNERGY(R) System within the King Hussein Cancer Center (KHCC) in Amman, Jordan, as part of an NCI-Jordan Cancer Consortium. The installation of this most advanced TELESYNERGY(R) System, was successfully completed during January of FY04. Another TELESYNERGY(R) System was installed in the Clinical Center?s re-designed 11th floor Telemedicine Clinic during the summer of FY04. There are currently, a total of twelve TELESYNERGY(R) Systems installed worldwide, which are supported by CIT staff. An additional thirteen systems installed within the U.S., are supported by NCI staff. Completed during FY06, was the installation of an ISDN-based Central Communication Hub was completed and the Hub activated, as a replacement for the ATM-based Distributed Central Communication Cloud. Software development is continuing to embed the functionality of the original ATM-based TELESYNERGY(R) environment within the newly implemented ISDN-based Central Communication Hub. Rapidly nearing completion, is the task of converting the TELESYNERGY(R) Software from its original Sun/Solaris workstation environment to the PC/Linux workstation environment. The development of a portable and ruggedly-packaged 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 large-scale medical emergency. The fabrication and assembly of the numerous subsystems within the Mobile TELESYNERGY(R) System were finalized during FY06, along with the completion of the newly acquired Very Small Aperture Terminal (VSAT) Satellite Antenna System. During FY07 we expect to deploy the newly completed Rapidly-Deployable, Modular TELESYNERGY(R) System for its first field trials, in a simulated emergency disaster relief situation.