TELESYNERGY(R) Medical Consultation WorkStation Environm

TELESYNERGY(R) 医疗咨询工作站环境

• 批准号: 7296862
• 负责人: KENNETH M KEMPNER
• 金额: --
• 依托单位: CENTER FOR INFORMATION TECHNOLOGY
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/7296862
• 关键词: TELESYNERGY; Medical; Consultation; WorkStation; Environm

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.

TELESYNERGY（R）医学咨询工作站（MCWS）的开发最初由CBEL于20世纪90年代中期开始，并于1997年初首次部署在NIH校园的信息技术中心（CIT）和NCI放射肿瘤学分支（ROB）环境中。从国家癌症研究所开始？放射肿瘤科学计划（ROSP）是：（1）临床外展计划的赞助商（科学伙伴关系（TM），（2）与沃尔特里德陆军医疗中心（WRAMC）和国家海军医疗中心（NNMC）联合参加住院医师培训计划，（3）参加NCI所有爱尔兰癌症联盟（它将贝塞斯达、贝尔法斯特和都柏林的癌症治疗能力结合在一起，为期五年，旨在对爱尔兰的癌症进行多层次的攻击），最后，（4）为了支持约旦安曼侯赛因国王癌症中心（KHCC）的复兴，TELESYNERGY（R）系统通过NCI和CIT协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）网络架构，允许分布式站点之间的实时多媒体会议，系统包括用于显示CT、MRI或胸片图像的高分辨率电子查看框。还包括一个高分辨率视频链接，用于介绍顾问的观点，显示录像带医学图像或现场介绍，或显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，实现了一个原型的高速医学图像通信网络，基于ATM交换技术，它允许155 Mbit/s的用户之间的多媒体通信。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/远距离站点。 NCI选择TELESYNERGY（R）系统作为其科学合作伙伴（TM）计划的支持技术，第一个使用TELESYNERGY（R）系统实施的合作伙伴地点是位于劳德代尔堡的圣十字医院，佛罗里达，2000财年夏季。2001财年4月在WRAMC安装了一个TELESYNERGY（R）系统，2004财年最后一个季度安装了一个升级版本。第二个合作伙伴关系在科学（TM）网站，希弗勒癌症中心在旋转医院，旋转，西弗吉尼亚州，有其TELESYNERGY（R）系统安装完成在2002年1月。 此外，在位于新泽西州贝尔法斯特的贝尔法斯特市医院实施了TELESYNERGY系统，英国、以及2002财年夏季在爱尔兰共和国（ROI）都柏林的圣卢克医院。第二个ROI系统于2004财年2月安装在都柏林的Trinity学院（TCD）的放射治疗学院。TELESYNERGY（R）系统于2006财年冬季安装在科克大学医院和高威大学学院医院。此外，同时在TCD内安装了一个简化的和可拆卸的TELESYNERGY（R）-Lite系统，作为TCD工作人员在ROI内五个较小的癌症中心复制的样本。 自1999年9月以来，我们计划在约旦安曼的侯赛因国王癌症中心（KHCC）安装TELESYNERGY（R）系统，作为NCI-Jordan癌症联盟的一部分。这一最先进的TELESYNERGY（R）系统的安装已于2004财年1月成功完成。是否在临床中心安装了另一个TELESYNERGY（R）系统？2004财年夏季，公司重新设计了11楼远程医疗诊所。目前，全球共安装了12套TELESYNERGY（R）系统，由CIT员工提供支持。另外13个系统安装在美国，得到了NCI工作人员的支持。 在2006财政年度完成，完成了基于ISDN的中央通信集线器的安装，并激活了该集线器，以取代基于ATM的分布式中央通信云。软件开发正在继续将原来基于ATM的TELESYNERGY（R）环境的功能嵌入新实施的基于ISDN的中央通信集线器中。将TELESYNERGY（R）软件从原来的Sun/Solaris工作站环境转换到PC/Linux工作站环境的任务很快就要完成。 2002财政年度开始开发便携式和坚固包装的TELESYNERGY（R）环境版本，以便能够提供临时的高性能远程医疗解决方案，应对大规模的医疗紧急情况。移动的TELESYNERGY（R）系统内众多子系统的制造和组装在2006财年期间完成，沿着完成了新获得的甚小孔径终端（VSAT）卫星天线系统。 在2007财年，我们预计将部署新完成的快速部署，模块化远程协同（R）系统的第一个现场试验，在模拟紧急救灾情况。