TELESYNERGY(R) Medical Consultation WorkStation Environment

TELESYNERGY(R) 医疗咨询工作站环境

• 批准号: 7593223
• 负责人: KENNETH M KEMPNER
• 金额: $ 67.63万
• 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/7593223
• 关键词: Allergic; Architecture; Boxing; Cancer Center; Chest; Childhood; Clinic; Clinical; Clinical Trials; Collaborations; Communication; Computer Architectures; Computer software; Consultations; Data Collection; Development; Diagnosis; Disease; Distant; Electronics; Environment; Film; Floor; Florida; Goals; Histopathology; Hospitals; Hypersensitivity; Image; Imaging technology; Information Technology; Ireland; Jordan; Kidney; Laboratories; Life; Link; Linux; Magnetic Resonance Imaging; Malignant Neoplasms; Medical; Medical Imaging; Medical center; Microscope; Multimedia; National Cancer Institute; National Institute of Allergy and Infectious Disease; National Institute of Diabetes and Digestive and Kidney Diseases; Participant; Patients; Radiation Oncology; Radiation therapy; Rate; Recommendation; Research; Residencies; Resolution; Sampling; Schedule; Schools; Science; Site; Speed; System; Technology; Telemedicine; Telephone; Time; Training Programs; United States National Institutes of Health; Universities; University Hospitals; Urban Hospitals; West Virginia; base; cancer therapy; college; computer human interaction; design; kidney disease education; multidisciplinary; outreach program; programs; prototype

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 Institutes 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, full 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. Full 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 Centers 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 FY07, was the task of converting the TELESYNERGY(R) Software from its original Sun/Solaris workstation environment to the PC/Linux workstation environment. Also completed was the integration and packaging of all hardware components for the portable and ruggedized version of the TELESYNERGY(R) environment, including its Very Small Aperture Terminal (VSAT) Satellite Antenna System. During FY07, TAIS developed a small Telenephrology System on a mobile cart that provides Dr. Andrew Narva (NIDDK), the newly-appointed Director of the National Kidney Disease Education Program, with the ability to conduct regularly scheduled clinics with his previous renal patients at the Zuni PHS Hospital in Zuni, AZ. In addition, TAIS implemented an EENT Imaging System on a mobile cart for Dr. Hirsh Komarow (NIAID), Staff Clinician in the Laboratory of Allergic Disease, for his use in the Pediatric Allergy Clinic. Finally, planning was completed for the installation of a TELESYNERGY(R) System in the U.S. Armys Telemedicine and Advanced Technology Research Center (TATRC) at Fort Detrick, MD, with deployment scheduled for October 2007. An additional full TELESYNERGY(R) System was designed for installation at the Beaumont Hospital in Dublin, Republic of Ireland. This will be the sixth full TELESYNERGY(R) System installed in Ireland, as part of the NCI All Ireland Cancer Consortium. Commissioning is scheduled for November or December 2007. During FY08, efforts will center on the installation and configuration of the Linux version of the TELESYNERGY(R) software environment in the ruggedized, portable TELESYNERGY(R)System. Also, TAIS will initiate activities to expand the scope of the TELESYNERGY(R) architecture to increase medical capabilities and to streamline human-computer interaction.

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。美国国家癌症研究所放射肿瘤科学计划（ROSP）：（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全爱尔兰癌症联盟（它结合了贝塞斯达，贝尔法斯特，和都柏林建立了为期五年的关系，旨在对爱尔兰的癌症进行多层次的打击），最后，（4）支持重振约旦安曼的侯赛因国王癌症中心，通过NCI和CIT协作，TELESYNERGY（R）系统迅速成为这些项目的主要IT组件。 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）系统作为其科学伙伴关系（TM）计划的使能技术，第一个使用TELESYNERGY（R）系统实施的伙伴关系地点是2000财年夏季位于佛罗里达劳德代尔堡的圣十字医院。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，位于新泽西州贝尔法斯特的贝尔法斯特市医院还实施了完整的TELEsynergy（R）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。2006财年冬季，科克大学医院和高威大学学院医院高威安装了完整的TELESYNERGY（R）系统。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。另一个TELESYNERGY（R）系统在2004财年夏季安装在临床中心重新设计的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2007财年完成的任务是将TELESYNERGY（R）软件从其原始Sun/Solaris工作站环境转换到PC/Linux工作站环境。还完成了便携式和加固型TELESYNERGY（R）环境的所有硬件组件的集成和包装，包括其甚小孔径终端卫星天线系统。 在2007财年，TAIS开发了一种安装在移动的推车上的小型远程肾脏病学系统，该系统为Andrew纳尔瓦博士（NIDDK）（国家肾脏病教育项目的新任命主任）提供了在祖尼的祖尼PHS医院（亚利桑那州）对其以前的肾脏病患者进行定期门诊的能力。此外，TAIS在移动的推车上为过敏性疾病实验室的临床医生Hirsh Komarow博士（NIAID）安装了一个耳鼻喉成像系统，供其在儿科过敏诊所使用。 最后，在马里兰州德特里克堡的美国陆军远程医疗和先进技术研究中心（TATRC）安装TELESYNERGY（R）系统的计划已经完成，计划于2007年10月部署。另一个完整的TELESYNERGY（R）系统设计安装在爱尔兰共和国都柏林的博蒙医院。这将是在爱尔兰安装的第六套完整的TELESYNERGY（R）系统，作为NCI全爱尔兰癌症联盟的一部分。计划于2007年11月或12月投入使用。 在2008财年，工作重点将是在加固型便携式TELESYNERGY（R）系统中安装和配置TELESYNERGY（R）软件环境的Linux版本。此外，TAIS还将开展活动，扩大TELESYNERGY（R）架构的范围，以提高医疗能力并简化人机交互。