TELESYNERGY(R) Medical Consultation WorkStation Environment

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放射肿瘤学计划(ROSP)是：(1)临床外展计划(伙伴关系科学(TM))的赞助商，(2)与沃尔特里德陆军医疗中心(WRAMC)和国家海军医疗中心(NNMC)共同参与的住院医师培训计划，(3)参与NCI全爱尔兰癌症联盟(该联盟在五年的合作关系中结合了贝塞斯达、贝尔法斯特和都柏林的癌症治疗能力，旨在对爱尔兰的癌症进行多层次的攻击)，最后，(4)支持约旦安曼的侯赛因国王癌症中心(KHCC)的重振通过NCI和CIT的合作，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医院和爱尔兰共和国都柏林的圣卢克医院(ROI)全面实施。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全套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。另一套TELESYNERGY(R)系统在2004财年夏天在临床中心重新设计的11楼远程医疗诊所安装。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。 在2007财年期间完成的任务是将TELESYNERGY(R)软件从其原始的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版TELESYNERGY(R)环境的所有硬件组件的集成和包装，包括其甚小口径终端(VSAT)卫星天线系统。 在2007财年，TAIS在一辆移动手推车上开发了一个小型远程肾病学系统，使新任国家肾脏疾病教育项目主任安德鲁·纳尔瓦(NIDDK)博士能够在亚利桑那州祖尼的Zuni PHS医院与他以前的肾脏患者进行定期安排的诊所。此外，TAIS还为过敏症实验室的临床医生Hirsh Komarow博士(NIAID)在儿科过敏诊所使用的移动手推车上安装了EENT成像系统。 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。另外一个完整的TELESYNERGY(R)系统是为安装在爱尔兰共和国都柏林的博蒙特医院而设计的。这将是作为NCI全爱尔兰癌症联盟的一部分，在爱尔兰安装的第六套完整的TELESYNERGY(R)系统。调试计划于2007年11月或12月进行。 在2008财年期间，工作重点将是在坚固的便携式TELESYNERGY(R)系统中安装和配置Linux版本的TELESYNERGY(R)软件环境。此外，TAIS还将发起扩大TELESYNERGY(R)架构范围的活动，以提高医疗能力并简化人机交互。

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.