Image Management and Communications System

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)联合的临床培训计划。最后，NCI是NCI全爱尔兰癌症联盟的成员，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，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(TM)系统。TELESYNERGY(商标)医疗咨询工作站(MCWS)已由CBEL开发，目前部署在NCI Rob和NIH园区的CIT环境中。该系统已在2000财年期间安装在加利福尼亚州的劳伦斯利弗莫尔国家实验室，以支持NCI Rob协议，通过使用LLNL百富勤剂量计算引擎开发改进的剂量计算。NCI还选择了TELESYNERGY(TM)系统作为他们的科学伙伴关系(TM)计划的使能技术，第一个使用TELESYNERGY(TM)系统实施的伙伴关系站点是佛罗里达州劳德代尔堡的圣十字医院，该医院位于佛罗里达州劳德代尔堡。基于异步传输模式(ATM)技术的MCWS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观看框。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。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。额外的MCWS系统将安装在重新设计的CC 11楼远程医疗诊所、WRAMC和NNMC，所有这些都将在2001财年进行。此外，贝尔法斯特和都柏林的TELESYNERGY(TM)站点已经选定，实施前的规划目前正在进行中。作为该项目的一个组成部分，该项目还实施了一个基于ATM交换技术的高速医学图像通信网络原型，允许用户之间进行155兆比特/秒的多媒体通信。这个ATM原型网络连接到由DARPA资助的先进技术开发网络(ATDnet)。ATDnet还将允许连接到NASA NREN网络，以便与LLNL通信。

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 clinical 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(TM) System, in particular. The TELESYNERGY(TM) Medical Consultation WorkStation (MCWS) has been developed by CBEL, and is currently deployed in the NCI ROB and the CIT environments on the NIH campus. This system has been installed during FY00 at the Lawrence Livermore National Laboratory, in California, to support an NCI ROB protocol for the development of improved dose calculations through the use of the LLNL PEREGRINE Dose Calculation Engine. The NCI has also selected the TELESYNERGY(TM) 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(TM) System was the Holy Cross Hospital, in Fort Lauderdale, Florida, during the Summer of FY00.The MCWS, which is based upon Asynchronous Transfer Mode (ATM) technology, 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. The MCWS System also allows ATM-gateway access to remote/distant sites via high-speed ISDN PRI telephone service.Additional MCWS Systems will be installed in the newly redesigned CC 11th floor Telemedicine Clinic, the WRAMC, and the NNMC, all during FY01. In addition, the TELESYNERGY(TM) sites in Belfast and Dublin have been selected and pre-implementation planning is currently is underwayAlso implemented, as a component of this project, is a prototype high-speed medical image communication network, based on ATM Switch technology, which allows 155 Mbit/sec multi-media communication between users. This prototype ATM network is connected to the DARPA-funded Advanced Technology Development Network (ATDNet). ATDNet will also allow a connection to the NASA NREN network, for communication to the LLNL.