TELESYNERGY(TM) Medical Consultation WorkStation Environ

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)联合开展的住院医师培训计划。最后，NCI是NCI全爱尔兰癌症联盟的成员，该联盟将贝塞斯达、贝尔法斯特和都柏林的癌症治疗能力结合在一起，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)由CBEL开发，最初部署在NCI Rob和CIT环境中的NIH园区。MCWS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盒。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，该网络支持用户之间155Mbit/s的多媒体通信。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。MCWS系统于2000财年冬季安装在加利福尼亚州利弗莫尔的劳伦斯·利弗莫尔国家实验室，以支持NCI Rob协议，通过使用LLNL Peregine剂量计算引擎来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，其中第一个使用TELESYNERGY(TM)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财年春季，WRAMC安装了一个额外的MCWS系统。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(TM)网站，该中心将在2002财年的第一个月安装MCWS系统。其他MCWS系统将在2002财年期间安装在新设计的CC 11楼远程医疗诊所和NNMC。此外，已经选定了贝尔法斯特和都柏林的TELESYNERGY(TM)站点，并在2001财年下半年开始了实施前的规划。贝尔法斯特和都柏林的项目计划于2002财年冬季实施。

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 residency 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 was initially deployed in the NCI ROB and the CIT environments on the NIH campus. The MCWS, which is 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 multi-media communication between users. The MCWS System also allows ATM-Gateway access to remote/distant sites via high-speed ISDN PRI telephone service. The MCWS System was installed during the Winter of FY00 at the Lawrence Livermore National Laboratory, in Livermore, 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. An additional MCWS System was installed at the WRAMC in the Spring of FY01. A second Partnerships in Science(TM) site, the Schiffler Cancer Center at the Wheeling Hospital, in Wheeling, West Virginia, will have an MCWS System installed during the first month of FY02. Other MCWS Systems will be installed in the newly redesigned CC 11th floor Telemedicine Clinic, and at the NNMC, during FY02. In addition, the TELESYNERGY(TM) sites in Belfast and Dublin have been selected, and pre-implementation planning began during the last half of FY01. Implementation at the Belfast and Dublin sites is scheduled for the Winter of FY02.