TELESYNERGY(R) Medical Consultation WorkStation

美国国家癌症研究所的放射肿瘤学计划(ROSP)赞助一项名为“科学伙伴关系(TM)计划”的临床推广计划，以及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。NCI也是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。最后，国家癌症委员会支持重振约旦安曼侯赛因国王癌症中心。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在开发和实施先进的远程医疗技术方面进行了合作，特别是TELESYNERGY(R)系统。TELESYNERGY(R)医疗咨询工作站(MCWS)由CBEL开发，最初部署在NCI Rob和NIH园区的CIT环境中。MCWS目前基于异步传输模式(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。

The National Cancer Institute's Radiation Oncology Sciences Program (ROSP) sponsors a clinical outreach program, known as the Partnerships in Science(TM) Program, as well as a residency training program jointly with the Walter Reed Army Medical Center (WRAMC) and the National Naval Medical Center (NNMC). The NCI is also 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. Finally, the NCI supports the re-vitalization of the King Hussein Cancer Center (KHCC) in Amman Jordan. For these four reasons, the NCI and ROSP are interested in high-speed medical image communication, and telemedicine systems. The CIT and the NCI have, therefore, collaborated in the development and implementation of advanced telemedicine technologies, in general, and the TELESYNERGY(R) System, in particular. The TELESYNERGY(R) Medical Consultation WorkStation (MCWS) was developed by CBEL, and was initially deployed in the NCI ROB and the CIT environments on the NIH campus. The MCWS, which is currently 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.