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首页> 外文期刊>Mayo Clinic Proceedings >NASA/DARPA advanced communications technology satellite project for evaluation of telemedicine outreach using next-generation communications satellite technology: Mayo Foundation participation (see comments)
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NASA/DARPA advanced communications technology satellite project for evaluation of telemedicine outreach using next-generation communications satellite technology: Mayo Foundation participation (see comments)

机译：NASA / DARPA高级通信技术卫星项目，用于使用下一代通信卫星技术评估远程医疗范围：Mayo基金会的参与（请参阅评论）

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OBJECTIVE: To describe the development of telemedicine capabilities-application of remote consultation and diagnostic techniques-and to evaluate the feasibility and practicality of such clinical outreach to rural and underserved communities with limited telecommunications infrastructures. MATERIAL AND METHODS: In 1992, Mayo Foundation (Rochester, Minn, Jacksonville, Fla, and Scottsdale, Ariz), the National Aeronautics and Space Administration, and the Defense Advanced Research Projects Agency collaborated to create a complex network of fiberoptic landlines, video recording systems, satellite terminals, and specially developed data translators linking Mayo sites with other locations in the continental United States on an on-demand basis. The purpose was to transmit data via the asynchronous transfer mode (ATM) digital communications protocol over the Advanced Communications Technology Satellite. The links were intended to provide a conduit for transmission of data for patient-specific consultations between physicians, evaluation of medical imagery, and medical education for clinical staffs at remote sites. RESULTS: Low-data-rate (LDR) experiments went live late in 1993. Mayo Clinic Rochester successfully provided medical consultation and services to 2 small regional medical facilities. High-data-rate (HDR) experiments included studies of remote digital echocardiography, store-and-forward telemedicine, cardiac catheterization, and teleconsultation for congenital heart disease. These studies combined landline data transmission with use of the satellite. The complexity of the routing paths and network components, immaturity of available software, and inexperience with existing telecommunications caused significant study delays. CONCLUSIONS: These experiments demonstrated that next-generation satellite technology can provide batch and real-time imagery for telemedicine. The first-generation of the ATM and satellite network technology used in these experiments created several technical problems and inconveniences that should be overcome as the network infrastructure matures.
机译：目的：描述远程医疗功能的发展-远程咨询和诊断技术的应用-并评估这种临床推广到电信基础设施有限的农村和服务欠缺社区的可行性和实用性。材料和方法：1992年，梅奥基金会（罗切斯特，明尼，佛罗里达州杰克逊维尔和亚利桑那州斯科茨代尔），美国国家航空航天局和国防高级研究计划局合作创建了一个复杂的光纤座机网络，视频记录系统，卫星终端以及专门开发的数据转换器，可按需将Mayo站点与美国大陆上的其他位置链接起来。目的是在高级通信技术卫星上通过异步传输模式（ATM）数字通信协议传输数据。这些链接旨在为医生之间针对特定患者的咨询，医学影像评估以及对偏远地区临床人员的医学教育提供数据传输渠道。结果：低数据速率（LDR）实验于1993年底上线。罗切斯特梅奥诊所成功地为2个小型区域医疗机构提供了医疗咨询和服务。高数据速率（HDR）实验包括远程数字超声心动图，远距离存储和转发远程医学，心脏导管插入术以及先天性心脏病的远程会诊的研究。这些研究将陆线数据传输与卫星的使用相结合。路由路径和网络组件的复杂性，可用软件的不成熟以及对现有电信的缺乏经验导致了严重的研究延迟。结论：这些实验表明，下一代卫星技术可以为远程医疗提供批量和实时图像。这些实验中使用的第一代ATM和卫星网络技术产生了一些技术问题和不便之处，随着网络基础设施的成熟，​​这些问题和不便之处应予以克服。

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