Telemed J E Health - Improving proton therapy accessibility through seamless electronic integration of remote treatment planning sites.

Tópicos

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Resumo

JECTIVES: Proton radiotherapy is a relatively scarce treatment modality in radiation oncology, with only nine centers currently operating in the United States. Funded by Public Law 107-248, the University of Pennsylvania and the Walter Reed Army Medical Center have developed a remote proton radiation therapy solution with the goals of improving access to proton radiation therapy for Department of Defense (DoD) beneficiaries while minimizing treatment delays and time spent away from home/work (time savings of up to 3 weeks per patient).MATERIALS AND METHODS: To meet both Health Insurance Portability and Accountability Act guidelines and the more stringent security restrictions imposed by the DoD, our program developed a hybrid remote proton radiation therapy solution merging a CITRIX server with a JITIC-certified (Joint Interoperability Test Command) desktop videoconferencing unit. This conduit, thoroughly tested over a period of 6 months, integrates both institutions' radiation oncology treatment planning infrastructures into a single entity for DoD patients' treatment planning and delivery.RESULTS: This telemedicine solution enables DoD radiation oncologists and medical physicists the ability to (1) remotely access a proton therapy treatment planning platform, (2) transfer patient plans securely to the University of Pennsylvania patient database, and (3) initiate ad-hoc point-to-point and multipoint videoconferences to dynamically optimize and validate treatment plans.CONCLUSIONS: Our robust and secure remote treatment planning solution grants DoD patients not only access to a state-of-the-art treatment modality, but also participation in the treatment planning process by Walter Reed Army Medical Center radiation oncologists and medical physicists. This telemedicine system has the potential to lead to a greater integration of military treatment facilities and/or satellite clinics into regional proton therapy centers.

Resumo Limpo

jectiv proton radiotherapi relat scarc treatment modal radiat oncolog nine center current oper unit state fund public law univers pennsylvania walter reed armi medic center develop remot proton radiat therapi solut goal improv access proton radiat therapi depart defens dod beneficiari minim treatment delay time spent away homework time save week per patientmateri method meet health insur portabl account act guidelin stringent secur restrict impos dod program develop hybrid remot proton radiat therapi solut merg citrix server jiticcertifi joint interoper test command desktop videoconferenc unit conduit thorough test period month integr institut radiat oncolog treatment plan infrastructur singl entiti dod patient treatment plan deliveryresult telemedicin solut enabl dod radiat oncologist medic physicist abil remot access proton therapi treatment plan platform transfer patient plan secur univers pennsylvania patient databas initi adhoc pointtopoint multipoint videoconfer dynam optim valid treatment plansconclus robust secur remot treatment plan solut grant dod patient access stateoftheart treatment modal also particip treatment plan process walter reed armi medic center radiat oncologist medic physicist telemedicin system potenti lead greater integr militari treatment facil andor satellit clinic region proton therapi center

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