Real-Time, Interactive Echocardiography Over High-Speed Networks: Feasibility and Functional Requirements

Real-time, Interactive Echocardiography Over High Speed Networks: Feasibility and Functional Requirements is an experiment in advanced telemedicine being conducted jointly by the NASA Lewis Research Center, the NASA Ames Research Center, and the Cleveland Clinic Foundation. In this project, a patient undergoes an echocardiographic examination in Cleveland while being diagnosed remotely by a cardiologist in California viewing a real-time display of echocardiographic video images transmitted over the broadband NASA Research and Education Network (NREN). The remote cardiologist interactively guides the sonographer administering the procedure through a two-way voice link between the two sites. Echocardiography is a noninvasive medical technique that applies ultrasound imaging to the heart, providing a "motion picture" of the heart in action. Normally, echocardiographic examinations are performed by a sonographer and cardiologist who are located in the same medical facility as the patient. The goal of telemedicine is to allow medical specialists to examine patients located elsewhere, typically in remote or medically underserved geographic areas. For example, a small, rural clinic might have access to an echocardiograph machine but not a cardiologist. By connecting this clinic to a major metropolitan medical facility through a communications network, a minimally trained technician would be able to carry out the procedure under the supervision and guidance of a qualified cardiologist

Destination-directed, packet-switched architecture for a geostationary communications satellite network

A major goal of the Digital Systems Technology Branch at the NASA Lewis Research Center is to identify and develop critical digital components and technologies that either enable new commercial missions or significantly enhance the performance, cost efficiency, and/or reliability of existing and planned space communications systems. NASA envisions a need for low-data-rate, interactive, direct-to-the-user communications services for data, voice, facsimile, and video conferencing. The network would provide enhanced very-small-aperture terminal (VSAT) communications services and be capable of handling data rates of 64 kbps through 2.048 Mbps in 64-kbps increments. Efforts have concentrated heavily on the space segment; however, the ground segment has been considered concurrently to ensure cost efficiency and realistic operational constraints. The focus of current space segment developments is a flexible, high-throughput, fault-tolerant onboard information-switching processor (ISP) for a geostationary satellite communications network. The Digital Systems Technology Branch is investigating both circuit and packet architectures for the ISP. Destination-directed, packet-switched architectures for geostationary communications satellites are addressed