A high data rate terrestrial and satellite network was implemented to trans
fer medical images and data. This article describes the optimization of the
workstations and switching equipment incorporated into the network. Topics
discussed in this article include tuning of the network software, the conf
iguration of the Sun Microsystems workstations, the FORE Systems asynchrono
us transfer mode switches, as well as the throughput results of two telemed
icine experiments undertaken by Mayo's physician staff. The technical staff
was successful in achieving the data throughput needed by the telemedicine
software; particularly important was the proper determination of peak thro
ughput and TCP window sizes to ensure optimum use of the resources availabl
e on the Sun Microsystems and Hewlett Packard workstations.