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Internet2 in the Health Sciences

Internet2 in the Health Sciences. Mary Kratz (mkratz@internet2.edu). Prepared for Victor Frankel 5 January 2004. Why Internet2?. Doesn’t everybody know about Internet2? Does anybody know about Internet2? What’s the connection to medicine? Learning Technology Collaborative Research

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Internet2 in the Health Sciences

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  1. Internet2 in the Health Sciences Mary Kratz (mkratz@internet2.edu) Prepared for Victor Frankel 5 January 2004

  2. Why Internet2? • Doesn’t everybody know about Internet2? • Does anybody know about Internet2? • What’s the connection to medicine? • Learning Technology • Collaborative Research • Tele-Health (eHealth) • Applied Clinical Research • BioGRID

  3. Internet2 Universities205 University Members, November 2003

  4. Committed to Core Values • Address the advanced networking needs and interests of the research & education community • Provide leadership to evolve the global Internet • Leverage strategic relationships among academia, industry and government • Catalyze activities that cannot be accomplished by individual organizations • Implement a systems approach towards a scalable and vertically integrated advanced networking infrastructure

  5. Abilene NetworkCore Map, November 2003 • Backbone operates at 10 Gbps (OC192) • 11 core nodes • 31 GigaPoPs Regional high-performance aggregation sites • Local campus networks provide 100 Mbps to the desktop

  6. Abilene Network Logical Map

  7. Last updated: 01 August 2003 Abilene International Peering

  8. Europe-Middle East ARNES (Slovenia) BELNET (Belgium) CARNET (Croatia) CESnet (Czech Republic) DANTE (Europe) DFN-Verein (Germany) GIP RENATER (France) GRNET (Greece) HEAnet (Ireland) HUNGARNET (Hungary) INFN-GARR (Italy) Israel-IUCC (Israel) NORDUnet (Nordic Countries) POL-34 (Poland) FCCN (Portugal) RedIRIS (Spain) RESTENA (Luxembourg) RIPN (Russia) SANET (Slovakia) Stichting SURF (Netherlands) SWITCH (Switzerland) TERENA (Europe) JISC, UKERNA (United Kingdom) Americas CANARIE (Canada) CEDIA (Ecuador) CUDI (Mexico) CNTI (Venezuela) CR2NET (Costa Rica) REUNA (Chile) RETINA (Argentina) RNP (Brazil) SENACYT (Panama) Asia-Pacific AAIREP (Australia) APAN (Asia-Pacific) APAN-KR (Korea) APRU (Asia-Pacific) CERNET/CSTNE/NSFCNET (China) JAIRC (Japan) JUCC (Hong Kong) NECTEC/UNINET (Thailand) SingAREN (Singapore) TANet2 (Taiwan) Last updated: 01 August 2003 Current International Partners

  9. 56 kbps ISDN DSL/Cable T1 Time Required to Download2-hour Course Lecture DVD Internet2 Land Speed Record6 Seconds 168 Hours 74 Hours 25 Hours 6.4 Hours

  10. Internet2 Focus Areas • Advanced Network Infrastructure • Middleware • Engineering • Advanced Applications • Partnerships

  11. Advanced Applicationshttp://apps.internet2.edu/ • Distributed computation • Virtual laboratories • Digital libraries • Distributed learning • Digital video • Tele-immersion • All of the above in combination

  12. Why Internet2 • The student who will enter medical school in 5-10 years can absorb multiple channels of information Dynamic charts Second screen lecture Communal note taking messaging

  13. Healthcare in the Information Age

  14. The scope of the Internet2 Health Science Workgroup includes clinical practice, medical and related biological research, education, and medical awareness in the public.

  15. Roadmap • Networking Health:Prescriptions for the Internet • National Research Council Report • Current and future Internet • Released 24 February 2000 • National Academy Press • ISBN 0-309-06843-6

  16. Common Ground • Improve operations, decrease costs, advance science, promote health awareness, educate, and influence public policy. • Multidisciplinary centers of learning, research, and clinical affairs. • Cyberinfrastructure

  17. Consensus • More new information will be created in the next year than throughout our entire history! • Instantaneous global collaboration is the next killer application • Medical science will not be possible without advanced computing solutions • R&D will rely increasingly on academic/industry partnerships 1 03/19/03

  18. Physicians Participate in Internet2 • Extends the opportunities • TeleHealth • National Tumor Board • Clinical Skills and Assessment (AAMC partnerships) • Focus on distributed data sharing • Electronic Health Record • Presence and Integrated Communications (VOIP, RFID) • Advanced visualization • Computer Assisted Diagnosis • Computer Assisted Surgery (Minimally invasive surgery) • Collaboration • Second Opinion Networks • Learning Technology (Distance Education) • Knowledge Management (Pharmacy benefits)

  19. Simulation and Imaging Computer Aided Diagnosis Radiology Laproscopy and Endoscopy Telemedicine Emergency/Trauma Video steaming Minimally Invasive Surgery Computer Assisted Surgery Computer Aided Diagnosis Biomedical Informatics Research Network International Health Education Second Opinion Networks Disease surveillance Biomedical Engineering National Institute of Biomedical Imaging and Bioengineering Pharmacy Drug Interactions Benefits Analysis Cardiology In-utero heart surgery National testbed collaboratory Pathology Virtual Tumor Board Remote Digital Microscopy Ophthalmology Retinal studies Dentistry Cranio-facial reconstructive surgical techniques Nursing Care planning Preventative Medicine Disease Surveillance Infection Disease (SARS/HIV) Emergency / Trauma Nanotechnology Internet2 Clinical Applications

  20. EACH BRAIN REPRESENTS A LOT OF DATA AND COMPARISONS MUST BE MADE BETWEEN MANY (fMRI) Slide courtesy of Arthur Toga (UCLA)

  21. Grand Challenge: CyberInfrastructure Organism(person) Organ Tissue Cell Protein Atom& organ systems(1m) (10-3m) (10-6m) (10-9m) (10-12m) (10-15m) Courtesy: Peter Hunter, University of Auckland

  22. Digital Interactive Virtual Environments • Students in CS, IT, engineering, math and medicine support emerging technology, research and discovery • Interdisciplinary learning, training and problem solving; creating “learning families” and project teams • Leverage scarce specialized resources

  23. Anatomy and Surgery Workbench and Local NGI Testbed Network • Students learn anatomy and practice surgery techniques using 3-D workstations • Network testbed evaluates the effectiveness of workbench applications Stanford University School of Medicine

  24. Biomedical Informatics Research Network (BIRN) www.nbirn.net • A scalable testbed for biomedical knowledge infrastructure • Federated database of neuroimaging data (Brain MRI) • Fusion of diverse data sources (location; data aggregation) • Grid access to computational resources • Develop datamining software • Wireless connections for enhanced access

  25. National Digital Mammography Archive http://nscp01.physics.upenn.edu/ndma/index.html 

  26. Molecular Interactive Collaborative Environment (MICE) • Interactive 3D • Multiple physical locations interact via the network • Collaboratively examine and manipulate a shared 3D macromolecule • Real-time

  27. Real-time access to remote instruments University of North Carolina, Chapel HillDistributed nanoManipulator Virtual Laboratories

  28. “In the modern era every century has had its major advance that has brought medical science another giant step forward...What will the major advance of the 21st century be?I am convinced that the medical revolution of our children’s lifetime’s lifetimes will be the application of Information technology to health care.” Secretary Tommy Thompson, 21 March 2003

  29. Challenges to the Health Science Community “ 90% of data collected today will never be seen by a human eye. This is everyone's problem. We must manage a growing amount of data to secure knowledge for the future.” -Michael Marron, NIH “Molecular imaging will represent a critical redefinition of how physicians practice, requiring MASSIVE changes in how images are obtained, stored and accessed.” -Dr. Greg Mogel, USC

  30. Inter-disciplinary Partnerships Catalyse New Uses • Direct visualizations • Data collection/integration • Data mining • Device intercommunication • Haptic immersion • Augmented dexterity • Advanced sensors • Wireless data collection • Economic models for reimbursement realities Image courtesy of: Dr. Christopher Johnson, Director of the SCI Institute 1

  31. How to get involved? • Demonstration events • Working Groups define goals and objectives • SIGs and BoF • Explore technical discussions • Formulate deliverables • Publications • Best practices • Policy • Implementation strategies • Bring together thought leaders

  32. How to get involved? • Orthopaedic Surgery Working Group • Leverage advances in telemedicine, telerobotics, simulation, computer assisted surgery and diagnosis • Academic, Clinical and Industrial partners • Further build the global Internet community • Chadwick Smith, MD • Internet2 Orthopaedic Surgery Working Group Chair • Orthopaedic Surgery & Biomechanics faculty (USC) • President-elect SICOT International • Contact Edward Johansen • Coordinator Orthopaedic Surgery Working Group (wedjohansen@msn.com)

  33. Universal Challenges • Educating the educated • Controlling the Costs • Managing a changing ICT Infrastructure • People • Partnerships • Maintenance • Hardware • Software • Training • Security

  34. More Information • On the Web • health/internet2.edu • www.internet2.edu • Email • info@internet2.edu • Mary Kratz • Mkratz@internet2.edu • (734) 352-7004

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