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20040105-HealthSciences-Kratz.ppt

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  • 1. Internet2 in the Health Sciences Mary Kratz (mkratz@internet2.edu) Prepared for Victor Frankel 5 January 2004
  • 2. Outline for Today
    • Thank you for the opportunity to share about Internet2!
    • What can be learned from history?
    • Internet2 organization
      • Network infrastructure
      • International partnerships
      • Advanced Applications
    • Internet2 Health Sciences
  • 3. Success of the Internet Millions of People Source: Nua Internet Surveys
  • 4. History
    • ARPAnet origins
    • 1987 -- NSFnet
      • Privatization in 1995
    • 1996
      • Telecomm Act
      • The WWW explodes
      • Federal Next Generation Internet Initiative
        • NSF provides grant funding to universities for network infrastructure
      • Internet2 founded
    • 1999
      • Abilene in production
  • 5. Today’s Internet Doesn’t
    • Provide reliable end-to-end performance
    • Encourage cooperation on new capabilities
    • Allow testing of new technologies
    • Support development of revolutionary applications
  • 6. 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
  • 7. Internet2 Mission and Goals
    • Develop and deploy advanced network applications and technologies, accelerating the creation of tomorrow’s Internet.
      • Enable new generation of applications
      • Create leading edge R&E network capability
      • Transfer technology and experience to the global production Internet
  • 8. Internet2 Universities 205 University Members, November 2003
  • 9. 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
  • 10. Internet2 Partnerships
    • Internet2 universities are recreating the partnerships that fostered the Internet in its infancy
      • Industry
      • Government
      • International
  • 11. Abilene Network Core 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
  • 12. Abilene Network Logical Map
  • 13. Abilene International Peering Last updated: 01 August 2003
  • 14. Current International Partners Last updated: 01 August 2003 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) Americas CANARIE (Canada) CEDIA (Ecuador) CUDI (Mexico) CNTI (Venezuela) CR2NET (Costa Rica) REUNA (Chile) RETINA (Argentina) RNP (Brazil) SENACYT (Panama) 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 )
  • 15. Time Required to Download 2-hour Course Lecture DVD Internet2 Land Speed Record 6 Seconds 168 Hours 74 Hours 25 Hours 6.4 Hours 56 kbps ISDN DSL/ Cable T1
  • 16. Internet2 Focus Areas
    • Advanced Network Infrastructure
    • Middleware
    • Engineering
    • Advanced Applications
    • Partnerships
  • 17. Advanced Applications http://apps.internet2.edu/
    • Distributed computation
    • Virtual laboratories
    • Digital libraries
    • Distributed learning
    • Digital video
    • Tele-immersion
    • All of the above in combination
  • 18. Why Internet2
    • The student who will enter medical school in 5-10 years can absorb multiple channels of information
    lecture Second screen Dynamic charts messaging Communal note taking
  • 19. Healthcare in the Information Age
  • 20. The scope of the Internet2 Health Science Workgroup includes clinical practice, medical and related biological research, education, and medical awareness in the public.
  • 21.
    • 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
    Roadmap
  • 22. 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
  • 23. 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
    03/19/03 1
  • 24. 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)
  • 25. Internet2 Clinical Applications
    • 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
  • 26. EACH BRAIN REPRESENTS A LOT OF DATA AND COMPARISONS MUST BE MADE BETWEEN MANY (fMRI) Slide courtesy of Arthur Toga (UCLA)
  • 27. 3 PB 3 TB 3 MB 3 KB 121 years 45 days 160 sec .016 sec T1 1.5 Mbps 10.4 days 41.6 days 1 micron 10 min 40 min 10 micron .0006 sec .0024 sec MM .0000006s .0000024s CM Next Gen 40 Gbps Abilene 10 Gbps
  • 28. Grand Challenge: CyberInfrastructure   Organism(person) Organ Tissue Cell Protein Atom & organ systems (1m) (10 -3 m) (10 -6 m) (10 -9 m) (10 -12 m) (10 -15 m)                  Courtesy: Peter Hunter, University of Auckland
  • 29. 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
  • 30. 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
  • 31. 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
  • 32. Human Embryo Development
    • 3-D visualizations of human embryo development
    • Doctors can manipulate data remotely
    • Animations of embryo system development for students
    George Mason University, Oregon Health & Science University, National Library of Medicine http://www.nac.gmu.edu/visembryo.htm http://www.ohsu.edu/chrc/
  • 33. National Digital Mammography Archive http://nscp01.physics.upenn.edu/ndma/index.html 
  • 34. Molecular Interactive Collaborative Environment (MICE)
    • Interactive 3D
    • Multiple physical locations interact via the network
    • Collaboratively examine and manipulate a shared 3D macromolecule
    • Real-time
  • 35. Virtual Laboratories
    • Real-time access to remote instruments
    • University of North Carolina, Chapel Hill Distributed nanoManipulator
  • 36. “ 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 21 st 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
  • 37. 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
  • 38. 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
    1 Image courtesy of: Dr. Christopher Johnson, Director of the SCI Institute
  • 39. 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
  • 40. 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)
  • 41. Health Science Activities
    • Medical Middleware Working Group
      • Jack Buchanan, MD (UTMEM)
      • Steve Olshansky, facilitator
    • Orthopaedic Surgery Working Group
      • Chad Smith,MD (USC)
      • Ed Johansen, JD, facilitator
    • BioEthics Working Group
      • John Yost, PhD (Bradley University)
    • Security SIG
      • Jere Retzer (OHSU)
    • Veterinary Medical SIG
      • Gary Allen, DVM (Umissouri)
    • Cardiology SIG
      • David Sahn, MD (OHSU)
  • 42. Member Requests for Future Health Science Working Groups
    • Simulation and Imaging
    • Telemedicine and Robotics
    • International Education
    • Biomedical Engineering
    • Pharmaceutical Industry
    • Nanotechnology
    • Radiology
    • Cardiology
    • Pathology
    • Ophthalmology
    • Dentistry
    • Nursing
    • Preventative Medicine
  • 43. Health Science Advisory Group
    • Government affiliate National Institutes of Health
      • National Library of Medicine
      • National Center for Research Resources
    • Industry representation
      • Johnson and Johnson
    • University thought leaders
      • Applied Clinical Research
      • Learning Technologies (e-Learning)
      • Scientific Researchers
    Hawaii OHSU Stanford UCSD UAB TAMU UTSW UIC UTenn NLM IUIPI UMs Bradley
  • 44. Universal Challenges
    • Educating the educated
    • Controlling the Costs
    • Managing a changing ICT Infrastructure
      • People
      • Partnerships
      • Maintenance
      • Hardware
      • Software
      • Training
      • Security
  • 45. More Information
    • On the Web
      • health/internet2.edu
      • www.internet2.edu
    • Email
      • [email_address]
      • Mary Kratz
      • [email_address]
      • (734) 352-7004
  • 46.