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  1. 1. Internet2 in the Health Sciences Mary Kratz (mkratz@internet2.edu) Prepared for Victor Frankel 5 January 2004
  2. 2. Outline for Today <ul><li>Thank you for the opportunity to share about Internet2! </li></ul><ul><li>What can be learned from history? </li></ul><ul><li>Internet2 organization </li></ul><ul><ul><li>Network infrastructure </li></ul></ul><ul><ul><li>International partnerships </li></ul></ul><ul><ul><li>Advanced Applications </li></ul></ul><ul><li>Internet2 Health Sciences </li></ul>
  3. 3. Success of the Internet Millions of People Source: Nua Internet Surveys
  4. 4. History <ul><li>ARPAnet origins </li></ul><ul><li>1987 -- NSFnet </li></ul><ul><ul><li>Privatization in 1995 </li></ul></ul><ul><li>1996 </li></ul><ul><ul><li>Telecomm Act </li></ul></ul><ul><ul><li>The WWW explodes </li></ul></ul><ul><ul><li>Federal Next Generation Internet Initiative </li></ul></ul><ul><ul><ul><li>NSF provides grant funding to universities for network infrastructure </li></ul></ul></ul><ul><ul><li>Internet2 founded </li></ul></ul><ul><li>1999 </li></ul><ul><ul><li>Abilene in production </li></ul></ul>
  5. 5. Today’s Internet Doesn’t <ul><li>Provide reliable end-to-end performance </li></ul><ul><li>Encourage cooperation on new capabilities </li></ul><ul><li>Allow testing of new technologies </li></ul><ul><li>Support development of revolutionary applications </li></ul>
  6. 6. Why Internet2? <ul><li>Doesn’t everybody know about Internet2? </li></ul><ul><li>Does anybody know about Internet2? </li></ul><ul><li>What’s the connection to medicine? </li></ul><ul><ul><li>Learning Technology </li></ul></ul><ul><ul><li>Collaborative Research </li></ul></ul><ul><ul><li>Tele-Health (eHealth) </li></ul></ul><ul><ul><li>Applied Clinical Research </li></ul></ul><ul><ul><li>BioGRID </li></ul></ul>
  7. 7. Internet2 Mission and Goals <ul><li>Develop and deploy advanced network applications and technologies, accelerating the creation of tomorrow’s Internet. </li></ul><ul><ul><li>Enable new generation of applications </li></ul></ul><ul><ul><li>Create leading edge R&E network capability </li></ul></ul><ul><ul><li>Transfer technology and experience to the global production Internet </li></ul></ul>
  8. 8. Internet2 Universities 205 University Members, November 2003
  9. 9. Committed to Core Values <ul><li>Address the advanced networking needs and interests of the research & education community </li></ul><ul><li>Provide leadership to evolve the global Internet </li></ul><ul><li>Leverage strategic relationships among academia, industry and government </li></ul><ul><li>Catalyze activities that cannot be accomplished by individual organizations </li></ul><ul><li>Implement a systems approach towards a scalable and vertically integrated advanced networking infrastructure </li></ul>
  10. 10. Internet2 Partnerships <ul><li>Internet2 universities are recreating the partnerships that fostered the Internet in its infancy </li></ul><ul><ul><li>Industry </li></ul></ul><ul><ul><li>Government </li></ul></ul><ul><ul><li>International </li></ul></ul>
  11. 11. Abilene Network Core Map, November 2003 <ul><li>Backbone operates at 10 Gbps (OC192) </li></ul><ul><li>11 core nodes </li></ul><ul><li>31 GigaPoPs Regional high-performance aggregation sites </li></ul><ul><li>Local campus networks provide 100 Mbps to the desktop </li></ul>
  12. 12. Abilene Network Logical Map
  13. 13. Abilene International Peering Last updated: 01 August 2003
  14. 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. 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. 16. Internet2 Focus Areas <ul><li>Advanced Network Infrastructure </li></ul><ul><li>Middleware </li></ul><ul><li>Engineering </li></ul><ul><li>Advanced Applications </li></ul><ul><li>Partnerships </li></ul>
  17. 17. Advanced Applications http://apps.internet2.edu/ <ul><li>Distributed computation </li></ul><ul><li>Virtual laboratories </li></ul><ul><li>Digital libraries </li></ul><ul><li>Distributed learning </li></ul><ul><li>Digital video </li></ul><ul><li>Tele-immersion </li></ul><ul><li>All of the above in combination </li></ul>
  18. 18. Why Internet2 <ul><li>The student who will enter medical school in 5-10 years can absorb multiple channels of information </li></ul>lecture Second screen Dynamic charts messaging Communal note taking
  19. 19. Healthcare in the Information Age
  20. 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. 21. <ul><li>Networking Health: Prescriptions for the Internet </li></ul><ul><ul><li>National Research Council Report </li></ul></ul><ul><ul><li>Current and future Internet </li></ul></ul><ul><ul><li>Released 24 February 2000 </li></ul></ul><ul><li>National Academy Press </li></ul><ul><li>ISBN 0-309-06843-6 </li></ul>Roadmap
  22. 22. Common Ground <ul><li>Improve operations, decrease costs, advance science, promote health awareness, educate, and influence public policy. </li></ul><ul><li>Multidisciplinary centers of learning, research, and clinical affairs. </li></ul><ul><li>Cyberinfrastructure </li></ul>
  23. 23. Consensus <ul><li>More new information will be created in the next year than throughout our entire history! </li></ul><ul><li>Instantaneous global collaboration is the next killer application </li></ul><ul><li>Medical science will not be possible without advanced computing solutions </li></ul><ul><li>R&D will rely increasingly on academic/industry partnerships </li></ul>03/19/03 1
  24. 24. Physicians Participate in Internet2 <ul><li>Extends the opportunities </li></ul><ul><ul><li>TeleHealth </li></ul></ul><ul><ul><li>National Tumor Board </li></ul></ul><ul><ul><li>Clinical Skills and Assessment (AAMC partnerships) </li></ul></ul><ul><li>Focus on distributed data sharing </li></ul><ul><ul><li>Electronic Health Record </li></ul></ul><ul><ul><li>Presence and Integrated Communications (VOIP, RFID) </li></ul></ul><ul><li>Advanced visualization </li></ul><ul><ul><li>Computer Assisted Diagnosis </li></ul></ul><ul><ul><li>Computer Assisted Surgery (Minimally invasive surgery) </li></ul></ul><ul><li>Collaboration </li></ul><ul><ul><li>Second Opinion Networks </li></ul></ul><ul><ul><li>Learning Technology (Distance Education) </li></ul></ul><ul><ul><li>Knowledge Management (Pharmacy benefits) </li></ul></ul>
  25. 25. Internet2 Clinical Applications <ul><li>Simulation and Imaging </li></ul><ul><ul><li>Computer Aided Diagnosis </li></ul></ul><ul><ul><li>Radiology </li></ul></ul><ul><ul><li>Laproscopy and Endoscopy </li></ul></ul><ul><li>Telemedicine </li></ul><ul><ul><li>Emergency/Trauma </li></ul></ul><ul><ul><li>Video steaming </li></ul></ul><ul><li>Minimally Invasive Surgery </li></ul><ul><ul><li>Computer Assisted Surgery </li></ul></ul><ul><li>Computer Aided Diagnosis </li></ul><ul><ul><li>Biomedical Informatics Research Network </li></ul></ul><ul><li>International Health Education </li></ul><ul><ul><li>Second Opinion Networks </li></ul></ul><ul><ul><li>Disease surveillance </li></ul></ul><ul><li>Biomedical Engineering </li></ul><ul><ul><li>National Institute of Biomedical Imaging and Bioengineering </li></ul></ul><ul><li>Pharmacy </li></ul><ul><ul><li>Drug Interactions </li></ul></ul><ul><ul><li>Benefits Analysis </li></ul></ul><ul><li>Cardiology </li></ul><ul><ul><li>In-utero heart surgery </li></ul></ul><ul><ul><li>National testbed collaboratory </li></ul></ul><ul><li>Pathology </li></ul><ul><ul><li>Virtual Tumor Board </li></ul></ul><ul><ul><li>Remote Digital Microscopy </li></ul></ul><ul><li>Ophthalmology </li></ul><ul><ul><li>Retinal studies </li></ul></ul><ul><li>Dentistry </li></ul><ul><ul><li>Cranio-facial reconstructive surgical techniques </li></ul></ul><ul><li>Nursing </li></ul><ul><ul><li>Care planning </li></ul></ul><ul><li>Preventative Medicine </li></ul><ul><ul><li>Disease Surveillance </li></ul></ul><ul><ul><li>Infection Disease (SARS/HIV) </li></ul></ul><ul><li>Emergency / Trauma </li></ul><ul><li>Nanotechnology </li></ul>
  27. 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. 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. 29. Digital Interactive Virtual Environments <ul><li>Students in CS, IT, engineering, math and medicine support emerging technology, research and discovery </li></ul><ul><li>Interdisciplinary learning, training and problem solving; creating “learning families” and project teams </li></ul><ul><li>Leverage scarce specialized resources </li></ul>
  30. 30. Anatomy and Surgery Workbench and Local NGI Testbed Network <ul><li>Students learn anatomy and practice surgery techniques using 3-D workstations </li></ul><ul><li>Network testbed evaluates the effectiveness of workbench applications </li></ul>Stanford University School of Medicine
  31. 31. Biomedical Informatics Research Network (BIRN) www.nbirn.net <ul><li>A scalable testbed for biomedical knowledge infrastructure </li></ul><ul><li>Federated database of neuroimaging data (Brain MRI) </li></ul><ul><li>Fusion of diverse data sources (location; data aggregation) </li></ul><ul><li>Grid access to computational resources </li></ul><ul><li>Develop datamining software </li></ul><ul><li>Wireless connections for enhanced access </li></ul>
  32. 32. Human Embryo Development <ul><li>3-D visualizations of human embryo development </li></ul><ul><li>Doctors can manipulate data remotely </li></ul><ul><li>Animations of embryo system development for students </li></ul>George Mason University, Oregon Health & Science University, National Library of Medicine http://www.nac.gmu.edu/visembryo.htm http://www.ohsu.edu/chrc/
  33. 33. National Digital Mammography Archive http://nscp01.physics.upenn.edu/ndma/index.html 
  34. 34. Molecular Interactive Collaborative Environment (MICE) <ul><li>Interactive 3D </li></ul><ul><li>Multiple physical locations interact via the network </li></ul><ul><li>Collaboratively examine and manipulate a shared 3D macromolecule </li></ul><ul><li>Real-time </li></ul>
  35. 35. Virtual Laboratories <ul><li>Real-time access to remote instruments </li></ul><ul><li>University of North Carolina, Chapel Hill Distributed nanoManipulator </li></ul>
  36. 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. 37. Challenges to the Health Science Community <ul><li>“ 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.” </li></ul><ul><li>-Michael Marron, NIH </li></ul><ul><li>“ Molecular imaging will represent a critical redefinition of how physicians practice, requiring MASSIVE changes in how images are obtained, stored and accessed.” </li></ul><ul><li>-Dr. Greg Mogel, USC </li></ul>
  38. 38. Inter-disciplinary Partnerships Catalyse New Uses <ul><li>Direct visualizations </li></ul><ul><li>Data collection/integration </li></ul><ul><li>Data mining </li></ul><ul><li>Device intercommunication </li></ul><ul><li>Haptic immersion </li></ul><ul><li>Augmented dexterity </li></ul><ul><li>Advanced sensors </li></ul><ul><li>Wireless data collection </li></ul><ul><li>Economic models for reimbursement realities </li></ul>1 Image courtesy of: Dr. Christopher Johnson, Director of the SCI Institute
  39. 39. How to get involved? <ul><li>Demonstration events </li></ul><ul><li>Working Groups define goals and objectives </li></ul><ul><li>SIGs and BoF </li></ul><ul><ul><li>Explore technical discussions </li></ul></ul><ul><ul><li>Formulate deliverables </li></ul></ul><ul><li>Publications </li></ul><ul><ul><li>Best practices </li></ul></ul><ul><ul><li>Policy </li></ul></ul><ul><ul><li>Implementation strategies </li></ul></ul><ul><li>Bring together thought leaders </li></ul>
  40. 40. How to get involved? <ul><li>Orthopaedic Surgery Working Group </li></ul><ul><ul><li>Leverage advances in telemedicine, telerobotics, simulation, computer assisted surgery and diagnosis </li></ul></ul><ul><ul><li>Academic, Clinical and Industrial partners </li></ul></ul><ul><ul><li>Further build the global Internet community </li></ul></ul><ul><li>Chadwick Smith, MD </li></ul><ul><ul><li>Internet2 Orthopaedic Surgery Working Group Chair </li></ul></ul><ul><ul><li>Orthopaedic Surgery & Biomechanics faculty (USC) </li></ul></ul><ul><ul><li>President-elect SICOT International </li></ul></ul><ul><li>Contact Edward Johansen </li></ul><ul><ul><li>Coordinator Orthopaedic Surgery Working Group ( wedjohansen@msn.com) </li></ul></ul>
  41. 41. Health Science Activities <ul><li>Medical Middleware Working Group </li></ul><ul><ul><li>Jack Buchanan, MD (UTMEM) </li></ul></ul><ul><ul><li>Steve Olshansky, facilitator </li></ul></ul><ul><li>Orthopaedic Surgery Working Group </li></ul><ul><ul><li>Chad Smith,MD (USC) </li></ul></ul><ul><ul><li>Ed Johansen, JD, facilitator </li></ul></ul><ul><li>BioEthics Working Group </li></ul><ul><ul><li>John Yost, PhD (Bradley University) </li></ul></ul><ul><li>Security SIG </li></ul><ul><ul><li>Jere Retzer (OHSU) </li></ul></ul><ul><li>Veterinary Medical SIG </li></ul><ul><ul><li>Gary Allen, DVM (Umissouri) </li></ul></ul><ul><li>Cardiology SIG </li></ul><ul><ul><li>David Sahn, MD (OHSU) </li></ul></ul>
  42. 42. Member Requests for Future Health Science Working Groups <ul><li>Simulation and Imaging </li></ul><ul><li>Telemedicine and Robotics </li></ul><ul><li>International Education </li></ul><ul><li>Biomedical Engineering </li></ul><ul><li>Pharmaceutical Industry </li></ul><ul><li>Nanotechnology </li></ul><ul><li>Radiology </li></ul><ul><li>Cardiology </li></ul><ul><li>Pathology </li></ul><ul><li>Ophthalmology </li></ul><ul><li>Dentistry </li></ul><ul><li>Nursing </li></ul><ul><li>Preventative Medicine </li></ul>
  43. 43. Health Science Advisory Group <ul><li>Government affiliate National Institutes of Health </li></ul><ul><ul><li>National Library of Medicine </li></ul></ul><ul><ul><li>National Center for Research Resources </li></ul></ul><ul><li>Industry representation </li></ul><ul><ul><li>Johnson and Johnson </li></ul></ul><ul><li>University thought leaders </li></ul><ul><ul><li>Applied Clinical Research </li></ul></ul><ul><ul><li>Learning Technologies (e-Learning) </li></ul></ul><ul><ul><li>Scientific Researchers </li></ul></ul>Hawaii OHSU Stanford UCSD UAB TAMU UTSW UIC UTenn NLM IUIPI UMs Bradley
  44. 44. Universal Challenges <ul><li>Educating the educated </li></ul><ul><li>Controlling the Costs </li></ul><ul><li>Managing a changing ICT Infrastructure </li></ul><ul><ul><li>People </li></ul></ul><ul><ul><li>Partnerships </li></ul></ul><ul><ul><li>Maintenance </li></ul></ul><ul><ul><li>Hardware </li></ul></ul><ul><ul><li>Software </li></ul></ul><ul><ul><li>Training </li></ul></ul><ul><ul><li>Security </li></ul></ul>
  45. 45. More Information <ul><li>On the Web </li></ul><ul><ul><li>health/internet2.edu </li></ul></ul><ul><ul><li>www.internet2.edu </li></ul></ul><ul><li>Email </li></ul><ul><ul><li>[email_address] </li></ul></ul><ul><ul><li>Mary Kratz </li></ul></ul><ul><ul><li>[email_address] </li></ul></ul><ul><ul><li>(734) 352-7004 </li></ul></ul>