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Lombardi Comprehensive
Cancer Center
Cancer Informatics Summit
2/21/2013
Subha Madhavan, Ph.D.
Director, Innovation Center for Biomedical Informatics
Georgetown University Medical Center
Director, Clinical Research Informatics
Lombardi Comprehensive Cancer Center
Vincent T. Lombardi
• Famous professional
football coach
• Fell ill at Washington
Redskins’ practice on
Georgetown
University field
• Treated for cancer at
Georgetown

“Winning isn’t everything, it’s
the only thing.”

• Cancer Center
named in his honor
Lombardi – At a glance
• Established in 1970
• In 1974, Georgetown Lombardi became the 16th
NCI-designated Comprehensive Cancer Center
• Over $100M in research funding ever year
– $35M CCSG + peer-reviewed funding base

• 94 full members; 186 cancer-connected faculty
members
• 4 Research programs & 9 Shared resources
• 220 ongoing trials
Key Accomplishments
• Development of human papillomavirus (HPV)
vaccine to prevent cervical cancer
– R. Schlegel

• Discovery of GADD-4 DNA repair gene
– A. Fornace

• Nuclear hormone receptor networks in breast
cancer
– R. Clarke

• Monoclonal antibody therapy
– L. Weiner
General Organizational Structure

Director
(Weiner)

Deputy Director
(Atkins)

Clinical Care
(Marshall)

Clinical
Research
(Giaccone)

Population
Sciences
(Mandelblatt)

Basic Research
(Wellstein)

Minority Health
(Campbell)

Shared
Resources
(Byers)

Administration
(VanderHoek)
Another view of the cancer center
IAC

EAC

Director
Deputy Dir

Community
Advisory Council

AD
Basic/Transl

Network
Representative

Administration

Research Education

MO

CPC

BC

ET

Trial Oversight

AD Clinical

Shared Resources

AD
Administration

AD Minority
Health
AD
Population

AD Shared
Resources
Informatics @ Georgetown
Innovation Center for Biomedical Informatics (ICBI)
http://icbi.georgetown.edu/

•
•
•
•
•
•

Faculty – 5
Senior staff members – 5
Research associates – 5
Support staff – 2
Consultants – 5
Students/Trainees - 2
Expertise in bioinformatics, clinical informatics, biomathematics,
biostatistics, clinical genomics, molecular biology, high-throughput
molecular assays, enterprise class software development, data
management, data security, & project management
Informatics Org Chart
Cancer
Center
Director

CCSG SR
Director

CTSA PI

Dean of
Research

ICBI Director

Director, Operations

Office Manager

Highthroughput
omics

Financial Analyst

Communications/
Scientific writing

Technology
Development

Health IT

ChemiInformatics

Data Coordination
& Biocuration

FTEs supporting Cancer Center – 8
Total FTEs - 22

Clinical
Research
Informatics
Informatics Funding
$3.5M Total Annual Funding in 2012
Lombardi Information Architecture
(current & future)
Integrated Data Environment:
G-DOC Links to Many of Data Silos
Pathway Studio

Cytoscape

• Systems biology
• Literature

•Visualization
networks

JMol/Marvin
Ingenuity Analysis

• Molecule
Visualization

•Pathways, GO,
Variants

G-DOC
RedCap
Clinical
Research

JBrowse
•Genome
Visualization

Disease
Classification
Tools

EHR’s
https://gdoc.georgetown.edu

Over 330 registered
users from six countries
~250 unique hits/month
Making Patients Part of Healthcare Through
Technology Innovations
Next Generation Sequencing
Big Data Analytics on the Cloud
Genomic Data
De-identified Clinical data
PC

User

Genome Data

Amazon S3
Bucket

Amazon EC2
Compute
Instances

G-DOC Web
Portal

Clinical Data

Amazon
Glacier Vault

MongoDB EC2
Instances

Oracle RDS
Instance
Informatics for
Discovery, Clinical Research, Clinical Care
• ‘omics’ data analysis

Clinical Research

Clinical Education

• EHR/PHR integration

• Informatics
education

• Biomarker discovery

• Partnerships

• Disease
classification

• Joint grants

• Genotype-Phenotype
correlation

• Contracted services

• Biospecimen
management and
analysis

• Medical internships

• Joint appointments
• Shared resources
• Shared IP

• Technology/method
development

• Joint publications

Basic/Traslational

Biospecimen

Website : https://icbi.georgetown.edu
Email : icbi@georgetown.edu
Challenges & Opportunities
Major Challenges:
 Diverse set of policies and regulations across
participating institutions
 Lack of resources (human and IT)
 Multiple clinical & research information silo’es

Significant Opportunities/Strengths:






Technology development
Community engagement
Test bed for innovation
‘omics’ methods & integration
Collaborations with CTSA

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Lombardi comprehensive cancer center Georgetown

  • 1. Lombardi Comprehensive Cancer Center Cancer Informatics Summit 2/21/2013 Subha Madhavan, Ph.D. Director, Innovation Center for Biomedical Informatics Georgetown University Medical Center Director, Clinical Research Informatics Lombardi Comprehensive Cancer Center
  • 2. Vincent T. Lombardi • Famous professional football coach • Fell ill at Washington Redskins’ practice on Georgetown University field • Treated for cancer at Georgetown “Winning isn’t everything, it’s the only thing.” • Cancer Center named in his honor
  • 3. Lombardi – At a glance • Established in 1970 • In 1974, Georgetown Lombardi became the 16th NCI-designated Comprehensive Cancer Center • Over $100M in research funding ever year – $35M CCSG + peer-reviewed funding base • 94 full members; 186 cancer-connected faculty members • 4 Research programs & 9 Shared resources • 220 ongoing trials
  • 4. Key Accomplishments • Development of human papillomavirus (HPV) vaccine to prevent cervical cancer – R. Schlegel • Discovery of GADD-4 DNA repair gene – A. Fornace • Nuclear hormone receptor networks in breast cancer – R. Clarke • Monoclonal antibody therapy – L. Weiner
  • 5. General Organizational Structure Director (Weiner) Deputy Director (Atkins) Clinical Care (Marshall) Clinical Research (Giaccone) Population Sciences (Mandelblatt) Basic Research (Wellstein) Minority Health (Campbell) Shared Resources (Byers) Administration (VanderHoek)
  • 6. Another view of the cancer center IAC EAC Director Deputy Dir Community Advisory Council AD Basic/Transl Network Representative Administration Research Education MO CPC BC ET Trial Oversight AD Clinical Shared Resources AD Administration AD Minority Health AD Population AD Shared Resources
  • 8. Innovation Center for Biomedical Informatics (ICBI) http://icbi.georgetown.edu/ • • • • • • Faculty – 5 Senior staff members – 5 Research associates – 5 Support staff – 2 Consultants – 5 Students/Trainees - 2 Expertise in bioinformatics, clinical informatics, biomathematics, biostatistics, clinical genomics, molecular biology, high-throughput molecular assays, enterprise class software development, data management, data security, & project management
  • 9. Informatics Org Chart Cancer Center Director CCSG SR Director CTSA PI Dean of Research ICBI Director Director, Operations Office Manager Highthroughput omics Financial Analyst Communications/ Scientific writing Technology Development Health IT ChemiInformatics Data Coordination & Biocuration FTEs supporting Cancer Center – 8 Total FTEs - 22 Clinical Research Informatics
  • 10. Informatics Funding $3.5M Total Annual Funding in 2012
  • 12. Integrated Data Environment: G-DOC Links to Many of Data Silos Pathway Studio Cytoscape • Systems biology • Literature •Visualization networks JMol/Marvin Ingenuity Analysis • Molecule Visualization •Pathways, GO, Variants G-DOC RedCap Clinical Research JBrowse •Genome Visualization Disease Classification Tools EHR’s
  • 13. https://gdoc.georgetown.edu Over 330 registered users from six countries ~250 unique hits/month
  • 14. Making Patients Part of Healthcare Through Technology Innovations
  • 15. Next Generation Sequencing Big Data Analytics on the Cloud Genomic Data De-identified Clinical data PC User Genome Data Amazon S3 Bucket Amazon EC2 Compute Instances G-DOC Web Portal Clinical Data Amazon Glacier Vault MongoDB EC2 Instances Oracle RDS Instance
  • 16. Informatics for Discovery, Clinical Research, Clinical Care • ‘omics’ data analysis Clinical Research Clinical Education • EHR/PHR integration • Informatics education • Biomarker discovery • Partnerships • Disease classification • Joint grants • Genotype-Phenotype correlation • Contracted services • Biospecimen management and analysis • Medical internships • Joint appointments • Shared resources • Shared IP • Technology/method development • Joint publications Basic/Traslational Biospecimen Website : https://icbi.georgetown.edu Email : icbi@georgetown.edu
  • 17. Challenges & Opportunities Major Challenges:  Diverse set of policies and regulations across participating institutions  Lack of resources (human and IT)  Multiple clinical & research information silo’es Significant Opportunities/Strengths:      Technology development Community engagement Test bed for innovation ‘omics’ methods & integration Collaborations with CTSA