Internet2 in the

Health SciencesMary Kratz (mkratz@internet2.edu)

Prepared for Victor Frankel

5 January 2004

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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

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Internet2 Universities205 University Members, November 2003

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Committed to Core Values

Address the advanced networking needs and interests of the research & education community

Provide leadership to evolve the global InternetLeverage 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

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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

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Abilene NetworkLogical Map

Last updated: 01 August 2003

Abilene International Peering

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Current International Partners 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)

AmericasCANARIE (Canada)CEDIA (Ecuador)CUDI (Mexico)CNTI (Venezuela)CR2NET (Costa Rica)REUNA (Chile)RETINA (Argentina)RNP (Brazil)SENACYT (Panama)

Europe-Middle EastARNES (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)

Last updated: 01 August 2003

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Time Required to Download2-hour Course Lecture DVD

56 kbpsISDN DSL/

Cable T1

Internet2 Land Speed Record6 Seconds

168 Hours 74 Hours 25 Hours 6.4 Hours

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Internet2 Focus Areas

Advanced Network Infrastructure

Middleware

Engineering

Advanced Applications

Partnerships

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Advanced Applications http://apps.internet2.edu/

Distributed computationVirtual laboratoriesDigital librariesDistributed learningDigital videoTele-immersionAll of the above in combination

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Why Internet2

The student who will enter medical school in 5-10 years can absorb multiple channels of information

lecture

Second

screenDynamic

charts

messaging

Communal

note taking

11/5/03Healthcare in the Information Age

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

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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

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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

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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

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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)

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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

EACH BRAIN REPRESENTS

A LOTOF DATA

AND COMPARISONS MUST BE MADE BETWEEN MANY

(fMRI)

Slide courtesy of Arthur Toga (UCLA)

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T11.5 Mbps

Abilene10 Gbps

Next Gen40 Gbps

CM 3 KB .016 sec .0000024s .0000006s

MM 3 MB 160 sec .0024 sec .0006 sec

10 micron 3 TB 45 days 40 min 10 min

1 micron 3 PB 121 years 41.6 days 10.4 days

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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

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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

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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

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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

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National Digital Mammography Archive

http://nscp01.physics.upenn.edu/ndma/index.html

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Molecular Interactive Collaborative Environment (MICE)

Interactive 3D Multiple physical locations interact via the network

Collaboratively examine and manipulate a shared 3D macromolecule

Real-time

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Virtual Laboratories

Real-time access to remote instruments

University of North Carolina, Chapel Hill

Distributed nanoManipulator

“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

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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

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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

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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

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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)

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Universal Challenges

Educating the educated Controlling the Costs Managing a changing ICT Infrastructure

• People• Partnerships• Maintenance• Hardware• Software• Training• Security

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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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