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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 l.jpg

Internet2 in the Health Sciences

Mary Kratz (mkratz@internet2.edu)

Prepared for Victor Frankel

5 January 2004


Why internet2 l.jpg
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 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


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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 Network Logical Map


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Last updated: 01 August 2003

Abilene International Peering


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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


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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


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Internet2 Focus Areas

  • Advanced Network Infrastructure

  • Middleware

  • Engineering

  • Advanced Applications

  • Partnerships


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Advanced Applicationshttp://apps.internet2.edu/

  • Distributed computation

  • Virtual laboratories

  • Digital libraries

  • Distributed learning

  • Digital video

  • Tele-immersion

  • All 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

Dynamic

charts

Second

screen

lecture

Communal

note taking

messaging



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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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Roadmap clinical practice, medical and related biological

  • 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


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Common Ground clinical practice, medical and related biological

  • 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 clinical practice, medical and related biological

  • 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


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Physicians Participate in Internet2 clinical practice, medical and related biological

  • 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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Simulation and Imaging clinical practice, medical and related biological

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


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EACH BRAIN clinical practice, medical and related biological

REPRESENTS

A LOT

OF DATA

AND COMPARISONS MUST BE MADE BETWEEN MANY

(fMRI)

Slide courtesy of Arthur Toga (UCLA)


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Grand Challenge: CyberInfrastructure clinical practice, medical and related biological 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 clinical practice, medical and related biological

  • 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 clinical practice, medical and related biological

  • 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) clinical practice, medical and related biological 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 clinical practice, medical and related biological

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


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Molecular Interactive Collaborative Environment (MICE) clinical practice, medical and related biological

  • Interactive 3D

  • Multiple physical locations interact via the network

  • Collaboratively examine and manipulate a shared 3D macromolecule

  • Real-time


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Real-time access to remote instruments clinical practice, medical and related biological

University of North Carolina, Chapel HillDistributed nanoManipulator

Virtual Laboratories


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“In the clinical practice, medical and related biological 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 clinical practice, medical and related biological

“ 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 clinical practice, medical and related biological

  • 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


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How to get involved? clinical practice, medical and related biological

  • 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? clinical practice, medical and related biological

  • 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 clinical practice, medical and related biological

  • Educating the educated

  • Controlling the Costs

  • Managing a changing ICT Infrastructure

    • People

    • Partnerships

    • Maintenance

    • Hardware

    • Software

    • Training

    • Security


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More Information clinical practice, medical and related biological

  • On the Web

    • health/internet2.edu

    • www.internet2.edu

  • Email

    • info@internet2.edu

    • Mary Kratz

    • Mkratz@internet2.edu

    • (734) 352-7004