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Internet2 in the Health Sciences. Mary Kratz ( 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

Internet2 in the Health Sciences

Mary Kratz (

Prepared for Victor Frankel

5 January 2004

why internet2
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
committed to core values
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
abilene network core map november 2003
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
current international partners

Europe-Middle East

ARNES (Slovenia)

BELNET (Belgium)

CARNET (Croatia)

CESnet (Czech Republic)

DANTE (Europe)

DFN-Verein (Germany)


GRNET (Greece)

HEAnet (Ireland)



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)


CANARIE (Canada)

CEDIA (Ecuador)

CUDI (Mexico)

CNTI (Venezuela)

CR2NET (Costa Rica)

REUNA (Chile)

RETINA (Argentina)

RNP (Brazil)

SENACYT (Panama)


AAIREP (Australia)

APAN (Asia-Pacific)

APAN-KR (Korea)

APRU (Asia-Pacific)


JAIRC (Japan)

JUCC (Hong Kong)


SingAREN (Singapore)

TANet2 (Taiwan)

Last updated: 01 August 2003

Current International Partners
time required to download 2 hour course lecture dvd

56 kbps




Time Required to Download2-hour Course Lecture DVD

Internet2 Land Speed Record6 Seconds

168 Hours

74 Hours

25 Hours

6.4 Hours

internet2 focus areas
Internet2 Focus Areas
  • Advanced Network Infrastructure
  • Middleware
  • Engineering
  • Advanced Applications
  • Partnerships
advanced applications http apps internet2 edu
Advanced Applications
  • Distributed computation
  • Virtual laboratories
  • Digital libraries
  • Distributed learning
  • Digital video
  • Tele-immersion
  • All of the above in combination
why internet212
Why Internet2
  • The student who will enter medical school in 5-10 years can absorb multiple channels of information







note taking



The scope of the Internet2 Health Science Workgroup includes clinical practice, medical and related biological

research, education, and

medical awareness

in the public.

  • 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
common ground
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
  • 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



physicians participate in internet2
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)
internet2 clinical applications
Simulation and Imaging

Computer Aided Diagnosis


Laproscopy and Endoscopy



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


Drug Interactions

Benefits Analysis


In-utero heart surgery

National testbed collaboratory


Virtual Tumor Board

Remote Digital Microscopy


Retinal studies


Cranio-facial reconstructive surgical techniques


Care planning

Preventative Medicine

Disease Surveillance

Infection Disease (SARS/HIV)

Emergency / Trauma


Internet2 Clinical Applications







Slide courtesy of Arthur Toga (UCLA)

grand challenge cyberinfrastructure
Grand Challenge: CyberInfrastructureOrganism(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

digital interactive virtual environments
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
anatomy and surgery workbench and local ngi testbed network
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

biomedical informatics research network birn www nbirn net
Biomedical Informatics Research Network (BIRN)
  • 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
national digital mammography archive
National Digital Mammography Archive

molecular interactive collaborative environment mice
Molecular Interactive Collaborative Environment (MICE)
  • Interactive 3D
  • Multiple physical locations interact via the network
  • Collaboratively examine and manipulate a shared 3D macromolecule
  • Real-time
virtual laboratories
Real-time access to remote instruments

University of North Carolina, Chapel HillDistributed nanoManipulator

Virtual Laboratories
secretary tommy thompson 21 march 2003

“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

challenges to the health science community
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

inter disciplinary partnerships catalyse new uses
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


how to get involved
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
how to get involved33
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 (
universal challenges
Universal Challenges
  • Educating the educated
  • Controlling the Costs
  • Managing a changing ICT Infrastructure
    • People
    • Partnerships
    • Maintenance
    • Hardware
    • Software
    • Training
    • Security
more information
More Information
  • On the Web
    • health/
  • Email
    • Mary Kratz
    • (734) 352-7004