University of Colima, Mexico 18 September 2003 http://health.internet2.edu Internet2 Health Sciences Mary Kratz, MT(ASCP) Program Manager Internet2 Health Sciences Introduction What is Internet2? Mission Advanced Research and Education Network Consortium # Members [Network Map] current backbone topology and speeds - GigaPOPs Relationship with other networks - National Peering Arrangements - Local Networks - International Peering Arrangements Future of the backbone - upgrade to OC-192 - etc What is an Internet2 Application Current Applications Attributes - Examples - NEES - HENP - STAR How Astronomy will work - eVLBI University of Colima, Mexico 18 September 2003

Agenda for discussion Thank you for the opportunity to speak today! Health Science initiative of Internet2 Organization of Internet2 Health Science initiative Process model for application activities Health Science application examples Internet in medicine today and the future 2/22/2019

The Scope of the Internet2 Health Science initiative includes clinical practice, medical and related biological research, education, and medical awareness in the Public. Enigma Machine and Bombe Armed forces have always been dependent on communications. During World War II, the German Army and Navy tried to keep their communications secret by using encryption devices called Enigma machines. These sophisticated coding devices could generate over 1 trillion different coding patterns. The Germans believed they were too sophisticated for Allied forces to break them. But in one of the best-kept secrets of the war, first the Poles, and later the British and Americans succeeded in deciphering messages. The wooden device in the foreground is a 4 rotor German Enigma machine, used for encoding. The large machine in the background is a "Bombe," used for breaking the code. Working out the details of codebreaking machines was one of the developments that fostered electronic computers. Smithsonian Photo by Laurie Minor-Penland.

Networking Health: Prescriptions for the Internet Roadmap 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 2/22/2019

Internet2 Member Universities 86 Medical Schools AAMC members 130 related colleges Government Affiliates NIH FDA Corporate members Microsoft, IBM, CISCO JNJ, Pfizer, Eli Lilly Hawaii 2/22/2019

Health Science Advisory Group Government affiliate National Institutes of Health National Library of Medicine National Center for Research Resources Industry representation Johnson and Johnson University thought leaders Applied Clinical Research Learning Technologies (e-Learning) Scientific Researchers Hawaii OHSU Stanford UCSD UAB TAMU UTSW UIC UTenn NLM IUIPI UMs Bradley 2/22/2019

Process Model for Internet2 Application Activities Working Groups define goals and objectives SIG and BoF formulate deliverables Consensus Committees Bring together specialists and thought leaders Publications Best practices (ie. HIPAA Security and Privacy guidelines) Implementation strategies Outreach activities Demonstration events as new model for collaborations Medical professional organizations 2/22/2019

Health Science Activities Medical Middleware Working Group Jack Buchanan, MD (UTMEM) Steve Olshansky, facilitator Orthopaedic Surgery Working Group Chad Smith,MD (USC) Ed Johansen, JD, facilitator BioEthics Working Group John Yost, PhD (Bradley University) Security SIG Jere Retzer (OHSU) Veterinary Medical SIG Gary Allen, DVM (Umissouri) Cardiology SIG David Sahn, MD (OHSU) 2/22/2019

Member Requests for Future Health Science Working Groups Simulation and Imaging Telemedicine and Robotics International Education Biomedical Engineering Pharmaceutical Industry Nanotechnology Radiology Cardiology Pathology Ophthalmology Dentistry Nursing Preventative Medicine 2/22/2019

Grand Challenge: Information Infrastructure       Organism(person) Organ Tissue Cell Protein Atom & organ systems (1m) (10-3m) (10-6m) (10-9m) (10-12m) (10-15m)              Systems models Continuum models (PDEs) ODEs Stochastic models Pathway models Gene networks     Modeling, Simulation, Visualization, Software Frameworks, Databases, Networking, Grids Courtesy: Peter Hunter, University of Auckland 2/22/2019

Download of “The Matrix” DVD 2/22/2019

Application Examples Research Network VS Network Research Enterprise Technology Computation Engineering Information Enterprise Research Network VS Network Research Internet2 focus areas Backbone Network Infrastructure Engineering Middleware Applications Partnerships Social Anthropology 2/22/2019

Distributed Medical Informatics Education Oregon Health & Science University and the University of Pittsburgh Covers a broad range of fields including electronic medical records and information retrieval Distance learning provides students with access to faculty, expertise, and other students Medical informatics is a broad field spanning electronic medical records, telemedicine, information retrieval, image processing and analysis, bioinformatics, and evaluation methodologies. Using Internet2 high-speed networking and distance learning modalities, students in the informatics programs within Oregon Health & Science University and the University of Pittsburgh have access to a broader range of faculty, areas of subject expertise, and other students with whom to collaborate. http://www.ohsu.edu/bicc-informatics/ http://www.cbmi.upmc.edu/ Funded by NLM 2/22/2019

National Digital Mammography Archive (NDMA) University of Toronto University of Chicago University of Pennsylvania Oakridge National Laboratory University of North Carolina Images courtesy of: Dr. Robert Hollebeek, NCSA 2/22/2019 03/19/03 1

NDMA Case Study: Early Detection Suspicious Year 1 Faint or no evidence Year 3 Diagnosed 2/22/2019 03/19/03 1

Anatomy Surgical Workbench http://haiti.stanford.edu/~ngi/final/ Stanford School of Medicine Anatomy curriculum and surgery simulation techniques using 3-D workstations Network testbed evaluates learning effectiveness Haptics SUMMIT’s Next Generation Internet (NGI) testbed network within the Stanford School of Medicine evaluates the effectiveness of the Anatomy and Surgery Workbench applications. The testbed network links selected classrooms, labs, clinical departments, and the medical library using a high-speed gigabit Ethernet backbone. The new 3-D Learning Space and connected classrooms allow students to learn anatomy and basic surgical skills through the use of 3-D workstations, haptic (touch sensitive) devices, stereoscopic displays, distributed rich media databases, and application program servers. Both applications support synchronous collaboration through a shared virtual workspace and will use haptic feedback to augment the visual sense. This technology permits the definition of new curricular elements including the repeated dissection of anatomical structures, visual segmentation of raw data sets, creation of 3-D organ models, and the practice of fundamental surgical maneuvers. The capabilities of Internet2 high-performance networks and use of a distributed client-server system allow teachers and users to share online, image-rich data, and professional experiences. 2/22/2019

Virtual Tumor Board 2/22/2019

Biomedical Informatics Research Network Neurology focus 3D visualizations Brain morphology Brain function Distributed computing Data GRID Computational GRID 36 Gbytes data per day Data security Internet 2 http://www.nbirn.net/ 2/22/2019

Summary More new information will be created in the next 2 years than throughout our entire history Instantaneous global collaboration is the next killer application Medical science will not be possible without advanced computing solutions Research & development will rely increasingly on academic & industry partnerships 03/19/03 2/22/2019 1

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 Direct Visualizations: VTC “presence” Data collection/integration/mining; data knowledgebases to enhance human congnition Device intercommunications: EMS medical devices, bioengineering, pace maker Haptic Immersion: Sense of “Touch”; OB-GYN Augemented Dexterity; Surgery attenuation; beyond human capabilities Advanced Sensors; Nanotechnologies Wireless; getting to the end points! MiMComm Economic Models; lessons from Telemedicine. 2/22/2019 1

More Information On the Web Email health/internet2.edu www.internet2.edu Email health@internet2.edu Mary Kratz mkratz@internet2.edu For more information about Internet2, please see these web sites, or contact info@internet2.edu directly by email. 2/22/2019

www.internet2.edu