1. University of Colima, Mexico 18 September 2003
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

2. 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
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3. 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.

4. 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
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5. 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
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6. 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
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7. 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
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8. 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)
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9. 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
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10. 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
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11. Download of “The Matrix” DVD
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12. 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
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13. 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.
Funded by NLM
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14. 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
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15. NDMA Case Study: Early Detection
Suspicious
Year 1
Faint or
no evidence
Year 3
Diagnosed
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16. 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.
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17. Virtual Tumor Board
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18. 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
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19. 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
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20. 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.
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21. More Information On the Web Email health/internet2.edu
Mary Kratz
For more information about Internet2, please see these web sites, or contact directly by .
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