VMW Monthly - March 2005 - ISSN 1388-722X



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HealthGrid 2005 Conference

April 7-9, 2005, Oxford, United Kingdom

HealthGrid 2005 will provide a forum for Grid projects in the medical, biological and biomedical domains as well as for Grid projects that seek to integrate these.

With an emphasis on results, it is hoped that functionality being developed within such projects will be demonstrated. The overall objective is to reinforce and promote the awareness of the deployment of Grid technology in health. Participation is encouraged across the spectrum of bio/medical informatics from technology developers and researchers through research network representatives and regional health authorities to health care clinicians and administrators.

More info is available at the HealthGrid Web site.

Virtual Medical Worlds is a monthly Virtual Magazine on Telemedicine and High Performance Computing and Networking for readers interested in computer applications in medical environments. VMW is produced by an editorial team composed of professionals in publishing, and an advisory board with professionals in telemedicine, providing the embedding into the everyday practice and research. Check out the VMW Web site for the calendar of events, the various services, and the friendly advertising rates.

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*** Highlights from the International Supercomputing Conference 2004 in Heidelberg ***

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Contents March 2005 Issue

 
Cross-Atlantic state-of-the-art
 
Santa Barbara County Care Data Exchange and CareScience announce next step in roll-out of Care Data Exchange solution
UT Southwestern doctors track Oklahoma Alzheimer's patients via telemedicine
Elekta Neuromag to enhance brain research at the University of California San Diego
I-LINX and TeleVital's telemedicine solution helps Tsunami victims in India
IDX Carecast delivers high-availability technology to support critical health information needs
 
Grid for Health
 
Banner Health relies on HP and Bycast for long-term storage of medical imaging data
Harvard/Partners Center for Genetics and Genomics uses HP solutions to speed biomedical analysis and collaboration among researchers
European bioinformatics Grid receives 8 million euro
Swedish Medical Center in Seattle selects Softricity's software virtualization for major IT infrastructure update
HP introduces new health care solutions to better manage patient information
 
Healthcare compunetics
 
Patient bracelets embedded with RFID technology securely track patient movement from admission to discharge
Children's Memorial Hospital of Chicago installs InnerWireless system to enable complete medical mobility
St. Mary's and Duluth Clinic Health System selects MobileAccess for Wi-Fi network
Henry Ford Health System selects DrFirst Rcopia e-prescribing solution
IDX Digital Healthcare Community spotlights the next-generation EMR connecting providers and spanning care settings
 
Industrial Chemist's Corner
 
MEDecision's Patient Clinical Summary puts payer-based patient record in doctors' hands
Qualis Health gains enhanced collaborative care management from MEDecision
Misys Healthcare Systems to launch Misys Connect and to demonstrate Misys Web CPR at HIMSS
Optio Software launches QuickRecord Suite and new version of Optio MedEx at 2005 HIMSS Conference
Misys Healthcare Systems teams with Foundation Management Services to provide affordable homecare technology
 
Planet Europe in Action
 
Amsterdam hospitals choose SARA for the management of their shared dark fiber ring
Use of cell phone images appears feasible for visualizing leg wounds
Dutch VU Medisch Centrum to select Oracle E-Business Suite
Med-e-Tel 2005 International Trade Event and Conference for eHealth, Telemedicine and Health ICT calls for participation
European Union funds new project on cardiovascular, cerebral and neoplastic diseases
 
The 21st century hospital
 
Cleveland Clinic and Stryker form alliance to develop orthopaedic operating rooms of the future
Terabeam Wireless and ARGroup deliver intelligent wireless networking to Loudoun Hospital Center
Lehigh Valley Hospital and Health Network upgrades to IDX Carecast Enterprise Clinical System
North Carolina Baptist Hospital prepares to implement IDX Carecast wireless barcode medication charting
London Hospitals transform radiology and imaging services with Cisco Medical-Grade Network
 
Virtual snap shots
 
Ascension demonstrates latest microBIRD sensor with immunity to ferrous metal distortion
Medic4All announces completion of CE Mark for all its wireless products and software
Canada Health Infoway and Nunavut to build telehealth capacity
Kasten Chase to secure sensitive data for Ontario's Smart Systems for Health Agency
Polycom Healthcare video collaboration solutions help improve patient care and provider co-ordination
 
VMWC news bites
 
Optimata's virtual clones to predict therapy outcome for breast cancer
PLUS Orthopedics USA Inc. announces availability of computer-assisted orthopaedic surgery technology
Wright Medical Group Inc. releases BrainLAB surgical navigation software for the ADVANCE Knee System
dbMotion to form a Health Information Network of secure Virtual Patient Records throughout Israel
MMVR 13 proceedings to assume role of incubator for simulation, visualization and extension of reality in medicine
 

Leads March 2005 Issue

 
Cross-Atlantic state-of-the-art
 
Santa Barbara County Care Data Exchange and CareScience announce next step in roll-out of Care Data Exchange solution
Full ArticleThe Santa Barbara County Care Data Exchange Inc., a non-profit community organisation created to enable regional health information sharing within Santa Barbara County, and CareScience, a division of Quovadx Inc. providing care management, clinical analysis and regional health information data sharing solutions for hospitals and health care systems, have successfully completed system user-acceptance testing of the Santa Barbara County Care Data Exchange solution in Santa Barbara County, California and imminent plans for a phased roll-out to the community.
UT Southwestern doctors track Oklahoma Alzheimer's patients via telemedicine
Full ArticleDoctors in the University of Texas (UT) Southwestern Medical Center's Alzheimer's Disease Center are using telemedicine for follow-up appointments with patients in the Choctaw Nation, an American Indian population in southeastern Oklahoma. The Alzheimer's Disease Center is the only one in the country studying the clinical and scientific aspects of dementia in the American Indians.
Elekta Neuromag to enhance brain research at the University of California San Diego
Full ArticleThe internationally ranked neuroscience programme at University of California at San Diego (UCSD) enters into a R&D and clinical development collaboration agreement with Elekta, using advanced magneto-encephalography (MEG) technology for the study of neurological and psychiatric disorders. Within the framework of the ongoing establishment of an international network of Elekta Neuromag research centres, Elekta will deliver this world-leading MEG system to UCSD later this spring.
I-LINX and TeleVital's telemedicine solution helps Tsunami victims in India
Full ArticleIn partnership with the Rescue Foundation, a Nagapattinam, India based medical NGO, St. Stephen's Hospital in New Delhi, I-LINX, and TeleVital have conducted a live demonstration project of a remote medical diagnostics solution via the Regional Broadband Global Area Network (R-BGAN) portable satellite modem. The event linked the New Delhi audience with the Society for International Development (SIDW) Health and Nutrition Workgroup in Washington, D.C. at the offices of the International Resources Group (IRG) on Tuesday, 15 February, 2005.
IDX Carecast delivers high-availability technology to support critical health information needs
Full ArticleThere is a new urgency in the discussion of how to achieve a lifetime electronic medical record for every patient in the United States. President Bush's call for widespread adoption of electronic medical records within 10 years would require highly reliable, fail-safe technology that will meet the health care industry's stringent requirements for system performance and availability. With its combination of scalability, unsurpassed reliability and a guarantee of 99,9 percent uptime, IDX Carecast is uniquely positioned to meet the demands of the 21st century health care organisation. Carecast runs on the HP NonStop platform, distinguished by its enterprise-ready, continuously available, linearly scalable servers.
 
Grid for Health
 
Banner Health relies on HP and Bycast for long-term storage of medical imaging data
Full ArticleHP is making medical imaging storage and retrieval more reliable and manageable for Banner Health, one of the largest not-for-profit health care systems in the United States. Banner has selected a comprehensive HP solution in support of its Arizona Regional Picture Archiving and Communication System (PACS) Archive. By 2009, the archive is expected to grow to more than 1,2 petabytes of data - more than 1000 trillion bytes of data - scaling to support seven medical facilities throughout central Arizona.
Harvard/Partners Center for Genetics and Genomics uses HP solutions to speed biomedical analysis and collaboration among researchers
Full ArticleHP is enabling faster, more collaborative biomedical research for the Harvard Medical School - Partners HealthCare Center for Genetics and Genomics (HPCGG), one of the United States' premier biomedical research organisations, with the delivery of a high-performance HP server cluster based on Linux. HP will develop a computational infrastructure capable of facilitating the use of genetic, genomic and proteomic technologies in both research and clinical medicine.
European bioinformatics Grid receives 8 million euro
Full ArticleThe Commission of the European Union has awarded 8,3 million euro to a pan-European task force who will improve access to biological information for scientists throughout and beyond Europe. The EMBRACE Network of Excellence, which encompasses computational biologists from 17 institutes in 11 countries and is co-ordinated by the European Bioinformatics Institute's Associate Director Graham Cameron, will use these funds to simplify and standardize the way in which biological information is served to the researchers who use it.
Swedish Medical Center in Seattle selects Softricity's software virtualization for major IT infrastructure update
Full ArticleSwedish Medical Center in Seattle, the largest non-profit health provider in the Pacific Northwest, has selected Softricity's SoftGrid application virtualization platform to expedite deployment and simplify management of more than 300 applications across its three hospital campuses and 14 primary-care clinics, as part of a major IT infrastructure refresh.
HP introduces new health care solutions to better manage patient information
Full ArticleHP has introduced two solutions that help health care organisations efficiently and cost-effectively access and manage patient information in order to improve quality of care. The HP Medical Archiving Solution and the HP Forms Automation System 1.2 were being showcased at the Healthcare Information Management Systems Society (HIMSS) Annual Conference, recently held in Dallas.
 
Healthcare compunetics
 
Patient bracelets embedded with RFID technology securely track patient movement from admission to discharge
Full ArticleThe Orthopedic Hospital of Oklahoma (OHO) uses RFID technology and thin client computing solution from Sun Microsystems Inc. to significantly enhance the overall hospital experience for its patients. OHO's custom solution, developed by Sun iForce partner Creative Healthcare Systems helps enable patients to receive the five rights of medical treatment: the right patient gets the right medication at the right time in the right dose in the right location. The Sun Fire V880 server is the heart of the OHO's network, linking Sun Ray thin clients and Radio Frequency Identification (RFID) technology.
Children's Memorial Hospital of Chicago installs InnerWireless system to enable complete medical mobility
Full ArticleChildren's Memorial Hospital of Chicago has installed the InnerWireless broadband distribution system to empower clinical applications and interpersonal communications, including pagers. The hospital selected InnerWireless because of its ability to support a full range of wireless applications via a single distribution infrastructure. The system is a valuable solution supporting the hospital's goal of adopting technology to help reduce medical errors and further improve patient care.
St. Mary's and Duluth Clinic Health System selects MobileAccess for Wi-Fi network
Full ArticleThe St. Mary's and Duluth Clinic (SMDC) Health System has deployed the MobileAccess MA-850 Intelligent Switching Hub, developed by MobileAccess Networks, a provider of in-building wireless network solutions, to enable Wi-Fi applications within nine buildings. The system supports a wireless medical materials management solution that provides accurate inventory management for hospital personnel and streamlined billing processes for SMDC's medical suppliers.
Henry Ford Health System selects DrFirst Rcopia e-prescribing solution
Full ArticleHenry Ford Health System has chosen DrFirst's Rcopia ePrescribing to improve patient safety and reduce prescription-related costs. Henry Ford Health System, one of the country's largest health care systems, plans to provide the DrFirst Rcopia electronic prescription management solution to 100 physicians by the end first quarter, 2005. Twenty-five physicians at four of the Henry Ford medical centres went live in January.
IDX Digital Healthcare Community spotlights the next-generation EMR connecting providers and spanning care settings
Full ArticleIDX Systems Corporation features the IDX Digital Healthcare Community, a simulated health care network that illustrates how next-generation electronic health records (EMRs) link clinicians and bridge the continuum of care at the 2005 Annual Healthcare Information and Management Systems Society (HIMSS) Conference and Exhibition in Dallas, February 13 to 17. IDX is joined at the conference by physicians and IT executives from health care organisations that are leveraging IDX clinical systems to pioneer regional health care collaboratives, build multi-state EMRs and realize significant advances in patient safety and financial ROI.
 
Industrial Chemist's Corner
 
MEDecision's Patient Clinical Summary puts payer-based patient record in doctors' hands
Full ArticleMEDecision Inc. has made available MEDecision's Patient Clinical Summary (PCS). A health care industry first, the Patient Clinical Summary takes patient information available from a health plan and electronically delivers it to doctors when and where the patient is being treated. Doctors now have fast, simple access to patient medical histories and critical information that can improve outcomes and save lives.
Qualis Health gains enhanced collaborative care management from MEDecision
Full ArticleQualis Health has signed a contract for MEDecision's Integrated Medical Management (IMM), the company's comprehensive suite of collaborative care management solutions. Specifically, Qualis Health has licensed the following IMM solutions: Advanced Medical Management, Clinical Rules & Processes, and Transactions and Information Exchange.
Misys Healthcare Systems to launch Misys Connect and to demonstrate Misys Web CPR at HIMSS
Full ArticleEnabling physicians to connect with each other, hospitals, home care providers and patients, regardless of their current technology platform, Misys Healthcare Systems has introduced Misys Connect, a new Web-based data sharing solution. In addition, physicians on rounds or away from the hospital or their office can now easily access their patient's clinical information using the first browser-based release of the Misys CPR enterprise computer-based patient record system.
Optio Software launches QuickRecord Suite and new version of Optio MedEx at 2005 HIMSS Conference
Full ArticleOptio Software has launched the Optio QuickRecord Suite, a new model for achieving the electronic health record, at the 2005 Healthcare Information and Management Systems Society (HIMSS) Annual Conference and Exhibition. The QuickRecord Suite is a secure, cost-effective way to provide physicians and other caregivers with real-time access to patient information across the continuum of care. It establishes the foundation upon which a true community-based electronic health record system can be built. Optio Software's integrated electronic health record (EHR) solution helps health care organisations reduce errors, waste, delays and inefficiencies in clinical and business processes, while improving patient safety and the quality of care. The company also introduced a new version of Optio MedEx that significantly improves documents-on-demand and forms automation performance. Optio MedEx 1.2 will be generally available by the end of the first quarter of 2005.
Misys Healthcare Systems teams with Foundation Management Services to provide affordable homecare technology
Full ArticleMisys Healthcare Systems has entered into an agreement with Foundation Management Services as part of a joint strategy to provide Misys Homecare in an Application Service Provider (ASP) environment for start-up to mid-size homecare and hospice agencies seeking affordable advanced software to automate clinical and financial operations. The contract is Misys' first successful venture to broaden sales channels of Misys Homecare into the managed services organisation (MSO) market.
 
Planet Europe in Action
 
Amsterdam hospitals choose SARA for the management of their shared dark fiber ring
Full ArticleAt the start of December 2004 a high-speed dark fiber network has been implemented between nine hospitals in the region of Amsterdam, The Netherlands, called the MANza network. MANza stands for Metropolitan Area Network Ziekenhuizen (Hospitals) Amsterdam. As an experienced party in the area of large dark fiber networks SARA Computing & Networking Services has been selected by the nine hospitals as their operational network manager. Using the new network the hospitals will be able to communicate in a faster way with each other electronically in a proprietary secured network environment.
Use of cell phone images appears feasible for visualizing leg wounds
Full ArticleUse of cell phones to send images via e-mail to consulting physicians at remote locations appears to be a feasible approach for visualization of chronic leg ulcerations, according to an article in the February issue of the Archives of Dermatology, one of the JAMA/Archives journals. The article is part of the special theme issues in the JAMA/Archives journals on medical applications of biotechnology.
Dutch VU Medisch Centrum to select Oracle E-Business Suite
Full ArticleThe Medical Center of the Free University of Amsterdam (VUmc), The Netherlands will use Oracle E-Business Suite (EBS) to support its business-operational processes. The hospital has purchased Oracle's EBS modules for finance, project administration, purchase and logistics. The choice for the integrated Oracle software has been made as part of a strategic collaboration between Oracle and the VUmc, which will be focused at a continuous proces and quality-driven optimization within the hospital.
Med-e-Tel 2005 International Trade Event and Conference for eHealth, Telemedicine and Health ICT calls for participation
Full ArticleMed-e-Tel 2005 will take place April 6-8, 2005 in Luxembourg. The event focuses on a wide range of medical ICT applications and on the convergence of information and communication technology with medical applications, which lead to higher quality of care, cost reductions, work flow efficiency, and widespread availability of health care services. These services and applications include diagnostic/monitoring systems and devices, telemedicine equipment, home monitoring services and equipment, electronic medical records, electronic health cards, imaging/PACS, hospital information systems, computer hard/software and peripherals, videoconferencing, telecommunication services, wireless data communication, satellite communication, secure data transmission, surgical systems, internet/intranet services, systems integration, and consulting services.
European Union funds new project on cardiovascular, cerebral and neoplastic diseases
Full ArticleThe important signalling molecules that are central to widespread diseases such as cardiovascular disorder, atherosclerosis, dementia and cancer will be studied under a new Integrated Project (IP), funded under the European Union's Sixth Framework Programme (FP6). The EICOSANOX consortium (Eicosanoids and nitric oxide (NO): mediators of cardiovascular, cerebral and neoplastic diseases) will receive 10,7 million euro over five years to increase knowledge of these molecules and develop novel therapeutics and medical treatments.
 
The 21st century hospital
 
Cleveland Clinic and Stryker form alliance to develop orthopaedic operating rooms of the future
Full ArticleThe Cleveland Clinic and Stryker Corporation, one of the world's largest medical device manufacturers, have formed a strategic alliance to develop orthopaedic operating rooms of the future. Under terms of the 10-year alliance, Stryker will support the Cleveland Clinic in developing, testing and advancing image-guided surgery systems and other advanced orthopaedic surgical technologies to improve patient care. In addition, Stryker personnel will help educate and train Clinic physicians and other medical professionals in the use of these technologies. Financial terms of the alliance were not disclosed.
Terabeam Wireless and ARGroup deliver intelligent wireless networking to Loudoun Hospital Center
Full ArticleTerabeam Wireless, the business name of YDI Wireless Inc., a developer and supplier of broadband wireless solutions, has deployed an intelligent wireless network at Loudoun Hospital Center exclusively utilizing Terabeam equipment for the wireless component. The centre is a premier health care facility serving Loudoun County, Virginia with 60 specialities, 478 providers, and over 1500 employees. The network was designed by ARGroup, a systems and network engineering firm based in Leesburg, Virginia.
Lehigh Valley Hospital and Health Network upgrades to IDX Carecast Enterprise Clinical System
Full ArticleIDX Systems Corporation and Lehigh Valley Hospital and Health Network (LVHHN) have signed an upgrade agreement for the IDX Carecast enterprise clinical system. The integrated delivery network will use the advanced functionality in Carecast to support its goal of providing a completely paperless electronic medical record (EMR) across its three community teaching hospitals, while moving forward with interdisciplinary care plans and expanding the organisation's use of computerized physician order entry (CPOE).
North Carolina Baptist Hospital prepares to implement IDX Carecast wireless barcode medication charting
Full ArticleNorth Carolina Baptist Hospital (NCBH), part of Wake Forest University Baptist Medical Center, will implement wireless barcode medication charting as part of its previously announced upgrade to the next-generation IDX Carecast enterprise clinical system. Building on its advanced use of computerized physician order entry (CPOE) and on-line clinical documentation, the 830-bed NCBH will use barcode charting to support its goals for improving patient safety and high-quality care delivery.
London Hospitals transform radiology and imaging services with Cisco Medical-Grade Network
Full ArticleHealth Sciences Centre (LHSC) and St. Joseph's Health Care, London (SJHC) have deployed a Cisco Medical-Grade Network to transform radiology and imaging services. LHSC and SJHC are currently offering diagnostic imaging and radiology services across seven hospital facilities and three family medical centres in London, Ontario. Planning is underway to expand the reach of the e-radiology services to an additional 41 community and rural hospitals across southwestern Ontario that are members of the Videocare telemedicine project. The London hospitals are also leveraging its robust Medical-Grade Network to deploy Cisco IP Communications and wireless solutions.
 
Virtual snap shots
 
Ascension demonstrates latest microBIRD sensor with immunity to ferrous metal distortion
Full ArticleAscension Technology's latest microBIRD medical guidance tracker, overcoming all forms of metallic distortion of measurements, will be demonstrated at the American Association for Orthopaedic Surgeons (AAOS) Annual Meeting in Washington D.C., February 23-26, 2005. MicroBIRD instantly measures the six degrees-of-freedom location of one or more sensors, 1,3 mm wide and smaller, for applications in image-guided interventions. Sensors are typically located in the distal tip of instruments such as flexible endoscopes and catheters.
Medic4All announces completion of CE Mark for all its wireless products and software
Full ArticleAs of 24 of November 2004, Medic4All completed CE Mark for all wireless hardware and software products. The certification was granted by German-based MDC Medical Device. The CE Mark includes certification to the European Medical Devices Directive, required for medical devices sold in the European Union.
Canada Health Infoway and Nunavut to build telehealth capacity
Full ArticleThe government of Nunavut and Canada Health Infoway are working together to help increase access to health care through telehealth. They have announced a joint project which will include a training programme for telehealth technicians, allowing them to enhance the skills needed to operate equipment in their community.
Kasten Chase to secure sensitive data for Ontario's Smart Systems for Health Agency
Full ArticleKasten Chase, a developer of storage security solutions, has been selected by the Ontario Government's Smart Systems for Health Agency (SSHA) to provide its Assurency SecureData solution to secure the back-up of sensitive health information.
Polycom Healthcare video collaboration solutions help improve patient care and provider co-ordination
Full ArticlePolycom Inc., a provider of unified collaborative communications solutions, has launched two new telemedicine solutions, the Polycom MedLink Cart and Polycom Practitioner Cart, which are based on the award-winning Polycom VSX 7000 and VSX 8000 group video communications systems. The innovative, new solutions are specifically designed to integrate with standards-based video medical peripherals and to be easy to use, manage and deploy in medical and health care environments. The systems feature the highest quality video, audio and data sharing capabilities available, which enable practitioners to deliver quality care regardless of geographic location, manage patient care, and receive continuing medical education and training in a the cost-conscious health care industry.
 
VMWC news bites
 
Optimata's virtual clones to predict therapy outcome for breast cancer
Full ArticleOptimata Ltd. and the Soroka University Medical Center have launched a validation study for the treatment of breast cancer using Optimata's revolutionary Virtual Cancer Patient technology. The technology creates an in silico clone for each patient and predicts how the patient will respond to leading cancer drugs such as Adriamycin, Docetaxel, Paclitaxel, Vinorelbine and Tamoxifen. The goal is to improve the efficacy of breast cancer treatments and to avoid the harsh and toxic treatments that patients often undergo at present, when the schedule of chemotherapy is determined by trial-and-error.
PLUS Orthopedics USA Inc. announces availability of computer-assisted orthopaedic surgery technology
Full ArticlePLUS Orthopedics USA Inc. has made available its PiGalileo Navigation System to be used with its TC-PLUS Solution knee to optimize the results of total knee replacement surgery. Through Orthopaedic Excellence of Long Island, Mercy Medical Center, Rockville Centre, New York, has recently entered into an agreement with PLUS Orthopedics to utilize this technology as part of its total knee replacement programme. The PiGalileo Navigation System is also available at Mercy Medical Center in Nampa, Idaho and Arroyo Grande Hospital in Arroyo Grande, California. With the introduction of this system, PLUS Orthopedics plans to promote the use of its PiGalileo throughout the United States.
Wright Medical Group Inc. releases BrainLAB surgical navigation software for the ADVANCE Knee System
Full ArticleWright Medical Group Inc., a global orthopaedic medical device company, and BrainLAB, a worldwide innovator in image-guided medical technology, have released BrainLAB's software for Wright's ADVANCE Knee System on the VectorVision surgical navigation platform.
dbMotion to form a Health Information Network of secure Virtual Patient Records throughout Israel
Full ArticleJust weeks after the Bush administration has challenged the United States medical establishment to computerize medical records, Israel's largest HMO, Clalit Health Services, and four of Israel's major medical centres, have formed a secure health information network serving the majority of the population of the State of Israel. The network, based on dbMotion's Virtual Patient Record technology, is the first system of its kind in the world. Health care providers at 18 hospitals and 1000 clinics across Israel, serving the majority of the Israeli population, now have on-demand and real-time access to integrated medical records.
MMVR 13 proceedings to assume role of incubator for simulation, visualization and extension of reality in medicine
Full ArticleThe conference proceedings of the thirteenth edition of the annual "Medicine Meets Virtual Reality" (MMVR) event, held January 26-29, 2005 in Long Beach, California, have been published as the 111th volume in the series dedicated to Studies in Health Technology and Informatics by IOS Press in Amsterdam. This MMVR 2005 edition includes 124 papers addressing the challenges of creating imaginary patients, advanced imaging tools, robotics and intelligence networks, under the general theme of "The Magical Next Becomes the Medical Now", in which the editors present the "Eureka!" moments of human ingenuity progressing from medical magic to medical reality through a long process of patient observation, experimentation and measurement.
 

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