VMW Monthly - December 2009 - ISSN 1388-722X



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 2009 in Hamburg ***

VMW's sister magazine Primeur went live "at a distance" from the recent ISC 2009 Conference in Hamburg. We bring you an overview of the most appetizing topics addressing the latest developments in the fields of high performance and Grid computing. Please enjoy.

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Contents December 2009 Issue

 
Cross-Atlantic state-of-the-art
 
Keen interest among physicians for new electronic medical records; goal to convert 5700 offices from paper to electronic records in three years
Prototyping lab speeds medical inventions
Prism and Medical College of Wisconsin investigators receive $1,6 million NIH grant to develop advanced medical imaging tools
'Optical biopsy' for breast cancer increasingly accurate
Indiana University receives NIH grant to improve health care in East Africa
 
Grid for Health
 
Petascale computational tools could revolutionize understanding of and provide deeper insight in genomic evolution
From Grid ... to Cloud ... to Business with BEinGRID
Scientists put interactive flu tracking at public's fingertips
IBM launches Health Analytics Center
A challenge to improve Nuclear Magnetic Resonance for structural biology
 
Healthcare compunetics
 
Digital 'plaster' for monitoring vital signs undergoes first clinical trials
Smart phones allow quick diagnosis of acute appendicitis
Intel announces increased momentum for personalized care management at home with the Intel Health Guide
In the blink of an eye: wireless drowsiness detector will soon be preventing accidents
A mobile phone or an MP3 player tells if you're sleeping soundly
 
Industrial Chemist's Corner
 
Accuray introduces the CyberKnife VSI System
Ascension Technology's miniaturized magnetic sensors enable improved procedures
Visage Imaging introduces Visage 7 for Windows and Mac OS X
Monday Medical to introduce innovative I-port device for diabetics
Titan Medical Inc. signs agreement with CAE Healthcare related to the development of Titan's Amadeus robotic surgical platform
 
Planet Europe in Action
 
UK's leading clinical managed service provider forms new health links with China
Software for solving life-threatening medical puzzles
States of Guernsey take major step towards integrated care
Together against infection in the EurSafety Health-net project
Disease-matching software could save children
 
The 21st century hospital
 
Philips helps hospitals strike balance between innovation and value
National survey of United States hospitals shows information technology has yielded neither administrative efficiencies nor cost savings
Adapting space-industry technology to treat breast cancer
Resuscitation and survival rates from out-of-hospital cardiac arrest nearly double
St. Trudo Hospital expands use of AeroScout Healthcare Visibility solution to include tracking of patients and Wi-Fi devices
 
Virtual snap shots
 
Modified Bluetooth speeds up telemedicine
Learn about Electronic Health Records with UC Davis Extension
Simulated training for ultrasound-guided procedures improves safety without risk to patients
NiteWatch home sleep testing service receives Joint Commission accreditation as an 'Ambulatory Health Care Programme'
Not-for-profit targets HIV/Tuberculosis co-epidemic and Black Lung with remote X-ray screening solution
 
VMWC news bites
 
Case Western Reserve University to develop technologies for virtual coaching to help patient-doctor communications
Iowa State engineers develop 3D software to give doctors and students a view inside the body
Geckosystems to begin in home elder care robot trials
Causative gene of a rare disorder discovered by sequencing only protein-coding regions of genome
Virtual Reality may help Arm minds for combat
 

Leads December 2009 Issue

 
Cross-Atlantic state-of-the-art
 
Keen interest among physicians for new electronic medical records; goal to convert 5700 offices from paper to electronic records in three years
Full ArticleAccording to the Ontario Medical Association (OMA), physicians across the province are showing keen interest in the new provincially funded programme to transition physician offices from paper-based records to electronic medical records. OntarioMD, the OMA subsidiary charged with the delivery of the electronic medical records programme, received over 650 enquiries about the programme from physicians. Over 165 physicians across Ontario have already applied to be part of the programme.
Prototyping lab speeds medical inventions
Full ArticleIn a newly equipped University of Michigan facility, inventors can watch a device that ensures safe breathing in premature infants, or a tool sized for delicate surgery on a child, rise overnight from a vat of milky plastic resin. The University of Michigan Medical Innovation Center (MIC) has recently revved up the capabilities of its Design and Prototype Lab, a space where inventors of medical devices can develop three-dimensional prototypes to test their ideas. Three new state-of-the art machines have made the lab one of the best-equipped prototyping facilities at University of Michigan, and arguably in the state. Medical device inventors across campus and in industry can use the lab on a fee-for-service basis.
Prism and Medical College of Wisconsin investigators receive $1,6 million NIH grant to develop advanced medical imaging tools
Full ArticlePrism Clinical Imaging Inc., in collaboration with investigators at the Medical College of Wisconsin in Milwaukee, has received a $1,6 million, three-year grant from the National Institutes of Health (NIH) to develop and clinically validate advanced medical imaging software that aids the diagnosis and treatment of patients with brain cancer.
'Optical biopsy' for breast cancer increasingly accurate
Full ArticleMost biopsies following mammograms reveal benign abnormalities, not cancer. But women may not have to endure the medical costs, stress and potential complications that accompany such invasive biopsies forever. A University of Florida biomedical engineering researcher is making progress on an "optical biopsy" that has the potential to determine whether growths are cancerous without ever puncturing the skin.
Indiana University receives NIH grant to improve health care in East Africa
Full ArticleA $1,3 million grant to Indiana University from the National Institutes of Health (NIH)'s Fogarty International Center will establish the East African Center of Excellence in Health Informatics. The new centre will connect the expertise of one of the world's foremost informatics programmes at Indiana University and the Regenstrief Institute with one of the leading academic medical centres in East Africa at Moi University and Moi Teaching and Referral Hospital to increase the capacity for electronic health records in one of the worlds' poorest regions. By helping East African countries use electronic health records to increase the efficiency and quality of care, this Center of Excellence grant will help East Africans cross what has been termed "the digital divide".
 
Grid for Health
 
Petascale computational tools could revolutionize understanding of and provide deeper insight in genomic evolution
Full ArticleTechnological advances in high-throughput DNA sequencing make determining how living things are related possible by analyzing the ways in which their genes have been re-arranged on chromosomes. However, inferring these evolutionary relationships from re-arrangement events requires massive computing impossible even on the most advanced computing systems available today. A four-year $1 million project, funded by the National Science Foundation's PetaApps programme, aims to develop computational tools that will use next-generation petascale computers to understand genomic evolution. A team of universities received the grant, including the Georgia Institute of Technology, the University of South Carolina and the Pennsylvania State University. The funding is part of the American Recovery and Reinvestment Act.
From Grid ... to Cloud ... to Business with BEinGRID
Full ArticleBEinGRID - Business Experiments in GRID - is coming to a key transition stage. The project financed by the European Commission is ending but the achievements are taken forward in IT-Tude.com. Over the past four years BEinGRID has identified clear business needs to be met by Grid technologies. Twenty-five pilots covering industrial sectors such as finance, advanced manufacturing, agriculture, tourism and health, have focused on solving real problems using different Grid technology solutions for collaboration, performance and enabling new services. The project's applications and innovative solutions were promoted at the ICSOC/ServiceWave 2009 event held in Stockholm. And the results demonstrated show how businesses may profit from distributed computing - from Grid to Cloud solutions.
Scientists put interactive flu tracking at public's fingertips
Full ArticleNew methods of studying avian influenza strains and visually mapping their movement around the world will help scientists more quickly learn the behaviour of the pandemic H1N1 flu virus, according to Ohio State University researchers. The researchers linked many powerful computer systems together to analyze enormous amounts of genetic data collected from all publicly available isolated strains of the H5N1 virus - the cause of avian flu. They then developed a new web-based application that will allow health officials and the public visualize how the virus moved across the globe using Google Earth. The resulting visualizations, based on results of the data analysis, represent the most comprehensive map to date of how avian flu has been transmitted among sites in Asia, Africa and Europe.
IBM launches Health Analytics Center
Full ArticleIBM has launched its Health Analytics Solution Center, part of a network of global centres addressing the growing demand for advanced analytics needed to help hospitals and medical staff improve decision-making and provide higher quality care. The centre will be hosted in the IBM Global Solution Center in Dallas and will employ more than 100 health analytics experts, technical architects and specialists, with access to hundreds more health industry experts from across IBM, including experts from IBM's Business Analytics and Optimization consulting organisation and IBM Research.
A challenge to improve Nuclear Magnetic Resonance for structural biology
Full ArticleIn structural biology, the only technique available to predict the three-dimensional structure of large complex molecules in solution, such as proteins and DNA, is Nuclear Magnetic Resonance (NMR) spectroscopy. To catalyze improvements in the techniques behind these predictions, the "eNMR" project has launched a new initiative.
 
Healthcare compunetics
 
Digital 'plaster' for monitoring vital signs undergoes first clinical trials
Full ArticleA wireless digital "plaster" that can monitor vital signs continuously and remotely is being tried out with patients and healthy volunteers at Imperial College Healthcare NHS Trust, in a new clinical trial run by Imperial College London researchers. Toumaz Technology Ltd.'s Sensium digital "plaster" or "patch" is a disposable device that sticks to a patient's chest. It is designed to allow patients to have their health monitored continuously without being wired up to bulky, fixed monitoring machines, potentially freeing some patients from their hospital beds.
Smart phones allow quick diagnosis of acute appendicitis
Full ArticleRadiologists can accurately diagnose acute appendicitis from a remote location with the use of a handheld device or mobile phone equipped with special software, according to a study presented at the annual meeting of the Radiological Society of North America (RSNA).
Intel announces increased momentum for personalized care management at home with the Intel Health Guide
Full ArticleThe Intel Health Guide, Intel Corporation's next-generation personal health system, continues to win in the personal health marketplace with the addition of a new government value-added reseller (VAR) and several new customers. GTSI Corporation, an enterprise technology solutions and services provider, is the latest addition to the list of Intel Health Guide authorized resellers. In the United States, Intel has added new customers including the Veterans Affairs (VA) Rural Resource Center Western Region, Memorial Hospital and Health System in South Bend, Indiana; Nightingale Home Healthcare of Indiana Inc.; and all seven independently owned offices of the Home Care Group. This range of customers - from government to hospital and home health organisations - reflects the Intel Health Guide's versatility for a variety of clinical work flows and users including chronically ill patients, clinicians and family caregivers.
In the blink of an eye: wireless drowsiness detector will soon be preventing accidents
Full ArticleIt's another routine nighttime surveillance. But the Black Hawk helicopter pilot has been pulling long shifts due to the nature of the mission. As he begins to blink drowsily, the small, electronic biosensor within his goggles detects the change in eye movement and triggers an alert. The pilot turns over the controls to his partner, and instead of becoming another fatigue-related crash, the flight is completed without incident.
A mobile phone or an MP3 player tells if you're sleeping soundly
Full ArticleMSc (Tech) Väinö Virtanen has developed a method for analysing snoring sounds by using a PC with a microphone connection and a wireless microphone. The objective was to create an application that could be used at home to monitor snoring. By utilizing this technology, researchers from Tampere University of Technology and the University of Helsinki have investigated sleep disorders and further refined related screening technologies. The collaboration has already spawned the smart alarm clock HappyWakeUp that was launched last year. It is the first health-promoting mobile phone application in the world.
 
Industrial Chemist's Corner
 
Accuray introduces the CyberKnife VSI System
Full ArticleAccuray Incorporated, a global expert in the field of radiosurgery, has introduced the CyberKnife VSI System, the latest addition to the CyberKnife product family. The new CyberKnife VSI, which stands for versatile, simple and intelligent, is designed to broaden physicians' range of options from radiosurgery to also include conventionally fractionated Robotic IMRT. This enables them to customize their care around the unique needs of each patient, thereby expanding the population of patients that can benefit from the System's unparalleled precision.
Ascension Technology's miniaturized magnetic sensors enable improved procedures
Full ArticleAscension's magnetic trackers are facilitating a new generation of medical devices that promise to cut costs, reduce procedural times, and improve patient outcomes. Importantly for clinicians and patients, they also reduce reliance on radiation to navigate instruments to pathological sites. As such, they are a key component of Virtual Navigator - a new fusion ultrasound product developed by Esaote, a producer of medical diagnostic systems. Ascension's 3D Guidance sensors for real-time needle tracking have also been chosen by Ultrasonix Medical Corporation for its soon-to-be released ultrasound system, SonixGPS.
Visage Imaging introduces Visage 7 for Windows and Mac OS X
Full ArticleVisage Imaging Inc., a wholly owned subsidiary of Pro Medicus Ltd., has introduced Visage 7, the company's new generation diagnostic imaging IT solution, at the recent Annual Conference of the Radiologic Society of North America (RSNA) in Chicago, Illinois. Visage 7 delivers new levels of versatility and performance to radiologists, technologists, sub-specialists, and referring physicians. The Visage 7 Universal Viewer is a single thin client based application for primary interpretation of any type of exam from plain film to cardiac CT, as well as for state-of-the-art 3D and 4D post-processing. Visage 7 may be used as a "thin viewing layer" on top of an existing PACS, or it can serve as a turnkey solution covering RIS, archive, viewing, and post-processing.
Monday Medical to introduce innovative I-port device for diabetics
Full ArticleMonday Medical has launched the I-port, a breakthrough device in the treatment of diabetes. This small injection port significantly reduces the emotional and physical stress associated with daily injections of insulin. It offers a simple and convenient way to take multiple injections each day without having to puncture the skin for each dose.
Titan Medical Inc. signs agreement with CAE Healthcare related to the development of Titan's Amadeus robotic surgical platform
Full ArticleTitan Medical Inc. has signed an agreement with CAE Healthcare for various services related to the development of Titan's Amadeus clinical-grade robotic surgery platform. Once completed, the platform could be used, not only to perform surgery at a distance, but also to train surgeons via simulation.
 
Planet Europe in Action
 
UK's leading clinical managed service provider forms new health links with China
Full ArticleHome Telehealth Limited (HTL), the premier United Kingdom provider of telehealth solutions and disease management services and winner of the prestigious "NHS Innovations Partnership with the NHS Award 2009" is once again in demand for its innovative nurse-led Telehealth Care Centre clinical managed services, this time from China. HTL won the NHS award in recognition of their work with the NHS in the provision of a new concept in telehealth enabled care delivery for the management of people with long-term chronic conditions which resulted in both improved business performance and benefited patient care.
Software for solving life-threatening medical puzzles
Full ArticleNew software is under development that doctors hope will help them identify brain tumours in children that will grow aggressively. Some brain tumours in children remain benign and doctors choose not to operate. But a small percentage of those will suddenly start to grow aggressively. Doctors have not identified what triggers that aggressive tumour growth, despite the vast array of data they hold on their child patients - demographic, environmental, genetic and clinical data, as well as images such as MRI and CAT scans of the developing tumours. But a new software tool called AITION can integrate all the medical data from a tumour patient and then analyse it to calculate the probable factors that are stimulating tumour development, combining up to 30 correlated variables. AITION provides an overview of the causal relationship across all factors.
States of Guernsey take major step towards integrated care
Full ArticleThe States of Guernsey Health and Social Services Department (HSSD) has gone live with key foundation elements of its island-wide Electronic Health and Social Care Record (EHSCR). Guernsey has replaced its SWIFT Patient Administration System after 13 years of use, and simultaneously implemented new Accident & Emergency (A&E) and Theatre software. This functionality is all provided by InterSystems TrakCare connected health care information system that provides the single, shared electronic health record of the EHSCR.
Together against infection in the EurSafety Health-net project
Full ArticleOn November 19, 2009, the kick-off meeting for the Euregio-project "EurSafety Health-net" has taken place. EurSafety Health-net is the follow-up of EUREGIO MRSA-net, that, according to the Robert Koch Institute, gained some sort of model character all over the nation when talking about prevention of hospital acquired MRSA infection. Besides the protection against infection, the main goal of this new Dutch/German project is to strengthen the patients' safety on both sides of the border.
Disease-matching software could save children
Full ArticleBy matching children with rare or life-threatening diseases and modelling potential disease progression, researchers hope to find new routes forward. Software tools are being developed that can search and compare patient data at hospitals across Europe to find children with closely matched conditions. The doctors can then study how the matched patients at other hospitals were treated and whether that treatment was successful. The information will greatly improve doctors' ability to choose the right path for their own patient. The tools being developed within the Health-e-Child project can compare a vast range of structured and unstructured data, including genetic and clinical data, as well as images from CAT and MRI scans and other records.
 
The 21st century hospital
 
Philips helps hospitals strike balance between innovation and value
Full ArticleAt the Radiological Society of North America (RSNA) annual meeting, Royal Philips Electronics has been demonstrating a new range of health care imaging and informatics solutions designed to directly address the priorities of patients and care providers, by delivering meaningful imaging innovations that reflect a desire for value, modular price points and easy upgradability. This focus will enable Philips to provide continued access to advanced technology despite pressures on providers, thereby reaffirming its commitment to put patients and clinicians first.
National survey of United States hospitals shows information technology has yielded neither administrative efficiencies nor cost savings
Full ArticleThe increased computerization in United States hospitals hasn't made them cheaper or more efficient, according to Harvard researchers, although it may have modestly improved the quality of care for heart attacks. The findings, published in the on-line edition of the American Journal of Medicine, contradict claims by President Obama and many lawmakers that health information technology (health IT), including electronic medical records, will save billions and help make reform affordable.
Adapting space-industry technology to treat breast cancer
Full ArticleResearchers at Rush University Medical Center and Argonne National Laboratory are collaborating on a study to determine if an imaging technique used by NASA to inspect the space shuttle can be used to predict tissue damage often experienced by breast cancer patients undergoing radiation therapy. The study is examining the utility of three-dimensional thermal tomography in radiation oncology. Preliminary results from the study were being displayed during the American Society for Radiation Oncology (ASTRO) Annual Meeting in Chicago, held in November 2009.
Resuscitation and survival rates from out-of-hospital cardiac arrest nearly double
Full ArticleVirginia Commonwealth University (VCU) Medical Center and the Richmond Ambulance Authority (RAA) have improved resuscitation and survival rates dramatically for cardiac arrest patients by training and equipping paramedics to begin lowering a patient's body temperature in the field during resuscitation and following up at the hospital with a host of high-tech strategies to improve the odds of survival.
St. Trudo Hospital expands use of AeroScout Healthcare Visibility solution to include tracking of patients and Wi-Fi devices
Full ArticleSt. Trudo Hospital in Belgium is extending the use of its AeroScout Healthcare Visibility solution to include tracking the location of patients and Wi-Fi devices. Central among the tracked Wi-Fi units are Dräger's Infinity M300 patient-worn vital signs monitors. St. Trudo is building on the success of its existing AeroScout implementation to further improve patient safety and staff satisfaction.
 
Virtual snap shots
 
Modified Bluetooth speeds up telemedicine
Full ArticleA telemedicine system based on a modified version of the Bluetooth wireless protocol can transfer patient data, such as medical images from the patient to the health care provider's mobile device for patient assessment almost four times as fast as conventional Bluetooth and without the intermittent connectivity problems, according to a paper in the forthcoming issue of the International Journal of Medical Engineering and Informatics.
Learn about Electronic Health Records with UC Davis Extension
Full ArticleWith the goal of stimulating the widespread adoption of Electronic Health Records (EHR), the American Reinvestment and Recovery Act provides significant support for health IT. Building capacity in health and hospital systems to develop, implement and utilize EHRs is key to making this policy a reality.
Simulated training for ultrasound-guided procedures improves safety without risk to patients
Full ArticleUsing mannequins to teach doctors-in-training how to do ultrasound-guided procedures is an effective way to improve their skills without compromising patient care and safety, according to a new study from Henry Ford Hospital. The study shows that this simulation-based training course can be a valuable tool to improve medical residents' knowledge, dexterity and confidence for performing some of the more common ultrasound-guided procedures, including breast biopsies, liver biopsies, thyroid biopsies and the removal of fluid in the body. Plus, a simulated model allows for standardization of medical education.
NiteWatch home sleep testing service receives Joint Commission accreditation as an 'Ambulatory Health Care Programme'
Full ArticleLifeWatch AG, a provider of wireless cardiac and other medical monitoring services in the United States, has had accredit its "NiteWatch" home sleep testing service with the Joint Commission for "Ambulatory Health Care Programmes", and is one of only a few independent diagnostic testing facilities (IDTFs) which have received this Gold Seal of Approval.
Not-for-profit targets HIV/Tuberculosis co-epidemic and Black Lung with remote X-ray screening solution
Full ArticleThe World Health Imaging, Telemedicine and Informatics Alliance (WHITIA) has unveiled Remi-d, a new product concept that is intended to provide remote-operated X-ray capabilities for use in screening across areas of the developing world experiencing the Human Immunodeficiency Virus (HIV) and Tuberculosis (TB) co-epidemic, high incidences of Black Lung disease, or outbreaks of other infectious respiratory diseases. Remi-d is a remote-controlled, self-contained, digital medical X-ray device intended to meet the imaging needs of resource-limited areas such as sub-Saharan Africa, South and Central America and Southeast Asia, where radiologists and technologists are in short supply.
 
VMWC news bites
 
Case Western Reserve University to develop technologies for virtual coaching to help patient-doctor communications
Full ArticleMillions of people suffer from chronic ailments like heart disease, high blood pressure or diabetes, and need critical information from their health care providers to manage those diseases. Sometimes patients find it uncomfortable asking a doctor of another age, gender or race for information. Hopefully virtual coaching under development through the Center of Excellence for Self-Management Advancement through Research and Translation (SMART), a National Institutes of Health-funded Center of Research Excellence in Self-management Research at the Frances Payne Bolton School of Nursing at Case Western Reserve University, will improve communications.
Iowa State engineers develop 3D software to give doctors and students a view inside the body
Full ArticleJames Oliver picked up an Xbox game controller, looked up to a video screen and used the device's buttons and joystick to fly through a patient's chest cavity for an up-close look at the bottom of the heart. And there was a sight doctors had never seen before: an accurate, 3D view inside a patient's body accessible with a personal computer. A view doctors can shift, adjust, turn, zoom and replay at will. Software that uses real patient data from CT and MRI scans. Software doctors can use to plan a surgery or a round of radiation therapy.
Geckosystems to begin in home elder care robot trials
Full ArticleGeckoSystems International Corporation has started limited in home evaluation trials for its first product, a personal companion home care robot, the CareBot. GeckoSystems is a dynamic expert in the emerging Mobile Service Robot (MSR) industry revolutionizing their development and usage with "Mobile Robot Solutions for Safety, Security and Service". A first tier contract manufacturer - after viewing numerous demonstrations, examining and discussing GeckoSystems' CareBot - is confident that within six months they could produce GeckoSystems' CareBot at the rate of one thousand per month.
Causative gene of a rare disorder discovered by sequencing only protein-coding regions of genome
Full ArticleFor the first time, scientists have successfully used a method called exome sequencing to quickly discover a previously unknown gene responsible for a mendelian disorder. Mendelian disorders, such as cystic fibrosis and sickle cell disease, are the result of one or more mutations in a single gene, typically a gene that makes a protein. All of the regions that code for proteins taken together are called the exome. The exome makes up about 1 percent of the genome, but it is in this 1 percent that more than 85 percent of mutations that cause mendelian disorders are found. That is why sequencing the exome is an efficient strategy to search for genes that underlie rare genetic disorders.
Virtual Reality may help Arm minds for combat
Full ArticleThe University of Texas (UT) Dallas Center for BrainHealth received a federal grant to fund research examining brain performance enhancement in America's fighting men and women through the use of state-of-the-art virtual reality technologies. The centre's study, incorporating experts from a variety of UT Dallas disciplines, will focus on maximizing brain resilience and repair in soldiers. The cutting-edge nature of the research also holds treatment promise for patients with sports-related concussions as well as brain diseases that affect motor function such as Parkinson's, sensory integration such as autism, multiple sclerosis, and many others. The $750.000 grant is from the Health Resources and Services Administration (HRSA), a division of the United States Department of Health and Human Services.
 

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