VMW Monthly - February 2010 - 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 February 2010 Issue

 
Cross-Atlantic state-of-the-art
 
Computers do better than humans at measuring some radiology images
Researchers develop 'nano cocktail' to target and kill tumours
Better computing and communication for emergency personnel at disaster sites
Virtual USA: Creating a nationwide capability to share and standardize life-saving emergency data in real time
Novel personalized medicine trial launched for metastatic colorectal cancer
 
Grid for Health
 
Platform Computing customer Harvard Medical School receives 2009 InfoWorld 100 Award for internal Cloud computing project
Intercontinental Grid - Europe and China link up for research
The Grid: a new way of doing science
Tesla Bio Workbench enables scientists to achieve new breakthroughs
San Diego Supercomputer Center joins other UC San Diego Departments and Lawrence Livermore National Laboratory in oncology collaboration
 
Healthcare compunetics
 
mHealth, mEHR and mPHR Current Solutions
Wellcore announces automatic fall detection and wellness monitoring system
Vignet unveils Connected Health Services platform for mobile wellness and disease management
Corventis announces FDA clearance and U.S. launch of the NUVANT Mobile Cardiac Telemetry System
Anthem Blue Cross announces C.A.R.E. pilot programme for heart patients
 
Industrial Chemist's Corner
 
McKesson and HP to help physician practices speed Electronic Health Record adoption for better, safer patient care
Mountain States Health Alliance and Creighton University School of Medicine select Allscripts Electronic Health Record and Practice Management for physicians
TechniScan Inc. selects Sun Microsystems' Java CAPS to develop integrated health care services
GE Healthcare and Intel expand Intel Health Guide marketing agreement to United Kingdom
Cisco and Molina Healthcare announce transformative telemedicine pilot programme for underserved and underinsured communities
 
Planet Europe in Action
 
Easy-build wireless networks
A virtual liver, a better chance of life
Blackpool telehealth pilot sees 75 percent reduction in hospital admissions
Deep brain stimulation successful for treatment of severely depressive patient
Hydra service-oriented middleware allows networked sensors and devices to communicate with each other
 
The 21st century hospital
 
More than 50 percent of injury-related deaths in rural Ontario occur before patients reach hospital
Curing more cervical cancer cases may be in the math
Brain imaging may help diagnose autism
Mayo Clinic and IBM advance early detection of brain aneurysms
Medicare Innovations Collaborative (Med-IC) launches bold initiative to improve geriatric care
 
Virtual snap shots
 
Surgeon studies effect of a pre-operative 'warm-up'
Virtual reality tele-rehab improves hand function: Playing games for real recovery
Treating panic disorder on the web
Computer simulations reveal how tumour growth is controlled
Texas A&M professor working on new ways to see through the human body
 
VMWC news bites
 
FDA clears TransOral robotic surgery developed at Penn Medicine
Virtual Reality Exposure Therapy to combat Post Traumatic Stress Disorder
University of Florida urologists use robot to shave time off vasectomy reversal
Observation about how nervous system learns and encodes motion could improve stroke recovery
Worcester Polytechnic Institute receives $1,6 million allocation for research on advanced implantable neuroprosthetics
 

Leads February 2010 Issue

 
Cross-Atlantic state-of-the-art
 
Computers do better than humans at measuring some radiology images
Full ArticleScientists have automated the measurement of a vital part of the knee in images with a computer programme that performs much faster and just as reliably as humans who interpret the same images. Having more precise information about wear and tear on this portion of the knee - a blend of fibrous tissue and cartilage called the meniscus - could lead to its use as a biomarker in predicting who is at risk for developing osteo-arthritis, according to the researchers.
Researchers develop 'nano cocktail' to target and kill tumours
Full ArticleA team of researchers in California and Massachusetts has developed a "cocktail" of different nanometer-sized particles that work in concert within the bloodstream to locate, adhere to and kill cancerous tumours.
Better computing and communication for emergency personnel at disaster sites
Full ArticleHurricane Katrina. The Southeast Asian tsunami. Now the killer earthquake in Haiti, which has claimed upwards of 50.000 lives. In each case, the response to a natural disaster has been further complicated by the difficulty delivering medical care in a chaotic environment where the communications infrastructure on the ground is seriously damaged or completely destroyed. To address that problem, researchers at the University of California, San Diego (UCSD) have launched a project to find better ways for emergency officials and first responders to talk to each other and share data on the ground at the scene of a natural or man-made disaster - even when the local communications infrastructure is out of commission. Approximately $1,5 million annually over two years in "stimulus" funding under the American Recovery and Reinvestment Act (ARRA) from the National Library of Medicine (NLM) will underwrite the WIISARD SAGE project. NLM is one of the National Institutes of Health (NIH).
Virtual USA: Creating a nationwide capability to share and standardize life-saving emergency data in real time
Full ArticleNatural disasters - like toddlers with crayons - leave a mess all over the map, spilling across federal, state, and local lines. To clean up, different agencies and jurisdictions must come together and share what they know. But far too often, critical information goes unseen by those who need it most: the emergency responders.
Novel personalized medicine trial launched for metastatic colorectal cancer
Full ArticleImagine if treatments for disease could be based not on a patient's diagnosis but instead on the characteristics of their tissue. By identifying and decoding the cryptic messages hidden deep inside the human proteome, scientists and physicians who study personalized medicine are seeking more effective treatments and disease management for patients.
 
Grid for Health
 
Platform Computing customer Harvard Medical School receives 2009 InfoWorld 100 Award for internal Cloud computing project
Full ArticlePlatform Computing's customer Harvard Medical School (HMS), a medical university and research facility, received an InfoWorld 100 Award for deploying one of the top 100 information technology (IT) projects in 2009, as determined by InfoWorld editors. Each year, International Data Group's InfoWorld 100 Awards recognize the 100 most innovative IT initiatives used to further an organisation's business goals and acknowledge the achievements of top IT projects that exemplify inventive, forward-thinking technology use that meets both business and technical objectives.
Intercontinental Grid - Europe and China link up for research
Full ArticleGrid computing can jet-propel research and development. An European Union-funded programme that lets European and Chinese Grids work together has already produced results in aircraft design, drug development and weather prediction. In 2007, the European Union-funded project, BRIDGE - for Bilateral Research and Industrial development enhancing and integrating Grid Enabled technologies, set out to link European and Chinese computing Grids and enable researchers to carry out joint research.
The Grid: a new way of doing science
Full ArticleA European consortium has brought the power of Grid computing to bear on problems ranging from the genetic origins of heart disease to the management of fish stocks and the reconstruction of ancient musical instruments. A 'Grid' is a network of high-powered computing and storage resources available to researchers wishing to carry out advanced number-crunching activities. Resources belong to individual universities, national and international laboratories and other research centres but are shared between them by mutual agreement.
Tesla Bio Workbench enables scientists to achieve new breakthroughs
Full ArticleNVIDIA has launched the Tesla Bio Workbench, which enables scientists to push the boundaries of biological research by turning a standard PC into a "computational laboratory" capable of running complex bioscience codes in fields such as drug discovery and DNA sequencing more than 10-20 times faster through the use of NVIDIA Tesla GPUs.
San Diego Supercomputer Center joins other UC San Diego Departments and Lawrence Livermore National Laboratory in oncology collaboration
Full ArticleResearchers from the San Diego Supercomputer Center (SDSC) at University of California (UC) San Diego have joined forces with the Department of Radiation Oncology in the university's School of Medicine, its Department of Mathematics, and the Lawrence Livermore National Laboratory (LLNL) in a three-year, $1,5 million project to pursue novel applications of high-performance computing (HPC) in radiotherapy.
 
Healthcare compunetics
 
mHealth, mEHR and mPHR Current Solutions
Full ArticleMobile health (mHealth) solutions are revolutionizing health care delivery around the world in both developed and under developed nations. Today there are over 4 billion mobile devices in use around the world - 64 percent of them are in the hands of people living in emerging market economies. Innovative mHealth projects utilizing mobile phones and other wireless and hand held devices are powering the collection and use of health information to diagnose, treat, and educate people in even the most remote corners of the world. See http://www.unfoundation.org/global-issues/technology/mhealth-alliance.html. This article attempts to pull together relevant information and examples about the development of mHealth to date, with an emphasis on mobile Electronic Health Record (mEHR) and mobile Personal Health Record (mPHR) solutions. The article also highlights selected issues of concern and offers a set of recommendations to senior management of healthcare organizations on next steps to take with regards to mHealth technologies and solutions. In the coming decade, mHealth will dramatically change the daily clinical practices of many health care providers and the lives of their patients.
Wellcore announces automatic fall detection and wellness monitoring system
Full ArticleWellcore Corporation, a Silicon Valley-based company dedicated to developing solutions that promote wellness, safety and security, has unveiled the most advanced, intuitive and affordable Mobile Personal Emergency Response System (M-PERS) product available for seniors who want to stay safe and live more active, independent lives. Utilizing motion detection and advanced pattern recognition, the patent-pending Wellcore System offers automatic fall detection, on-line monitoring, and text-to-speech messaging. The Wellcore System will be available for pre-orders on February 18, 2010 and will be available via firstSTREET beginning in March 2010 with more retail e-commerce sites and stores soon to be announced.
Vignet unveils Connected Health Services platform for mobile wellness and disease management
Full ArticleVignet Inc. has launched its Connected Health Services platform infrastructure for mobile health (mHealth) devices and services. The new "person-centred" platform allows users to capture, aggregate, analyze and share data with their mobile devices, leveraging any wired or wireless interface, such as Bluetooth, ZigBee, Bluetooth LE and USB. Vignet has collaborated with IBM, Nonin Medical and A&D to showcase the first mHealth solution, based on the open standards promoted by the Continua Health Alliance, at the recent Consumer Electronics Show (CES). IBM, Vignet and Nonin jointly demonstrated the solution, which uses IBM's WebSphere Sensor Events server software, the Vignet platform, Nonin Onyx II, Model 9560 Bluetooth fingertip pulse oximeter and A&D Model UC-321.
Corventis announces FDA clearance and U.S. launch of the NUVANT Mobile Cardiac Telemetry System
Full ArticleCorventis Inc., a developer of wireless cardiovascular solutions, has received 510(k) clearance from the United States Food and Drug Administration (FDA) to market its NUVANT Mobile Cardiac Telemetry (MCT) System for the detection of non-lethal arrhythmias. In addition, the company's Monitoring Center has been approved by the Center for Medicare & Medicaid Services (CMS) as an Independent Diagnostic Testing Facility (IDTF). Corventis has also received approval to bill for services provided to patients with Medicare and several commercial insurers, paving the way for the NUVANT MCT System to be available across the United States.
Anthem Blue Cross announces C.A.R.E. pilot programme for heart patients
Full ArticleAnthem Blue Cross has contracted with IDEAL LIFE to provide wireless body weight scales for in-home use with Congestive heart Failure (CHF) patients. This initiative is the foundation of a new pilot programme known as C.A.R.E. - Congestive Heart Failure Ambulatory Remote monitoring and Engagement. The programme's goal is to utilize IDEAL LIFE's Bluetooth-enabled remote monitoring devices to more efficiently triage members with chronic heart conditions, identifying patients at risk for a possible acute health crisis, and helping to prevent costly and unnecessary emergency room visits and hospitalizations. Anthem Blue Cross will be deploying these remote monitoring devices with clinical oversight provided by participating HMO medical groups and independent practice associations caring for these patients.
 
Industrial Chemist's Corner
 
McKesson and HP to help physician practices speed Electronic Health Record adoption for better, safer patient care
Full ArticleMcKesson and HP are collaborating to accelerate and simplify electronic health record (EHR) adoption at independent physician practices across the country. The companies will offer physicians McKesson's EHR/practice management systems bundled with HP office hardware preconfigured for easy installation. A national network of EHR-certified, value-added resellers will provide the bundled McKesson and HP solutions with training, implementation and support services for physicians in their local communities.
Mountain States Health Alliance and Creighton University School of Medicine select Allscripts Electronic Health Record and Practice Management for physicians
Full ArticleMountain States Health Alliance (MSHA) has selected the Allscripts Electronic Health Record (EHR) and Practice Management (PM) solutions for 300 employed and affiliated physicians and mid-level providers to enhance the quality of patient care, improve patient communications, and better manage the cost of care delivery. Creighton Medical Associates (CMA) has done the same for its 228 physicians and mid-level providers. In addition, CVS Caremark has signed an agreement with Allscripts that will position both companies to help accelerate adoption of e-prescribing technology.
TechniScan Inc. selects Sun Microsystems' Java CAPS to develop integrated health care services
Full ArticleSun Microsystems Inc. will design a Sun Service-Oriented Architecture (SOA) solution architecture based on Sun's Java Composite Application Platform Suite (CAPS) and provide expert implementation services for TechniScan Inc., a medical device company engaged in the development and commercialization of an automated breast ultrasound imaging system called SVARA. Using Sun's Java CAPS, TechniScan should be able to bring its SVARA Ultrasound technology to market faster - potentially improving the way breast cancer is diagnosed and treated.
GE Healthcare and Intel expand Intel Health Guide marketing agreement to United Kingdom
Full ArticleGE Healthcare, a unit of GE, and Intel Corporation have expanded their sales and marketing agreement for the Intel Health Guide to include the United Kingdom. GE Healthcare already markets the Intel Health Guide in the United States. The Intel Health Guide is a care management tool designed for health care professionals who manage patients with chronic conditions such as diabetes, hypertension, chronic obstructive pulmonary disease and heart failure. GE Healthcare's capabilities in disease management, and its distribution reach in the health care sector in the United Kingdom will help drive understanding of the benefits of this innovative technology, which includes patients' self-monitoring of health status and a direct communications channel to health care professionals.
Cisco and Molina Healthcare announce transformative telemedicine pilot programme for underserved and underinsured communities
Full ArticleCisco has launched a ground-breaking telemedicine pilot programme initiative with Molina Healthcare, two community health centres in San Diego, and the state of California to provide health and wellness services to underserved communities throughout the state. More than 15 sites will be equipped to deliver telemedicine primary and specialty care services using Cisco HealthPresence, a care-at-a-distance technology solution that combines state-of-the-art video, audio, and medical information to create a patient care experience similar to the common medical encounter when patients visit their health care providers. As part of this programme, Cisco is contributing $10 million of product, services and support.
 
Planet Europe in Action
 
Easy-build wireless networks
Full ArticleNetworks that monitor life-threatening situations or improve environmental efficiencies will be easier and cheaper to develop and operate, following the creation of a single middleware solution for the entire spectrum of wireless standards. In Hungary a trial group suffering from chronic diabetes is able to test their blood glucose content with a sensor connected by Bluetooth to a mobile phone. An application on the phone automatically forwards the data to a newly developed MORE middleware on a central server. If the glucose levels are poor, the middleware can send advice to the patient, it can notify doctors and nurses, or - where there is extreme danger - it can automatically call an ambulance.
A virtual liver, a better chance of life
Full ArticleOdysseus has developed systems to construct 3D images of individual patients' livers, with their tumours or other pathologies, from MRI or CT-scans. The reconstructions can be transmitted to external experts in any location, for consultation in real time just before surgery. Collaborative decisions can be made and optimal therapy planned with the best possible diagnostic support, before real surgery is attempted. Simulation of laparoscopic and robotic surgery, with tissue resistance, can be used either to practise the exact surgery proposed for an individual patient, or also for training several surgeons simultaneously.
Blackpool telehealth pilot sees 75 percent reduction in hospital admissions
Full ArticleBlackpool Council's Vitaline and NHS Blackpool have reported on the success of the use of telehealth home monitoring to support people with long-term conditions to enable them to live independently at home. Telehealth led to a 75 percent reduction in hospital admissions for the COPD & Heart Disease patients on the 12-month pilot, as well as an 85 percent reduction in GP visits and a 43 percent reduction in home visits by community matrons during the pilot, alleviating pressure on care providers and ensuring resources can be deployed effectively where needed most.
Deep brain stimulation successful for treatment of severely depressive patient
Full ArticleA team of neurosurgeons at Heidelberg University Hospital and psychiatrists at the Central Institute of Mental Health, Mannheim have for the first time successfully treated a patient suffering from severe depression by stimulating the habenula, a tiny nerve structure in the brain. The 64-year-old woman, who had suffered from depression since age 18, could not be helped by medication or electroconvulsive therapy. Since the procedure, she is for the first time in years free of symptoms.
Hydra service-oriented middleware allows networked sensors and devices to communicate with each other
Full ArticleNetworked sensors and devices have huge potential but how can we ensure that they can all talk to each other? The answer, according to a European consortium, is to link them seamlessly through a common "middleware".
 
The 21st century hospital
 
More than 50 percent of injury-related deaths in rural Ontario occur before patients reach hospital
Full ArticleIt's known that people who live or work in rural areas are more likely to suffer and die from serious injuries compared to those in more urban environments. But while time and distance play a role in these higher mortality rates, new research suggests that limited access to early, high-quality trauma care in many smaller Ontario hospitals may be a factor. Researchers from St. Michael's in Toronto looked at 3486 trauma-related deaths that occurred in Ontario between 2002 and 2003, which was the most recent data available for analysis. A traumatic injury is caused by something outside the person's body - for example, a leg crushed by machinery or a head injury caused by a fall from a ladder.
Curing more cervical cancer cases may be in the math
Full ArticleCervical cancer is highly curable when caught early. But in a third of cases, the tumour responds poorly to therapy or recurs later, when cure is much less likely. Quicker identification of non-responding tumours may be possible using a new mathematical model developed by researchers at the Ohio State University Comprehensive Cancer Center (OSUCCC) - Arthur G. James Cancer Hospital and Richard J. Solove Research Institute.
Brain imaging may help diagnose autism
Full ArticleChildren with autism spectrum disorders (ASDs) process sound and language a fraction of a second slower than children without ASDs, and measuring magnetic signals that mark this delay may become a standardized way to diagnose autism. Researchers at the Children's Hospital of Philadelphia report their findings in an on-line article in the journal Autism Research.
Mayo Clinic and IBM advance early detection of brain aneurysms
Full ArticlePreventing deadly ruptures of the blood vessels in the brain is the aim of a new Mayo Clinic project to help radiologists detect aneurysms with far greater speed and accuracy. The new method uses analytics technology developed by the Mayo and IBM collaboration, Medical Imaging Informatics Innovation Center and has proven a 95 percent accuracy rate in detecting aneurysms, compared with 70 percent for manual interpretation. Project findings were reported in the Journal of Digital Imaging, published on-line November 24, 2009.
Medicare Innovations Collaborative (Med-IC) launches bold initiative to improve geriatric care
Full ArticleThe Medicare Innovations Collaborative, or Med-IC, is a pilot programme that will put some of the United States' best ideas for improving health care for older adults into practice at hospitals around the country, according to Mount Sinai School of Medicine and Johns Hopkins University. Med-IC aims to effect change in health care policy, both by testing leading geriatric care models in a hospital setting and by demonstrating how these innovative programmes can help hospitals remain profitable while providing better, more cost-effective care to their Medicare patients. Med-IC comprises an expert, nationally recognized group of geriatrics experts, six participating health systems, and the new model developers, made possible by a grant from The Atlantic Philanthropies.
 
Virtual snap shots
 
Surgeon studies effect of a pre-operative 'warm-up'
Full ArticleBaseball pitchers warm up in the bullpen and basketball players practise lay-ups before hitting the court. Will surgeons one day warm up to ensure they're better prepared for the equivalent of a big game? According to Dr. Tom Lendvay, University of Washington (UW) assistant professor, Department of Urology, it's possible. The surgeon recently received an award from the United States Army Medical Research and Materiel Command to study the effect of a pre-operative warm-up on virtual reality surgical task proficiency. Major Timothy Brand, a surgeon based at Madigan Army Medical Center in Tacoma, Washington, is collaborating with UW on the study.
Virtual reality tele-rehab improves hand function: Playing games for real recovery
Full ArticleRemotely monitored in-home virtual reality videogames improved hand function and forearm bone health in teens with hemiplegic cerebral palsy, helping them perform activities of daily living such as eating, dressing, cooking, and other tasks for which two hands are needed.
Treating panic disorder on the web
Full ArticleAn on-line treatment system for patients suffering with panic disorder and anxiety problems combines biofeedback therapy with web technologies and allows patients and medical professionals to communicate effectively, according to research published in the International Journal of Business Intelligence and Data Mining. Vincent Tseng and Bai-En Shie of the National Cheng Kung University are working with psychiatrist Fong-Lin Jang of the Chi-Mei Medical Center, in Tainan, Taiwan, to develop a system they say will have a "pivotal impact" on the health care industry.
Computer simulations reveal how tumour growth is controlled
Full ArticleComputational scientists and oncologists working for the University of Amsterdam (UvA) have discovered that cancer stem cells control how tumours grow. The researchers also determined the underlying mechanism. The study, which used computer simulations and laboratory experiments, may help improve the treatment of cancer patients. The results were published earlier this month in Cancer Research, a leading journal published by the American Association for Cancer Research.
Texas A&M professor working on new ways to see through the human body
Full ArticleThanks to medical imaging techniques such as X-ray, CT, ultrasound imaging and MRI, doctors have long been able to see to varying degrees what's going on inside a patient's body, and now a Texas A&M University mathematician is trying to find new and better ways to do so. According to the professor, Peter Kuchment, a leading researcher in mathematical techniques for medical imaging, the research may enhance the process for detecting cancer and many other diseases.
 
VMWC news bites
 
FDA clears TransOral robotic surgery developed at Penn Medicine
Full ArticleA minimally invasive surgical approach developed by head and neck surgeons at the University of Pennsylvania School of Medicine has been cleared by the United States Food and Drug Administration (FDA). The da Vinci Surgical System, developed by Intuitive Surgical Inc., Sunnyvale, California, has been cleared for TransOral otolaryngologic surgical procedures to treat benign tumours and select malignant tumours in adults.
Virtual Reality Exposure Therapy to combat Post Traumatic Stress Disorder
Full ArticleThis summer, thousands of Joint Base Lewis-McChord Soldiers will return home from deployments to Iraq and Afghanistan, ready to reunite with family and loved ones. But for some, the war will not be over. The Improvised Explosive Device that killed their best friend while on a mission will play over and over again in a few soldiers' minds. For others, who may have just finished up their third or fourth deployment in less than a decade, may recall traumatic events and describe them with little or no emotion, similar to giving results for an after-action review.
University of Florida urologists use robot to shave time off vasectomy reversal
Full ArticleUniversity of Florida urologists have used robot-assisted surgery to cut about 20 minutes off average surgery time for conventional vasectomy reversal using a microscope. Sperm count after surgery is comparable over a year for the two procedures, but the robotic procedure appears to result in a quicker return of sperm count.
Observation about how nervous system learns and encodes motion could improve stroke recovery
Full ArticleBioengineers have taken a small step toward improving physical recovery in stroke patients by showing that a key feature of how limb motion is encoded in the nervous system plays a crucial role in how new motor skills are learned. Published in the November 25, 2009 issue of Neuron, a Harvard-based study about the neural learning elements responsible for motor learning may help scientists design rehabilitation protocols in which motor adaptation occurs more readily, potentially allowing for a more rapid recovery.
Worcester Polytechnic Institute receives $1,6 million allocation for research on advanced implantable neuroprosthetics
Full ArticleThe conflicts in Iraq and Afghanistan have left a terrible legacy: more than 1200 returning American soldiers have lost one or more limbs. To address this growing national need, researchers at Worcester Polytechnic Institute (WPI) are laying the groundwork for a new generation of advanced prosthetic limbs that will be fully integrated with the body and nervous system. These implantable neuroprosthetics will look and function like natural limbs, enabling injured soldiers and the more than 2 million other amputees in the United States lead higher quality, more independent lives.
 

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