Telemedicine & Advanced Technology
Cutting Edge Medical Technology
TATRC
U.S. ARMY MEDICAL RESEARCH & MATERIEL COMMAND
Broadband Medical Networks
iGRID
27 September 2005
Mr. Jan Patterson
Director, TATRC West Coast Field Office
Telemedicine & Advanced Technology Research Center (TATRC)
Ms. Mary Kratz
Special Advisor to the Director, Broadband Medical Networks
Telemedicine & Advanced Technology Research Center (TATRC)
U.S. Army Medical Research and Materiel Command
Core Medical S&T Program Areas
Military Infectious Diseases
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Medical readiness
Vaccines
Biotechnology
Prophylaxis/treatment drugs
Diagnostics/prognostics
Vector control
Combat Casualty Care
• Lightweight medical
equipment
• Medical C4ISR
• Trauma care
• Health monitoring and
diagnostic technology
Military Operational Medicine
• Soldier selection
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and sustainment
Soldier performance
Warrior system modeling
Health hazards protection
Diagnostics/prognostics
Health monitoring
Military Infectious
Diseases
28%
Combat
Casualty Care
9%
Military
Operational
Medicine
10%
$1.5bn
Medical
Biological
Defense
37%
Medical
Chemical
Defense
16%
Medical Biological Defense
• Vaccines/therapies
• Field-portable diagnostic
systems
• Medical readiness
• Biotechnology
Medical Chemical Defense
• Medical management of
chemical warfare
casualties
• Medical readiness
• Drug prophylaxes/
pretreatments
• Diagnostics/therapeutics
Telemedicine & Advanced Technology Research Center
Cutting Edge Medical Technology
Mission
Apply physiological and medical
knowledge, advanced diagnostics,
simulations, and effector systems integrated
with information and telecommunications
for the purposes of enhancing operational
and medical decision-making, improving
medical training, and delivering medical
treatment across all barriers.
The program scope is to identify,
explore, and demonstrate key technologies
and biomedical principles required to
overcome technology barriers that are both
medically and militarily unique. Department of Defense,
Joint Warfighting Science and Technology
Plan, Chapter IX, Joint Readiness and
Logistics, 1999
Telemedicine & Advanced Technology Research Center
Cutting Edge Medical Technology
Total Funding
$350,000,000
$300,000,000
$250,000,000
$200,000,000
$150,000,000
$100,000,000
$50,000,000
TATRC
05
FY
04
FY
03
FY
02
FY
01
FY
00
FY
99
FY
FY
98
$0
TATRC Funding Programs
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Congressional Special Interest
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Dual Use Science & Technology
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Small Business Innovative Research
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Defense Health
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Small Business Technology Transfer
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Federal Partnerships
Telemedicine & Advanced Technology Research Center
Leverages Academic Partnerships
Cutting Edge Medical Technology
…For Basic and Applied Research
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Georgetown University
(CA-Medical Vangaurd)
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Howard University
(CRDA-Urban Telemed)
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Harvard University
(CA-CIMIT)
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Mass Institute of Technology
(CA-CIMIT)
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University of Maryland
(IPA/CA – ORF)
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University of Utah
(Contract-Teleopth)
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Rutgers University
(CA-CEMBR)
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Saint Francis University
(CRDA-CERMUSA)
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Drexel University
(CA-CIMERC)
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Loma Linda University
(CA-NMTB/Proton Beam)
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University of Tex - Houston HSC
(CA-DREAMS)
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University South Florida
(CA-Telerad/Adv Cancer Detect)
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University of Hawaii
(CA-Telemed Curric’lm)
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University of Pittsburgh
(Contract-GGTS)
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Stanford University
(Contract-Affiliates Prog)
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Yale University
(IPA-Adv Tech Watch)
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Texas A & M
(CA-DREAMS)
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Johns Hopkins University
(CA-Periscopic MIS)
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University of Southern Calfornia
(CA-NGI)
Telemedicine & Advanced Technology Research Center
Cutting Edge Medical Technology
Uses DoD & Federal Partnerships
…for Non-Medical and Supporting Technologies
•U.S. Army Research Laboratory
*
• Los Alamos National Laboratory
* Advanced, Adaptive Multilevel Security
• Sandia National Laboratory
* Data Mining of Disparate Databases
• U.S. Army, Signal Battle Laboratory
* Secure Global Positioning System
• Commo & Electronic Command
* Network Management Tools
• Oak Ridge National Laboratory
* Info Warfare Surveillance & Defense Tools
• Veterans Administration
• NASA
• DARPA
• National Library of Medicine (NIH)
Distributed, Synchronized Databases
* Artificial Intelligence - Expert Systems
* Fault Avoidance and Recovery Systems
* Hands Free, Wireless Telecom
* Wireless Networking
* Data Compression
• Agency for Health Research & Quality
* High Bandwidth Datalinks
•Food & Drug Administration
* Low Power Electronics
•Centers for Disease Control & Prevention
* Multi-platform, Interoperable Software
* Complex Modeling and Simulation
TATRC is a network of “Best of Breed”
public/private advanced medical technology
partnerships.
Leverages International Partnerships
…to Accelerate
Development
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US/Norway Telemedicine (Wireless, Handheld)
European Union Collaboration
NATO – Telemedicine Standardization Committee
Canada: International Space Station (Telesurgery)
South African Military Health Service (Peacekeeping)
International Global Satellite System: Poland (CME)
Landmine Victim Assistance: Central America > Bosnia > Afghanistan
Partnership for Peace – Romanian Needs Assessment
Fellowship Programs: Pakistani, Polish
Yuma Proving Ground - Panama Telepathology – Hyperspectral Imaging
Argentina – Civilian Medical Emergency Response
Israeli Trauma Simulator
South Korean Exchange Program
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ATA Symposiums
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EU (2001) – Africa (2002) - Latin America (2003) - E.Europe (2004) – Asia (2005) – W. Europe (2006)
Doing Business with TATRC
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MRMC Broad Agency Announcement (BAA 05-1)
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http://www.usamraa.army.mil/pages/index.cfm
General process
Submit pre- proposal to MRMC/TATRC
 Review for scientific and programmatic merit
 Award funding
 Project monitoring and accountability
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Eschatological Approach of Health
Paradigms
ERRORS
R E C O N C I LIAT I O N
FAULT/PUNISHMENT
GOD
GLOBAL
INFORMATIO
N SOCIETY
RECOVERY
T RUTH
Genes,
molecules,
virus
Slide Courtesy Jean-Claude Healy, WHO
LambdaGRID Challenges
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Federation of databases
Content-based knowledge
Management of personal data
Security
Social Anthropology
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Ethical and legal
Regulatory compliance
What is a GRID ?
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HealthGRID http://www.healthgrid.org
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What is a LambdaGRID??
TATRC Broadband Medical Networking:
State-Based Initiatives
Linking regional TeleHealth programs
 National Health Information Infrastructure
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Regional Health Information Organizations (RHIO)
 Regional Optical Network (RON)
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Disaster Relief /Preparedness
 Advanced Distributed Learning
 Simulation Environments
 Advanced Visualizations
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Gaming industry
 Entertainment industry
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Ubiquitous Broadband (urban/rural)
TATRC Broadband Medical Networks:
Patterns of Content
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Computational Models of the Human Body
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Epidemiological Networks
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Medical Imaging
PharmaGRID (RxNorm)
Life Sciences GRID
Veterinary Medical
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Public Health sector
‘SensorNets’
Predictive modeling
Biomedical Informatics
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Advanced Distributed Learning
Modeling and Simulation
Agriculture
Animal to human vectors
National Health Information Infrastructure
TATRC Broadband Medical Networks:
GRID
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Computing GRID
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Data GRID
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Biomedical Informatics (storage?)
Terminology mediation
Knowledge GRID
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Bio-patterning
Resources such as TeraGRID/Supercomputers
Semantic Mining
Business intelligence
Collaboration GRID
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Teleconsultation
Telementoring
TATRC Broadband Medical Networks:
Current TATRC Activities
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Developing networks for sharing medical data
Funding projects for planning, implementing, and
demonstrating the value of health IT
Providing technical assistance to solve problems and
identify lessons learned
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Regional Optical Networks
Regional Health Information Organizations
Global Collaborations
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European HealthGRID
Pacific Rim PRAGMA Life Sciences GRID
Africa PEPFAR program
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WHO/ITU MoU
Latin America/Caribbean/Canadian in discussion
TATRC Advanced Distributed Learning
PC-based Interactive
VR/Multimedia
Digitally Enhanced
Mannequins
To meet multiple
training needs, TATRC
is actively developing
computer imaging
technologies &
telecommunications to
achieve the most
effective training
possible.
Virtual
Workbenches
Total Immersion
Virtual Reality
TATRC Homeland Defense
Chemical/Biological/Nuclear Threat Detection
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MEMS Sensor System
µ CANARY MEMS
Sensor System
High Sensitivity
 Nanoliter Samples
 Short Analysis Time
 High-density Information
 Low Cost
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Typical of TATRC programs for threat detection is the
MicroElectroMechanical sensor for detection of anthrax,
developed through the Harvard Medical School Center
for Integrating Medicine and Innovative Technology, the
Draper Research Laboratory and MIT.
64-element sensor
TATRC Life Cycle Health Care Management
Telemedicine is the cornerstone of TATRC geriatric
care, such as the home monitoring equipment being
developed in collaboration with the Mercy Health
System to improve the management of congestive heart
failure.
Home Health Congestive Heart Failure Protocol base data collection.
Parameters:
Blood Pressure
Heart Rate
Respirations
Oral Temperature
Heart and Lung
Assessment with
Stethoscope
ECG
Oxygen Saturation
Assessment of general appearance, pedal edema and mental status
will be obtained through the video camera, as well as questions
presented by the telemed nurse.
TATRC Broadband Medical Networking:
Next Steps
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TATRC Integrated Research Team
 Seek
advice for setting BMN priorities
 Develop a program for supporting
development and adoption
 Spring 2006
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Don’t wait for IRT
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http://www.usamraa.army.mil/pages/index.cfm
Help answer: what is a LambdaGRID?
Questions? More information?
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http://www.tatrc.org
Points of Contact:
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Mary Kratz
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734-763-5505
mkratz@tatrc.org
 (mkratz@umich.edu)
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Jan M. Patterson
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310-574-8401
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patterson@tatrc.org