october 27, 2008
DESCRIPTION
Digital Pathology How Digital Imaging is transforming Pathology. Clinical Image Storage Archives & Distribution Enterprise Solutions for Medical Imaging. 1 x. Digital Slides 100 x. October 27, 2008. Richard S. Bakalar, M.D. Chief Medical Officer IBM Healthcare & Life Sciences. 200 x. - PowerPoint PPT PresentationTRANSCRIPT
October 27, 2008
Clinical Image Storage Archives & Distribution Enterprise Solutions for Medical ImagingEnterprise Solutions for Medical Imaging
Richard S. Bakalar, M.D.Chief Medical OfficerIBM Healthcare & Life Sciences
Digital PathologyHow Digital Imaging is transforming Pathology
DigitalSlides100 x
200 x
1 x
2 Digital Pathology - How Digital Imaging is transforming Pathology
Agenda
• Global Healthcare Trends
• Business Drivers for Innovation
• Lessons Learned from Radiology
• Enterprise Medical Content Storage
• Q & A
3 Digital Pathology - How Digital Imaging is transforming Pathology
Transformation of Medicine accelerated by a combination of revolutionary technologies and evolutionary practices
Personalized Health Care
Translational Medicine
Health Care Today Digital Imaging
Episodic Treatment Electronic Health Records Artificial Expert Sys.
Clinical Genomics
Genetic Predisposition Testing
Molecular Medicine
Cancer Diagnosis
Pre-symptomatic Treatment
Lifetime Treatment
Evolutionary Practices
Rev
olu
tio
nar
y T
ech
no
log
y Automated Systems
Non-specific (Treat Symptoms)
Information Correlation
1st Generation Diagnosis
Organized(Error Reduction)
Personalized(Disease Prevention &Targeted Treatment)
Dis
trib
ute
d H
igh
-Th
rou
gh
pu
t A
na
lyti
cs
Data and Systems Integration
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Source: UC Berkeley, School of Information Management and Systems.
0 C.E.
2003
40,000 BCEcave paintings
bone tools 3500writing
paper 1051450
printing1870
electricity, telephone transistor 1947computing 1950
1993The Web
Digital Cardiology
Electronic Medical Record
E-Health Initiatives/Linkages
Digital Radiology
1999
Late 1960sInternet
P e
t a b
y t e s
More Data Over the Last 3 Years Than Previous 40,000 years Combined
Digital Pathology
5 Digital Pathology - How Digital Imaging is transforming Pathology
Use Cases for Digital Slides Today
• Real-time Integrated Patient Care
• Post-Interpretation – Digital Repository
• Referred External Studies – Digital Archive
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Lessons Learned from Radiology
Enterprise Solutions Workflow, Capture, Display, Distribution and
Storage Information Technology Support and Sustainment
What is “thought flow” ? Enhanced Decision Support
Digital Diagnostics on demand Data Analytics – Automated CAD, 3D, and Image Fusion
Importance Clinical & Technical Standards Quality Image Display System interoperability Clinical Reimbursement
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Introduction Why providers should care about infrastructure
Speed - Configurable and Reliable Performance• Smart Caching and Data Backups• IT Support: Central Global Storage Dashboard for Dynamic
System Administration
Collaboration - Flexible Scalability • Up, Down and across medical specialties• Respond to new data volumes & changes in clinical practice
(i.e. CT/MRI protocols)• Diagnostics On DemandDiagnostics On Demand supporting Clinical Centers of
Excellence
High Availability & Data Integrity• No scheduled downtimes• Automated data migration for hardware upgrades
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Introduction What keeps the CIO up at night !
• Affordable system uptime• Eliminate data loss • Scalable without service disruption• Automated data migration for
storage and server hardware refresh• Automated disaster recovery
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Medical Imaging Storage Challenge
• “Always-On” Archive• Mission Critical - Clinical
Performance• Reliable Data Integrity• Easy to Manage and Administer• Easy Migration to new hardware• Automated Recovery • Affordable and ScalableDigital Pathology Slide
Over 1 GB with compression
10 Think Outside the PACS – Enterprise Medical Imaging Storage Solutions
Introduction
• Computation (PC & Server Grids)• Intra and Inter - organizational cycle sharing• Access to computing resources On Demand
Utilization, App Speed &
Scalability
Data Access,Productivity &
Storage Utilization
Operating &Mgmt Costs
(TCO)
• Collaboration (Data Grids)• Data Virtualization, Federation & Sharing• Virtual Storage Pooling
• Orchestration (Intelligent Provisioning) • Automated SLA management & provisioning• Improved Quality of Service & IT
Grids enable three IT functions:
11 Think Outside the PACS – Enterprise Medical Imaging Storage Solutions
“Siloed” Traditional architecture:• Difficult & expensive to administer• Low utilization of hardware & storage• Vulnerable to failure and downtime• Bandwidth inefficient
• Block level replication
Site 1 Site 2 Site 3
Introduction Why Grid Storage System?
latigid
latigid latigid
After Grid
App 1 App 2 App 3 App 4 App 10...
latigid latigidlatigid latigid latigid
App 1 App 2 App 3 App 4 App 10...
Grid Storage Platform
“Virtualized” Grid infrastructure:• Smaller, shared & more cost effective
storage environment• Adaptive, self healing & self managing• High availability & speed • Enables infrastructure to be managed
independent of the application
Before Grid
Site 1 Site 2 Site 3
latigid latigid latigidlatigid
latigid latigidlatigid
12 Think Outside the PACS – Enterprise Medical Imaging Storage Solutions
Introduction
PACS and Imaging Architecture
Transactional Data Fixed Content Data
Data Store
Application
Infrastructure
PACS Application
StudyDemographics and Metadata
StudyImages
Fixed Content Data has unique & specific requirements
Data Store
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Three Tier Medical Imaging Architecture
Image Management Layer
Clinical FunctionImage Access
Aggregation &Interoperability
APPLICATION LAYER
IMAGE MGMT LAYER
STORAGE LAYERSTORAGE LAYER
e.g. Aperio Spectrum Plus,Apollo PACS
GridGridStorageStorageManagementManagementSystemSystem
Data Protection,
ILMReplication,
Resiliency & Speed
e.g. AcuoMed, Teramedica Evercore
CIS
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Centralized Management
• Web-based administration• Proactive monitoring• Fault detection & alerts• Real time and historical reports
• Multi-tier and multi-site mgmt• Across all storage tiers• Enterprise wide
Single operational dashboard for medical image storage
across the enterprise
© 2008 IBM Corporation
IBM Healthcare and Life Sciences
IBM Grid Medical Archive Solution (GMAS) – An enterprise platform that optimizes enterprise storage resources by leveraging automation, grid and virtualization features across all storage brands, tiers and locations
Grid Access Manager
Challenges:•Affordable system uptime
•Eliminate data loss
•Ensure data integrity
•Scalable without service disruption
•Automated data migration for storage and server hardware refresh
•Automated disaster recovery
Value Proposition: •Protects Data for Life: Digital signatures, Proactive Checking, No Data Loss
•Enterprise Solution: All sites (LAN/WAN), All applications, All Storage Tiers and Competitive Storage
•Improves Availability and Uptime
•Automates Storage Data
•Real time failover, automated rebuild, self healing
Grid Access Manager (GAM)
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Real World Case Studies
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Videoclip in Bob Thompson’s own words:http://in.youtube.com/watch?v=p3k17RAs2OM
IBM Healthcare & Life Sciences
18
ControlNode
Main Datacenter
StorageNode 1 StorageNode 2
Norristown Datacenter
The Children’s Hospital of Philadelphia
ArchiveNodeTSM Server
TapeLibrary
Acuo WorkflowCache
RadiologyAcuo DSG Server
HA Gateway
AdministrativeNode
GMASVirtualized & Automated
Smart File System
Cardiology
LAN/WAN
PACS Server
Migration Server
Other Fixed Content
Server
AcuoMed Image Manager IBM GMAS Storage Manager
Configuration Architecture
Radiology Digital Pathology
Aperio Spectrum
IBM Healthcare
© 2008 IBM Corporation
Aperio Spectrum Application
Aperio Spectrum Application
GMAS 2 TB Cache in GMAS Gateway Node2 TB Cache in GMAS Gateway Node
CIFS mount protocol
TCP/IP NAS attachment
SATADisk
IBM Medical GRID Archive for Digital PathologyTransparent Actions Performed by the GRID
Each file is protected with digital fingerprint
Validated on access, replication and rebuild
Proactively verified in background
Corrupted files are quarantined and replaced with a known good file
Grid is both content-aware and resource-aware
100101000110111000101010101001011010
SATADisk
100101000110111000101010101001011010
4 TB DAS4 TB DAS
Dual Read/Write
The Children’s Hospital of Philadelphia 19
StorageNode #1
StorageNode #2
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Summary
Healthcare has unique and challenging storage and information integration requirements
Traditional approaches are not scalable, affordable and reliable
Enterprise proven technology with proven results
Thank You !
Questions and Answers