INTERCONNECTIVITY
Illustration 1: INTERCONNECTIVITY at its early phase (13 brain tumor patients undergone surgery using SmartForceps System, interlinked through unique patient-specific data (patent pending @2024)). Mimicking the human-brain network, graph database creates inter-connections seeking commonality across the spectrum, for precise and accurate output. In contrast to traditional database that are table-based (rows and columns for ease of computing and statistical analyses, e.g. excel), graph data platform such as INTERCONNECTIVITY, not only explores contextual relationship between entities based on the nodes, but draws inferences and even reveal unknown or hidden signals based on knowledge.
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A human body is a minefield of data (and so is the world of knowledge)…. imagine interconnecting these nuances in health and disease to fulfil gaps in what we know and what we do not…!
The impact of cancer on a patient, their family and society is beyond measure.
While many labs and institutes are tirelessly working towards a cure of cancer, attempting to decipher their behaviour, biology, genetics, natural history, outcome etc., these efforts are largely in silos. Only few genetic abnormalities in malignant brain cancer are known to modern medicine (e.g. glioblastoma or metastatic cancer or cancer in eloquent brain regions), with many more unknown; most succumbing to disease within months; many not even tolerating radiation-chemotherapy, and many living with cancer, as part of journey and life….
INTERCONNECTIVITY seeks interconnections in data, in this population
The outcome of glioblastoma has not changed since its early knowledge (now almost a century), and yet surgeons, scientists, innovators worldwide struggle to find answers, impactful solutions.
And what about all brain cancers (or other systemic cancers afflicting populations alike) – benign, malignant, metastatic (distant tumour travel from skin, lungs or kidney…)? Do these contribute to one’s disease behaviour or that of others suffering similar cancer? Is there a hidden link based on their genetic make-up, or that of their family members’ or that of the populations or geographical distribution… or even work or travel history?
Led by Dr. Garnette Sutherland, Professor of Neurosurgery and globally known technology innovator/inventor, INTERCONNECTIVITY explores if the answer lies within the world of data, depth of knowledge and interconnections linked by similarity or differences.
This research team (with a track record of translating research innovations to the operating room (OR), for widespread clinical adoption through advanced digital platform), has created a unique brain tumor-specific data architecture (using knowledge graph), called INTERCONNECTIVITY. A knowledge-driven intelligent software platform, INTERCONNECTIVITY is architected to accommodate and weave through all linked information on a given patient, make connections, and extract meaningful insight - supported by a population of patients and linked knowledge. Multiple data nodes, linked and interfaced with proprietary generative knowledge extraction algorithm (multi-modal AI), derive intelligent reasoning through linkage to global pool of information and best practices, e.g. the NIH, clinicaltrials.gov, genome libraries, WHO, lead clinical journals, etc.
A dynamic digital data repository that grows with each new patient receiving care, INTERCONNECTIVITY can update itself, getting better with incremental data or patients added to its graph database. Built to expand, with robust foundational platform, this vision is novel, the model real, and incorporates evolving advances at global scale. A human-brain like network of data connectivity across disease and patient-specific problem, INTERCONNECTIVITY will interrogate brain cancer, with contextual details, known and unknown to fulfil gaps in knowledge, and utilize every information, in exploring and advancing comprehensive cancer care and understanding.
Utilizing patient data, e.g. MR imaging, tumor pathology/genetic characteristics, past medical history, other disease or surgery (a remote biopsy of a mole, or kidney or lung…), clinical status before and after surgery, age, race-heritage, occupational history, family illnesses, travels-geographic linkage, etc., INTERCONNECTIVITY securely links one patient to a population and diverse knowledge in the field.
In an era when solutions are expected to be built for communities and applicable across global spectrum, INTERCONNECTIVITY offers this promise!
To find out more or meet with this team or tour Dr. Sutherland’s Project neuroArm research facility, please visit: https://neuroarm.org/connect-support-grow
Dynamic Digital Innovation | Data Science ML | KnowledgeGRAPH-Kafka-LLM - The IoT-OR Theme
The IoT-Operating Room, IoT-OR…
Securely To and From the Operating Room: An End-to-End Pipeline of Digital Journey
Advances in agile software, machine intelligence based on sensors, data dynamics and pattern recognition and immersive user interface, have fortuitously allowed our data rich environment to custom-develop unique methodology and algorithms.
Happening now: Customization of contemporary tools that allow real-time dynamic connectivity, information update and feedback loop, not yet possible in OR/medical technology!
The operating room, that centres around providing exemplary care to the sole patient on the table, is a secure closed-door environment mandated to do just that.
In an era where digital health presents opportunities for seamless workflow, access to information and patient care (amongst other advantages and potential benefits), Project neuroArm has a unique approach to digital innovation in health care.
This surgeon-led team at Project neuroArm offers new opportunities harnessed from the big data, thanks to the sensorized surgical devices/robotics, to create a secure cloud platform whereby surgery and surgical performance is automatically recorded, recognized, analyzed and returned to surgeons…. towards improved surgeon learning, skill acquisition, and performance, all of which can be translated to improved patient safety and standardized care.
Such a platform enables advanced care through secure global connectivity in cloud, machine analytics and data safety monitoring in perpetuity for precision surgery. This end-to-end pipeline even returns procedure-performance feedback to the surgeon via secure mobile or web applications. No other operating room technology offers such!
The team with multiple patents in this domain, is presently developing what is named an IoT-OR - literally, a safe and optimal utility of Internet of Things in patient care - from concept to reality.
Molecular, Vibrational Profiling of Brain Tumours/CNS pathology
Ongoing R&D:
Through trans-Canada collaboration (NRC Ottawa UofVictoria and teams within UofCalgary), Dr. Sutherland and his team have successfully established the process of identification of cell-specific contrast agents and molecular/immunological markers for brain tumour (glioma, meningioma) and other CNS pathology such as traumatic brain injury, neurodegenerative disease etc.
The team is mobilizing these efforts towards a data-driven digital platform utilization, whereby risk prediction models, machine-learning based quantification of histopathological signatures, or vibrational profiles of disease versus normal brain are interrogated and created. These activities, including intra-operative visualization for both image-guidance and resection control are vital for rapid diagnostics, enhanced patient care and safety.
From Space and Back…
Towards Robot-Assisted Space Telemetry / Remote Surgery …
Ongoing R&D:
The evolution of neuroArm using space R&D for terrestrial application to benefit neurosurgical patients, has offered the notion of tele-robotics in low gravity scenario, beginning with low earth orbit such as the International Space Station (ISS). One such theme is the utility of a light weight robot, a version of CellARM, for space telemetry, whereby astronaut mentoring may be performed from earth for emergency procedures. With the rapidly progressing deep space exploration and travel, the Project neuroArm team has been studying and developing a tele-robotic platform accounting for variable delay in space and execution of remote operations.
QuantumneuroArm
Thought-storming…
Developing now…..
The application of Quantum analytics/computing is being considered for a state-of-the-art multi-sensory robotic system, a next gen. neuroArm - the neuroArm+CellARM System, to assist fast parallel processing, high-fidelity meta analytics to generate accurate, precise, meaningful surgeon-machine interaction and performance in realtime …
Welcoming thoughts and concepts within and across teams.