51 research outputs found
Grid Databases for Shared Image Analysis in the MammoGrid Project
The MammoGrid project aims to prove that Grid infrastructures can be used for
collaborative clinical analysis of database-resident but geographically
distributed medical images. This requires: a) the provision of a
clinician-facing front-end workstation and b) the ability to service real-world
clinician queries across a distributed and federated database. The MammoGrid
project will prove the viability of the Grid by harnessing its power to enable
radiologists from geographically dispersed hospitals to share standardized
mammograms, to compare diagnoses (with and without computer aided detection of
tumours) and to perform sophisticated epidemiological studies across national
boundaries. This paper outlines the approach taken in MammoGrid to seamlessly
connect radiologist workstations across a Grid using an "information
infrastructure" and a DICOM-compliant object model residing in multiple
distributed data stores in Italy and the UKComment: 10 pages, 5 figure
Experiences of Engineering Grid-Based Medical Software
Objectives: Grid-based technologies are emerging as potential solutions for
managing and collaborating distributed resources in the biomedical domain. Few
examples exist, however, of successful implementations of Grid-enabled medical
systems and even fewer have been deployed for evaluation in practice. The
objective of this paper is to evaluate the use in clinical practice of a
Grid-based imaging prototype and to establish directions for engineering future
medical Grid developments and their subsequent deployment. Method: The
MammoGrid project has deployed a prototype system for clinicians using the Grid
as its information infrastructure. To assist in the specification of the system
requirements (and for the first time in healthgrid applications), use-case
modelling has been carried out in close collaboration with clinicians and
radiologists who had no prior experience of this modelling technique. A
critical qualitative and, where possible, quantitative analysis of the
MammoGrid prototype is presented leading to a set of recommendations from the
delivery of the first deployed Grid-based medical imaging application. Results:
We report critically on the application of software engineering techniques in
the specification and implementation of the MammoGrid project and show that
use-case modelling is a suitable vehicle for representing medical requirements
and for communicating effectively with the clinical community. This paper also
discusses the practical advantages and limitations of applying the Grid to
real-life clinical applications and presents the consequent lessons learned.Comment: 18 pages, 2 tables, 5 figures. In press International Journal of
Medical Informatics. Elsevier publisher
A model-driven privacy compliance decision support for medical data sharing in Europe
Objectives: Clinical practitioners and medical researchers often have to share health data with other colleagues across Europe. Privacy compliance in this context is very important but challenging. Automated privacy guidelines are a practical way of increasing users' awareness of privacy obligations and help eliminating unintentional breaches of privacy. In this paper we present an ontology-plus-rules based approach to privacy decision support for the sharing of patient data across European platforms. Methods: We use ontologies to model the required domain and context information about data sharing and privacy requirements. In addition, we use a set of Semantic Web Rule Language rules to reason about legal privacy requirements that are applicable to a specific context of data disclosure. We make the complete set invocable through the use of a semantic web application acting as an interactive privacy guideline system can then invoke the full model in order to provide decision support. Results: When asked, the system will generate privacy reports applicable to a specific case of data disclosure described by the user. Also reports showing guidelines per Member State may be obtained. Conclusion: The advantage of this approach lies in the expressiveness and extensibility of the modelling and inference languages adopted and the ability they confer to reason with complex requirements interpreted from high level regulations. However, the system cannot at this stage fully simulate the role of an ethics committee or review board. © Schattauer 2011
Innovative in silico approaches to address avian flu using grid technology
The recent years have seen the emergence of diseases which have spread very
quickly all around the world either through human travels like SARS or animal
migration like avian flu. Among the biggest challenges raised by infectious
emerging diseases, one is related to the constant mutation of the viruses which
turns them into continuously moving targets for drug and vaccine discovery.
Another challenge is related to the early detection and surveillance of the
diseases as new cases can appear just anywhere due to the globalization of
exchanges and the circulation of people and animals around the earth, as
recently demonstrated by the avian flu epidemics. For 3 years now, a
collaboration of teams in Europe and Asia has been exploring some innovative in
silico approaches to better tackle avian flu taking advantage of the very large
computing resources available on international grid infrastructures. Grids were
used to study the impact of mutations on the effectiveness of existing drugs
against H5N1 and to find potentially new leads active on mutated strains. Grids
allow also the integration of distributed data in a completely secured way. The
paper presents how we are currently exploring how to integrate the existing
data sources towards a global surveillance network for molecular epidemiology.Comment: 7 pages, submitted to Infectious Disorders - Drug Target
Characterizing Long COVID: Deep Phenotype of a Complex Condition.
BACKGROUND: Numerous publications describe the clinical manifestations of post-acute sequelae of SARS-CoV-2 (PASC or long COVID ), but they are difficult to integrate because of heterogeneous methods and the lack of a standard for denoting the many phenotypic manifestations. Patient-led studies are of particular importance for understanding the natural history of COVID-19, but integration is hampered because they often use different terms to describe the same symptom or condition. This significant disparity in patient versus clinical characterization motivated the proposed ontological approach to specifying manifestations, which will improve capture and integration of future long COVID studies.
METHODS: The Human Phenotype Ontology (HPO) is a widely used standard for exchange and analysis of phenotypic abnormalities in human disease but has not yet been applied to the analysis of COVID-19.
FINDINGS: We identified 303 articles published before April 29, 2021, curated 59 relevant manuscripts that described clinical manifestations in 81 cohorts three weeks or more following acute COVID-19, and mapped 287 unique clinical findings to HPO terms. We present layperson synonyms and definitions that can be used to link patient self-report questionnaires to standard medical terminology. Long COVID clinical manifestations are not assessed consistently across studies, and most manifestations have been reported with a wide range of synonyms by different authors. Across at least 10 cohorts, authors reported 31 unique clinical features corresponding to HPO terms; the most commonly reported feature was Fatigue (median 45.1%) and the least commonly reported was Nausea (median 3.9%), but the reported percentages varied widely between studies.
INTERPRETATION: Translating long COVID manifestations into computable HPO terms will improve analysis, data capture, and classification of long COVID patients. If researchers, clinicians, and patients share a common language, then studies can be compared/pooled more effectively. Furthermore, mapping lay terminology to HPO will help patients assist clinicians and researchers in creating phenotypic characterizations that are computationally accessible, thereby improving the stratification, diagnosis, and treatment of long COVID.
FUNDING: U24TR002306; UL1TR001439; P30AG024832; GBMF4552; R01HG010067; UL1TR002535; K23HL128909; UL1TR002389; K99GM145411
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