New Medical Treatment System in the Cloud

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Advanced and Comfortable Tailor-made Medical Treatment based on Heart Simulator New Medical Treatment System in the Cloud Prof. Toshiaki Hisada, Ph.D. in Eng. Univ. of Tokyo Prof. Seiryou Sugiura, Ph.D. in MD. Univ. of Tokyo Yoshimasa Kadooka, Ph.D. in Sci. Fujitsu Ltd. Collaborative research with Hisada Lab. of the University of Tokyo Supported by Japan Science and Technology Agency Copyright 2011 FUJITSU LIMITED

Agenda Introduction of Heart Simulator Our Goal: New Medical Treatment System in the Cloud Expectation for Telco Conclusion 1 Copyright 2011 FUJITSU LIMITED

What is Heart Simulator? 2 Copyright 2011 FUJITSU LIMITED

Mechanisms of Heart Simulator Input Data Heart Simulator Electrophysiology CT images myocardial fiber Patient Specific Data from Modalities (CT, MRI, etc) Output Data (examples) Ion channel model in Cell Peta-scale computer Excitation Propagation Excitation-Contraction Coupling Pumping Motion ECG blood flow Patient Specific Predictive and Diagnostic Information Motion of Cell Fluid-Structure Interaction Coronary Circulation Motion of Valves 3 Copyright 2011 FUJITSU LIMITED

Motion of Mitral and Aortic Valves Aortic Valve (Slow motion) Coupling Simulation for moving valves (Aortic, Mitral), blood flow and myocardia 4 Copyright 2011 FUJITSU LIMITED

Measurement of Echocardiograph (ECG) Comparison of ECG measurement between heart simulator and human heart Potential Distribution on torso surface Cardiac Excitation Cardiac Pumping Lead II ECG 5 Copyright 2011 FUJITSU LIMITED

Planning of Surgery for Dilatative Cardiomyopathy Surgery Planning of Batista by Heart Simulator Contractile force: 100% Plan A Aneurysm Necrotic myocardium Contractile force: 30% Before surgery Plan B? Quantitative Prediction (QP) of Pressure - Volume QP of Stress Strain 6 Copyright 2011 FUJITSU LIMITED

New Medical System to realize Tailor-made Medical Treatment in the Cloud Patient data Heart Simulator Cardiac Excitation Propagation Micro Numerical Cell Fluid and Structure Interaction Ion channel model in Cell Blood pressure, electrocardiogram, and blood test Surgery planning, Prediction of effect Interactive Visualization System Echo Relational model for Excitation and Contraction Valves Diagnostic support Micro Model Coronary Circulation CT MRI Peta-scale Computer Medical information integration data base Prediction of administering effect Electrical Care Card Taylor-made Medical Treatment by Heart Simulator Treatment for Intractable disease 7 Copyright 2011 FUJITSU LIMITED

Expectation for Telco Cloud Realization of High Speed Interactive Visualization for MD Heart Center Simulation Results Universal QoS without any differences between Telcos 250MB/CT Telco A Telco B Telco C Several 100MB ~10MB/patient Hospital Hospital CT MRI To keep Higher Security Level for Patient data 8 Copyright 2011 FUJITSU LIMITED

High Speed Interactive Visualization Medical Doctor Heart Center Data Request Several Min. 86MB New Data Request: rotate Several Min. 86MB How to reduce the data transmission time : from Several Min. to Several Sec. 9 Copyright 2011 FUJITSU LIMITED

Security Level and Universal QoS Protection for DoS Attack To guarantee Persistent Service and Emergency Response without any service interruption To guarantee the minimum security level and QoS for all Telcos Heart Center Telco A Telco B Telco C Telco D Security A QoS A Security B QoS B Security C QoS C Security D QoS D International Leased Line Service 10 Copyright 2011 FUJITSU LIMITED

Conclusions The University of Tokyo and FUJITSU have realized Multiscale/Multi-Physics Heart Simulator which contributes to the advanced and comfortable tailor-made medical treatments; Surgical planning, Patient-specific ICD, Side effect check, Informed consent We expect for Telco to solve some issues to realize these phenomena High level Interactive communication, Security Level and Universal QoS FUJITSU will contribute to the society by realizing new medical treatment system in Cloud Telco services, Simulation technologies and Cloud are key elements to realize this system 11 Copyright 2011 FUJITSU LIMITED

Thank you! y-kadooka@jp.fujitsu.com 12 Copyright 2011 FUJITSU LIMITED