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IUCKA India-United States Cancer Knowledge Alliance Leveraging Community and Connectivity to Improve Cancer Outcomes Ken Buetow, Ph.D. Computational Science & Informatics Complex Adaptive Systems ARI ZONA STATE UNI VERSITY Outline • Introduce the India-US Cancer Knowledge Alliance (IUCKA) • Briefly describe activities currently in progress • Describe collaborative opportunities with National Cancer Grid • Discussion IUCKA India-United States Cancer Knowledge Alliance Unique problems require innovative approaches India-United States Cancer Knowledge Alliance (IUCKA): A collaborative coalition of international stakeholders committed to Improving Cancer Outcomes What is the India-United States Cancer Knowledge Alliance (IUCKA)? • Public-Private Partnership of ALL Stakeholders • • • Academic Government Industry • National and International • Bridging/Enabling connections IUCKA approach: • Leverage unique assets • • • • Institutional Data Synergize Exploit 21st Century Information Technology IUCKA provides: • • • • Facilitation Consultation Services Support IUCKA Platform Vision Coordinated information technology solutions that integrate biomedical and hospital information systems for transforming information into evidencebased treatment knowledge • “Virtual” communities • Enhanced, integrated cancer registries Monitor trends, assess success • “Smart” Electronic Health Record • Common, shareable aggregated/integrated molecular and clinical data Centered on understanding the mechanisms of response and unique Indian response • National Clinical Trials Infrastructure Building evidence for novel clinical interventions Genomics data Clinical Records Integrated data solutions Radiotherapy Imaging and other IUCKA bridges India’s world class capabilities • Tata Memorial Centre • Tata Memorial Hospital • Advanced Center for Treatment, Research, Education in Cancer • The National Cancer Grid of India • All India Institutes of Medical Sciences • group of autonomous public medical colleges of higher education IUCKA India-United States Cancer Knowledge Alliance IUCKA leverages India’s world class technology capabilities • Centre for Development of Advanced Computing • Bioinformatic Resources & Applications Facility • National Knowledge Network • Industry • IT’s contribution to India's GDP grew from 1.2% in 1998 to 7.5% in 2012 • aggregated revenues of US$147 billion in 2015 IUCKA India-United States Cancer Knowledge Alliance CDAC/BRAF • Health Informatics • MEGH SUSHRUT: open source Health Information System – deployed at 28 institutions (24 public hospitals in Rajasthan) • Distributed Health System (DHS): Clinical Integration Platform • Mercury™ Nimbus: Comprehensive telemedicine platform • Cognitive Systems • Natural Language processing • Feature recognition • Expert Systems • Digital Biology • Pan-omics capabilities – genomics, structural biology • Federated Computational and Storage Infrastructure • “Genomic Rigs” • Repository Persistent Systems • Digital Transformation • Connected Healthcare • Product Engineering • Products and Solutions Dr. Anand Deshpande Founder, Chairman and Managing Director IUCKA’s international partners complement Indian capabilities and facilitate bridging and support • Open Health Science Laboratory • Arizona State University • ICT BioMed • Pozan Supercomputing and Networking Center, Poland • Chalmers University of Technology, Sweden • University of Notre Dame, USA • Internet2 • US NCI Quantitative Imaging Network • Harvard/Massachusetts General Hospital • Industry IUCKA India-United States Cancer Knowledge Alliance OHSL bridges people, domains, technologies, and continents Founder and President IUCKA India-United States Cancer Knowledge Alliance 16 ASU contributes: • 30+ years hands-on experience in diverse areas of biomedical informatics • Bioinformatics • Clinical Research • Health Informatics • Experience in designing, implementing, and executing a national informatics program • Long Standing Global Health Program ICTBioMed provides human and computational capacity IUCKA India-United States Cancer Knowledge Alliance ICTBioMed Global Cloud IUCKA India-United States Cancer Knowledge Alliance Industry partners bring portfolios of commercial-grade capabilities • OncoPeer™ cloud community for oncology • ARIA© Medical Oncology • InSightive™ Analytics - review, measure, evaluate Cognitive Technology IUCKA India-United States Cancer Knowledge Alliance IUCKA fulfills its mission by facilitating practical, value-added projects that incrementally create global capabilities IUCKA India-United States Cancer Knowledge Alliance IUCKA has tangible projects of immediate importance to the Indian Cancer Community • Virtual Communities • Access to International-Class Image analysis tools • “Smart” Electronic Clinical Management • Common, shareable aggregated/integrated molecular and clinical data • Centered on understanding the mechanisms of response and unique Indian response IUCKA India-United States Cancer Knowledge Alliance IUCKA is facilitating the introduction of automated feature analysis to extend IUCKA capacity India-United States Cancer Knowledge Alliance Computer assisted evaluation shows comparable performance IUCKA India-United States Cancer Knowledge Alliance Enhancing In Vivo Imaging capacity • Enable use of State-of-the-Art Image Analysis Capabilities • E.g. automated segmentation analysis • Bring novel analytics to images • Participants • Tata Memorial Hospital • Centre for Development of Advanced Computing • Massachusetts General Hospital, Harvard • Arizona State University IUCKA India-United States Cancer Knowledge Alliance Analytics brought to imaging data using Docker payloads Jayashree Kalpathy-Cramer MGH 1. Diffusion analysis (single exponent, biexponent, stretched exponent, NODDI) 2. DSC analysis 3. DCE analysis 4. Tumor segmentation 5. Multimodal registration (single time point) 6. Multimodal registration (multiple time points) 7. Voxel level analysis (tissue classification) image resources Amit Saxena CDAC/BRAF IUCKA India-United States Cancer Knowledge Alliance IUCKA is facilitating the generation of a “smart” clinical information system that could be used nationwide IUCKA India-United States Cancer Knowledge Alliance “One Stop” Solution for Breast Cancer Clinic Data Management • Patient and Treatment Details database • Proactive intelligent Database that learns from each patient encounter • Evidence-based Treatment guidance • Results from Literature with a particular treatment path • Local patient experience • National data • Real time Statistical analysis for publications • Platform for collecting national data • Patient selection for trials/thesis enrollment • Enrollment from time of screening IUCKA India-United States 28 Alliance Cancer Knowledge “One stop” Clinical Data Management Platform Insights • “Real time” effectiveness of interventions from current data • Assess differences in: • Rural vs Urban rates of cancer? • Age of onset? • Triple-negative frequency? • Validity of Gail-model risk assessment? IUCKA India-United States Cancer Knowledge Alliance IUCKA is participating in India-led world-class translational research activities IUCKA India-United States Cancer Knowledge Alliance Clinical research with Indian impact 11% improvement in 5 year survival IUCKA India-United States Cancer Knowledge Alliance Understanding the molecular basis of progesterone pre-treatment in breast cancer • Transcriptome analysis of progesterone pretreated breast cancer • Understand molecular basis of treatment • Assess the effects of hypoxia • Participants • Tata Memorial Hospital • Advanced Center for Treatment, Research, Education in Cancer • National Cancer Institute Center for Biomedical Informatics and information Technology • Centre for Development of Advanced Computing • Arizona State University IUCKA India-United States Cancer Knowledge Alliance Transcriptome analysis Use Case • • • Data Samples generated at Tata Memorial Hospital Mumbai India Sequencing done at NIBMG Kolkata India Analyzed at • BRAF C-DAC Pune India (using NCI pipeline) • Advanced Center for Treatment, Research, Education in Cancer • Arizona State University IUCKA India-United States Cancer Knowledge Alliance http://iucka.in Indian National Cancer Grid Srinagar Jammu IUCKA seeks to collaborate with NCG members to better capture the needs of the Indian Cancer Community IUCKA Shimla Chandigarh Dehradun New Delhi Rohtak Bareilly Guwahati Naharlagun Bikaner Lucknow Shillong Jaipur Varanasi Kohima Silchar Gwalior Jodhpur Imphal Allahabad Patna Udaipur Agartala Satna Ahmedabad Karamsad Kolkata Betul Aizawl Cuttack Nagpur Bhubaneshwar Mumbai Pune India-United States Hyderabad Vishakapatnam Kolhapur Cancer Knowledge Alliance Kurnool Tirupati Bengaluru Kancheepuram Chennai Vellore Pondicherry Thalassery Coimbatore Kochi Thiruvananthapuram IUCKA-NCG Collaborative Options • Share needs of your organization • Participate in developing projects • Contribute capabilities that would enhance Alliance • Share data with fellow NCG organizations IUCKA India-United States Cancer Knowledge Alliance Summary • IUCKA is mobilizing stakeholder groups to work together collaboratively to build knowledge so that all cancer patients will benefit from uniformly high standards of care, with continual science-based progress that improves their clinical outcomes • IUCKA leverages International Information Technology capabilities to address challenges through practical projects important to the Indian Cancer Community • IUCKA is demonstrating its model through International collaborative products IUCKA India-United States Cancer Knowledge Alliance Seeking Collaborators and Partners Come Join the Effort [email protected] [email protected] IUCKA India-United States Cancer Knowledge Alliance