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Browsing by Author "Saltz, Joel H."
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Item AI in Medical Imaging Informatics: Current Challenges and Future Directions(IEEE, 2020-07) Panayides, Andreas S.; Amini, Amir; Filipovic, Nenad D.; Sharma, Ashish; Tsaftaris, Sotirios A.; Young, Alistair; Foran, David; Do, Nhan; Golemati, Spyretta; Kurc, Tahsin; Huang, Kun; Nikita, Konstantina S.; Veasey, Ben P.; Zervakis, Michalis; Saltz, Joel H.; Pattichis, Constantinos S.; Biostatistics & Health Data Science, School of MedicineThis paper reviews state-of-the-art research solutions across the spectrum of medical imaging informatics, discusses clinical translation, and provides future directions for advancing clinical practice. More specifically, it summarizes advances in medical imaging acquisition technologies for different modalities, highlighting the necessity for efficient medical data management strategies in the context of AI in big healthcare data analytics. It then provides a synopsis of contemporary and emerging algorithmic methods for disease classification and organ/ tissue segmentation, focusing on AI and deep learning architectures that have already become the de facto approach. The clinical benefits of in-silico modelling advances linked with evolving 3D reconstruction and visualization applications are further documented. Concluding, integrative analytics approaches driven by associate research branches highlighted in this study promise to revolutionize imaging informatics as known today across the healthcare continuum for both radiology and digital pathology applications. The latter, is projected to enable informed, more accurate diagnosis, timely prognosis, and effective treatment planning, underpinning precision medicine.Item The National COVID Cohort Collaborative (N3C): Rationale, design, infrastructure, and deployment(Oxford University Press, 2021) Haendel, Melissa A.; Chute, Christopher G.; Bennett, Tellen D.; Eichmann, David A.; Guinney, Justin; Kibbe, Warren A.; Payne, Philip R. O.; Pfaff, Emily R.; Robinson, Peter N.; Saltz, Joel H.; Spratt, Heidi; Suver, Christine; Wilbanks, John; Wilcox, Adam B.; Williams, Andrew E.; Wu, Chunlei; Blacketer, Clair; Bradford, Robert L.; Cimino, James J.; Clark, Marshall; Colmenares, Evan W.; Francis, Patricia A.; Gabriel, Davera; Graves, Alexis; Hemadri, Raju; Hong, Stephanie S.; Hripscak, George; Jiao, Dazhi; Klann, Jeffrey G.; Kostka, Kristin; Lee, Adam M.; Lehmann, Harold P.; Lingrey, Lora; Miller, Robert T.; Morris, Michele; Murphy, Shawn N.; Natarajan, Karthik; Palchuk, Matvey B.; Sheikh, Usman; Solbrig, Harold; Visweswaran, Shyam; Walden, Anita; Walters, Kellie M.; Weber, Griffin M.; Zhang, Xiaohan Tanner; Zhu, Richard L.; Amor, Benjamin; Girvin, Andrew T.; Manna, Amin; Qureshi, Nabeel; Kurilla, Michael G.; Michael, Sam G.; Portilla, Lili M.; Rutter, Joni L.; Austin, Christopher P.; Gersing, Ken R.; Biomedical Engineering and Informatics, Luddy School of Informatics, Computing, and EngineeringObjective: Coronavirus disease 2019 (COVID-19) poses societal challenges that require expeditious data and knowledge sharing. Though organizational clinical data are abundant, these are largely inaccessible to outside researchers. Statistical, machine learning, and causal analyses are most successful with large-scale data beyond what is available in any given organization. Here, we introduce the National COVID Cohort Collaborative (N3C), an open science community focused on analyzing patient-level data from many centers. Materials and methods: The Clinical and Translational Science Award Program and scientific community created N3C to overcome technical, regulatory, policy, and governance barriers to sharing and harmonizing individual-level clinical data. We developed solutions to extract, aggregate, and harmonize data across organizations and data models, and created a secure data enclave to enable efficient, transparent, and reproducible collaborative analytics. Results: Organized in inclusive workstreams, we created legal agreements and governance for organizations and researchers; data extraction scripts to identify and ingest positive, negative, and possible COVID-19 cases; a data quality assurance and harmonization pipeline to create a single harmonized dataset; population of the secure data enclave with data, machine learning, and statistical analytics tools; dissemination mechanisms; and a synthetic data pilot to democratize data access. Conclusions: The N3C has demonstrated that a multisite collaborative learning health network can overcome barriers to rapidly build a scalable infrastructure incorporating multiorganizational clinical data for COVID-19 analytics. We expect this effort to save lives by enabling rapid collaboration among clinicians, researchers, and data scientists to identify treatments and specialized care and thereby reduce the immediate and long-term impacts of COVID-19.