- Email: [email protected]
Progress in digital medicine
Accepted Manuscript Progress in digital medicine Zheng-Guo Wang, Liang Zhang, Wen-Jun Zhao PII:
S1008-1275(17)30067-6
DOI:
10.1016/j.cjtee.2017.04.007
Reference:
CJTEE 254
To appear in:
Chinese Journal of Traumatology
Received Date: 2 March 2017 Revised Date:
1008-1275 1008-1275
Accepted Date: 5 April 2017
Please cite this article as: Wang ZG, Zhang L, Zhao WJ, Progress in digital medicine, Chinese Journal of Traumatology (2017), doi: 10.1016/j.cjtee.2017.04.007. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
Editorial Progress in digital medicine
Zheng-Guo Wang*, Liang Zhang, Wen-Jun Zhao Research Institute of Surgery, Third Military Medical University, Chongqing 400042, China
RI PT
*Corresponding author. Tel: 86-23-68757400, Email address: [email protected]
Received 1st March 2017 Received in revised form 19 April 2017
SC
Accepted 28 May 2017
Chinese digital medicine society, a branch of Chinese medical association, was established and held
M AN U
its first academic annual meeting in Chongqing from May 21 to 23, 2011. In the following five years, five academic annual meetings have been held in Guangzhou, Fuzhou, Hangzhou, etc, with several publications of high-quality monographs like Digital Medicine Outline1 co-edited by Bo Zheng and Liang Minghui (People’s Medical Publishing House, October 2009); Introduction to Digital Medicine1 co-edited by Zhang Shaoxiang, Tan Liwen, Li Lanjuan (Science Press, October 2015); Digital Orthopedics2 edited by Pei
TE D
Guoxian and Zhang Yuanzhi (People’s Medical Publishing House, June 2009), etc. Thanks to its unremitting effort, the journal Chinese Digital Medicine has published 11 volumes since its foundation in 2005 and now establishes itself as one of the key journals among the scientific and
EP
technological periodicals for statistics in China and among Chinese technological journals. Over the last 5 years, digital medicine has experienced a rapid development, attracting much attention
AC C
from Chinese government and academic community. Digital medicine research centers or institutes have been founded around the country where various research programs at national level have been conducted with fruitful findings obtained in digital hospital construction and digital human studies1. After five years since the establishment of digital medicine society, several questions call for researchers’ due attention: what’s the global trend of digital medicine? What have we achieved in digital medicine research and its application in China? What problems exist? Based on experts’ consensus, following are some suggestions: 1. Basic research2: Since most of the high-end medical equipments and digital medical systems are imported from western countries, expanding investments in digital medicine research, development and 1
application is necessary to build our own characteristics and advantages.
ACCEPTED MANUSCRIPT
1
2. Digital hospital construction : Since 1990s, countries like Australia have probed into digital hospital construction and a number of digital hospitals have begun to take shape. Among Asian countries, Japan and South Korea have taken a lead in this field while some hospitals in China have carried out researches on and applications of clinical medical information system, like electronic patient records, intensive care, digital surgery, expert diagnosis system, and long-distance diagnosis system. Those applications enable surgeons to
RI PT
formulate operation plan directly on digital X-ray image, improving the precision of transplanting objects choice.
As computer science and technology, communication network, digital information and other technologies have penetrated widely into various medical fields, previous discipline layout, talent
SC
construction and organization structuring should be adjusted accordingly. With health record system valued by every country in the world, US president Bush in 2004 demanded a shared electronic health record
M AN U
guaranteed for the majority of the Americans with the objective of building a national health information system in less than 10 years. Compared with America where the goal has been achieved, China is lagging behind in that aspect, a situation which should be reversed urgently through timely efforts. 3. The application and development of “Internet+Med” model3: Dependent on the internet, with cloud computing, big data and Internet of Things as its support, “Internet+Med” is a brand new medical model
TE D
rendered possible through cross-penetration into traditional medicine practices and integrated innovation. Not only is it a representation of the tide of time and a trend of irreversible momentum, but also a “New Normal” process in digital hospital transformation and sustainable development. Regarding it, two aspects
EP
have been mentioned in the action guideline issued by the State Council concerning actively boosting the “Internet+” mode in health care: promotion of the intelligent health care for elders, and generalization of
AC C
online medical model.
“Internet+Med” has propelled health care to a Big Resources era where resources can be integrated and shared across disciplines and industries in a way that traditional medicine can never realize. The big Resources connect and integrate the previous disperse, exclusive and fragmental resources through the internet by eliminating to the largest extent the spatial and temporal barriers embedded in the traditional resources, facilitating the prompt transmission of information among diverse resources and thus delivering an efficient medical service to end-users.4 4. Big data application5: Composed of various data types, big data, or mass data, are information assets featuring high speed and large volume increase. The core of big data lies in its scientific predictability 2
in extracting the inner value and knowledge of the data rapidly and stably through data analysis and
ACCEPTED MANUSCRIPT
extraction methods by using mathematics and software technology. The Notice on Promoting Development of Big Data issued by the State Council mentioned: “prioritize the government data collection in such fields as credit, traffic, medicine, health, employment, social security and other areas concerning people’s livelihood and open the data to public; establish a big data collection mechanism characterized by government and public interaction and formulate a government data sharing content open to the public.”
RI PT
Through opening and sharing the government data as well as guiding the data collection and opening among enterprises, field associations, research institutes, social organizations, big data of the medical field are becoming an important entry point and growth area in health care reform and development.
Collected during the medical treatment, the medical big data represents a data aggregation which
SC
forms the patient’s complete and detailed health record. The features of big data can be concluded in the following 4 “V”s6: a large volume (V); a huge variety (V) with information in texts, audio, video, film forms
M AN U
and geographic location data; a relatively low data value (V) density that necessitates powerful computing for rapid data value extraction; a high processing velocity (V) with a great demand on timeliness. 5. Relationship with the precision medicine: As many well-known foreign enterprises such as GE and Siemens, have invested heavily in researches on digital medicine products, several universities have translated findings of basic research on digital medicine into precise and intelligent products aimed at
operational errors.
TE D
market. With their capability to learn and easy operation, those products can effectively reduce the
6. 3D printing and robot technologies application: The rapid development of 3D printing renders
EP
individualized medicine a reality. The robots application has rewritten the traditional surgical methods, turning surgeon’s operations from direct implement to indirect one. With increased precision in surgical
AC C
operation, those applications would help promote precision and intelligence in health care. Look into the future, the application of digital medicine in the clinical and basic medicine practices can never be overestimated. As is observed by a departed expert on hepatic surgery— academician Huang Zhiqiang, surgeons might have to collaborate with robots in future.7
References 1. Fu Z, Liang MH. Digital Medicine Outline. Beijing: People’s Medical Publishing House; 2009. 2. Zhang SX, Tan LW, Li LJ. Introduction to Digital Medicine. Beijing: Science Press; 2015:3-19. 3. Pei GX, Zhang YZ. Digital Orthopedics. Beijing: People’s Medical Publishing House; 2009:226-230. 3
4. Liao XB. Internet+, what should be added on? China Digital Med. 2016;11:2-4.
ACCEPTED MANUSCRIPT
5. Li XH, Zhao X, Zhou Y. “Internet+Medical” lead to the era of large resources in medical and health. China Digital Med. 2016;11:8-11. 6. Li HC. Try to build new medical model by taking full advantage of big data. China Digital Med. 2016;11:9-11.
AC C
EP
TE D
M AN U
SC
platform of medical follow-up. China Digital Med. 2016;11:7-9.
RI PT
7. Huang GX, Liu XL, Xu YW, et al. Research on the application of big data technology in health record
4
S1008-1275(17)30067-6
DOI:
10.1016/j.cjtee.2017.04.007
Reference:
CJTEE 254
To appear in:
Chinese Journal of Traumatology
Received Date: 2 March 2017 Revised Date:
1008-1275 1008-1275
Accepted Date: 5 April 2017
Please cite this article as: Wang ZG, Zhang L, Zhao WJ, Progress in digital medicine, Chinese Journal of Traumatology (2017), doi: 10.1016/j.cjtee.2017.04.007. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
Editorial Progress in digital medicine
Zheng-Guo Wang*, Liang Zhang, Wen-Jun Zhao Research Institute of Surgery, Third Military Medical University, Chongqing 400042, China
RI PT
*Corresponding author. Tel: 86-23-68757400, Email address: [email protected]
Received 1st March 2017 Received in revised form 19 April 2017
SC
Accepted 28 May 2017
Chinese digital medicine society, a branch of Chinese medical association, was established and held
M AN U
its first academic annual meeting in Chongqing from May 21 to 23, 2011. In the following five years, five academic annual meetings have been held in Guangzhou, Fuzhou, Hangzhou, etc, with several publications of high-quality monographs like Digital Medicine Outline1 co-edited by Bo Zheng and Liang Minghui (People’s Medical Publishing House, October 2009); Introduction to Digital Medicine1 co-edited by Zhang Shaoxiang, Tan Liwen, Li Lanjuan (Science Press, October 2015); Digital Orthopedics2 edited by Pei
TE D
Guoxian and Zhang Yuanzhi (People’s Medical Publishing House, June 2009), etc. Thanks to its unremitting effort, the journal Chinese Digital Medicine has published 11 volumes since its foundation in 2005 and now establishes itself as one of the key journals among the scientific and
EP
technological periodicals for statistics in China and among Chinese technological journals. Over the last 5 years, digital medicine has experienced a rapid development, attracting much attention
AC C
from Chinese government and academic community. Digital medicine research centers or institutes have been founded around the country where various research programs at national level have been conducted with fruitful findings obtained in digital hospital construction and digital human studies1. After five years since the establishment of digital medicine society, several questions call for researchers’ due attention: what’s the global trend of digital medicine? What have we achieved in digital medicine research and its application in China? What problems exist? Based on experts’ consensus, following are some suggestions: 1. Basic research2: Since most of the high-end medical equipments and digital medical systems are imported from western countries, expanding investments in digital medicine research, development and 1
application is necessary to build our own characteristics and advantages.
ACCEPTED MANUSCRIPT
1
2. Digital hospital construction : Since 1990s, countries like Australia have probed into digital hospital construction and a number of digital hospitals have begun to take shape. Among Asian countries, Japan and South Korea have taken a lead in this field while some hospitals in China have carried out researches on and applications of clinical medical information system, like electronic patient records, intensive care, digital surgery, expert diagnosis system, and long-distance diagnosis system. Those applications enable surgeons to
RI PT
formulate operation plan directly on digital X-ray image, improving the precision of transplanting objects choice.
As computer science and technology, communication network, digital information and other technologies have penetrated widely into various medical fields, previous discipline layout, talent
SC
construction and organization structuring should be adjusted accordingly. With health record system valued by every country in the world, US president Bush in 2004 demanded a shared electronic health record
M AN U
guaranteed for the majority of the Americans with the objective of building a national health information system in less than 10 years. Compared with America where the goal has been achieved, China is lagging behind in that aspect, a situation which should be reversed urgently through timely efforts. 3. The application and development of “Internet+Med” model3: Dependent on the internet, with cloud computing, big data and Internet of Things as its support, “Internet+Med” is a brand new medical model
TE D
rendered possible through cross-penetration into traditional medicine practices and integrated innovation. Not only is it a representation of the tide of time and a trend of irreversible momentum, but also a “New Normal” process in digital hospital transformation and sustainable development. Regarding it, two aspects
EP
have been mentioned in the action guideline issued by the State Council concerning actively boosting the “Internet+” mode in health care: promotion of the intelligent health care for elders, and generalization of
AC C
online medical model.
“Internet+Med” has propelled health care to a Big Resources era where resources can be integrated and shared across disciplines and industries in a way that traditional medicine can never realize. The big Resources connect and integrate the previous disperse, exclusive and fragmental resources through the internet by eliminating to the largest extent the spatial and temporal barriers embedded in the traditional resources, facilitating the prompt transmission of information among diverse resources and thus delivering an efficient medical service to end-users.4 4. Big data application5: Composed of various data types, big data, or mass data, are information assets featuring high speed and large volume increase. The core of big data lies in its scientific predictability 2
in extracting the inner value and knowledge of the data rapidly and stably through data analysis and
ACCEPTED MANUSCRIPT
extraction methods by using mathematics and software technology. The Notice on Promoting Development of Big Data issued by the State Council mentioned: “prioritize the government data collection in such fields as credit, traffic, medicine, health, employment, social security and other areas concerning people’s livelihood and open the data to public; establish a big data collection mechanism characterized by government and public interaction and formulate a government data sharing content open to the public.”
RI PT
Through opening and sharing the government data as well as guiding the data collection and opening among enterprises, field associations, research institutes, social organizations, big data of the medical field are becoming an important entry point and growth area in health care reform and development.
Collected during the medical treatment, the medical big data represents a data aggregation which
SC
forms the patient’s complete and detailed health record. The features of big data can be concluded in the following 4 “V”s6: a large volume (V); a huge variety (V) with information in texts, audio, video, film forms
M AN U
and geographic location data; a relatively low data value (V) density that necessitates powerful computing for rapid data value extraction; a high processing velocity (V) with a great demand on timeliness. 5. Relationship with the precision medicine: As many well-known foreign enterprises such as GE and Siemens, have invested heavily in researches on digital medicine products, several universities have translated findings of basic research on digital medicine into precise and intelligent products aimed at
operational errors.
TE D
market. With their capability to learn and easy operation, those products can effectively reduce the
6. 3D printing and robot technologies application: The rapid development of 3D printing renders
EP
individualized medicine a reality. The robots application has rewritten the traditional surgical methods, turning surgeon’s operations from direct implement to indirect one. With increased precision in surgical
AC C
operation, those applications would help promote precision and intelligence in health care. Look into the future, the application of digital medicine in the clinical and basic medicine practices can never be overestimated. As is observed by a departed expert on hepatic surgery— academician Huang Zhiqiang, surgeons might have to collaborate with robots in future.7
References 1. Fu Z, Liang MH. Digital Medicine Outline. Beijing: People’s Medical Publishing House; 2009. 2. Zhang SX, Tan LW, Li LJ. Introduction to Digital Medicine. Beijing: Science Press; 2015:3-19. 3. Pei GX, Zhang YZ. Digital Orthopedics. Beijing: People’s Medical Publishing House; 2009:226-230. 3
4. Liao XB. Internet+, what should be added on? China Digital Med. 2016;11:2-4.
ACCEPTED MANUSCRIPT
5. Li XH, Zhao X, Zhou Y. “Internet+Medical” lead to the era of large resources in medical and health. China Digital Med. 2016;11:8-11. 6. Li HC. Try to build new medical model by taking full advantage of big data. China Digital Med. 2016;11:9-11.
AC C
EP
TE D
M AN U
SC
platform of medical follow-up. China Digital Med. 2016;11:7-9.
RI PT
7. Huang GX, Liu XL, Xu YW, et al. Research on the application of big data technology in health record
4