The idea behind this presentation is to explore how big data will revolutionize existing healthcare system effectively by reducing healthcare concerns such as the selection of appropriate treatment paths, quality of healthcare systems and so on. Large amount of unstructured data is available in various organizations (payers, providers, pharmaceuticals). We will discuss all the intricacies involved in massive datasets of healthcare systems and how combination of VPH technologies and big data resulted into some mind-boggling consequences. Major opportunities in healthcare includes the integration of various data pools such as clinical data, pharmaceutical R&D data and patient behaviour and sentiment data. Finding potential insights from big data with the help of medical image processing techniques, predictive modelling etc. will eventually help us to leverage the ever-increasing costs of care, help providers practice more effective medicine, empower patients and caregivers, support fitness and preventive self-care, and to dream about more personalized medicine.

1. Big Data Approaches to Healthcare
Systems
Shubham Jain Shrawan Ram
B.E. final year student Assistant Professor

2. Big Data

4. Volume Variety Velocity Veracity Value

5. Key Points about Big Data
 Every day, we create 2.5 quintillion bytes of data - According to IBM survey with
close to 92% of world’s data has been created in last two years.
 By 2020, the International Data Corporation (IDC) predicts
world’s data will grow to almost 40 zettabytes(ZB).
 Generates Jobs opportunity.
 Tsunami of analytics.
 B2C retailers: consumption patterns, stock, ordering,
returns, sales – and how all of this ties in to online
advertising campaigns, conversion, and efforts; ad delivery
 In healthcare systems to derive predictive models for
people, costs, treatments, and propensity for disease.

6. Big Data in Healthcare

8. Overview of Big data in Healthcare
 In the global healthcare sector, there are three major types of digital data: Clinical
records, health research records, and business/organization operations records
 In 2005 VPH (Virtual Physiological Human) technology was introduced which is a
framework for collaborative investigation of human body as a complex single
system with multi-level modelling.
 In 2008 Google developed Google Flu Trends (GFT) for monitoring millions of
users’ health tracking behaviours online and with the help of large number of
search queries
 McKinsey estimates that big data analytics can enable more than $300 billion in
savings per year in U.S. healthcare, two thirds of that through reductions of
approximately 8% in national healthcare expenditures
 McKinsey believes big data could help reduce waste and inefficiency in the
following three areas: In Clinical operations, In Research & development ,Public
health.

9. Virtual Physiological Human
methodological and technological framework
enable collaborative investigation of the human body as a single complex system
Descriptive - allow observations made in laboratories, hospitals and the field
Integrative - enable experts to analyse these observations collaboratively and
develop systemic hypotheses
Predictive - possible to interconnect predictive models defined at different scales,
with multiple methods and varying levels of detail, into systemic networks.
possible to verify networks validity by comparison with other clinical or laboratory
observations.
formed by large collections of anatomical, physiological, and pathological data
aim to integrate physiological processes across different length and time scales
(multi-scale modelling).
 combination of patient-specific data with population-based representations

10. Aim of Virtual Physiological Human
 personalized care solutions
 reduced need for experiments on animals
 more holistic approach to medicine
 preventative approach to treatment of disease
 More use of in silico (by computer simulation) modelling and testing of drugs
 better patient safety and drug efficacy
 body treated as a single multi organ system rather than as a collection of
individual organs
 make possible Personalised, Predictive, and Integrative medicine

11. Advantages to healthcare Systems
 Making healthcare data digitally available gives power of combining big data with
cloud computing and IoT envisioning versatile healthcare solutions.
 efficient and fast treatment facilities
 detecting diseases at earlier stages
 managing individual health profile for further analysis
 patient segmentation
 detecting healthcare fraud more quickly
 big data analytics in healthcare can contribute to Evidence-based medicine
 Individualized care

12. Contra Cancrum

13. Overview of Cancer
 Generic term for a large group of diseases that can affect any part of
the body
 Rapid creation of abnormal cells that grow beyond their usual
boundaries
 Metastasizing, Metastases are the major cause of death from cancer
 Cancers figure among the leading causes of morbidity and mortality worldwide,
with approximately 14 million new cases and 8.2 million cancer related deaths in
2012
 The number of new cases is expected to rise by about 70% over the next 2
decades
 Around one third of cancer deaths are due to the 5 leading behavioural and
dietary risks: high body mass index, low fruit and vegetable intake, lack of
physical activity, tobacco use, alcohol use
 annual cancer cases will rise from 14 million in 2012 to 22 within the next 2
decades

14. Overview of ContraCancrum
 will integrate and optimise the simulator for implementing two clinical studies-
scenarios corresponding to the two tumour types glioma and lung
 Six University Hospital Departments possessing world acclaimed expertise in
running clinical trials will provide multilevel and multimodality sets of data for
about 200 patients per year (including both glioma and lung cancer cases)
 The predictions of the simulators to be developed will rely on the imaging,
histopathological, molecular and clinical data of the patient
 Fundamental biological mechanisms involved in tumour development and tumour
and normal tissue treatment response such as metabolism, cell cycle, tissue
mechanics, cell survival following treatment etc. will be modelled
 From the mathematical point of view the simulators will exploit several discrete
and continuous mathematics methods such as cellular automata, the generic
Monte Carlo technique, finite elements, differential equations, novel dedicated
algorithms etc.

15. Aim of ContraCancrum
 The ContraCancrum i.e. the Clinically Oriented Translational Cancer Multilevel
Modelling project aims at developing a composite multilevel platform for simulating
malignant tumour development and tumour and normal tissue response to
therapeutic modalities and treatment schedules
to provide a better understanding for cancer at various levels of biocomplexity and
most importantly to optimize disease treatment procedure in the patient’s
individualized context by simulating the response to various therapeutic regimens
to enhance the existing tumour simulators well beyond the state-of-the-art, especially
on the biochemical level (molecular dynamics), on the molecular level (detailed
molecular networks) and on the cellular and upper biocomplexity levels
(angiogenesis, embryology considerations, biomechanics, medical image analysis etc.
will model and simulate cancer/normal tissue behaviour at different levels of
biocomplexity, and also model a facet of the systemic circulation via pharmacokinetics
and synthesize models of haematological reactions to chemotherapy

16. In a country like India, where the population is huge, the resultant pressures are
visible in the infrastructure and healthcare system
majority of the people in the country do not have health insurance
given the high cost of treatment, families are often forced into financial crisis
According to surveys conducted, non-communicable diseases such as cancer,
diabetes, obesity, respiratory diseases, cardiovascular diseases, obesity and so on
were the leading cause of death in India in 2008
The biggest healthcare challenge facing the country today is not only the acute
shortage of doctors and beds but also the affordability of treatment in Tier two and
three cities and the rural areas
big data analytics can go a long way in improving the quality of treatment across all
regions while keeping in mind its cost in india.
Big data in Healthcare systems :India Perspective

17. Big data in Healthcare systems :India Perspective
The cellular network data traffic more than doubled in 2010 and is expected to
increase by more than 13 times to 25000 petabytes per annum by 2015 in India.
In terms of healthcare, this sector in India contributes less than 12 percent of the
volume generated in India
it is anticipated that this opportunity can grow to around 25 percent of the overall
data generated by 2015
The current Indian healthcare system is in need of a radical reinvention
Traditional approaches have not brought the rapid change required by aging
populations and the rising costs of healthcare
Big data analysis is of immense help when the data is too large and complex, i.e., it is
difficult to capture, curate, store, search, share, transfer and analyse
By including descriptive, diagnostic, operational, predictive and prescriptive analytical
values, big data analysis can be used fruitfully to mitigate future risks and plan the
road ahead

18. Summary
 Data is most relevant emerging asset class of the economy.
 Healthcare is one of the biggest concern of every society in this world.
 By combining VPH technologies with big data will result into some profound
consequence.
 ContraCancrum is expected to contribute to the achievement of higher cancer cure
rates for the potentially curable patients whereas for the non curable patients it is
expected to contribute to the achievement of increased life expectancy and better
quality of life.
 The management of resources where there is a concerning lack, investment in
suitable medical infrastructure and the workflow in hospitals can all be improved to a
great degree in India with the help of big data.

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