News
Intel investing heavily in research on future healthcare
17 June 2008
Intel is making a substantial investment in developing technologies
that will enable “a new model of healthcare that is personal and
distributed” to help deal with the time bomb of an ageing and
chronic-disease suffering population worldwide.
About twenty healthcare-related projects were on show at the Research
at Intel Day 2008 held at the Computer History Museum in Mountain View,
California last week. These were just some of over 70 projects and
concepts on show that are underway in its labs in the areas of faster
computing, low energy computing, visual computing, wireless
technologies, future healthcare needs and more. The company invests $6
billion in research annually in its numerous research departments and in
collaborations with universities, governments, companies and other
organisations.
As a major user of standard information technology (the UK NHS is
Europe's largest buyer of information technology), many of these other
projects will also have a large impact on healthcare both directly and
indirectly. These include massively increased computing power for uses
such as genetic analysis and visual computing. Technology for mobile
working will be impacted by lower energy usage in microprocessors and
wireless system, and by several projects aimed at improving wireless
communications and linking of mobile devices.
Chief Technology Officer and Senior Fellow Justin Rattner outlined
how the Company's research investments will impact technology coming in
the next five years, reshaping how people interact with computers and
improve the environment.
Rattner also said the company’s priority of investing in research
helps shape Intel’s products and the industry at-large. For example, the
dawn of the low power Intel Atom processor stemmed from a small project
inside Intel’s labs called 'Snocone' that explored the feasibility of
designing an ultra-low-power processor based on Intel architecture.
Several technologies inside the company’s Intel vPro processor
technology for business platforms came from the labs as did 1990s
research that helped create the Universal Serial Bus (USB) connection to
the PC for music players, keyboards, video cameras and more.
“Hundreds of researchers inside Intel, and our close work with other
technology companies, scientists, universities and governments will
bring dramatic change over the next five years,” Rattner said.
The major driver for Intel's research into healthcare is the ageing
population worldwide, in which the proportion of people over 60 is
expected to double to 21% by 2050. With costs of healthcare for this
group three to five times greater than younger age groups, the burden on
healthcare services will be unsustainable unless there are revolutionary
changes in the way it is provided. Information technology will have a
significant role in bringing about these changes.
Intel has conducted large numbers of ethnographic studies worldwide
since 1999, to understand and identify the major challenges in every
aspect of healthcare and direct the research efforts.
A major focus of Intel's healthcare research is the needs of older
adults, their clinicians and care providers. The Global Aging Experience
Project is a multi-year, multi-national project to study the effects of
ageing populations on health and well being and identify areas where
technology could help manage the changes. The project identified eight
key areas of need in which technology could play a role: making a
person's living space more appealing and creating a greater sense of
well-being; enhancing safety; supporting cognition; aiding physical
activities; bringing healthcare to the home; helping to find suitable
care; enabling social interaction; and maintaining a meaningful and
useful life.
In 2007, Intel, jointly with the Industrial Development Agency
Ireland, invested $30m in the Technology Research for Independent Living
Centre (TRIL). The Centre is studying the physical, cognitive and social
consequences of ageing, and is developing new technologies to support
older people who want to live independently. The first results of the
Centre's research were on display. These include real-time gait analysis
that detects postural and neuro-cardiovascular instability in older
people and BioMobius, an open, shareable technology research platform
with an easy-to-use graphical development environment.
A home-based test for Parkinson’s disease uses small sensors placed
on the patients and guides them through a series of six motor and tremor
assessments. This will allow more frequent monitoring of a patient's
condition and provide data that could be used to improve diagnosis and
drug strategies. Intel has also formed a consortium with the Alzheimer's
Association to study ways that technology could help people with
Alzheimer's disease.
The Technology for Long-term Care project is evaluating a system that
can monitor the activity of an older person using small sensors placed
on every-day objects such as cutlery, cereal boxes, jugs, plates,
toothbrushes etc. The sensors are based on standard RFID tags, so are
cheap and readily available. The system can track the movement of the
household objects and determine normal behaviour of use. It can then
detect when there is a change in behaviour and then, for example, send a
message to a carer who can check on the person.

Technology for long-term care: sensors placed on
household items
can monitor their normal usage and alert when there are changes in
behaviour
Clinical applications include the bioelectronic chip for
point-of-care testing and data delivery, and also laboratory testing.
This is a hybrid silicon chip composed of a silicon-based field-effect
device coated with biological macromolecules. The biological molecules
are based on those used in existing medical tests, such as the PSA test
used to determine presence of prostate cancer (though not considered a
very accurate test in the UK). When the chip is exposed to a patient's
sample (eg blood, urine) that contains the disease indicator molecule
the test is looking for, this molecule binds to the chip which generates
electrical signals that can be recorded and analysed. Researchers say
the bioelectronic chips are sensitive, stable and affordable. They are
being integrated with advanced sensors and microelectronics for use in
testing and research (see below).
 

The bioelectronic chip (top left) and examples of the
chip
integrated with electronics for sample testing.
A project conducted in collaboration with the University of
Pittsburgh School of Medicine has developed a system that can help
doctors diagnose and treat skin lesions. The Interactive Search Assisted
Decision Support in Dermatology project has developed a database that
allows doctors to search for lesions based on critical criteria (eg
diameter, colour, asymmetry, texture). The doctor can then compare
similar lesions from the database to that of a patient and consider the
pathology results of each before making a decision about treatment. The
larger the database of images, the better the tool will be, so the
project would benefit from adding other collections of images.

A screenshot of the dermatology decision-support tool.
In a project aimed at helping healthcare in developing countries, social
networking software has been used to help doctors in hospitals in Ghana
get advice from expatriate doctors based in the USA. The project tapped
into the social networking practices of doctors in Ghana who were
already seeking advice from their peers abroad. It contacted existing
NGOs set up by expatriate Ghanaians to connect with the extensive
expatriate community. A pilot phase was conducted in co-operation with
the Ghanaian Ministry of Health in which a network of servers was
installed at Intel Research Berkeley in the US and in several hospitals
in southern Ghana. Delay-tolerant networking connectivity and social
networking software was used to enable the local and expatriate doctors
communicate more efficiently. This year the project is undergoing
evaluation and it aims to expand into central Ghana.These are brief
summaries of just some of the projects that are investigating how
information technology can benefit healthcare and help address the
looming healthcare crisis. bjhc&im will be reporting on more of the
projects in the coming weeks.
Coincidentally, the costs of healthcare in the US made the local news
while the show was on. US healthcare costs have risen over 90% in the
last few years and the number of people who cannot afford healthcare is
rapidly rising. There are 75 million people who have no insurance or are
under insured. Increasing numbers of middle classes with insurance are
finding themselves with crippling debt because it doesn't cover all
their healthcare costs. They have found that their insurance policies
don't cover existing conditions such as chronic diseases (the areas that
need more healthcare), cover fewer health problems and have capped
pay-outs. This has resulted in more people having to take out loans,
having credit card debt and remortgaging their houses.
The healthcare time bomb in the US may be exploding earlier than
anyone expected and will have huge consequences for the whole economy —
and the world's — at a time when it is already suffering from the
subprime mortgage crisis.
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