Evidence and Translational Medicine Dr. Andrew Stubbs Evidence Based Medicine Adoption of Personalized Medicine Science Driven PoC’s Cost-effective Implementation Scalable Cloud and Big Data Solutions Secure Privacy Protected Patient Data Galaxy: Data Analysis Platform. Galaxy: Repertoire analysis Science Driven PoC’s Galaxy: Quantitative Digital Image Analysis Science Driven PoC’s Adrenocortical Carcinoma (ACC) Ki67 Determine best practice for Ki67 evaluation Develop Galaxy Digital Image Analysis Adrenocortical Carcinoma i-Space: Diagnostic Applications Science Driven PoC’s Is it possible to evaluate ?rst trimester brain ventricle development in human pregnancies using an innovative virtual reality (VR) application and to analyze the relation of the embryonic volume (EV) and brain ventricle ?uid volume (BVFV) with gestational age (GA), crown-rump length (CRL) and the Carnegie stage? summary answer: Volumetry and staging of the human embryo using a VR application make it possible to obtain unique information about in-vivo embryonic normal and abnormal development and about the sizes of the ventricles and body Diagnostic Sequencing @ Erasmus NGS: Craniofacial Pathology Science Driven PoC’s Whole Genome Sequencing (WGS) Variants are responsible for normal variation Dominant exonic mutations correlate to clinical phenotype Family based WGS with Complete Genomics NGS: Huvariome Scalable Cloud and Big Data Solutions Functionality Whole genome comparison with reference population > 1000 reference genomes Q1 2014 Trio and Family based analysis Specifications Whole genome Sequence (WGS): Complete Genomics, Illumina > 40,000 WGS Samples (replicated) Oracle 11g on an Exadata X2 Quarter Rack Secure Easy Access to Results Secure Easy Access to Results Secure Easy Access to Results NGS: Fusion Gene Detection Science Driven PoC’s Gene fusions in prostate cancer are characterized by 5' genomic regulatory elements, commonly controlled by androgen, fused to members of the Ets family of transcription factors. TMPRSS2–ERG is the most common gene fusion, present in about half of all localized prostate cancers analysed. TMPRSS2 also fuses to other Ets family genes such as ETV1 NGS: A Galaxy CLOUD Scalable Cloud and Big Data Solutions BiGGrid & SARA HPC Cloud 19 x Intel Xeon 32 core processors (608 cores) 19 x 256 GB RAM (7.75 TB RAM) 400 TB shared storage http://galaxy.ctmm-trait.nl Biosensor: Cardiovascular Disease Secure Privacy Protected Patient Data Science Driven PoC’s Objectives Diagnose progression of cardiovascular disease Determine Risk of developing clinical manifestations Personalized therapy Biosensor: Cardiovascular Disease Secure Privacy Protected Patient Data Science Driven PoC’s TRC: Translational Research Center Secure Privacy Protected Patient Data Scalable Cloud and Big Data Solutions Science Driven PoC’s TRC “omics” Data Bank with integrated reference knowledge Evidence Based To Personalised Medicine Jensen et al 2012 Availability: Bioinformatics Toolbox http://bioinformatics.erasmusmc.nl/wiki/index.php/Translational_Bioinformatics Acknowledgements Erasmus University Medical Center Bioinformatics: Saskia Hiltemann, Youri Hogestra, Karl Brand, Elizabeth McClellan, Bas Horsman, Sylvia de Does, David van Zessen, Daphne Hiejsman, Arne Ijpma, Sigrid Swagemaker, Anton Koning, Ivo Palli, Peter van der Spek Exp. Cardiology: Dirk Duncker NeuroOncology: Pim French Exp. Urology: Ines Alves, Guido Jenster Exp. Cardiology (AUMC) Yigal Pinto, Esther Creemers MUMC Leon de Windt, Stefanos Leptidis Department of Nephrology and Einthoven Laboratory for Experimental Vascular Medicine (LUMC) Anton-Jan van Zonneveld, Jacques Duijs Erasmus University Ken Redekop, Laura Burgers Department of Clinical Chemistry and Hematology (UMCU) Mark Roest, Thijs van Holten NBIC Haliiang Mei, Jan Bot Experimental Cardiology (UMCU) Imo Hoefer, Gerard Pasterkamp CTMM Jan-Willem Boiten, Erna Erdtsieck-Ernste, Eelco Soeteman LACDR/Division of Biopharmaceutics (LU) Johan Kuiper, Thijs Zweers Experimental Cardiology (MUMC) Eric Biessen, Marco Manca Thank you Any questions ? ….
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