Man, Machine and Medicine: Mass General Researchers Using AIDecember 7, 2016byJim McHugh
A team from the Massachusetts General Hospital was among the researchers talking about how they’re using AI at GTC DC earlier this year.
The Mass General researchers joined colleagues from across the healthcare industry to help tell the story of how deep-learning – which is already used by hundreds of millions of people on smartphones – can improve health care.
Mass General became the first medical institute in the world — and among the first five research institutions of any kind — to receive an NVIDIA DGX-1. We delivered the supercomputer at Mass General’s historic Ether Dome, where the first public demonstration of surgery using anesthetic took place in 1846.
Mass General’s Clinical Data Science Center joins other early DGX-1 users, including the Open AI Institute, the Stanford Artificial Intelligence Laboratory, benevolent.ai, SAP and the Berkeley Artificial Intelligence Research Lab.
The center is already using GPUs to make significant medical advances. Researchers are testing an automated bone-age analyzer they’ve created that speeds diagnosis of children’s growth problems and is nearly as accurate as human radiologists (see “Deep Learning Speeds Diagnosis of Kids’ Growth Problems”).
More is coming. The Clinical Data Science Center is using AI and deep learning to advance healthcare, beginning with radiology, pathology and genetics. The center will research, test and implement new ways to improve the detection, diagnosis, treatment and management of diseases by training a deep neural network using Mass General’s vast stores of phenotypic, genetics and imaging data. The hospital has a database containing 10 billion medical images.
“The intent is to be able to explore the integration of man and machine at this point of clinical care, taking some of the data historically and using that data to actually create information in the machine so that we can see into the future what’s happening with patients before the human has the idea that there are changes taking place,” said Dr. Keith Dreyer, vice chairman and associate professor of radiology at Mass General and Harvard Medical School and executive director of the Mass General Clinical Data Science Center.
Radiology and Medical Imaging
DGX-1 also promises to help accelerate the adoption of AI in fields where machine learning techniques have already made a difference, such as radiology and medical imaging.
“The importance of machine learning and machine learning for radiology is unquestioned,” said Dr. James Brink, head of radiology at Mass General and chair of the American College of Radiologists. “I think there’s an enormous amount of opportunity for us to improve the efficiency of our work and the accuracy of our work through automation and semi-automation.”
Work with Patients
Longer term, deep learning also promises to help deliver better care for today’s patients by letting doctors better use the flood of medical research and patient data being produced by Mass General and other medical centers.
“I see deep learning and other machine learning techniques that could help us on a day-to-day basis make the process more efficient and in essence even more accurate,” said Dr. Long Li, assistant in pathology at Mass General and an assistant professor of pathology at Harvard Medical School.
Sounds like just what the doctor ordered.
Learn more about the DGX-1. Questions? Request a call.
Massachusetts General Hospital (Mass General or MGH) is the original and largest teaching hospital of Harvard Medical School and a biomedical research facility located in the West End neighborhood of Boston, Massachusetts. It is the third oldest general hospital in the United States. With Brigham and Women's Hospital, it is one of the two founding members of Partners HealthCare, the largest healthcare provider in Massachusetts. Massachusetts General Hospital conducts the largest hospital-based research program in the world, with an annual research budget of more than $900 million. It is currently ranked as the #3 hospital in the United States by U.S. News & World Report.
Further information: Massachusetts General Hospital, Bulfinch Building
Founded in 1811, the original hospital was designed by the famous American architect Charles Bulfinch. It is the third-oldest general hospital in the United States; only Pennsylvania Hospital (1751) and NewYork–Presbyterian Hospital's predecessor New York Hospital (1771) are older.John Warren, Professor of Anatomy and Surgery at Harvard Medical School, spearheaded the move of the medical school to Boston. Warren's son, John Collins Warren, a graduate of the University of Edinburgh Medical School, along with James Jackson, led the efforts to start the Massachusetts General Hospital, which was initially proposed in 1810 by Rev. John Bartlett, the Chaplain of the Almshouse in Boston. Because all those who had sufficient money were cared for at home, Massachusetts General Hospital, like most hospitals that were founded in the 19th century, was intended to care for the poor. During the mid-to-late 19th century, Harvard Medical School was located adjacent to Massachusetts General Hospital.
Walter J. Dodd established the radiology department at the hospital. From just after the discovery of x-rays in 1895, until his early death in 1916 from metastatic cancer caused by multiple radiation cancers he oversaw the radiology department. He also underwent over 50 surgical procedures at the hospital to treat his radiation injuries, from skin grafts to amputations.
The first American hospital social workers were based in the hospital.
The hospital's work with developing specialized computer software systems for medical use in the 1960s led to the development of the MUMPS programming language, which stands for "Massachusetts General Hospital Utility Multi-Programming System," an important programming language and data-base system heavily used in medical applications such as patient records and billing. A major patient database system called File Manager, which was developed by the Veterans Administration (now the Department of Veterans' Affairs), was created using this language.
Patients, families, hospital staff, and members of the public can learn more about the accomplishments MGH is most proud of at the Paul S. Russell, MD Museum of Medical History and Innovation, located at the front of the hospital's main campus on Cambridge Street.
Early use of anesthesia
It was in the Ether Dome of MGH in October 1846, that a local dentist, William Thomas Green Morton, was invited to perform a public demonstration of the administration of inhaled ether to produce insensibility to pain during surgery. Several years prior, Dr. Crawford Long of Danielsville, Georgia had given ether for surgery, but his work was unknown outside Georgia until he published his experience in 1849. On 16 October 1846, after administration of ether by Morton, MGH Chief of Surgery, John Collins Warren, painlessly removed a tumor from the neck of a local printer, Edward Gilbert Abbott. Upon completion of the procedure, which was without screaming or restraint, the usually skeptical Warren reportedly quipped, "Gentlemen, this is no humbug." News of this "anesthesia" invention rapidly traveled within months around the world.
A reenactment of the Ether Dome event was painted in 2000 by artists Warren and Lucia Prosperi. They used the then-MGH staff to pose as their counterparts from 1846. The Ether Dome still exists and is open to the public.
An anesthesia department was established at the MGH in 1936 under the leadership of Henry Knowles Beecher.
Facilities and current operations
The main MGH campus is located at 55 Fruit Street in Boston, Massachusetts. It has expanded into an area formerly known as the West End, adjacent to the Charles River and Beacon Hill. The hospital handles around 1.5 million outpatient visits each year at its main campus, as well as its seven satellite facilities in Boston at Back Bay, Charlestown, Chelsea, Everett, Revere, Waltham and Danvers. With more than 25,000 employees, the hospital is the largest non-governmental employer in Boston.
The hospital has 1,011 beds and admits around 50,000 patients each year. The surgical staff performs over 34,000 operations yearly. The obstetrics service handles over 3,800 births each year. The Massachusetts General Hospital Trauma Center is the oldest and largest American College of Surgeons-verified Level One Trauma Center in New England, evaluating and treating over 2600 trauma patients per year. Architect Hisham N. Ashkouri, working in conjunction with Hoskins Scott Taylor and Partners, provided the space designs and schematics for the pediatrics, neonatal intensive care, and in-patient related floors, as well as the third floor surgical suites and support facilities. In the fall of 2004, the Yawkey Center for Outpatient Care (named for Jean R. Yawkey) opened. This 380,000-square-foot (35,000 m2) ten-floor facility is the largest and most comprehensive outpatient building in New England. In 2011, the Lunder Building, a 530,000 square foot, 14-floor building opened. The building houses three floors of operating rooms, an expanded emergency room, radiation oncology suites, inpatient neurology and neurosurgery floors, and inpatient oncology floors; all of which increase the inpatient capacity by 150 beds.
The MGH reports it conducts the largest hospital-based research program in the United States, with an annual research budget of over $900 million in Fiscal 2017. The Mass General Research Institute was launched in 2014 to serve as a front door for the hospital's research enterprise. Research at Mass General takes place in over 30 departments, centers and institutions and covers many areas including AIDS, cardiovascular research, cancer, human genetics, medical imaging, neurodegenerative disorders, regenerative medicine, transplantation biology and photomedicine. The Treadwell Library, established in 1847, is the health sciences library for MGH.
MGH is affiliated with the Dana-Farber Cancer Institute through Dana-Farber/Partners Cancer Care and the Dana-Farber/Harvard Cancer Center. They are also affiliated with Project Pinball Charity.
The closest MBTA stop to the main campus is Charles/MGH on the Red Line. On March 27, 2007, the new Charles/MGH station was opened with new renovations, including handicap accessible elevators. There are five main food service areas for the general public on the MGH campus. They include the Eat Street Cafe in the lower level of the Ellison Building, the Blossom Street Cafe in the Cox lobby, Coffee Central in the White lobby, Tea Leaves and Coffee Beans in the Wang Ambulatory Care Center, and Coffee South in the Yawkey outpatient center.
The hospital offers a global second opinion service in cooperation with Grand Rounds.
Massachusetts General Hospital is affiliated with Harvard Medical School and is its original teaching hospital. Together they form an academic health science center. In February 2009, the Phillip T. and Susan M. Ragon Institute of immunology was founded to bolster research into creating vaccines and other therapies for acquired immune system conditions, chiefly AIDS. It was made possible by a $100 million gift over ten years, and represents the largest single donation made to MGH. The Recovery Research Institute, created in 2013, is part of the Massachusetts General Hospital Department of Psychiatry. In 2015, MGH Home Base Program became a founding partner of the Warrior Care Network heath system focused on treating posttramatic stress disorder (PTSD) in veterans, along with partners Emory Healthcare, Rush University Medical Center, UCLA Health and Wounded Warrior Project.
Though it has its own chief of psychiatry and top ranking department, MGH is closely affiliated with nearby McLean Hospital, a psychiatric hospital also affiliated with Harvard Medical School.
Awards and recognition
There have been thirteen Nobel Laureates who have either worked or trained at MGH.
- 1934 George R. Minot, MD
- 1947 Carl F. Cori, PhD
- 1953 Fritz A. Lipmann, MD, PhD
- 1972 Gerald M. Edelman, MD, PhD
- 1985 Michael S. Brown, MD, and Joseph L. Goldstein, MD
- 1989 J. Michael Bishop, MD
- 1990 Joseph Edward Murray, MD & E. and Donnall Thomas, MD
- 1998 Ferid Murad, MD, PhD
- 2009 Jack W. Szostak, PhD
- 2011 Ralph Steinman, MD
- 2012 Robert Lefkowitz, MD
In 2015, MGH was named the number one hospital in the United States by U.S. News & World Report and is nationally ranked in 16 specialties.
In 2012, MGH was named the number one hospital in the United States by U.S. News & World Report.
In 2011, MGH was named the second best hospital in the United States by U.S. News & World Report. MGH consistently ranks as one of the country's top hospitals in U.S. News & World Report. In 2011, MGH was also ranked as one of the top three hospitals in the country for Diabetes & Endocrinology; Ear, Nose & Throat; Neurology & Neurosurgery; Ophthalmology; Orthopedics; and Psychiatry.
In 2003, MGH was named the state's first Magnet hospital by the American Nurses Credentialing Center, a subsidiary of the American Nurses Association. Magnet recognition represents the highest honor awarded for nursing excellence.
In August 2011, Becker's Hospital Review listed MGH as number 12 on the 100 Top Grossing Hospitals in America with $5.64 billion in gross revenue.
A former MGH physician filed a lawsuit under seal in May 2015 alleging that at least five orthopedic surgeons endangered patient safety by keeping them under anesthesia longer than necessary while the surgeons performed simultaneous surgeries. Dr. Lisa Wollman refiled the lawsuit in June 2017, citing concerns that the hospital was driven by economic benefit and keeping patients unaware of the practice of concurrent surgeries. Wollman's attorney claimed that Medicare and Medicaid were being defrauded because they require that the surgeons must be present for all "critical portions" of the surgery in order to be compensated.
The hospital released a statement defending the use of overlapping surgeries: "The MGH continues to believe that its practices comply with all applicable laws and regulations, and the hospital will defend the claims accordingly."
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From the upper:
The Bulfinch Building as it appeared in 1941, including the Ether Dome.
The Bulfinch Building: State of the Art from the Start.