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EXECUTIVE BUILDING
PROGRAMS
Gentlemen:
RLDikr
enclosures
cc: E. A. Patrick
C. L. Coates
R. A. Greenkorn
A PROPOSAL FOR RESEARCH
ON
Prepared by
Submitted to
through
Lafayette, Indiana
July 30, 1971*
Project Period Oct. 1, 1974 - Sept. 30, 1976 Amount Requested $79,917.00
■C
hn C. Hancock \J
/an of Engineering
telephone No. (317)
:..'r\M•' .
; WASHINGTON, 0. C. 20550 [ { ) MASTER DATA FORM ( ' ( )
. PROPOSAL NUMBER 2. DATE RECEIVE* 3. NSf DIVISION (OFfiCE>7SSCTION
11/23/73 Engineering
S. PROPOSED EFF. DATE 6. PROPOSED O«y Wk Mo
ACTIVITY 7. PROPOSED
88,000 02/01/7^ OURATION
nan DURATION
E /£«»/. Firtl. HI.) 14. APPLICANT INSTITUTION (NSF Directory Nsmt) HA. CODE
Q
PRINCIPAL I 1 PROJECT
INVESTIGATOR I | DIRECTOR | | ADMINISTRATOR
School of Electrical Engineering;
I. INSTITUTION (If different from 14.) 11 A. CODE 16. BRANCH/CAMPUS
0018259 00
2. ADORES 17. COMPONENT
23. ORGANIZATION (Propim Name) Control and Automation Prog ram 23a. code 3351
4. PROGRAM ACCOUNT 24A. COOE
K. OBJECT CLASS
Basic Research Qrants 2SA. COOE
4110
28. FIEIO OF SCIENCE OR ENG. 26A. CODE
41. RECOM. EFFECTIVE DATE 42. RECOM. AWARO AMOUNT 43. RECOM. AWARO OURATION 44. RECOM. Diy Wk Mo
ACTIVITY t-\ f—. r—i
$ MONTHS OURATION | | | | |_J.
45. TITLE CHANGE (Use only for chanie to 8.)
46. FORM 469 ATTACHED 47. INCOME POTENTIAL 48. ACADEMIC INST. 49. PERFORMING SITE (If different from IS.)
61. REMARKS
I I I J I L J I L
K. L. M. N.
J i i I I I J L_L I I I I 1 I I I I J I L
EDUCATION PROQRAM DATA
Participant!' Plidpllrw!
U.Cooptrttlng School Syit«ms
'Part* Count
i ; pwi. couai
D. O*tC0
■ I
a. ENGELECT 5. 5, Q Q Q Q
B.
C.
D.
E.
c.
o.
a : D j □ i
Code l'l Code 12 Code J3 Cod* 14.
•m^i-TjtA' * rf/-*\
NATIONAL SCIENCE FOUNDATION
SUMMARY
1. Program Office will complete all items appearing on the first copy; place Proposal Foldtr copy in the folder;
retain Program Suspense copy; and place other copies inside the folder envelope with carbons intact.
2. Grants and Contracts Office will post grant number, amount granted and inclusive project dates on the S.I.E. copy and
make distribution of remaining copies.
1. PROPOSAL FOLDER
EXHIBIT 1 > i~i
A PROPOSAL WR^tfESMf 11 ON US
PATTERN RECOGNITION APPLIED TO MEDICINE
Prepared by
PURDUE UNIVERSITY
Lafayette, Indiana 3
m
o
m
Submitted to GO
m
vn
Engineering Division o
en
National Science Foundation
Through
Purdue Research Foundation
Division of Sponsored Programs
September, 1973
'roject Period - February 1, 1974 - January 31, 1976 Amount Requested $ 87 > 973
Organ
ObJ. Class
I. INTRODUCTION
V. PROPOSED RESEARCH
VII. BUDGET
I. Introduction
1, 1974.
sabbatical until February 1974. During this time he expects to complete require
and consulting.
After spending several years on research in the 1960's concerned mostly with
a priori knowledge about the problem into the pattern recognizer. Because he
also had interest in medicine, the fact that in medicine there are thousands
of classes and measurements, and because of the potential for improving health
care delivery, Patrick chose the medical area for the problem source.
Research so far has shown that decision making in medical diagnosis requires
more than traditional pattern recognition concepts such as decision rules which
because of the large number of classes and measurements and the way a priori
Patrick has developed an approach which can be called a systems approach, whereby
subsystems are defined which contain subsets of classes and subsets of measurements.
-2-
Any such subsystems can correspond, for example, to a particular disease area
are defined to be significant for that class along with appropriate statistics.
2. APPROACH OVERVIEW
Diagnosis", included here as Section II. This approach advocates a system with
relationships, and significant features are all defined, and a system is developed.
doing a physical exam, and receiving certain preliminary test results. The
choice, or drug interactions which he might forget. For common diseases like
"strep" throat caused by B-Hemolytic streptococcus, he may not need such assistance.
On the other hand, the "strep" throat could develop into rheumatic fever, a very
serious disease. And, unless the physician has seen rheumatic fevers in the past
1/.-. I
-3-
simply is a class with a list of significant features attached. More and more
making is required. If the physician has found some abnormal feature values for
all classes which have these abnormal feature values. The computer will not
provide the physician with a decision at this point; rather the computer provides
the class-feature relationships for the classes indicated. At this point the com
can then decide what features to take next or to recheck. This is an extension
of what he does when he goes to a medical textbook, asks for consultation, or learns
values, and decision making rules. There are some choice decision making rules in
the medical literature; but physicians seem to try to store most of them in their
heads.
with, say, Bayes decision making. Thus, decision making rules can be studied for
and yet statistics are not available. The first is a subsystem where a class is
tap of a pleural effusion and classes are transudate and exudate, which can be
broken down into important subclasses. A third has the two classes strep, sore
throat and viral sore throat. These three subsystems involve differential
with a chronic infection like TB, is a feature to be used in deciding about TB.
way the a posteriori probability density is computed (if it need be) on the final
actual final decision rule may be very simple if the right special features and
In Section IV, titled "On the Theory of Medical Diagnosis and Consulting'/'
newer apsects of the approach which are presented at the 1st International
[3] E. A. Patrick, Frank Stelmack', 'and Leon Shen, "Review of Pattern Recognition
in Medical Diagnosis and Consulting Relative to a New System Model,"
IEEE Transactions on Systems, Man, and Cybernetics, Januray 1974.
RESUME OF PRINCIPAL INVESTIGATOR
Citizenship: U.S.A.
Education;
Professional Experience
.-■.■ o£cTAsafi£ox;»>«|
(E. A. Patrick)
"A Study of Clustering and Model for Passive Sonar Detection pnd Classifyoption."
Naval Air Development Center. K62269-71-C-OO25. 8-18-70 to 8-17-71. £30,683.
Indiana University Medical Center - Marion County General Hospital. Free Grant.
10-21-70 until expended. $3,899. Term. 2-29-72.
Health arc! Hospi+el Corporation of Msrion County Hospital. Free- Grant. 10-1 71
eo. pI3>7^'-'. P>7,2GO on 1?.-23-7j- a"'i $3,08o on 5-^i>~72.
July 1968 - July 1969 Secretary, Chicago Joint Section Chapter of IEEE
Transactions on Information Theory.
July 1969 - July 1970 Treasurer, Chicago Joint Section Chapter of IEEE Trans
actions on Information Theory.
July 1969 - July 1970 Acting Chairman, Chicago Joint Section Chapter of IEEE
Transactions on Information Theory.
July 1970 - July 1971 Vice Chairman, Chicago Joint Section Chapter of IFKE
Transactions on Information Theory.
July 1971 - July 1972. Chairman, Chicago Joint Section Chapter of IEEE
Transactions on Information Theory.
July 1970 - July 1971 Vice-chairman, Chicago Joint Section Chapter of IEEE
Group on Information Theory.
... -. * ..
(E. A. Patrick)
•' •• •■••!'.,
(E. A. Patrick)
E. A. Fabric!:, S. P.. Ai-.derson, "Mapping Multidimensional Space Onto the Pnal line
for Computer Output Display," IE!?!*: Transactions on Computers, October 1968,
pp. 9^9-953.
/.-*. I
(E. A. Patrick)
OECUSSFJEOX-'
NATIONAL SCIENCE FOUNDATION RESEARCH GRANT Form Approved
Washington D.C. AJDGET & FISCAL REPORT Budget Bureau No. 99-ROO13
Please read instructions on reverse side carefully before completing this form.
GRANT PERIOD
INSTITUTION AND ADDRESS NSF PROGRAM
AomlO/1/74 to 3/31/77
Purdue Research Foundation Control and
REPORTING PERIOD
Lafayette, Indiana Automation from to
GRANT NUMBER BUDGET OUR. PRINCIPAL INVESTIGATOR(S) GRANTEE
(MOS.I
ACCOUNT
ENG74-04118 24 Patrick NUMBER
Sub-Total 17,218
2. Other Personnel (Non-Faculty)
a. Research Associates-Postdoctoral
b. Non-Faculty Professionals
c. 2 Graduate Students 16,800
d. Pre-Baccalaureate Students
e. ]_ Secretarial-Clerical 2,698
f. 2 Technical. Shop, and Other 6,736
TOTAL SALARIES AND WAGES 43,452
B. STAFF BENEFITS IF CHARGED AS DIRECT COST 2,900
C. TOTAL SALARIES. WAGES. AND STAFF BENEFITS (A + B) 46,352
D. PERMANENT EQUIPMENT
By Oat*
1 CERTIFY THAT ALL EXPENDITURES REPORTED ARE FOR APPROPRIATE PURPOSES AND IN ACCORDANCE
WITH THE AGREEMENTS SET FORTH IN THE APPLICA'nON AND AWARD DOCUMENTS
SIGNATURE OF AUTHORIZED OFFICIAL TYPED OR PRINTED NAME & TITLE DATE
Please read instructions on reverse side carefully before completing this form.
NSTITUTION AND ADDRESS NSF PROGRAM
GRANT PERIOD
/n>mlO/l/74 {0 3/31/77
Purdue Research Foundation Control and
REPORTING PERIOD
b. Non-Faculty Professionals
c 2 Graduate Students 16,800
d. Pre-Baccalaureate Students
By Date
I CERTIFY THAT ALL EXPENDITURES REPORTED ARE FOR APPROPRIATE PURPOSES AND IN ACCORDANCE
WITH THE AGREEMENTS SET FORTH IN THE APPLICATION AND AWARD DOCUMENTS
SIGNATURE OF AUTHORIZED OFFICIAL TYPED OR PRINTED NAME & TITLE
Dear Norm:
Sincerely,
EAP/gb
PROPOSAL NUMBER
P4K0495-000
PROGRAM AWARD RECOMMENDATION (ENG-7404118)
(1/JL
NSF FORM 9 APR. 72 /
WHITE COPY (GCO)
P4KO'»95-OOO I Ivoukg
0076-C 00
REVIEWS
|P«c|[notlon I (Sel«ntlflc quality {ud^d to b« b«low Uvtl at which projtct can b« tupporttd with ovalloblt or anllclpaltd
(4tplaln any allnltleanl dtvletlon btlwten ravlatrtf, tlall and panel tatlnf In ttmarkt).
site vi$i T: □ V«» If ft, •«• th« Sit* Vlilt Rtpott Dat«d
features. Most of the text consists of the review material, references [1]
The other phase of the proposed work under the heading of System Theory is only
vaguely written, no new idea is presented. Perhaps it would be more fruitful if the
investigator would focus on the first part of the proposed work at the present time.
Patrick is a young, energetic researcher who has been for several years
strongly interested in applying his engineering training to medical problems;
he is now about to complete his M.D. degree, apparently while still conducting
active research, a remarkable achievement. He is well versed in the statistical
and pattern-recognition techniques he proposes to employ..
Reviewer
Proposal No.: P4K0495-000
Investigator: PATRICK, Edward A.
Institution: Purdue U.
Please return to: N. Caplan
If possible by: 7/24/74
Comments (Continue on additional sheet if necessary)
Thank you for asking me to evaluate the enclosed proposal NO. P4K0495
by Professor E. Patrick. I regret that I am not able to evaluate it.
However, I do appreciate the opportunity given me. The proposal is
returned herewith.
Sincerely,
RECOMMEND AND AWARD
DATA FORM
;rtt 3-2
NATIO. aL SCIENCE FOUNDATI
WASHINGTON, D. C. 20550
OCT 1 1974
the funds provided by this grant Are Intended to assist in the support
of the project at the agreed level of effort for approximately twenty-
four Months. The 86? share of such support is «ua«arlKcd in the
attached budget. The grant is effective October 1, 1974 and, osleaa
otherwise amended, will expire on March 31, 1977. The grant period
include* the flexibility period described in Section 120 of mt
73-26» "ftSF Grant Advlnietration Manual."
Sincerely yours,
Oaylord L.
Acting fop
Attachments
10: Rights in Inventions (241) 12. Rights in Computerized Data Banks and Software
Except as otherwise provided in the award letter, or NSF reserves the right to require the grantee to deliver
where an Institutional Patent Agreement has been computerized data banks and software as prescribed iii
executed with the grantee (unless the award letter or the Paragraph 243.
terms of the IPA exclude the grant from the operation of
the IPA), the following provisions shall apply: 13. Technical Reports
a^ Whenever any invention which is, or may be, Technical reports shall be prepared as prescribed in
patentable is conceived or first actually reduced to the numbered NSF publication specified in the award
practice in the course of or under this grant, the grantee letter (261 and 582).
shall furnish NSF with complete information thereon;
and NSF shall have the right to determine whether or not
14. Financial Management and Records
and where a patent application shall be filed, and to
determine the disposition of the invention and title to
The grantee is expected to manage and account for
and rights under any patent application or patent that grant funds and to maintain records as prescribed in
Chapter V.
may result. In making such a determination, NSF shall
take into account the public interest and the equities of
truTgrantee. In ahy"fase^ NSF may arrange to have the 15. Revocation
invention described in a printed publication. This grant may be revoked as prescribed in Section 280.
FL 25 (May 1974)
Supersedes Enclosure R-12 (FL 6-32) and replaces FL 25 ()an. 1974)
NATIONAL SCIENCE FOUNDATION RESEARCH GRANT
Washington, D.C. 2O5AP BUDGET & FISCAL REPORT
Please read instructions on reverse aide carefully before completing thn form.
NSTITUTION AMO ADDRESS NSF <-HOGRAM
/wiilO/1/74 to 3/31/77
Purdue Research Foundation Control and
REPORTING PERIOD
*. ]_ (Co)Principal Investigator!*)
b. Faculty Associates
Sub-Total
2. Other Personnel (Non-Fic^lYy
•. Research Associate
c. 2 Graduate Students
d. Pie-Bjccaljui<
' «. \ Secretarial-Clerical
f. 2 Technical. Shop.
TOTAL SALARIES AND V/AGES 43,452 S 39,691.10
B. STAFF BENEFITS IF CHARGEO AS DIRECT COST 2,900 2,971.30
C. TOTAL SALARIES. WAGES. AND STAFF BENEFITS (A ♦ B) 46,352 S 42,662.60
D. PERMANENT EQUIPMENT
Consultants 185.00
Communications 1,959.25 2,144.25
J. TOTAL DIRECT COSTS (C through I) 49,852 $52,411.58
K. INDIRECT COSTS
By _Oat«
Grants Admlnlitntlon Section. Ar*3_
E. A. Patrick
!£RTII Y TMAXAUL FXPI Nnil URTS
..IS Rl mRTin AR1" FOR APPROPRIATF. I'liRPOSl S AND IN ACCORDANCl.
/^) \viTirriu:
wiTiriiu: agrekmi-nts
AGRi:KMi:Nrs sir
si i ortii in the aitlk -at ion and award uocumi nts
tlGNATi/fl THQrtllEO OFDCIAL TYPED OR PRINTED NAME & TITLE DATE
SUBTOTAL
2. Other Personnel
a. Graduate Research Assistants (2)
b. Computer Programmer
c. Clerical
B. Fringe Benefits
TIAA
Workmen's Compensation
Insurance
Unemployment Insurance
SUBTOTAL
Principal Investigators
The difference between the senior personnel effort listed and the totals included
in the FTE summary represents a portion of the University's contribution to this
project."
NATIONAL SCIENCE FOUNDATION
SUBTOTAL
2. Other Personnel
Bo Technician
d. Secretarial - Clerical
B» Fringe Benefits
TIAA-SS
Social Security
Insurance
Workmen's Compensation
Unemployment Insurance
F. Publicatton Cost
Principal Investigator
1 « APR 1975
Dr. UmtA A.
fttt&tt
V««fc
ikmv &*
tot
gf imd 3a4lci»$, it wovH b»
you to dS»oj«t«i |«ac i,4*»« 4iir*^t;ly with w« eaaeerotog tbt
lt9 of «tf twearch pro^t^tt in tit id aron. I l*
to hav« Ot* U«t»*y Bowtot, fd>etl««t H*sd for
An«ly»t»» A«d Hr. Hi-mmi Gftpltia, Piftfiw
Control nod Awtoaation, p^rtlcl|H»c« In th«M 41««tti«to«o.
BUG
U. Caplau
EH6UtCBottm«)i* 4/16/75
Purdue University
SCHOOL OF ELECTRICAL ENGINEERING
Dear Norm,
The travel funds will be used for myself and graduate students to
travel to scientific conferences where we have had papers accepted:
Sincerely,
EAP/gb
October 7, 1975
Ref: ENG-7404118
Sincerely yours,
Norman Caplan
Program Director for
Control and Automation
Engineering Division
NC:slm**"
nsf form 264 apr. 1968 CORRESPONDENCE APPROVAL SHEET (Official File Copy)
*»..
for the patient. It was extended (Section III) for a patient progressing through
multiple states. For each state, subsystems, classes, complex classes, class-
feature relationships are defined consistent with previous work by Patrick et al.
example and results are reported in Section IV. It Is shown that the approach
obstruction.
FILE
£Jtc*lttC 4- h h.cJC
NSF Form98A (10-76)
r
;%Computers
In Medicine'
Topic of Talk
Edward A. Patrick, a'
professor of electrical engi
neering at Purdue Univer
sity who holds an M.D.
from Indiana University,
School of Medicine, will
discuss "Computers in
Medicine" at 7:30 p.m.
Tuesday at the St. Eliza
beth Hospital Continuing
Education Center.
His presentation is spon
sored by the Lafayette
Medical Education Founda
tion. . . .
I
The proposal was advanced last month at
chest are removed a.ong with the iy.T.ph
an engineering seminar at Massachusetts In
nodes in the armpit area. A Mrrued. or
stitute" of Tec.-.o.iT/ by Dr. Edward A". Pat tirtin! rr.nstsctorr.y. usuaiiv rr.ear^ Ti".'j\~.~y
rick, who ;? both a rr.eiical doctor and a the tumor ar.d a ctria.r. i~-'jit.'. ci '.j::z
professor of electrical engineering at Purcue.
around it, hut the skin. ;: it is r.o: csneeroas,
Since his presentation in Bostcn Nov. 22, ar.d the chest muscles ar.ci r.cces are leit.
the pre£'i?:vjs Scior.ro M2?a::r.e has accept Hc**h 2*"i'^ro3^h<i* ^*5p b'* p*ro i a/i v.**n r3c^«
ed an article on his ?r«rv>5?i :or publication tion treatment o; the ly.T.t.*! r.c ies. o.: tr.:«
in an upcomir.z i'vje. Andes are not ac »5 a C'C-"**'*v^r^'sl 2*"^^* b-31"**-?* *'"* ••■fl's**
cepted by Science ur.ie-s the subject matter mer.ts dimmish the to-iys lyT.rhjiic produc
is considered to be of significant scientific tion of agents to ward off ir.iecu^n.
Importance. Dr. Patrick said to this p'ir.t ::.* ,'n-js of
A reviewer of the article for Science ex the National Iw.itute of :!•?•. :'i r.ss b«n
pressed the opinion that the proposal v.es.% more toward letting ir.c.vicual c.i.-.^r .tr.:-':s
computer techniques to breast cancer data obtain ar.d compile treatment data.
amounts to a "new modality to treatment of "There has been little effort at or:3r.izx;
disease." it in a logical, stien:.tic way."" hs adieJ.
As outlined by Dr. Patrick, the data bank,
Dr. Patrick has t«n a rropor.ent cf this
actually a research program, could provide
for a number o: yesrs. He is now rostin? the
information for jurieons on the best treat
NIH ar.d fcur.daf.on waters for f.r.ar.c:al s-j>
ment for breast car.ccr in a particular per
port to estaoLst sucn a data r.ro\.e«.r.<
son.
cen-.er in the s'ote. -•j.-.-.api here or 2; t-e
'•\Vh3t v.e are irr.rr.<xi:a'.eiy concerned l^i-ra rr.iver«ity Mc^xaf Cer.tc-r a: I:.-:.i>
with is the efficacy of treatment." Dr. Pat -P--/.5.
rick said. "Since breast cancer is s-::b a "V.> are rationally prf-babiy the ^?t fcr
serl:us problem. :t is e;ser.::3i thv. a scien £r:lyzir.r tr.is k--.d 0; cau." Dr. :_•.-.;..
tific approach be used for org-'irji..".; patient
iv.i of the Purcue people avstliblv trj.-.c:-
ca:a end evaluatm.: :;e ciicv.t.2 cf L.ife.-e.r. t:l:e the ta?k.
treatments — ra :;cj1. limited, moc-ticd-limit-
The '.enter would approach cane*: from
ed lymphectomy, chemotherapy or a combi
the standpoint of C3ta proves-;r.z sr.-i :a-.;ern
nation of these."
recojnition. He said it would li no way
Dr. Patrick said in determining the treat conflict with the university cancer researt^
ment cf a patient, a surzeon uses the pa
committee's pro^-sai to the Net;;.-;; Cir.cer
tient's pas: medical history, family hi-tory,
!r.-rit-te to er::.lili a z.:\i::<i: ci-;e: r;-
si^ns, s>r.p;or..s ar.d laboratory u<!i. He
search csr.tcr .iere.'
listed 13 of these criteria that could go into
Dr. Patrick said data on I'/.) zv.-ir.-j H
the data bar.k a'.or.g with the history of
"i I.I*. :•'■: JrM CiT.'rT I< >r:"Z '"" '-Ti-:
r«.-5-sur,:ery or ?•: j.yj.-pry a.-.i the cju^ of
cea'.h it i'"5 r"-.'.:3"'. cm r.ct sur.v. i.
JEFFERSOHVILLE
EVENING NEWS
D. 16,073
MAR 2 0 1575
transportable. , * \
Existing h«irl-lung machines can';;.-
"* only be used for several hours; .
'} beca use t he pu mp dCst roys red blood j .;.
| cells (RBQ vital lo life, said!-;. •
The Apollo Double Diaphragm Pump which was perfected by UC faculty members using .
Using a standard test designed to moon flight technological gains. .
determine RBCdestruction, the team These results suggest the possibili- critical ill nesses like heart attacks and pump without generating heat an*i
pp
circulated fresh canine blood pneumonia, reported thus raising the temperature of the
machines
>
Whes
Deve
ST. CLAIRSVILLE - A
Wheeling man, married to a
; /v former St. Clairsville woman, is
a member d a research lean
working en the adaptation of a
pump used in suits worn by
astronauts on the moon to extra-
corporal heart lung systems as
> we*
iple will find their own way. incinnati's Largest Daily I
-Shot in
rtOT
ysed
app
cor
Cor
the
one
anru
"be
•iv'»", BY BOB WOMAOC pump bow otd in heart-Jung ma^ the •
chines. - ; S. ^
A Cincinnati research team has "When modrfied ._ it can be ex- govt
used Moon-flight technology to adapt a pected to function even better," says divi:
tiny space-suit pump for temporary the team's report. Nanj
use as an artificial heart. *
- THE PUMP DESIGNED for the BirJ-
• The team included Neil A. Arm
Apollo space program, the report'" ar.d
strong, the first man to walk on the
says, has qualities that are desirable in Jr
Moon; Dr. Henry J. Heirr.Kch. director for an artificial heart-lurs system, in
of surgery at Jewish Hospital; George An I
cluding low weicht. small sue, high - siege
.Rieveschl, vice president of special
efficiency and high reliability.
" projects at the University of Cincin
roun<
nati; and Edward A. Patrick, profes The group tested the ADDP by
sor of electrical engineering at Purdue pumping fresh dog blood through it,
.University. .... then checking red blood cells with • T
microscopes. <£ c*nt
'Armstrong" the former astronaut, >^s from
fa a professor of aerospace engineer- The results of their experiments^ fr°m
.ing at the University of Cincinnati. show that the destruction of red blood vvn.'st (
cells "is less than that reported for
•' • The newly adapted pump is "many any other pump." " ,
times less destructive" to red blood
cells than any existing pump now used • The ADDP was selected by the Na
in heart-lung machines.".a scon-to-be- tional Aeronautics and Space Adminis
published paper by the research team tration h>r the Apollo procram be
said. .: ;■;,"■/'.' cause of •>« high overall efficiency."
" Existing h^art-lurg marines can including r.« low power consumption
t be used safely only for several hours.- - ■ and low heat generation, also qualities
'oi
important in an artificial heart-lung
i^r^Vnth the new pump, "it is omcelv- ■• system, the researchers coted
THEY FOUND thit the blood
A-6 lomnal and Courier, Hon.. Wot. 25, 1974
oncer research
Purdue News Service patient. In addition. It family history of breast lity of survival for a par
Creation of a research would be possible to spot cancer; patient Immunolo- Couritr ticular patient profile.
facility for applying new unusat incidences of breast gical status; duration of "With these probabilities
computer techniques to cancer in a particular geo disease at diagnosis; Metro report of survival available as a
breast cancer patient data graphic location, he believ patient age; peripheral service to surgeons, they
was revealed Friday in es. white blood count; mam- will be able to determine
Boston by a Purdue Uni "What we are immediat mography; associated Patrick said. "For ex the best way to manage
versity professor. ely concerned with Is the pregnancy or associated ample, one group of pa the health care of that par
Edward A. Patrick, both efficacy of treatment/* Dr. menopause. tients would be those with ticular patient. There is
a medical doctor and a Patrick said. "Since breast The data bank would cancerous lymph nodes as not any one procedure cur
professor of electrical engi cancer is such a serious also Include the history of compared with another rently programmed in a
neering, detailed the first problem. It is essential that prc-surgery or post-surgery group whose lymph nodes computer which can esti
steps toward such a vital a scientific approach be and the cause of death if are cancer-free." mate the required probabi
research program in an af used for organizing patient and laboratory tests. Dr. the patient did not survive. He said the probability. lity distributions for breast
ternoon speech delivered data and evaluating the Patrick listed 13 of these Not all of these features of survival for different cancer problems/* Dr. Pat
before the Medicine in En outcome of different treat that are used by surg(*>ns arc Independent, pointing treatments and different rick stated.
gineering Seminar at Mas ments — radical, limited, before reaching a decision to the need for careful sci patient profiles could be His work in this area is
sachusetts Institute of tymphectomy, chem on the method of treat entific exploration of the being supported by the Na
determined. Ultimately, a
Technology. otherapy or a combination ment: data. Dr. Patrick said. treatment can be selected tional Science Foundation *
As a result of this re of these." Cancer stage, primary "When we compile this to give the highest probabi and the Regcnstricff In- .
search program, advisory In determining the treat tumor size, primary tumor patient information and stitutc, Indianapolis, in Co- |
information could be pro ment of a patient, a surg biopsy, micro or macro store it Into a computer, operation with the Depart- <
vided to surgeons on the eon uses the patient's past mammary tissue cancer population distributions can ment of Community Health •
best treatment for breast medical history, family his cells and internal mam be computed for different Sciences, Indiana Univer
cancer in a particular tory and signs, symptoms mary lymph node biopsy; groups of patients/* Dr. sity School of Medicine.
Upmputer system at Purdue
to aid breast cancer victims
Bu JUDY HORAK lab tests, medical history, the fami Today there is no data on survival rates for various treatments for that
f Staff Writer ly history of breast cancer and oth rates for patients in particular particular cascfrom its data bank.
* Within six months, a computer on er data which will be fed into the stages of the disease receiving par
% the Purdue University campus may computer, he explained. ticular treatments, Patrick said, al Unfortunately, the project won't
; be able to tell a doctor which treat Secondly, the set of procedures though several medical centers be immediately available to all
ment is best for a patient with used on the patient and the length maintain data on their cancer pa breast cancer victims. "The cost of
breast cancer. of survival will be fed into the com tients. (computer) terminals to all points of
Edward A. Patrick, both a medi- puter. Procedures include chem the country would increase the cost
i cal doctor and a professor of electri otherapy (drug therapy), radiation, "We're going to ask three or four of health care," he said. "Just be
cal engineering at Purdue, said tumpectomy (removal of cancerous institutions who have cimcer data to cause we have one (data) bank
( Tuesday that the new computer sys- tissue alone), simple mastectomy make it available to this facility," doesn't mean there's automatically
' tern was the first of its kind in the (the removal of the cancerous Patrick said. The medical center in access all across the county."
country. He first discussed the sys-. breast) and the rndical mastectomy Indianapolis and Memorial Hospital Patrick's research is being funded
• tern last week at a seminar at Mas (removal of the breast and under in New York arc two expected by the National Science Foundation
sachusetts Institute of Technology. lying chest wall muscles). sources of data, he said. and the Regensirieff Institute in In-*
. Patrick was back on the WL Some American physicans present
dianapolis in cooperation with the
campus Tuesday for a press confer ly disagree over which route is best The end result of the project
Deaprtment of Community Health
ence on the project. for patients in particular stages of won't be a handy guide telling doc
Sciences at the Indiana University
"There are other centers in the . the disease. While some doctors al- tors which treatment is best for School of Medicine.
country gathering data on breast • wasy perform a radical mastecomy, which stages of cancer. Patrick's
cancer patients," Patrick said. "But increasing numbers of physicans are computer program is more sophis He noted that there is no funding
this is different in its organization." ' performing the less drastic "simple" ticated than that. "The particular yet for a network of terminals tying
This system will collect 20 pieces operation. The lumpectomy Is patient's profile would have to be local physicans to the data bank.The
m of information about each primarily a European technique, submitted to the computer," he said, •kinks' in the system are pragmatic,
patient—her symptoms, results of Patrick said. which would then derive survival he said.
^&-Sl
Reprinted from
28 February 1975,volume 187,pages 764-765
Pattern Recognition May Resolve Management of Breast Cancer: A standard pattern recognition prob
lem is, given "training samples" for
Limited Mastectomy versus Radical Mastectomy class Cry and "training samples" for
class C,,v> to estimate the respective
probability distributions p(l | CRT) and
p(f | C,,v). This is not an easy task. First,
In the 7 October 1974 issue of the primary lesion; /,0, duration of disease a model for the probability distribution
Journal of the American Medical As at diagnosis; /,,, pre- or postmenopause; must be assumed a priori; or in the
sociation two surgeons debated the /,2, associated pregnancy; /u, antibody language of pattern recognition, a
methods of management of breast can to breast cancer antigen; and ju, tu "family structure" must be assumed for
cer. Crile (/) took the position that mor growth rate. the probability distribution. Patrick
limited mastectomy was the method of The patient's feature vector may be considers such estimation of probability
choice, while Anglem (2) took the posi denoted as distribution in detail (3). There is not
tion that management of breast cancer one currently available computer pro
should be by radical mastectomy. Both f = (/.,/. /••] cedure that can be used to construct
surgeons cited their own studies as well a column vector. Let the joint probabil the required estimated probability den
as those of others to support their re ity distribution of f be p(f | CBT) and sity functions pit | CBT) and pit | CLt).
spective positions. pit I Ci.v) for 'he tw° classes, respec Any procedure assumes some structure
However, the data base structures tively. about the functional form of />, whether
cited by the two surgeons were ap Given a patient with a particular fea it is a multivariate Gaussian assump
parently not the same, and as a result ture vector f, what is the probability of tion at one extreme or a "nonparamet-
it is not possible to compute survival the occurrence of CBt or C|,T? ric" structure at the other extreme (4-
probabilities which are conditioned on To answer this question, we must ask 6). Up to now, analyses of breast can
different assumptions. I now propose a what is the probability of CHt or CLX cer data have been dependent on the
method for organizing the data base and for a patient with breast cancer before formation of one-dimensional or two-
then evaluating the outcome of different we look at f for that patient? These a dimensional probability distributions;
treatments. The method can be applied priori probabilities will be denoted for example, with /, (that is, the cancer
to existing data as well as to data that p{CRy) and pCCLT), respectively. Then, stage) or with the two features /, and /,
may be collected in the future. the probability of CBr or CLT for a pa (that is, histopathology). Probabil
Pattern recognition theory and prac tient after looking at his feature vector, ity distributions might have been con
tice is based on classes, features of these called an a posteriori probability, will structed for /, and /,, with the use of
classes, and the statistical distribution of be denoted p(CRV | f) and piCLy I f) for different values of /a (that is, patient
these features for the respective classes. the two respective classes. For the latter age). Another problem is how to use a
In the problem of breast cancer survi notation, the ! in p{CKy ] f) is used to priori knowledge that two features are
val there are two basic classes (a class mean given: that is, probability of CRv statistically dependent.
will be generally denoted O. given f. Thus, given the number of training
The well-known Bayes theorem re samples /VB for class CRT and the num
C»v = survival for Y yean after
ber of training samples NL for class CLY,
radical mastectomy lates the a posteriori probability to the
Cit = survival for Y years after we can estimate p(f|CKT) and pil\Ct\).
a priori probability as
limited mastectomy Once these are estimated and a priori
Additional classes can be defined in probabilities p(CHV) and p(CL1) speci
terms of other treatments or features. fied, then the a posteriori probabilities
The features of the classes will be p(CHy I f) and p(Ci.t) ' 0 can be cal
inferred from the discussion by the culated for any patient f, where piO is
two surgeons and other studies: lx, can calculated from Eq. 3.
cer stage; /2, patient age; /3, histopa- However, difficulties can be antici
thology: /,, lymph node involvement; /.-„ pated. First, what are the a priori prob
treatment: f3. family history of breast abilities p(CHy) and /KCYv)? Might one
cancer; /;, immunological status; /8, pa assume piCRX) = piCLX) = 1/2? Did
tient's cause of death; /9, location of Crile (/) and Anglem (2) cause a priori
/.i I
probabilities (by implication) to depend P(f I Qv) and p(t | CLY), and agree on
on patient age or cancer stage, when a priori relationships among the fea
properly age and stage are part of the tures in f; (iii) establish a computer
feature vector f and should have their data bank for patient samples and
effect by adding to the dimensionality guidelines for this data to be accessed;
of p(t\Cm) and p(f|C,,v), respec and (iv) agree on values for p(Ciiy)
tively? and p(Cr,v). (v) Thus, estimates will
Many of the studies cited by Crile be obtained for p(l | Cny) and
(/) and Anglem (2) involve different p{t | CLY) for Y (years) = 5, 10, 15
parts of the feature vector f. Thus, one (for example).
study might provide training samples Edward A. Patrick
for one part of p(t \ C) while another Department of Electrical Engineering,
study might provide training samples Purdue University, West Lafayette,
for another part of p(f | C). Indiana 47907, and Indiana University
To conclude, any national effort to School of Medicine, Indianapolis
evaluate future breast cancer data or to
Rcfercneti
reevaluate past breast cancer data
1. G. Crilt. Jr., 1. Am. Med. Atioc. lit. 95. 106
should follow guidelines established by (1974).
a recognized group of experts from 2. T. J. Anjlem, Ibid., pp. 99. 108.
J. E. A. Patrick, Fundamental! o/ Pattern Ktcot-
the surgical community and the pat nltion (Prentice-Hall. Engleuood ClifTt. N.J..
tern recognition-statistician community. 1972).
*■ . L. L. Shtn, F. P. Stclmack, "Introduc
This group of experts should (i) de tion to the theory of mcdicil contultlni «nd
diagnosis," Proceeding* of the 197.1 National
termine a set of features to be included Computer Conference.
in f and the values which these features 5. . IEEE (Inn. Elecir. Electron. Ent.)
Tram. Syit. Man Cybirn. 4, I (1974).
can have; (ii) agree on various a priori
6. L. B. Lulled, New Engl. J Mrd. 114 416
structures to be used in obtaining (1971).
the estimated probability distributions 21 October 1974; revised 1> December 1974
AS
I
Computer system bt Purdue
to aid breast cancer victims
; Bu JUDY IIORAK lab tests, medical history, the fami Today there is no data on survival rates for various treatments for that
J Staff Writer ly history of breast cancer and oth rat«*s for patients in particular particular casefrom its data bank.
J Within six months, a computer on er data which will be fed into the star's of the disease receiving par-
J the Purdue University can)pus may computer, he explained. tiriil.ir in-atinents, Patrick s;iid, al- Unfortunately, the project won't
, be able to tell u doctor which treat Secondly, the set of procedures thv-u>*h several medu'at centers be immediately available to all
ment is best for a patient with uv«d *>n the patient mid the length miiiit.iin data on their cancer pa- breast cancer victims. "The cost of
br* ast cancer. of survival v,»ll b«' frd into the com tn1»is. (computer) terminals to all points of •
Hdward A. Patrick, both a medl- puter. Procedures include chem- tin; country would u>crea:.e the cost
. cal doctor and a pr«>fc!^>r of electrl- <»'Fi-T.":ny («lni^ therapy), radtition. •#w*e*r« fyMnp to ask tlirre or four of health core," he said. "Just be-
,cnl enj»ln^!finK at Purdue, fin Id Mifliiiiftrtu wl«» huve ranrer data to cau:e we have on»» (dola) bank J
Tu* -%day tli.-ir the u<*w rc-mputer ays- Janiple m:»;.trciomy make it uv.ubMe to this facility." d'H-sti't me.m UiereN automatically
* tew war* tl»e first of itr; kind m tlw (the removal of the cancerous Patrick Mid. The medical center in acre*-; all across the county."
, country. Ite flr.t discur.vd the sy.'k breast) and the radical mnsttctomy IndMiiapolls and Memorial Hospital Patrick's research is beine, funded
< terti last w*x"k at a seminar At Mas- (remov.il of the Itrtr'ir.t and under in New York arc two expected by the National Science l:oti>u1ution
* srtchusetts Institute of Tcchnolojty. lying chi-M wall muscles). sources of data, he said. and the Re;;«*nMn».ff Institute in In
,t !*atrick was back on the WL Some American physicans present
dianapolis in cooperation with the
campus Tucsdiiy for a press confer- ly disagree over which route Is best The end result of the project Deaprtment of Community Health
* cnre on the project. for patients in particular st»i;ea of won't be a handy £u»de telling doc
Sciences at the Indiana University
1 "There arc other centers In the the disease. While some doctors at- tors which treatment is best for School of Medicine.
' country gathering data on brenst wasy perform a radiail mastecomy, which stages of cancer. Patrick's
cancer puticnts," Patrick said. "But increasing numberr* of physlcons are Computer program is more sophis !U? noted that there Is no funding
this is different in its organization." ' performing the less drastic "simple** ticated than rhat. "The particular yet for a network of terminals tying
This sys,tem will collect 20 pieces operation. The lumpectomy is patient's profile would have to bo local physicans to the data bank.The
,m of information about each primarily a European technique, submitted to the computer," he said, 'kinks' in the system arc pragmatic,
patient—her symptoms, results of Patrick said. which would then derive survival he said.
§r
HHBL*****-9*
BOCHESTEB
SEHTIKEL
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Computers In
ii
i!
i
I He outlined operation cf the ■
|dau bank at an ecsmeen-p '<
■ • • I seminar Jast month at V.i<-
i|Sachuse«s Institute of Tech-
'■oology. * ,-
j. J'Since breast cancer is such.
j» -lerious' problem, it is es;e,-.-
. ■ Jtitl that a scientific approach
be used for or^ar.::irs patier.ts
* WaU and ev!ja:i.-.; the cj:-
|come of different treatments."
jPatrick said.
Treatments often include re-
Im'oval of one breast, as in t.vo
:«se of President Fords v.:f;
■ Betty, or both brc£«ts. u-h'th
;was done for the v:fe of Vi-.e
• President Nelson A. Kockefel-
O£CUSSIH£OV.'»»--X|
/.* I
INDIANA HEWSCLIP
JUS t. 55 PL SUITE F
UUS IXOIAfU «
VIHCEHHES
SUM-COMMERCIAL
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JAN 5 197
Data-Center May
Be Cancer Too
WEST LAFAYETTE. Ind. information gathered from the
<AP>— A computerized data b3r.k. a probability of survival
center developed by a Pur±u for different teatnvnts ar.d dif-
University physician-t-rsiroer- fercr.t patient profiles could be
ing professor may prove a v;tal determined r
tool in combatting breast "With these probabilities of
career. survival available a* a service to
The center mr»y help surgeons survcorj. they will be able to de-
find the method of tr'-atrg terrrune the best way to manage
breast career in \r.<i»:'A'ii\ pa the health care of the pa
tients thxat offers the highest tient."
chance for survival, said Dr. Ed
Patrick said the focus of the
ward A. Patrick.
National Institute of Health has
He outlined operation of the
been more toward letting indi
data bank at an engineering
vidual cancer centers obtain
seminar last month at Massa
3r.d ccrr.pile trea'rr.T.t data.
chusetts Institute of Techno
-There has been litt'e effort at
logy.
organizing it in a logical, scien
"Since breast cancer is such a
tific way."
serious problem, it is essential
that a scientific ar>^r<y»ch *** He is se.-kirg financial suo-
used for or?2'-:?i-i nr;':>i'".tV cert to <■.:••;'.:•!.•"- .-, .Jyi r?~r-'-is-
"ij'.a and k':z:.S."Z *.<■ "'Jl- .•:.4 center either here or at the
come of different treatments." Indiana University Medical
Patrick said. Center in Indianapolis.
Treatments often include re
"We are nationally probably
moval of one breas:. as in the the best for analyzing this kind
case of President Ford's wfe. of data."
, Betty, or both breasts, which was
. done for the wife of Vice Presi He said. "We are starting with
dent Nelson A. Rockefeller. breast cancer, because it is
; The data bank would contain probably the most important
. ;13 criteria on a specific parent from the woman' iSodpoint." He
'including past medical history. said a second effort might be
family history, signs, symptoms aimed at colon cancer, which
fcnd results of laboratory tests. has a high incidence among
men.
<he Purdue educator said. With
in.Kmwia.Buju
PORTLAND
COMMERCIAL.
REVIEW
D. 4,992
DEC .? ? 137^ L
purer programmed
MUNCIE PRESS
0. 22,539
DEC 2 6
Massachusetts Institute of Techr.oloev. population distributions can be computed for Treatments often include removal of at
As a result of th;s research program, different erouos o: patients." Dr. Patrick breast, as in the case of Pre>iu\m F.ji
advisory information could be provided to said. "For example, one group of patients wife. Bettv. or both breasts, which wa< d
surgeons on the best treatment for breast would be those with cancerous Ivmph nodes for the wife of Vice President Nelson
cancer in a particular patient In ad-iitir>n it 3< c""r?2rr/d w:>h i".?'.hor crnuo whese Rccke-feUer.
would be possioie to spot unusual inciaences lymph nodes are ca-.eer-free." Patrick said the focus of the Na».:c
of breast cancer in a particular eeoeraphic He <aid the probability of survival for Institute of Health has be*n rr.ore tox
location, he believes. different treatments and different patients letting individual cancer centers obtain
•'Vhat we are immediately concerned with profiles could be determined. Ultimately, a compile treatment date. "There has b
Is the efficacy of treatment." Dr. Patrick treatment can be selected to give the highest little effort at organizing it in a ioeu
said. "Since breast cancer is such a serious probabilitv of survival for a particular scientific wav."
problem, it is essential that a scientific patient profile. He is seeking financial suoDort to e<nb
approach be used for organizing patient data "With these probabilities of survival a data processing center, mrhcr at A
and cvaulating the outcome of a different available as a service to surgeons, thev will Lafavette or at the Indiana l'r.iv»r«
treatments—radical, limned. Ivmcheetomy. be able to rtetormir.e the best wav to mar.ace Medical Center in Ird.ar..*.r°i:< "'^e
chemotherapy or a combination of these." the health care of that particular patient. nationallv probablv the best for ar.ilv?
In determining the treatment of a patient, . There is not any one procedure currently this kind of data." the doctor reveals
ii surgeon uses the patient's past medical programmed in a computer which can While this announcement w^< b'tr? r-i
history, family historv and sier.s. svmptoms estimate the required probability the Associate Pre«s. in a '\v>'■>.--.-:•
and laboratory tests. Dr. Patrick li>ted 13 of distributions for breast cancer problems." story in "News from the W.irld of V.c.l..-:?
these that are used bv sureeons before Dr. Patrick stated. appearing in'a recent issue nf He :•
reaching a decision on the method of His work in this area is being supported by Digest, printed this" "A Oncer-Sen-
treatment: Bra."
Cancer stage, primarv tumor size, The article said:
primarv tumor biocsv. micro or macro A group of women in Tucson. An.' . t
mannary ti><ue cancer ceils and internal soon begin ttsi-wearine cr..»«:-ir-^ :
mammary lymph node biopsv: familv ir.icht be able to detect nr>--' '.:':
history of breast cancer: patient icancerous or benign ■ at their earliest s:a
Immunological status: duration of disease at Special sensors in the bras will rex'ora t:s;
diagnosis; patient age; peripheral white templerature. A warmer-than-usuai s
would call for special examination m <ee:
tumor is present, explains Dr. Mj< L.
Y/A3ASH
B-tone. director cf the ra I',;.'.: :r. ••.'.,-;:
PUili DEALER (cancer! division
the of Universitv
Arizona's Medical Center
0.7.817 Dr. Boone estimates that s-:ch c<".'jct
could save the lives oi trcm L.i..".1 to ■■■■■
women a vear. In ire !«?<'■*. :•••"* '-"' "
t^rcc yeir-. •.'•* /v'ii'.i ;:; ••■.. :■'
periodically—for about 11 '.--u:s •.-.*."v
twice a year. Results for ac&roximatciv
O£CLASSIfi£Ov.*wsj
n/.-. I
INDIANA NEWSCLIP
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ata center
2 S '974
may combat
.furtfue Physician breast cancer
Working on Cure ,i WEST LAFAYETTE. Ind. (AP)-A
computerized data center developed by a
PurdueJJnjversity physician-engineering
;f
He outlined operation of the data bank at an
engineering seminar last month at Mas
sachusetts Institute of Technology.
cinm-a « pres.jcnt "Since breast cancer is such a serious
problem, it is essential that a scientific ap
i» Si proach t>? used for or.^aruzir..; patients' ia'-a
and evaluating the outcome of different
treatments." Patrick «md.
Frejuiients often mciuie removal of one
breast, as in the case of President Fords
cer to individual patients that wife. Betty, or both breasts, which was acr.e
offers the highest chance lor gathered' for the wife of Vice President Nelson A.
Rockefeller.
r his ^ ^
Tranced
month to'the seteDtilic »nd different
The data bank would contain 13 criteria on a
specific patient including past medical
history, family history, sicr.s. symptoms ar.d
2 results of bbira:;ry tens, the PJ.-'iue
educator sa;d. V»;tn information tav.c.-ed
Technology. these
of from the bank, a probability of survival for
different teatrr.?nts and different patient
crc;:ies coula w cct^rrrii.'ei.
*"'.Vitr *V:JC'? v ii-.'iltties Of survival
L"Z'.-~\" 11- J :•'.".'. '. '."■ y.T-1-'.':. '..:■:'■ '■".-
data and evaluating mo ou.;-b u- ^ con.
OECUSSFICO1-'. •'>/*"
/C I
|~fU£ CISCHVAII LVQl'iRER
CINCINNATI, QHIQ
D. 194.31?
MAR 2 01375
A-
tfrxW-t-Vriif-Vjrih l.-^;.:-.i^..il^^l4.r^,
rr
' Lafayette-West Lafayette, Indiana, Thursday,' March 20.* 1975 Vol. 56-No. 67 20 Cents
IBID
A
.
'''■■> T
X >
•:•>
BOSTON (A'P) - A research Armstrong, the first man to walk ing to Dr. Eidward A. Patrick, pro
learn that Includes former astronaut on the moon and now an aerospace fessor of electrical engineering at >••
Neil A. Armstrong and a Purdue engineering professor at the Univer Purdue.
University professor says a pump sity of Cincinnati, said his group "The pump was used in the back
used to cool astronauts on the moon was not sure why its pump was !ess pack of astronauts* suits to pump
could help develop a heart-lung ma destructive. But the researchers cooling water," said Armstrong.
chine capable of sustaining people pointed out that it has. no moving "We were interested in seeing how
for weeks instead of hours. parts in the blood flow, produces it pumped blood.!* X-
'■• §!
Heart-lung machines damage the liitle turbulence, and has extremely Speaking at a news conference at
blood and consequently tax the precise valves that don't pinch blood the annual meeting of the Associ
^ body. Most patients enn use current cells as other valves do. ation for the Advancement of Medi
models for only a few hours even Heart-lung machines are devices cal Instrumentation, the researchers
th^yy.h they may need assistance for that take over for organs in pump said clinical use of the pump was
longer periods. ing blood and adding oxygen to it. years in the future.'But they said
The researchers said Wednesday They arc used primarily in open- the aluminum device, small enough
■VJ
that a water pump developed for the heart surgery or with patients* suf to be held in the palm of a hand,
Apotlo astronauts' backpacks has fering severe heart attack. showed great promise.
proved in initial tests to be 10 times The machines take the workload Others on the team are Dr. Henry
less destructive \o blood than the off the heart, but nrd cells arc de J. Hcimlich, director of surgery at
best pumps now used in heart-lung stroyed when they hit the walls and Jewish Hospital in Cincinnati, and
joints of the pump or shear each
ASTRONAUTS' PUMP FOR HEART-LUNG MACHI
machines. Modifications could im Dr. George Ricveschl of ihc Univer
prove the performance, they said. other in the turbulent flow, accord- sity of Cincinnati. . • . * . Neil Armstrong and Purdue prof report on rcsc;
INDIANA MEWSCLIP
157J f. SJ PL SUITE F
JMD1AKAPCLIS, INDUJU
GOSHEH
NEWS
D. 11,864
on Sast
Q£]« fhif
'. • LAFAYETTE. Ind. - • survival will also be entered. for patients in particular stages for a computer-assisted consulta
dors may one day use termi- Eventually, this data base may of the disease receiving particu tion system on breast cancer.
s- linked to med.cal data be set up so doctors can key in a lar treatments is scattered and
It is not yet clear whetrwr the
aks to help them decide which description of a patient and get does not uniformly list patient
system's cost would be borne by
atment is best for a patient advice on the probability of her characteristics, Patrick said.
doctors, patients or the govern
th breast cancer. survival for a particular number Patrick has begun his research ment, he mentioned.
)r. Edward A. Patrick, a medi- of years under a particular kind on a Digital Equipment Corp.
I doctor who is aho a proies- of treatment. Patrick said. But. Patrick said this kind of
PDP-11/45 using cancer data
r of electrical engineering at Medical doctors disagree on ser.ice is coming, not just for
from the Indiana University
rdue University, is working to which kind of treatment is best breast cancer but in other arejs
Medical Center. He is also coop
for patients in particular stages of computer-assisted diagnosis
ply pjitern recognition tech- erating with doctors in Cincin
and consulting as weii.
ques to the case histories of of the disease. While some doc nati and Pittsburgh.
east cancer patients which in- tors habitually perform a radical A breast cancer consulting serv
mastectomy (removal of the Eventually, he said, "we would
jde information on the pa- ice would be a good proung
hope to establish a protocol that
:nt$ themselves, what treat- breast and underlying chest wall ground, since it would focus on
will be filled out for any woman
ent they received and how muscles), others prefer the less a narrow subject where every
who is receiving treatment or
ng they survived. drastic simple mastectomy (re doctor could use the sime kind
surgery for breast cancer."
Patrick is collecting dat3 on moval of the breast only) when of information, Patnc* sau.
ich patient's symptoms, results ever they tlunk it is a safe alter While he has received money This makes the problem ci de
f lib tests, medical history. native. for his research effort. Patrick signing the system somewhat le>s
imily hmory of breast cancer, Present data on survival rates said'he did not yet have funding complex, he added.
helher she is in a pre- or post-
icnopausal state and other fac-
jrs.
After this information is en-
ered into the computer system,
he set of procedures used on
he patient and the length of
; Computers
In Medicine'
Topic of Talk
Edward A. Patrick, a'
professor of electrical engi
neering at Purdue Univer
sity who holds an M.D.
from Indiana University
School of Medicine, will
discuss "Computers in
Medicine" at 7:30 p.m.
Tuesday at the St. Eliza
beth Hospital Continuing
Education Center.
His presentation is spon
sored by the Lafayette
Medical Education Founda
tion.
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IMed Scientists
ence at ths annual ccwtirg of
the Association for the Ad
vancement of Medjcal Instru-
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