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Center for Dental Informatics University of Pittsburgh School of Dental Medicine 1 of 20 Research and informatics: What are the challenges? Titus Schleyer, DMD, PhD Bill Bartling, DMD University of Pittsburgh John Zimmerman, DDS Columbia University Grand Tetons, Wyoming, 10/2001

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Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 1 of 20

Research and informatics: What are the challenges?

Titus Schleyer, DMD, PhD Bill Bartling, DMD University of PittsburghJohn Zimmerman, DDSColumbia University

Grand Tetons, Wyoming, 10/2001

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 2 of 20

Symposium goals

• help participants understand the research discipline biomedical informatics

• illustrate informatics research with practical and methodological examples

• help participants discover potential informatics research questions in their projects

• explore how informatics can help in solving dental research questions

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 3 of 20

This is only the overture, …

… the opera is:

invitation-only conference, 6/12+13, 2003 at the NIH

www.dentalinformatics.com

Titus Schleyer, DMD, PhDCenter for Dental InformaticsUniversity of Pittsburgh School of Dental Medicine

Natchez State Park, Mississippi, 11//2001

Biomedical informatics:An overview

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 5 of 20

Pop quiz!

“Ceterum censeo Carthaginem esse delendam.”

Who said it, when, and why?

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 6 of 20

informatics = information technology

informatics = bioinformatics

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 7 of 20

Dental informatics

“Dental informatics is research in computer and information science to improve dental practice, research, education and management.”

primarily focused on research, development, and evaluation of information models and computing applications

Schleyer, T, Spallek, H, Dental informatics: A cornerstone for dental practice. Journal of the American Dental Association 2001: 132 (May): 605-613.

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 8 of 20

Information technology (IT)

“Information Technology (IT) is concerned with all aspects of managing and processing information.”

primarily focused on the implementation, application and support of computer technology and telecommunications

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 9 of 20

Where is the science in biomedical informatics?

Logan Pass, Glacier National Park, 9/2001

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 10 of 20

Studyof

Effects

Model Formulation

models for acquisition, representation, processing, display or transmission of biomedical information or knowledge

System Development

developing innovative computer-based systems that deliver information or knowledge to end users

System Installation

installing such systems and then making them work reliably in real-world environments

studying the effects of these systems on the reasoning and behavior of health care providers, organization(s) and process(es)

Model Formulation

models for acquisition, representation, processing, display or transmission of biomedical information or knowledge

System Development

developing innovative computer-based systems that deliver information or knowledge to end users

System Installation

installing such systems and then making them work reliably in real-world environments

Studyof

Effects

studying the effects of these systems on the reasoning and behavior of health care providers, organization(s) and process(es)

Model Formulation

models for acquisition, representation, processing, display or transmission of biomedical information or knowledge

System Development

developing innovative computer-based systems that deliver information or knowledge to end users

System Installation

installing such systems and then making them work reliably in real-world environments

The tower of science in informatics

Friedman C. Where is the science in medical informatics? JAMIA Feb 1995. Vol. 2 No. 1; 65-67

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 11 of 20

Missoula, Montana, 9/2001

Informatics and its component sciences

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 12 of 20

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 13 of 20

Information science

… is the collection, classification, storage, retrieval, and dissemination of recorded knowledge treated both as a pure and as an applied science.

Sample research questions:- Is SNODENT an accurate representation of dental diagnoses?- How can a patient’s oral health status be summarized from comprehensive data about oral health and general health?

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 14 of 20

Computer science

… is a discipline that involves the understanding and design of computers and computational processes.

Sample research questions :- How can various pathologies on radiographs be detected using neural networks?- How can decision support systems help dentists develop optimal treatment plans?

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 15 of 20

Cognitive science

… is a science that draws on several fields (as psychology, artificial intelligence, linguistics, and philosophy) to develop theories of perception, thinking and learning.

Sample research questions :- How should computer-based dental charting systems be designed for optimal user performance?- How can detection of early leukoplakia and OED by dentists be improved with the aid of computers?

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 16 of 20

Telecommunications

… is the science that deals with communication at a distance.

Sample research questions :- How can a complete and comprehensive oral health record for a patient be assembled on the fly using electronic records from different providers?- What communication requirements do real-time, comprehensive teledentistry systems have?

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 17 of 20

Informatics: basic + applied science

Shortliffe EH, Johnson SB, Medical Informatics Training andResearch at Columbia University, IMIA Yearbook 2002, 173-180

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 18 of 20

Where does dental informatics fit in?

Yellowstone National Park, Wyoming, 9/2001

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 19 of 20

The Biomedical Informatics Realm

RadiologyInformaticsPathology

InformaticsNeuro-informaticsOncology

Informatics

Bioinformatics

Engineering

ComputationalBiology

hierarchicalassociative

relationship

NursingInformatics

DentalInformatics

MedicalInformatics

BiomedicalInformatics

Center for Dental Informatics

University of Pittsburgh School of Dental Medicine 20 of 20

Thank You for Your Attention!

Natchez Trace, Mississippi, 11/2001

Please visit us on the Internet:

Main pagehttp://di.dental.pitt.edu

Conference “Dental Informatics and Dental Research”http://www.dentalinformatics.com

Dental informatics postgraduate programhttp://di.dental.pitt.edu/programs/pg/

Upcoming book on computing in dentistryhttp://www.computing-in-dentistry.com