• Gryphon Login
  • MyCourses
  • Alumni
  • UCLA Health
  • Contact Us
Prospective Students

Prospective Students

Prospective Students
  • Admissions
    Procedure & Timelines
    • Admissions Timeline
    • Admissions Procedure
    • Basis of Selection
    • COVID-19 Impacts on Admissions
    • Housing Information
    • Interview Process
    • Prerequisites
    General Information
    • Statement of Diversity
    • Mission Statement
    • Curriculum Resdesign
    • Honor Code
    • FAQs
    • Admissions Brochure
    • Admissions Timeline
    • Admission Procedure
    • Basis of Selection
    • Competencies
    • COVID-19 Impact on Admissions
    • DACA Applicants
    • DGSOM Mission Statement
    • Equity and Diversity Inclusion
    • FAQs
    • Honor Code
    • Housing Information
    • Interview Process
    • Virtual Events
  • Outreach & Pipeline Programs
    Summer Pre-Health and Postbaccaluareate Programs
    • UCLA SHPEP
    • UCLA PREP
    • UCLA RAP
    Outreach and Recruitment
    • Contact and Events
    • Mailing List
    • Summer Pre-Health and Postbaccalaureate Programs
    • Stay Connected
    • Join our Mailing List
  • Financial Aid & Scholarships
  • Degrees & Programs
  • Curriculum
  • Student Life
    Why Choose UCLA
    • Research
    • Clinical Work
    • Service Opportunities
    • Global Health Impact
    • Why You'll Love LA
    Campus Life
    • Student Organizations
    • Annual Events
    • Day in the Life
    • Around Campus
    • Photo Galleries
    • Medical and Research News
    • Medical Student Council
    • Geffy Guide
    • Search Campus and Health News
    • Service Opportunities
    • Global Health Impact
    • Why You'll Love LA
    • Photo Galleries
    • Day in the Life
    • Around Campus
    • Medical and Research News
    • Search Campus and Health News
  • How to Apply
  • Gryphon Login
  • MyCourses
  • Alumni
  • UCLA Health
  • Contact Us

Prospective Students

Search Campus and Health News

Search Campus and Health News

Search Campus and Health News

  • Health News
  • A Day in the Life
  • Around Campus
  • Medical and Research News
  • Health News
  • A Day in the Life
  • Around Campus
  • Medical and Research News
  1. Home
  2. Prospective Students
  3. Student Life
  4. Search Campus and Health News

Search Campus and Health News

Share this

Health News

Title

At UCLA, it's medicine 2.0

Health News

Date
12/16/2015
Article

Tucked deep in the basement of UCLA’s Center for the Health Sciences is a room that looks more like an inventor’s fantasy workshop than the medical research facility it is. Tables are piled high with tools, electronics, prototype equipment parts and a few stray robotic arms. Posters on the wall describe pending projects in dense technical language with accompanying photos of futuristic devices.

This hidden space is where scientists are working at the very forefront of technological advances in medicine. Its assemblage of smarts, parts and computers is contributing to an emerging era of personalized, tech-enabled health care treatment and medical research that challenges our imaginations.

Cool inventions like replacement bones and inexpensive DIY plastic hands, fingers and other prosthetics are now being created on 3-D printers like the ones at UCLA for a fraction of the cost of traditional versions. And 3-D bio-printing is being used to regenerate skin, blood vessels, tracheal splints and heart tissue. Somewhere, a researcher is working to 3-D-print a heart, while another is trying to “print” functioning human kidneys.

At UCLA, the work toward turning these sci-fi explorations into reality is taking place in the Center for Advanced Surgical and Interventional Technology (CASIT). Through CASIT, surgeons interact with biomedical engineers to lay the foundations for new clinical interventions. CASIT facilities include the Gonda Robotic Center, a telecommunications center, a computer-simulation facility and an integrated operating room suite.

The overall goal of CASIT is to make health care more accessible by accelerating the process of turning basic scientific research into practical medical tools and then finding companies to manufacture them.

Heart surgeons at UCLA, for example, are exploring how 3-D printing can help them treat infants and children with congenital heart disease. In a first for the university, doctors in February prepared for the complicated surgery of a 7-month-old by studying a printed plastic replica of the baby’s heart. The model of the heart was created by a tech company in Belgium that used high-quality MRI images from UCLA and its own sophisticated software and 3-D printer.

“This first case was a way to learn the mechanism [of the 3-D-printing process] and to explore how to proceed,” says Dr. J. Paul Finn, professor of radiology and director of magnetic resonance research at UCLA Radiology.

The infant had two abnormalities in the structure of his heart — a rare and complex condition. Examining the 3-D-generated plastic heart helped physicians analyze how best to repair both abnormalities. While most 3-D printing uses hard plastic, this printed heart was made of a rubbery plastic “that resembles the consistency of a gummy bear,” says Dr. Brian Reemtsen, a pediatric cardiothoracic surgeon who is working with Finn. So the shape of the heart changes as it beats, making it more realistic.

This year, doctors expect to use printed hearts as part of surgery preparation for another five infants. The potential is enormous, Reemtsen says. “With a physically accurate model of a heart, we can establish if only one incision is needed instead of two, or we can see if it’s possible to not just correct the problem, but also to change a baby’s anatomy to normal, which will allow the child to live decades longer than he or she would otherwise. We can also practice a procedure beforehand with less time pressure. Cardiac surgery is a timed event.”

UCLA doctors at the Ahmanson/UCLA Adult Congenital Heart Disease Center are also using 3-D printing to create models of adult hearts to practice surgery beforehand for procedures such as a difficult heart-valve replacement.

UCLA medical researchers are moving the field forward in another area — working on wearable tools that give doctors hard information where they once had to rely only on patients’ imperfect memories. Among the most impressive efforts is the work being done with heart-surgery recovery and stroke therapy.

This year, for example, about a dozen UCLA heart-surgery patients have gone home with toolboxes that contain a pre-programmed computer tablet and wireless digital sensors that patients use to measure their weight, pulse and heart rate. These measurements are automatically transmitted to a nurse practitioner, who reviews the patient’s information and uses the tablet to hold video calls to discuss recovery progress and visually check on the patient.

“Everything is extremely easy for patients. They just turn on the computer tablet, and the screen asks them questions and tells them exactly what to do,” explains cardiothoracic surgeon Peyman Benharash, who oversees the heart-surgery-telehealth program. Data will alert the patient’s health care team about abnormal heart rhythm, lung problems, weight gain from fluid retention and other problems before a patient requires hospitalization.

About 20 percent of heart-surgery patients in the U.S. are readmitted to a hospital within 30 days of discharge, according to researchers at Duke University Medical Center. In contrast, the readmission rate has dipped to about 6 percent among heart-surgery patients who participate in this program and other in-home web-conferencing programs, according to a recent UCLA study, Dr. Benharash says.

Otto Steininger/UCLA
Sensors can now record the vibrations of the digestive tract to help doctors advise patients when and how to eat.

Patients are also wearing ankle sensors that record accelerations and decelerations as they move so that a smartphone can send the data to computer programs that analyze the type, quantity and quality of the movements. A new device— a pair of disposable, one-inch sensors that people wear on their abdomens — senses and records the vibrations of their digestive tract. A computer at the patient’s bedside analyzes the information to tell doctors when and how the person should eat.

“That information tells us when the patient is ready to eat full meals and can be released from the hospital,” said gastroenterologist Dr. Brennan Spiegel.

As clinicians continue to set the goals that UCLA engineers then work to achieve, medical teams at UCLA will be fabricating custom devices and making models of body parts in-house, thanks to 3-D printing. And with big data, they will be able to help high-risk patients through telehealth, mobile health applications, wearable biosensors and even social media.

As Spiegel puts it: “That is the path forward.”

The complete U Magazine story on medical advances at UCLA is available in its fall 2015 issue.

Like Us on Facebook Follow Us on Twitter Subscribe to Our Videos on YouTube Follow us on Instagram Connect with Us on LinkedIn Follow us on Pinterest Follow us on Flickr Follow us on Sharecare
Top 10 U.S. Medical Schools
  • Giving
  • Publications
  • Newsroom
  • Weekly Digest
  • Directory
  • Contact Us
  • Diversity
  • Emergency
  • Maps & Directions
  • UC Regents
  • Abuse Free
  • Volunteer
  • Biomed Library
  • Disability Resources
  • UCLA Health
  • Smoke-Free
  • Sitemap
  • Terms of Use
Top 10 U.S. Medical Schools
Like Us on Facebook Follow Us on Twitter Subscribe to Our Videos on YouTube Follow us on Instagram Connect with Us on LinkedIn Follow us on Pinterest Follow us on Flickr Follow us on Sharecare