AMTI Latest News

AMTI Latest News


March 2023

22 March, 2023 NLP helps military medicine meet unmet needs

Natural language processing, a form of AI, devours all the text in countless pages of healthcare documents to help health IT experts in the U.S. military do their job more efficiently.

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January 2023

Capt. Gordon Wisbach, Navy Medicine Readiness and Training Command (NMRTC) San Diego’s Virtual Medical Operations Center (VMOC) telesurgical director, prepares for a robotic-assisted gallbladder removal surgery at NMRTC San Diego May 16. During the surgery, Wisbach communicated with Naval Hospital Camp Pendleton staff members remotely, per approved protocol, for telementoring. NMRTC San Diego’s mission is to prepare service members to deploy in support of operational forces, deliver high quality healthcare services and shape the future of military medicine through education, training and research. NMRTC San Diego employs more than 6,000 active duty military personnel, civilians and contractors in Southern California to provide patients with world-class care anytime, anywhere. (U.S. Navy photo by Mass Communication Specialist 3rd Class Mariterese Merrique)
20 January, 2023 SURGICAL TELEMENTORING: CONNECTING REMOTE EXPERTISE TO OPTIMIZE OPERATIONAL CARE DELIVERY

Championed by Naval Medical Center-San Diego’s Virtual Medical Operations Center (VMOC), a relatively new, communications-based, autonomy-facilitative practice enabling remote telementoring to boost operational surgical capability.

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September 2021

Figure 3. FEES CAMIC design variant that allowed an endoscopist and speech therapist to safely perform a swallow study. Pictured MAJ Paul Wistermayer; Photo courtesy of LTC Douglas Ruhl.
30 September, 2021 Covid-19 Airway Management Isolation Chamber (CAMIC)

COVID-19 has drastically changed the world. Its airborne spread and prolonged, silent transmission have wreaked havoc on an unprepared enterprise - the military was no exception. During the early phases of the outbreak, hospitals struggled to increase personal protective equipment (PPE), and frequent exposures decreased the number of available healthcare workers. This threat remains as novel variants cycle through populations.

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AMTI logo
30 September, 2021 What I Have Learned From AMTI: A Perspective from AMTI Recipient COL (Ret) Don Goss, DPT, PhD

Many, many thanks to the TATRC leadership for championing the AMTI program! Initially managed by Mr. John Winston, and now Ms. Holly Pavliscsak, this program has had a remarkable impact on the Baylor University-Keller Army Community Hospital Division 1 Sports Physical Therapy Fellowship at West Point, NY, and has taught our team, and me personally, very much over the last 7+ years.

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June 2021

Figure 1. Geofence Illustration
30 June, 2021 Promoting healthier food purchases among military Service Members at Fort Bragg

A majority of military Service Members are overweight or obese and are not meeting physical fitness goals, leading to increased health care costs and days of lost work per year.

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Left: If not diagnosed early, a tubal (ectopic) pregnancy can rupture, resulting in hemorrhage-associated morbidity and mortality. Right: Gene expression profiling of intrauterine samples from women with ectopic compared with that of women with miscarriage (AIUP) revealed a 5-gene classifier that reliably delineates pregnancy location.
30 June, 2021 A Genomic Classifier for the Early Detection of Ectopic Pregnancy

Did you know that nearly 16% of active component U.S. military members are women, and the majority are reproductive age? As the number of military servicewomen and their operational scope increase, it is important to understand and mitigate health issues that uniquely impact female servicemember readiness.

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Figure 1: A military Service Member completing a three-dimensional biomechanics evaluation to assess lower extremity asymmetries following Anterior Cruciate Ligament reconstruction (A), and an example of the resulting three-dimensional model (B).
30 June, 2021 Gait Retraining Enhances Athletes’ Technique (GREAT) Running

Military service members continue to sustain traumatic anterior cruciate ligament (ACL) injuries at a high rate in training and sports-related activities. The significant lost duty time, poor self-reported functional outcomes, and long-term disability caused by these injuries directly leads to degraded operational readiness and exorbitant costs to both the Military Health System (MHS) and the Department of Veterans Affairs.

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March 2021

General News Graphic
31 March, 2021 Important Upcoming FY22 AMTI Submission Deadlines

TATRC has opened the Advanced Medical Technology Initiative (AMTI), formally AMEDD Advanced Medical Technology Initiative (AAMTI) proposal submission process for FY22.

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Figure 2: Scatterplot of blood pressure measured with the handheld COMPASS device (x-axis) versus a standard invasive blood pressure monitoring system (y-axis) shows near perfect correlation and agreement between the two methods.
31 March, 2021 AMTI Project Spotlight: Optimizing REBOA for the Austere Combat Environment Using the COMPASS® Portable Pressure Monitor

Although there have been great advances in the care of Service Members wounded in combat and other operational environments, bleeding remains a common cause of death. Among deaths that have been determined to be “potentially preventable,” hemorrhage has been identified as the primary cause in 80-90% of cases.

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Screen captures from AMTI's Virtual Town Halls
31 March, 2021 Adapting in the Year of a Pandemic: AMTI Town Halls Go Virtual

In a typical year, Ms. Holly Pavliscsak, the Advanced Medical Technology Initiative (AMTI) Program Manager (PM) visits two to three military treatment facilities (MTF) on-site and in person where AMTI has active projects to check in with Innovators directly.

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December 2020

Figure 1: The simulated lower leg used a part of the physical model-based curriculum to teach fasciotomy demonstrating a correct skin incision (upper image), but an incomplete fasciotomy (lower image)
31 December, 2020 AMTI Project Spotlight: Application of a Cognitive Mastery Learning Curriculum to Improve Fasciotomy Performance

Injuries to the lower leg are very common in combat casualties and one of the frequent consequences of such injuries is increased pressure within the envelope surrounding those muscle groups called Compartment Syndrome (CS).

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Screen of AMTI's Powerpoint presentation
31 December, 2020 TATRC’s AMTI Hosts First Virtual Town Hall Amid COVID-19 Pandemic

On 13 November, TATRC’s Advanced Medical Technology Initiative (AMTI) hosted a virtual town hall for the staff at Brooke Army Medical Center (BAMC). This virtual event was led by AMTI Program Manager, Ms. Holly Pavliscsak, who has managed the AMTI since 2016 and has 24 years’ experience in military medical research with an emphasis on medical technology projects and telemedicine.

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Figure 1: To begin a session, the subject will wear the multi-fit chest strap and apply the ECG electrodes. After powering on the mobile device, the subject will open the Zeriscope application, enter their subject ID, click enter and be prompted to power on the Hub device. Once a signal is received from the Hub device the application will prompt the subject to select ‘Start Session’. Recording will begin and continue to take place until the ‘Stop Session’ icon has been selected.
31 December, 2020 AMTI Project Spotlight: Novel Technology to Provide Real-Time Physiological Monitoring of Patients with TBI

Around 20% of combat casualties from Iraq and Afghanistan have sustained a traumatic brain injury (TBI). Furthermore, Service Members with blast-related injuries often sustain multiple co-occurring disorders, including Post-Traumatic Stress Disorder (PTSD) and other mood disorders, chronic pain, and cognitive dysfunctions.

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Many medical combat training scenarios incorporate theatrical makeup (moulage) to simulate wounds. The Val G. Hemming Simulation Center has developed a variety of temporary wound tattoos specifically for medical combat simulations. Custom medical illustrations were created from real-world injury references and printed on commercially available tattoo paper. Our detailed renderings ensures precise and detailed wounds that can stand alone or act as a base for further application of traditional moulage.
31 December, 2020 Advanced Medical Technology Initiative (AMTI) Update

As with most things in the DoD, change is a common occurrence. In the last year the AMEDD Advanced Medical Technology Initiative (AAMTI) has undergone some big changes of its own.

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September 2020

Figure 1: The Electric Cell-substrate Impedance Sensing (ECIS) system is comprised of an array station that holds a 96-well test plate. The ECIS software allows for real-time tracking of electrical resistance detected in the test plate. (Image: Applied BioPhysics, Inc. (Troy, NY), www.biophysics.com)
30 September, 2020 AMTI Project Spotlight: High-throughput Screening of Military-relevant Contaminants Using ECIS Technology

Soldiers encounter a wide range of potentially toxic chemicals throughout their military lifecycle; however, fast and inexpensive toxicity screening of chemicals found in and around military sites is not currently available.

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Training individuals with musculoskeletal injuries who use ankle-foot orthoses to shift from a heel strike pattern to a midfoot or forefoot strike pattern takes better advantage of the energy-storing-and-returning properties of the device.
30 September, 2020 AMTI Project Spotlight: Real Time Bio-Feedback During Running Rehabilitation

This project is the second in a line of AMTI-funded work using real-time bio-feedback to improve performance and rehabilitation outcomes for Service Members with severe lower extremity injuries. Ankle-foot orthoses are a type of bracing system often prescribed to support and stabilize the ankle and foot of individuals with lower extremity injuries.

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June 2020

Figure 1. The COMPASS® device from Centurion Medical Products. Compact, disposable, battery powered mean arterial pressure monitor.
30 June, 2020 AMTI Project Spotlight: Let the COMPASS® Guide the Way: Optimizing REBOA for the Austere Combat Environment

Resuscitative endovascular balloon occlusion of the aorta (REBOA) for hemorrhage control after severe traumatic injury is rapidly gaining use in both civilian trauma centers and in the deployed environment.

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An ectopic pregnancy can result in tubal rupture which accounts for the mortality associated with this condition. Gene expression profiling of the endometrium from women with ectopic compared with that of women with miscarriage, revealed a 5-gene classifier that reliably delineated pregnancy location.
30 June, 2020 AMTI Project Spotlight: An Endometrial Classifier for the Early Detection of Ectopic Pregnancy

Nearly 16% of active component U.S. military members are women, and the majority are reproductive age. As the number of military servicewomen and their operational scope increase, it is important to understand and mitigate the prevalent health issues that uniquely impact their readiness.

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March 2020

RAPTOR - Rapidly Tracking Outcomes in Rehabilitation
31 March, 2020 Use of the RAPTOR System in Outpatient Physical Therapy: A Multi-Site Demonstration Project

Physical therapists regularly evaluate and treat patients with musculoskeletal (MSK) injuries, which is the number one cause of medical non-deployability in military personnel. To effectively treat and manage injuries, physical therapists perform many tests and measures to assess a patient’s function, movement, and other factors that contribute to injury and recovery.

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FIGURE 3. MALDI-TOF MS spectra were acquired on a VITEK MS using routine FDA-approved IVD manufacturer recommended settings. Susceptible and non-susceptible interpretation was based on confidence value threshold.
31 March, 2020 AMTI Project Spotlight: Rapid Qualitative Antibiotic Resistance Characterization Using VITEK MS

The emergence of antibiotic resistant organisms pose a significant public health concern. The prevalence of antibiotic resistance especially in Gram-negative bacteria continues to increase globally. Since the beginning of Operation Iraqi Freedom and Operation Enduring Freedom, the U.S. military healthcare system has experienced a notable increase in the number of antibiotic-resistant organisms being isolated from wounded Service Members.

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