HEALTH WARRIORS
How researchers at the University of Waterloo are improving - and saving - lives
From developing the world's largest model of the brain to nanomaterials that deliver drugs directly to tumours, our researchers are tackling some of today's toughest health challenges.
Click a body part to learn more about the innovations happening here at the University of Waterloo.
Eyes
XGlaucoma can lead to tunnel vision or even blindness, and its damage can't be reversed.
More than half of glaucoma patients forget to take their eye drops regularly, putting their vision at risk. Shengyan Liu (Chemical Engineering) is developing a nanoparticle drug delivery system that can reduce dosage to just one drop a week.
Patients with glaucoma are at risk of losing vision. Still, more than half forget to take their eye drops regularly. Ph.D. student Shengyan Liu is leading research to develop a drug delivery system that can reduce treatment from drops three times daily, to a single drop just once a week. In Liu's delivery system, nanoparticles carrying the drugs bind directly to the surface of the eye and can't be quickly washed away by tears, as current medications are. Liu's system has potential for the treatment of many other eye diseases, such as dry eye syndrome and bacterial or fungal infections.
Alzheimer's disease is responsible for 50 to 80 percent of dementia cases—but it can only be diagnosed with certainty post mortem.*
The protein that forms plaques on the brains of Alzheimer's patients also appears on the retina. Melanie Campbell (Physics and Astronomy, Optometry and Vision Science) is developing an instrument that can detect that protein through the eye, offering hope for an earlier diagnostic tool.
Doctors may soon be able to diagnose Alzheimer's disease just by looking at patients' retinas, thanks to the work of Melanie Campbell. Campbell and her team are working on a tool and technique that can find on the retina the same protein that is known to create plaques on the brain of Alzheimer's patients. Their aim is to determine just when that protein begins to appear on the eye in the course of a patient's illness. The outcome of their research could provide an important diagnostic tool—currently, Alzheimer's disease can only be diagnosed post mortem.
* Alzheimer's AssociationHeart
XMore than 200,000 Canadians have a pacemaker, a number that will likely grow as our population ages.*
Pacemaker batteries have an average lifespan of five to eight years—and changing them requires surgery. Using smart materials that transform vibrations into energy, Armaghan Salehian (Engineering) is aiming to make those batteries last longer and reduce the number of surgeries patients need.
A pacemaker is a lifesaver, but patients who use them risk their lives in surgery every time a pacemaker's battery runs down—about every eight years. Young patients may go under the knife for a battery change as many as 10 times in their lifetimes. Armaghan Salehian is developing a way to make those batteries last longer. Using a range of smart materials, Salehian and her team have designed wideband hybrid energy harvesters to help prolong battery life and reduce the number of open heart surgeries for these patients.
* PubMed US National Library of MedicineLungs
XThere are an estimated nine million new cases of tuberculosis every year, but three million of them are never diagnosed.*
Karim Karim (Electrical and Computer Engineering) has developed a portable x-ray system that makes diagnosis more accessible to low-income countries.
Tuberculosis is curable, but it's still the second greatest killer disease in the world. That's because over 95 per cent of deaths occur in low- to middle-income countries, where diagnosis and treatment are harder to access.* For over a decade, Karim Karim has been working to develop a low-cost, portable digital X-ray system that dramatically reduces the cost of X-ray diagnosis. Now, Karim is completing an engineering prototype and is launching a social venture startup to fund the final stages of development. See more at www.pneumavision.com.
* Stop TB PartnershipArm
XDemand for medical laboratory tests rose 180 per cent between 1996 and 2011.*
A palm-sized piece of plastic may someday provide your medical test results. Carolyn Ren (Mechanical and Mechatronics Engineering) is developing a “lab-on-a-chip” that can process multiple laboratory tests at once, faster than traditional labs.
Carolyn Ren and her team are working to fit whole laboratory test processes on a single piece of glass the size of your palm. Her lab-on-a-chip uses nanoliter-sized drops, generated through tiny channels on the chip's surface, to run chemical and biological tests. It saves time over traditional methods by running multiple processes at once, saves thousands of dollars on the expensive chemical agents that current tests use, and requires smaller samples to produce results. This transformative technology means quicker results from your doctor (and maybe fewer needles), the faster and cheaper development of new drugs, and much greater access to medical testing in low- and middle-income countries.
Legs
XIt's estimated that about 50,000 Canadians will suffer a stroke each year—that's one every 10 minutes*
With just Google Earth Street View and an exercise bike, Bill McIlroy (Kinesiology) works stroke patients' bodies and brains by taking them on virtual tours.
Bill McIlroy and his team are taking stroke patients on virtual bike tours of world capitals, using just an exercise bike and Google Earth street view. By giving patients navigational tasks to complete—go find Buckingham Palace—researchers challenge the brain and the body at the same time. The hope is to recover mind and body function at the same time, in a complementary and intuitive way.
Prostate
XIt's estimated that one in seven men will be diagnosed with prostate cancer in their lifetime.*
Using a new mix of signals, Alex Wong (Engineering) has developed a form of MRI that can detect previously undetectable prostate tumours.
Alex Wong and his team have developed a new form of MRI that can uncover prostate tumours that would go undetected by current MRI systems. This new MRI method mixes a range of signals to generate a new type of signal, one that can image certain characteristics of tissue not revealed by conventional MRI. While current tests are focused on prostate cancer, Wong says the technology has great potential for other types of cancer as well, such as lung and breast cancer. Clinical studies are set to begin this year.
Feet
XHalf of the seniors who break a hip will never regain full function; one in five will die within the year.*
Andrew Laing (Kinesiology) is running clinical trials on a new kind of flooring that flexes to absorb the impact of falls—ideal for long-term care facilities.
For seniors, a broken hip from a fall can mean a huge reduction in the quality of life, even after recovery. Andrew Laing is developing specialized flooring that flexes to absorb the impact of a fall, reducing the risk of injury—but is still rigid enough to perform daily tasks on. Laing is currently putting this type of flooring through clinical trials at a long-term care facility in British Columbia.
* Public Health Agency of CanadaBrain
XThe average adult male human brain has 86.1 billion neurons.*
The world's largest functioning brain model, Spaun (Semantic Pointer Architecture Unified Network), offers exciting possibilities for biomedical testing. The creation of Chris Eliasmith (Philosophy, Systems Design Engineering), is the first model to perform an IQ test.
Chris Eliasmith and his team have developed the world's largest functioning brain model, Spaun (Semantic Pointer Architecture Unified Network). Unlike other artificial brains, Eliasmith's creation parallels human brain anatomy and links brain function and behaviour; Spaun can perform several tasks including basic IQ tests. A functioning artificial brain opens up exciting possibilities for biomedical tests that would be unethical to run on humans. For instance, Spaun recently helped to establish the first direct causal link between neuron death and declining IQ scores—a possible cause of cognitive decline as we age.
Face
XOne in 2500 infants have craniosynostosis, the premature fusion of skull bones, which can lead to brain development problems and facial deformities.*
Bringing math and medicine together, Andre Linhares (Math) runs algorithms that help surgeons determine the best way to repair facial deformities in children with craniosynostosis.
Surgeons at Toronto's SickKids Hospital are working with PhD candidate Andre Linhares on a project to determine the best way to repair facial deformities in children. In the past, these doctors have relied on years of experience to choose the best placement for surgical incisions. Now, they combine those skills with algorithms that Linhares runs to determine best placement—and the results have been transformative. Linhares hopes to expand the program's use to other types of surgery.
* Hospital For Sick ChildrenBreast
XCurrent medical databases rely on text descriptions to generate search results—not ideal for image retrieval.
Using a new kind of search technique not driven by keywords or metadata, Hamid Tizhoosh (Systems Design Engineering) is developing image retrieval technologies that can rapidly yield search results from a vast field of visual information.
Suppose you're a doctor treating an unusual case of breast cancer. You'd like to find images of similar cancers, and consult with other doctors about the treatment they used for those cases. Huge databases of such images exist. But capturing a medical image's qualities in words—your search terms—is generally fruitless work. Hamid Tizhoosh and his team are developing advanced image retrieval technologies that can use image recognition to search a database from multiple, opposing points of reference, covering a vast search field rapidly. The result will be a genuinely visual search that will work quickly and effectively, saving time, money, and lives.
Vocal Cords
XOver a lifetime, voice disorders affect around 30 per cent of the population and up to 60 per cent of teachers.*
Sean D. Peterson (Mechanical and Mechatronics Engineering) is creating mechanical models of vocal fold motions that may someday help surgeons personalize treatment plans using a replica of each patient's own vocal cords.
Losing the ability to speak can be devastating: polyps, vocal fold paralysis, and neurological disorders can all have an adverse effect on speech. Sean D. Peterson studies the mechanics of vocal fold vibrations and is working to develop mathematical models of vocal fold motions. These models can be altered to mimic an individual patient's vocal folds. The long-term goal is to use these personalized models to help surgeons plan treatment that will maximize each patient's recovery potential.
* Pub Med US National Library of MedicineAbdomen
XRadiation therapy kills cancer cells, but it damages healthy cells as well.
Cancer patients who receive radiation therapy risk developing second cancers. Siv Sivaloganathan (Applied Mathematics) is developing a tool that can assess the risk of recurrence for each individual patient, so doctors can personalize their treatment plans.
To kill a tumour, radiation therapy attacks the DNA of cancerous cells. But this method carries risks: radiation also affects healthy cells, and patients who receive it may develop second, treatment-resistant cancers many years later. The danger of recurrence is, of course, especially high for younger patients. Siv Sivaloganathan and his team are bringing together math and medicine to assess the risks of radiation therapy for cancer patients. Working with doctors at Princess Margaret Hospital, Sivaloganathan is creating a mathematical model that will use an individual patient's age, sex, and other information to predict if and when cancer is likely to recur as a result of radiation therapy. With this information, doctors can personalize treatment for each patient's best outcome.
A new method of delivering anti-cancer drugs directly to the tumour using nanomaterials, under development in Juewen Liu's lab (Chemistry), may help reduce damage to healthy cells in the first place.
Imagine a drug delivery system that can seek out and bind to cancer tumours while leaving healthy cells untouched. Juewen Liu and his team at the Centre for Bioengineering and Biotechnology are working to identify DNA strands that can find cancer cells and attach to them through ligands. At the same time, his team looks for ways these DNA strands can connect to nanomaterials loaded with anti-cancer drugs. These tiny units would home in on the tumour: the result would be greater toxicity to the tumor, and fewer side effects for cancer patients.
Hips and Knees
XIn Ontario alone, there were more than 18,000 hip replacements and almost 25,000 knee replacements in 2012-2013*
Should you need a knee or hip replacement a few years from now, you may find you can grow your own. Ehsan Toyserkani (Mechanical and Mechatronics Engineering) is 3D-printing a scaffolding that will dissolve after implantation as the patient's bone cells grow around and inside it.
Hip and knee replacements may someday come from a lab's printer — 3D printer, that is. Ehsan Toyserkani uses biological materials in 3D printing technology to generate a porous scaffold, seeded with the patient's own lab-cultured cartilage cells, to be implanted in the knee or hip. As the bone grows around and inside the structure after surgery, the original material dissolves, leaving the patient with a new, homegrown joint. These bone scaffolds can be custom-tailored to each patient, ensuring a perfect fit.
It can take up to a year of physiotherapy to recover from a hip or knee replacement—and as our population grows older, therapists will be in high demand. Dana Kulic (Electrical and Computer Engineering) is designing rehabilitation systems that will allow therapists to treat more patients more quickly and accurately.
As Canada's population ages, doctors will see increasing demand for hip and knee replacements. But the operation isn't the end of the story: patients need post-operative rehabilitation, too. Currently, that means extensive, one-on-one evaluation and treatment with a therapist, but as demand increases, therapist treatment may be harder to come by. Dana Kulic and her team are designing automated rehabilitation systems that will allow therapists to treat more patients more quickly and accurately. Patients wear sensors that feed data to a computer program, which gives feedback and guidance as patients perform their exercises, and also allows therapists to track a given patient's progress with precision over time.
Shoulders, Lower Back and Knees
XThe leading cause of job-related disability in the U.S. is lower back pain.*
Whether you sit or stand at work, a study being run by Clark Dickerson (Kinesiology) and Jack Callaghan (Kinesiology) will have something to tell you about your posture's effects on your back, shoulders, and knees.
Do you sit or stand to work? Which would be better for you in the long run? Clark Dickerson and Jack Callaghan are collaborating with Teknion Seating Systems and Taylor'd Ergonomics to run an extensive laboratory study of sitting or standing's different effects, not only on your back, but also on your shoulders and knees. A broad range of sectors will be covered in the study, including office work and light materials handling such as assembly line or warehouse work. With support from Ontario's Ministry of Labour, their hope is to help businesses across Ontario design workplaces that prevent pain and injury in their workers.
* John Hopkins Bloomberg School of Health