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The cancer Biomedical Informatics Grid (caBIG) was a US government program to develop an
open-source Open source is source code that is made freely available for possible modification and redistribution. Products include permission to use the source code, design documents, or content of the product. The open-source model is a decentralized sof ...
, open access information network called caGrid for secure data exchange on cancer research. The initiative was developed by the
National Cancer Institute The National Cancer Institute (NCI) coordinates the United States National Cancer Program and is part of the National Institutes of Health (NIH), which is one of eleven agencies that are part of the U.S. Department of Health and Human Services. T ...
(part of the
National Institutes of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government The federal government of the United States (U.S. federal government or U ...
) and was maintained by the Center for Biomedical Informatics and Information Technology (CBIIT). In 2011 a report on caBIG raised significant questions about effectiveness and oversight, and its budget and scope were significantly trimmed. In May 2012, the National Cancer Informatics Program (NCIP) was created as caBIG's successor program.


History

The National Cancer Institute (NCI) of the United States funded the cancer Biomedical Informatics Grid (caBIG) initiative in spring 2004, headed by Kenneth Buetow. Its goal was to connect US biomedical cancer researchers using technology known as
grid computing Grid computing is the use of widely distributed computer resources to reach a common goal. A computing grid can be thought of as a distributed system with non-interactive workloads that involve many files. Grid computing is distinguished from ...
. The program, led by the Center for Bioinformatics and Information Technology (CBIIT), began with a 3-year pilot phase. The pilot phase concluded in March 2007, and a trial was announced. Buetow promoted the program in 2008. In addition to caGrid, the underlying infrastructure for data sharing among organizations, caBIG developed software tools, data sharing policies, and common standards and vocabularies to facilitate
data sharing Data sharing is the practice of making data used for scholarly research available to other investigators. Many funding agencies, institutions, and publication venues have policies regarding data sharing because transparency and openness are consid ...
. Software tools targeted: *Collection, analysis, and management of basic research data *
Clinical trial Clinical trials are prospective biomedical or behavioral research studies on human subject research, human participants designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel v ...
s management, from patient enrollment to
adverse event An adverse event (AE) is any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can ther ...
reporting and analysis *Collection, annotation, sharing, and storage of medical imaging data *Biospecimen management caBIG sought to provide foundational technology for an approach to biomedicine it called a “learning healthcare system.” This relies on the rapid exchange of information among all sectors of research and care, so that researchers and clinicians are able to collaboratively review and accurately incorporate the latest findings into their work. The ultimate goal was to speed the biomedical research process. It was also promoted for what is often called
Personalized Medicine Personalized medicine, also referred to as precision medicine, is a medical model that separates people into different groups—with medical decisions, practices, interventions and/or products being tailored to the individual patient based on the ...
. caBIG technology was used in adaptive
clinical trial Clinical trials are prospective biomedical or behavioral research studies on human subject research, human participants designed to answer specific questions about biomedical or behavioral interventions, including new treatments (such as novel v ...
s such as the Investigation of Serial studies to Predict Your Therapeutic Response with Imaging and molecular AnaLysis 2 (I-SPY2), which was designed to use
biomarkers In biomedical contexts, a biomarker, or biological marker, is a measurable indicator of some biological state or condition. Biomarkers are often measured and evaluated using blood, urine, or soft tissues to examine normal biological processes, ...
to determine the appropriate therapy for women with advanced
breast cancer Breast cancer is cancer that develops from breast tissue. Signs of breast cancer may include a lump in the breast, a change in breast shape, dimpling of the skin, milk rejection, fluid coming from the nipple, a newly inverted nipple, or ...
.


Health information technology

Health information technology (HIT) was promoted for management and secure exchange of medical information among researchers, health care providers, and consumers. HIT initiatives mentioning caBIG were: NCI and the
American Society of Clinical Oncology The American Society of Clinical Oncology (ASCO) is a professional organization representing physicians of all oncology sub-specialties who care for people with cancer. Founded in 1964 by Fred Ansfield, Harry Bisel, Herman Freckman, Arnoldus Gou ...
initiated a collaboration to create an oncology-specific
electronic health record An electronic health record (EHR) is the systematized collection of patient and population electronically stored health information in a digital format. These records can be shared across different health care settings. Records are shared throu ...
system using caBIG standards for interoperability and that will enable oncologists to manage patient information in an electronic format that accurately captures the specific interventional issues unique to oncology. The Nationwide Health Information Network was an initiative to share patient clinical data across geographically disparate sources and create electronically linked national health information exchange. It might be somehow related.


Collaborations

A BIG Health Consortium was formed in 2008 to promote personalized medicine, but disbanded in 2012. In July 2009, caBIG announced a collaboration with the Dr. Susan Love Research Foundation to build an online cohort of women willing to participate in clinical trials. Called the Army of Women, it had a goal of one million in its database; by December 2009 the site was "launched", and about 30,000 women and men signed up by 2010.
The Cancer Genome Atlas ''The'' () is a grammatical article in English, denoting persons or things that are already or about to be mentioned, under discussion, implied or otherwise presumed familiar to listeners, readers, or speakers. It is the definite article in ...
aimed to characterize more than 10,000 tumors across at least 20 cancers by 2015. caBIG provided connectivity, data standards, and tools to collect, organize, share, and analyze the diverse research data in its database. Since 2007, NCI worked with UK
National Cancer Research Institute The National Cancer Research Institute (NCRI) is a UK-wide partnership between cancer research funders, which promotes collaboration in cancer research. Its member organizations work together to maximize the value and benefit of cancer research fo ...
(NCRI). The two organizations shared technologies for collaborative research and the secure exchange of research data using caGrid and the NCRI Oncology Information Exchange (ONIX)
web portal A web portal is a specially designed website that brings information from diverse sources, like emails, online forums and search engines, together in a uniform way. Usually, each information source gets its dedicated area on the page for displa ...
announced in August 2009. ONIX shut down in March 2012. The Duke Cancer Institute used caBIG clinical trials tools in their collaboration with the Beijing Cancer Hospital of Peking University.


Implementation

The project intended to connect 65 NCI-designated cancer centers to enable collaborative research. Participating institutions could either “adopt” caBIG tools to share data directly through caGrid, or “adapt” commercial or in-house developed software to be caBIG-compatible. The caBIG program developed
software development kit A software development kit (SDK) is a collection of software development tools in one installable package. They facilitate the creation of applications by having a compiler, debugger and sometimes a software framework. They are normally specific ...
s (SDKs) for interoperable software tools, and instructions on the process of adapting existing tools or developing applications to be caBIG-compatible. The Enterprise Support Network program included domain-specific expertise, and support service providers, third party organizations that provide assistance on a contract-for-services basis. A web portal using the Liferay software was available from 2008 to 2013.


Open source

Since 2004, the caBIG program used
open-source Open source is source code that is made freely available for possible modification and redistribution. Products include permission to use the source code, design documents, or content of the product. The open-source model is a decentralized sof ...
communities, adapted from other public-private partnerships. The caBIG program produced software under contract to software development teams largely within the commercial research community. In general, software developed under US government contracts is the property of the US government and the US taxpayers. Depending on the terms in specific contracts, they might be accessible only by request under the
Freedom of Information Act Freedom of Information Act may refer to the following legislations in different jurisdictions which mandate the national government to disclose certain data to the general public upon request: * Freedom of Information Act 1982, the Australian act * ...
(FOIA). The timeliness of response to such requests might preclude a requester from ever gaining any secondary value from software released under a FOIA request. The caBIG program placed the all caBIG software in a software repository freely accessible for download. Open source means anyone can modify the downloaded software; however, the licensing applied to the downloaded software allows greater flexibility than is typical. An individual or enterprise is allowed to contribute the modified code back to the caBIG program but is not required to do so. Likewise, the modifications can be made available as open source but are not required to be made available as open source. The caBIG licensing even allows the use of the caBIG applications and components, combined with additions and modifications, to be released as commercial products. These aspects of the caBIG program actually encourage commercialization of caBIG technology.


Results

In 2008,
GlaxoSmithKline GSK plc, formerly GlaxoSmithKline plc, is a British Multinational corporation, multinational pharmaceutical and biotechnology company with global headquarters in London, England. Established in 2000 by a Mergers and acquisitions, merger of Gl ...
announced it would share cancer cell genomic data with caBIG. Some private companies claimed benefits from caBIG technology in 2010. A caGrid community web site was created in 2007. The 1.x version of the core software was added to a
GitHub GitHub, Inc. () is an Internet hosting service for software development and version control using Git. It provides the distributed version control of Git plus access control, bug tracking, software feature requests, task management, co ...
project in mid-2013, under the BSD 3-Clause license. It used version 4.03 of the Globus Toolkit, and the
Taverna workbench Apache Taverna was an open source software tool for designing and executing workflows, initially created by the myGrid project under the name ''Taverna Workbench'', then a project under the Apache incubator. Taverna allowed users to integrate many ...
system to manage workflow and the
Business Process Execution Language The Web Services Business Process Execution Language (WS-BPEL), commonly known as BPEL (Business Process Execution Language), is an OASIS standard executable language for specifying actions within business processes with web services. Process ...
. Software called Introduce was developed around 2006. Contributors included the
Ohio State University The Ohio State University, commonly called Ohio State or OSU, is a public land-grant research university in Columbus, Ohio. A member of the University System of Ohio, it has been ranked by major institutional rankings among the best pu ...
Center for Clinical and Translational Science, and private companies Ekagra Software Technologies and Semantic Bits.


Criticism

By 2008, some questioned if the program was benefiting large pharmaceutical companies. By 2011, the project had spent an estimated $350 million. Although the goal was considered laudable, much of the software was unevenly adopted after being developed at great expense to compete with commercial offerings. In March 2011, an NCI working group assessment concluded that caBIG "...expanded far beyond those goals to implement an overly complex and ambitious software enterprise of NCI-branded tools, especially in the Clinical Trial Management System (CTMS) space. These have produced limited traction in the cancer community, compete against established commercial vendors, and create financially untenable long-term maintenance and support commitments for the NCI". In 2012, the NCI announced a new program the National Cancer Informatics Program (NCIP) as a successor to caBIG.


caGrid

The caGrid computer network and software supported the cancer Biomedical Informatics Grid (caBIG) initiative of the
National Cancer Institute The National Cancer Institute (NCI) coordinates the United States National Cancer Program and is part of the National Institutes of Health (NIH), which is one of eleven agencies that are part of the U.S. Department of Health and Human Services. T ...
of the US
National Institutes of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government The federal government of the United States (U.S. federal government or U ...
. caBIG was a voluntary virtual informatics infrastructure that connects data, research tools, scientists, and organizations. In 2013, th
National Cancer Informatics Program
(NCIP) re-released caGrid under th
BSD 3-Clause license
and migrated the source repository t
github
caGrid used version 4.03 of the Globus Toolkit, produced by the Globus Alliance.


Portal

The caGrid Portal was a Web-based application built on Liferay that enables users to discover and interact with the services that are available on the caGrid infrastructure. Portal serves as the primary visualization tool for the caGrid
middleware Middleware is a type of computer software that provides services to software applications beyond those available from the operating system. It can be described as "software glue". Middleware makes it easier for software developers to implement c ...
. It also served as a caBIG information source. Through the caGrid Portal, users had access to information about caBIG participants, caGrid points of contact (POCs), and caGrid-related news and events.


Workflow

caGrid workflow uses: * Active
BPEL The Web Services Business Process Execution Language (WS-BPEL), commonly known as BPEL (Business Process Execution Language), is an OASIS standard executable language for specifying actions within business processes with web services. Process ...
*
Taverna A taverna (Greek: ταβέρνα) is a small Greek restaurant that serves Greek cuisine. The taverna is an integral part of Greek culture and has become familiar to people from other countries who visit Greece, as well as through the establishm ...


Contributors

*
Ohio State University The Ohio State University, commonly called Ohio State or OSU, is a public land-grant research university in Columbus, Ohio. A member of the University System of Ohio, it has been ranked by major institutional rankings among the best pu ...
*
University of Chicago The University of Chicago (UChicago, Chicago, U of C, or UChi) is a private university, private research university in Chicago, Illinois. Its main campus is located in Chicago's Hyde Park, Chicago, Hyde Park neighborhood. The University of Chic ...
,
Argonne National Laboratory Argonne National Laboratory is a science and engineering research national laboratory operated by UChicago Argonne LLC for the United States Department of Energy. The facility is located in Lemont, Illinois, outside of Chicago, and is the lar ...
* SemanticBits, LLC * Ekagra Software Technologies


Criticism

In March 2011, the NCI published an extensive review of CaBIG, the NCI CBIIT program that funded the caGrid software development (se

, which included a long list of problems with the program, and recommended that most of the software development projects should be discontinued.


References


Further reading


Abernethy AP, Coeytauz R, Rowe K, Wheeler JL, Lyerly HK
Electronic patient-reported data capture as the foundation of a learning health care system. JCO. 2009;27:6522.
Buetow KH.
caBIG: proof of concept for personalized cancer care. JCO. 2009:27 Suppl 15S:e20712. * * * * * * *
“Health IT gets personal,”
InformationWeek (11/13/09)
“Health data in the raw,”
Government Health IT (11/6/09)
“NCI to open research grid to cancer patient 'army',”
Government Health IT (10/9/09)
“GridBriefing: The future of Healthcare - eHealth and Grid Computing,”
GridTalk (9/09)
“Collaboration and Sustainability are Front and Center as caBIG Celebrates Fifth Anniversary,”
GenomeWeb/BioInform (7/09)
“Sharing the Wealth of Data,”
Scientific American (5/09)
“Translational Research Drives Demand for 'Virtual' Biobanks Built on caBIG Tools,”
GenomeWeb/BioInfom (4/3/09) * * * * * * {{cite journal, title=Combining the Power of Taverna and caGrid: Scientific Workflows that Enable Web-Scale Collaboration, journal=IEEE Internet Computing, volume=12, issue=6, pages=61–68, doi=10.1109/MIC.2008.120, year=2008, last1=Tan, first1=Wei, last2=Foster, first2=Ian, last3=Madduri, first3=Ravi, s2cid=2690862


External links


caBIG Consumer/User Website
(non-technical)
caBIG Community Website
(technical)
caGrid wiki

caGrid gforge project

caGrid Portal


Components


Introduce Toolkit
also a Globu
Incubator Project

Data Services

Metadata
* Security *
Credential Delegation Service (CDS)
*
Dorian
*
GAARDS
*
Grid Grouper
*
Grid Trust Service (GTS)
*
WebSSO
- Web Single Sign-on component, based o
JASIG CAS
Bioinformatics Cancer research Grid computing products National Institutes of Health Oncology