thank you are you ready for some magic some technology magic that’s what I’m
some technology magic that’s what I’m
some technology magic that’s what I’m here for
here for
here for we’re gonna talk about my story of how
we’re gonna talk about my story of how
we’re gonna talk about my story of how I’ve used technology and a bit of magic
I’ve used technology and a bit of magic
I’ve used technology and a bit of magic to realize the vision in my career this
to realize the vision in my career this
to realize the vision in my career this is my right to the cloud so the right is
is my right to the cloud so the right is
is my right to the cloud so the right is really more like surfing like writing
really more like surfing like writing
really more like surfing like writing very large technology waves in my case
very large technology waves in my case
very large technology waves in my case to developed medical applications
to developed medical applications
to developed medical applications software you too can write these waves
software you too can write these waves
software you too can write these waves taking you very fast but also they’re
taking you very fast but also they’re
taking you very fast but also they’re very the quality variety of technology
very the quality variety of technology
very the quality variety of technology that you can use even today to fulfill
that you can use even today to fulfill
that you can use even today to fulfill your overcome any challenges
your overcome any challenges
your overcome any challenges particularly technologies challenges in
particularly technologies challenges in
particularly technologies challenges in your career so if you already get on the
your career so if you already get on the
your career so if you already get on the board and see what the wave takes us so
board and see what the wave takes us so
board and see what the wave takes us so my story starts back in 1969 when I was
my story starts back in 1969 when I was
my story starts back in 1969 when I was fortunate to get a job with a power
fortunate to get a job with a power
fortunate to get a job with a power company where they actually taught me
company where they actually taught me
company where they actually taught me computers and programming back in 69
computers and programming back in 69
computers and programming back in 69 this were not subjects that were being
this were not subjects that were being
this were not subjects that were being taught in even in the top universities
taught in even in the top universities
taught in even in the top universities back then computers like this were
back then computers like this were
back then computers like this were called mainframe there were over a
called mainframe there were over a
called mainframe there were over a million dollars each and you be amazed
million dollars each and you be amazed
million dollars each and you be amazed to understand that the smartphone’s that
to understand that the smartphone’s that
to understand that the smartphone’s that you have with you today
you have with you today
you have with you today have faster processing and more storage
have faster processing and more storage
have faster processing and more storage than this mainframe computer so we’ve
than this mainframe computer so we’ve
than this mainframe computer so we’ve come a long way in 30 years and as part
come a long way in 30 years and as part
come a long way in 30 years and as part of the theme they’re only how fast
of the theme they’re only how fast
of the theme they’re only how fast technology moves but what you can do
technology moves but what you can do
technology moves but what you can do with it by 1971 many computers came on
with it by 1971 many computers came on
with it by 1971 many computers came on the scene and the smaller now you can
the scene and the smaller now you can
the scene and the smaller now you can fit them in a closet and less expensive
fit them in a closet and less expensive
fit them in a closet and less expensive a hundred thousand rather than a million
a hundred thousand rather than a million
a hundred thousand rather than a million dollars but
dollars but
dollars but still incredibly limited again consider
still incredibly limited again consider
still incredibly limited again consider that the entire memory of these devices
that the entire memory of these devices
that the entire memory of these devices both in to put applications and data is
both in to put applications and data is
both in to put applications and data is less or was less than five megabytes
less or was less than five megabytes
less or was less than five megabytes that is about the attachment of an email
that is about the attachment of an email
that is about the attachment of an email today so it was challenging to program
today so it was challenging to program
today so it was challenging to program them but because I’ve had the training I
them but because I’ve had the training I
them but because I’ve had the training I was able to do that and it actually is a
was able to do that and it actually is a
was able to do that and it actually is a transition for me because they were
transition for me because they were
transition for me because they were being introduced in the medical imaging
being introduced in the medical imaging
being introduced in the medical imaging field so I went into that and
field so I went into that and
field so I went into that and specifically in nuclear cardiology now
specifically in nuclear cardiology now
specifically in nuclear cardiology now as I started working with physicians I
as I started working with physicians I
as I started working with physicians I noticed how proud aware of their art of
noticed how proud aware of their art of
noticed how proud aware of their art of image interpretation to reach a
image interpretation to reach a
image interpretation to reach a diagnosis yet I recognize that I will
diagnosis yet I recognize that I will
diagnosis yet I recognize that I will give the experts the same images to
give the experts the same images to
give the experts the same images to different experts would often come with
different experts would often come with
different experts would often come with very different conclusions and that one
very different conclusions and that one
very different conclusions and that one observation became the vision for my
observation became the vision for my
observation became the vision for my career and that is to use technology to
career and that is to use technology to
career and that is to use technology to transform the art of image
transform the art of image
transform the art of image interpretation to the science of image
interpretation to the science of image
interpretation to the science of image interpretation and everything else I’ll
interpretation and everything else I’ll
interpretation and everything else I’ll tell you will be related to that so also
tell you will be related to that so also
tell you will be related to that so also consider that in 1983 no one was paying
consider that in 1983 no one was paying
consider that in 1983 no one was paying for software so you had $100,000 system
for software so you had $100,000 system
for software so you had $100,000 system for the hardware they would throw in
for the hardware they would throw in
for the hardware they would throw in whatever software was just necessary but
whatever software was just necessary but
whatever software was just necessary but because no one wanted to pay for the
because no one wanted to pay for the
because no one wanted to pay for the software it was limiting our clinical
software it was limiting our clinical
software it was limiting our clinical medical applications so you can see in
medical applications so you can see in
medical applications so you can see in this tutorial that I wrote back in 83
this tutorial that I wrote back in 83
this tutorial that I wrote back in 83 and appealed to the community to start
and appealed to the community to start
and appealed to the community to start paying for software but now you have the
paying for software but now you have the
paying for software but now you have the medical experts that are still reluctant
medical experts that are still reluctant
medical experts that are still reluctant to change from art to science and you
to change from art to science and you
to change from art to science and you have the fact that they were already
have the fact that they were already
have the fact that they were already paying $100,000 for devices now we’re
paying $100,000 for devices now we’re
paying $100,000 for devices now we’re asking them to pay for something else so
asking them to pay for something else so
asking them to pay for something else so you can imagine this was part of the
you can imagine this was part of the
you can imagine this was part of the challenges the challenge is not only
challenges the challenge is not only
challenges the challenge is not only technologic
technologic
technologic but it’s also financial so the only way
but it’s also financial so the only way
but it’s also financial so the only way or the best way to convince physicians
or the best way to convince physicians
or the best way to convince physicians to use the technology is to prove to
to use the technology is to prove to
to use the technology is to prove to them how it helps their patients so let
them how it helps their patients so let
them how it helps their patients so let me go a little more specifically into my
me go a little more specifically into my
me go a little more specifically into my field of nucleic re ology so that you
field of nucleic re ology so that you
field of nucleic re ology so that you understand the rest of the presentation
understand the rest of the presentation
understand the rest of the presentation in in what we do in our field we inject
in in what we do in our field we inject
in in what we do in our field we inject radioactive chemicals that go
radioactive chemicals that go
radioactive chemicals that go specifically to the muscle of the
specifically to the muscle of the
specifically to the muscle of the myocardium the muscle of the heart which
myocardium the muscle of the heart which
myocardium the muscle of the heart which pumps the blood to the rest of the body
pumps the blood to the rest of the body
pumps the blood to the rest of the body and in this in the top panel what I’m
and in this in the top panel what I’m
and in this in the top panel what I’m showing you there is cutting through
showing you there is cutting through
showing you there is cutting through slices that look like donors for the
slices that look like donors for the
slices that look like donors for the cavity that pumps the blood and you can
cavity that pumps the blood and you can
cavity that pumps the blood and you can see that the colors are white or yellow
see that the colors are white or yellow
see that the colors are white or yellow consistent with high blood flow so this
consistent with high blood flow so this
consistent with high blood flow so this is a normal patient and when you stack
is a normal patient and when you stack
is a normal patient and when you stack the slices from tip of the heart to the
the slices from tip of the heart to the
the slices from tip of the heart to the base and we plotted them in a polar map
base and we plotted them in a polar map
base and we plotted them in a polar map this became our representation of what
this became our representation of what
this became our representation of what the heart looks like a quantitative
the heart looks like a quantitative
the heart looks like a quantitative resent ation that could acts
resent ation that could acts
resent ation that could acts artistically compare as I’ll show you in
artistically compare as I’ll show you in
artistically compare as I’ll show you in a minute
a minute
a minute now why such a simple thing for such a
now why such a simple thing for such a
now why such a simple thing for such a difficult subject because in 1983
difficult subject because in 1983
difficult subject because in 1983 computers were very slow and the
computers were very slow and the
computers were very slow and the software didn’t really exist for example
software didn’t really exist for example
software didn’t really exist for example for three-dimensional rendering so
for three-dimensional rendering so
for three-dimensional rendering so consider this other patient where again
consider this other patient where again
consider this other patient where again we’re looking at the polar maps the top
we’re looking at the polar maps the top
we’re looking at the polar maps the top left is during exercise and you can see
left is during exercise and you can see
left is during exercise and you can see thou no longer do the spoiler maps look
thou no longer do the spoiler maps look
thou no longer do the spoiler maps look uniformly yellowed but around 12 o’clock
uniformly yellowed but around 12 o’clock
uniformly yellowed but around 12 o’clock it looks like it’s blue which is
it looks like it’s blue which is
it looks like it’s blue which is reducing blood flow and at that same
reducing blood flow and at that same
reducing blood flow and at that same patient address improves so first of all
patient address improves so first of all
patient address improves so first of all the physician has an easy representation
the physician has an easy representation
the physician has an easy representation of the of the heart but also we could
of the of the heart but also we could
of the of the heart but also we could compare these statistically to databases
compare these statistically to databases
compare these statistically to databases that we had in our lab and we can hide
that we had in our lab and we can hide
that we had in our lab and we can hide we could highlight in black you see in
we could highlight in black you see in
we could highlight in black you see in the bottom left panel
the bottom left panel
the bottom left panel the regions that were significantly
the regions that were significantly
the regions that were significantly reducing blood flow during exercise and
reducing blood flow during exercise and
reducing blood flow during exercise and in white we will highlight the regions
in white we will highlight the regions
in white we will highlight the regions that’s significantly improved during
that’s significantly improved during
that’s significantly improved during rest now again it appears to be quite a
rest now again it appears to be quite a
rest now again it appears to be quite a simple concept it doesn’t seem to be
simple concept it doesn’t seem to be
simple concept it doesn’t seem to be much magic so far but if I can just skip
much magic so far but if I can just skip
much magic so far but if I can just skip to today just for a second
to today just for a second
to today just for a second realize that this program there’s over
realize that this program there’s over
realize that this program there’s over 35,000 licenses of it all over the world
35,000 licenses of it all over the world
35,000 licenses of it all over the world and that over 4 million patients are
and that over 4 million patients are
and that over 4 million patients are analyzed every year with this software
analyzed every year with this software
analyzed every year with this software so of course it’s a little more
so of course it’s a little more
so of course it’s a little more complicated that when I showed you but
complicated that when I showed you but
complicated that when I showed you but in fact this ideas can help a lot of
in fact this ideas can help a lot of
in fact this ideas can help a lot of patients in a in a short time now by the
patients in a in a short time now by the
patients in a in a short time now by the year 2000 computers have gotten faster
year 2000 computers have gotten faster
year 2000 computers have gotten faster there was a lot more software so what
there was a lot more software so what
there was a lot more software so what you’re seeing here is where we fuse our
you’re seeing here is where we fuse our
you’re seeing here is where we fuse our technology with other imaging modalities
technology with other imaging modalities
technology with other imaging modalities and now we can render in three
and now we can render in three
and now we can render in three dimensions and of course it looks a lot
dimensions and of course it looks a lot
dimensions and of course it looks a lot more realistic than than the polar maps
more realistic than than the polar maps
more realistic than than the polar maps that we show you before even though the
that we show you before even though the
that we show you before even though the physicians believe it or not they still
physicians believe it or not they still
physicians believe it or not they still prefer the polar maps because they were
prefer the polar maps because they were
prefer the polar maps because they were trained that way
trained that way
trained that way now during those years that’s when the
now during those years that’s when the
now during those years that’s when the personal computers came into the scene
personal computers came into the scene
personal computers came into the scene now
now
now think about it we went from a million
think about it we went from a million
think about it we went from a million dollar computer to a hundred thousand
dollar computer to a hundred thousand
dollar computer to a hundred thousand dollar computer to a thousand dollar
dollar computer to a thousand dollar
dollar computer to a thousand dollar computer and this comes out and our
computer and this comes out and our
computer and this comes out and our computer is tremendously more powerful
computer is tremendously more powerful
computer is tremendously more powerful than either of the other two with a lot
than either of the other two with a lot
than either of the other two with a lot more software storage and and
more software storage and and
more software storage and and performance this is why one of the
performance this is why one of the
performance this is why one of the things that we did spin off a company so
things that we did spin off a company so
things that we did spin off a company so that we could take advantage of this and
that we could take advantage of this and
that we could take advantage of this and offer it to end-users for a lot less
offer it to end-users for a lot less
offer it to end-users for a lot less cost now it was also about this time
cost now it was also about this time
cost now it was also about this time that we started experimenting with
that we started experimenting with
that we started experimenting with artificial intelligence as you know this
artificial intelligence as you know this
artificial intelligence as you know this is the technology where the computer
is the technology where the computer
is the technology where the computer tries to emulate how humans make
tries to emulate how humans make
tries to emulate how humans make decisions so in this approach that you
decisions so in this approach that you
decisions so in this approach that you see
see
see here is is called neural networks where
here is is called neural networks where
here is is called neural networks where we try to do here is cluster simulate
we try to do here is cluster simulate
we try to do here is cluster simulate how we can cluster neurons in the brain
how we can cluster neurons in the brain
how we can cluster neurons in the brain to make a decision and the way we train
to make a decision and the way we train
to make a decision and the way we train the computer to learn how to make these
the computer to learn how to make these
the computer to learn how to make these interpretations was to offer it as input
interpretations was to offer it as input
interpretations was to offer it as input or imaging data in terms of the blood
or imaging data in terms of the blood
or imaging data in terms of the blood flow to the heart and clinical data and
flow to the heart and clinical data and
flow to the heart and clinical data and the output would be the known Danone
the output would be the known Danone
the output would be the known Danone interpretation or the non diagnosis of
interpretation or the non diagnosis of
interpretation or the non diagnosis of the patient and you will offer many many
the patient and you will offer many many
the patient and you will offer many many thousands of studies for the computer to
thousands of studies for the computer to
thousands of studies for the computer to learn how to do it now the technique we
learn how to do it now the technique we
learn how to do it now the technique we ended up using is the one and that is
ended up using is the one and that is
ended up using is the one and that is using certainty in decision support
using certainty in decision support
using certainty in decision support think of certainty as a probability if
think of certainty as a probability if
think of certainty as a probability if you have a lot of data just like before
you have a lot of data just like before
you have a lot of data just like before but if you don’t have a lot of data it
but if you don’t have a lot of data it
but if you don’t have a lot of data it can be just an expert opinion so these
can be just an expert opinion so these
can be just an expert opinion so these systems are built up in terms of rules
systems are built up in terms of rules
systems are built up in terms of rules from experts and as patient information
from experts and as patient information
from experts and as patient information comes in for a specific patient it
comes in for a specific patient it
comes in for a specific patient it either is used as positive or negative
either is used as positive or negative
either is used as positive or negative evidence that that the patient if it’s
evidence that that the patient if it’s
evidence that that the patient if it’s positive evidences that the patient is
positive evidences that the patient is
positive evidences that the patient is abnormal if it’s negative evidence is
abnormal if it’s negative evidence is
abnormal if it’s negative evidence is that the patient is normal and as all
that the patient is normal and as all
that the patient is normal and as all the input and all the evidence comes in
the input and all the evidence comes in
the input and all the evidence comes in wherever you end up at that certainty
wherever you end up at that certainty
wherever you end up at that certainty becomes the final diagnosis appreciate
becomes the final diagnosis appreciate
becomes the final diagnosis appreciate that this is all using the English
that this is all using the English
that this is all using the English language and both the rules are written
language and both the rules are written
language and both the rules are written in English and the justification the
in English and the justification the
in English and the justification the tracking of how we reach that conclusion
tracking of how we reach that conclusion
tracking of how we reach that conclusion is also written in English which brings
is also written in English which brings
is also written in English which brings us to the next huge technology wave that
us to the next huge technology wave that
us to the next huge technology wave that all of you are experiencing and that the
all of you are experiencing and that the
all of you are experiencing and that the area of natural language processing or
area of natural language processing or
area of natural language processing or computerized language understanding and
computerized language understanding and
computerized language understanding and because not only am i communicating with
because not only am i communicating with
because not only am i communicating with you in natural languages but us
you in natural languages but us
you in natural languages but us communicate with computers in natural
communicate with computers in natural
communicate with computers in natural language either from the different
language either from the different
language either from the different search engines to search something that
search engines to search something that
search engines to search something that we want or
we want or
we want or the virtual assistant to get something
the virtual assistant to get something
the virtual assistant to get something that that we need the air this area
that that we need the air this area
that that we need the air this area imagined in the last 10 years the
imagined in the last 10 years the
imagined in the last 10 years the progress has been phenomenal now how can
progress has been phenomenal now how can
progress has been phenomenal now how can we use this how can we combine this with
we use this how can we combine this with
we use this how can we combine this with what with previous did with the
what with previous did with the
what with previous did with the artificial intelligence systems to
artificial intelligence systems to
artificial intelligence systems to generate clinical reports how can we put
generate clinical reports how can we put
generate clinical reports how can we put them together and this is where the
them together and this is where the
them together and this is where the magic comes in and the magic is we call
magic comes in and the magic is we call
magic comes in and the magic is we call Merlin and and why did we did Merlin
Merlin and and why did we did Merlin
Merlin and and why did we did Merlin appreciate that once we send the systems
appreciate that once we send the systems
appreciate that once we send the systems out the system stops learning so this is
out the system stops learning so this is
out the system stops learning so this is just like a physician that graduated and
just like a physician that graduated and
just like a physician that graduated and never heard another article never went
never heard another article never went
never heard another article never went to a meeting so it doesn’t stops doesn’t
to a meeting so it doesn’t stops doesn’t
to a meeting so it doesn’t stops doesn’t know on any of the new things
know on any of the new things
know on any of the new things so in Merlin Berlin we program that so
so in Merlin Berlin we program that so
so in Merlin Berlin we program that so that it would read clinical research
that it would read clinical research
that it would read clinical research articles in our domain it would extract
articles in our domain it would extract
articles in our domain it would extract the knowledge any new knowledge that if
the knowledge any new knowledge that if
the knowledge any new knowledge that if thought I found it would then test that
thought I found it would then test that
thought I found it would then test that knowledge against large databases in our
knowledge against large databases in our
knowledge against large databases in our systems and if the knowledge is the new
systems and if the knowledge is the new
systems and if the knowledge is the new knowledge increase the accuracy of the
knowledge increase the accuracy of the
knowledge increase the accuracy of the diagnosis it incorporated our knowledge
diagnosis it incorporated our knowledge
diagnosis it incorporated our knowledge into the into this expert systems so
into the into this expert systems so
into the into this expert systems so it’s quite a bit of progress in terms of
it’s quite a bit of progress in terms of
it’s quite a bit of progress in terms of using natural language processing in our
using natural language processing in our
using natural language processing in our field now to implement so think about it
field now to implement so think about it
field now to implement so think about it Merlin could do this every night right
Merlin could do this every night right
Merlin could do this every night right by the time you wake up in the morning
by the time you wake up in the morning
by the time you wake up in the morning you have new data you have better
you have new data you have better
you have new data you have better diagnosis you have new rules in red all
diagnosis you have new rules in red all
diagnosis you have new rules in red all the scientific articles for you to
the scientific articles for you to
the scientific articles for you to implement programs like Merlin and to
implement programs like Merlin and to
implement programs like Merlin and to continue the progress in our particular
continue the progress in our particular
continue the progress in our particular clinical application another huge
clinical application another huge
clinical application another huge technology wave has been the increasing
technology wave has been the increasing
technology wave has been the increasing the speed of the Internet and appreciate
the speed of the Internet and appreciate
the speed of the Internet and appreciate that the scale here is an exponential
that the scale here is an exponential
that the scale here is an exponential scale so in the last 20 years the speed
scale so in the last 20 years the speed
scale so in the last 20 years the speed of the Internet
of the Internet
of the Internet it’s been improving at the rate of 50%
it’s been improving at the rate of 50%
it’s been improving at the rate of 50% per year again because all of us are
per year again because all of us are
per year again because all of us are using it and it makes the right business
using it and it makes the right business
using it and it makes the right business model so why don’t s facilitate it
model so why don’t s facilitate it
model so why don’t s facilitate it facilitates cloud computing and this is
facilitates cloud computing and this is
facilitates cloud computing and this is my my right to the cloud this is one of
my my right to the cloud this is one of
my my right to the cloud this is one of the clouds that I was talking about and
the clouds that I was talking about and
the clouds that I was talking about and as you know you use the cloud and you
as you know you use the cloud and you
as you know you use the cloud and you think of it as a storage place in that
think of it as a storage place in that
think of it as a storage place in that you can don’t only you can store but
you can don’t only you can store but
you can don’t only you can store but retrieve movies and photos and songs and
retrieve movies and photos and songs and
retrieve movies and photos and songs and things like that we do the same thing
things like that we do the same thing
things like that we do the same thing but we also store we upload into the
but we also store we upload into the
but we also store we upload into the cloud all of the patient imaging data
cloud all of the patient imaging data
cloud all of the patient imaging data but for us the cloud is more than just a
but for us the cloud is more than just a
but for us the cloud is more than just a place for storage it is a place most
place for storage it is a place most
place for storage it is a place most clouds usually have hundreds of
clouds usually have hundreds of
clouds usually have hundreds of computers and servers attached to it
computers and servers attached to it
computers and servers attached to it which means that this little laptop in
which means that this little laptop in
which means that this little laptop in the bottom right can access the all
the bottom right can access the all
the bottom right can access the all those computers and and can have
those computers and and can have
those computers and and can have billions of operations per second so now
billions of operations per second so now
billions of operations per second so now we’ve been able to also load this
we’ve been able to also load this
we’ve been able to also load this program in the cloud and have it process
program in the cloud and have it process
program in the cloud and have it process read the data that’s already in the
read the data that’s already in the
read the data that’s already in the cloud the program in the cloud and when
cloud the program in the cloud and when
cloud the program in the cloud and when you’re in the laptop it appears to you
you’re in the laptop it appears to you
you’re in the laptop it appears to you as everything is happening locally but
as everything is happening locally but
as everything is happening locally but it’s actually happening remotely now
it’s actually happening remotely now
it’s actually happening remotely now this strategy also soluz to use a huge
this strategy also soluz to use a huge
this strategy also soluz to use a huge amount of imaging data because the the
amount of imaging data because the the
amount of imaging data because the the institutions that have this service are
institutions that have this service are
institutions that have this service are loading up all their images to the cloud
loading up all their images to the cloud
loading up all their images to the cloud so now we have hundreds of thousands of
so now we have hundreds of thousands of
so now we have hundreds of thousands of studies that we can use to train our
studies that we can use to train our
studies that we can use to train our official intelligence system and even to
official intelligence system and even to
official intelligence system and even to look at trends in the field so this
look at trends in the field so this
look at trends in the field so this brings us to the fourth version of our
brings us to the fourth version of our
brings us to the fourth version of our program which we call the amore cardiac
program which we call the amore cardiac
program which we call the amore cardiac toolbox and which is cloud compatible
toolbox and which is cloud compatible
toolbox and which is cloud compatible and as I mentioned it has the the
and as I mentioned it has the the
and as I mentioned it has the the functions of artificial intelligence for
functions of artificial intelligence for
functions of artificial intelligence for reporting has cloud storage retrieval
reporting has cloud storage retrieval
reporting has cloud storage retrieval and it can be processing and this can be
and it can be processing and this can be
and it can be processing and this can be done anywhere in the world so in fact a
done anywhere in the world so in fact a
done anywhere in the world so in fact a physician can’t read the studies
physician can’t read the studies
physician can’t read the studies in a different country or so they were
in a different country or so they were
in a different country or so they were sitting at their office now there’s a
sitting at their office now there’s a
sitting at their office now there’s a part of this story that I’ve skipped and
part of this story that I’ve skipped and
part of this story that I’ve skipped and it’s an important part because success
it’s an important part because success
it’s an important part because success or failure comes at a cost and for me
or failure comes at a cost and for me
or failure comes at a cost and for me that cost was that in 2008 I had a chest
that cost was that in 2008 I had a chest
that cost was that in 2008 I had a chest pain event which was initially
pain event which was initially
pain event which was initially considered to being significant but when
considered to being significant but when
considered to being significant but when I was submitted to our modality and
I was submitted to our modality and
I was submitted to our modality and process with our program
process with our program
process with our program you can see in the bottom right in
you can see in the bottom right in
you can see in the bottom right in yellow it shows that 26 percent of the
yellow it shows that 26 percent of the
yellow it shows that 26 percent of the blood flow to my heart had been reduced
blood flow to my heart had been reduced
blood flow to my heart had been reduced at stress and address had improved
at stress and address had improved
at stress and address had improved significantly but only 7 percent her
significantly but only 7 percent her
significantly but only 7 percent her return meaning that I lost about 7
return meaning that I lost about 7
return meaning that I lost about 7 percent of the muscle of my heart to a
percent of the muscle of my heart to a
percent of the muscle of my heart to a heart attack this could have been a
heart attack this could have been a
heart attack this could have been a one-way ticket to the cloud also but but
one-way ticket to the cloud also but but
one-way ticket to the cloud also but but fortunately my my function was preserved
fortunately my my function was preserved
fortunately my my function was preserved the pumping function of the ventricle
the pumping function of the ventricle
the pumping function of the ventricle that 7 percent did not influence it
that 7 percent did not influence it
that 7 percent did not influence it enough to bother it so this shows a good
enough to bother it so this shows a good
enough to bother it so this shows a good prognosis and when the rft artificial
prognosis and when the rft artificial
prognosis and when the rft artificial intelligence report comes out totally
intelligence report comes out totally
intelligence report comes out totally generated by the computer I won’t be
generated by the computer I won’t be
generated by the computer I won’t be reading everything that he says but the
reading everything that he says but the
reading everything that he says but the final thing is the impression that
final thing is the impression that
final thing is the impression that abnormal high risk study yet I was
abnormal high risk study yet I was
abnormal high risk study yet I was reassured because of the fact that I
reassured because of the fact that I
reassured because of the fact that I knew how the program work how we’d reach
knew how the program work how we’d reach
knew how the program work how we’d reach an objective conclusion that I really
an objective conclusion that I really
an objective conclusion that I really had the disease and I understood the
had the disease and I understood the
had the disease and I understood the treatment that I needed this brings us
treatment that I needed this brings us
treatment that I needed this brings us to the theory of everything that find a
to the theory of everything that find a
to the theory of everything that find a formula that solves all your or your
formula that solves all your or your
formula that solves all your or your questions so think about it when we put
questions so think about it when we put
questions so think about it when we put together cloud storage and retrieving
together cloud storage and retrieving
together cloud storage and retrieving and processing increase internet speed
and processing increase internet speed
and processing increase internet speed Big Data computerized natural language
Big Data computerized natural language
Big Data computerized natural language understanding and artificial
understanding and artificial
understanding and artificial intelligence for decision support not
intelligence for decision support not
intelligence for decision support not only using one of those but putting it
only using one of those but putting it
only using one of those but putting it all together you can pretty much answer
all together you can pretty much answer
all together you can pretty much answer every problem that we have today and
every problem that we have today and
every problem that we have today and many that we’ll have in the future so
many that we’ll have in the future so
many that we’ll have in the future so just to conclude that this also brings
just to conclude that this also brings
just to conclude that this also brings us to the present trend that we’re
us to the present trend that we’re
us to the present trend that we’re having which becomes a future trend and
having which becomes a future trend and
having which becomes a future trend and that is that a very inexpensive device
that is that a very inexpensive device
that is that a very inexpensive device can access everything any service that
can access everything any service that
can access everything any service that it needs everything data that it needs
it needs everything data that it needs
it needs everything data that it needs but that from the business point of view
but that from the business point of view
but that from the business point of view this also implies a training changing
this also implies a training changing
this also implies a training changing from ownership to paying for service
from ownership to paying for service
from ownership to paying for service because now you’re only gonna be paying
because now you’re only gonna be paying
because now you’re only gonna be paying for what you need when you need it but
for what you need when you need it but
for what you need when you need it but you have the latest the latest
you have the latest the latest
you have the latest the latest technology available to you so with that
technology available to you so with that
technology available to you so with that I hope you got something from this the
I hope you got something from this the
I hope you got something from this the stock and we have enjoyed it right
stock and we have enjoyed it right
stock and we have enjoyed it right I hope you enjoy your ride using one or
I hope you enjoy your ride using one or
I hope you enjoy your ride using one or all these kinds of technology thank you
all these kinds of technology thank you
all these kinds of technology thank you [Applause]
”
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