Bell Telephone Laboratories
Engineer checks design information for first computer built from complete information furnished by another computer. Shown is a subassembly of the computer, which will be used in the Army’s Nike-Zeus antimissile defense system.
After a rather hard to explain slow start, then, the computer is now well established as a scientific and engineering tool. Blue-sky schemes describe systems in which the engineer simply discusses his problem with the machine, giving specifications and the desired piece of equipment. The machine talks back, rejecting certain proposed inputs and suggesting alternatives, and finally comes up with the finished design for the engineer’s approval. If he laughs overly loud at this possibility, the engineer may be trying to cover up his real feelings. At any rate the computer has added a thinking cap to its wardrobe of eyeshade and work gloves.
Digital Doctor
Medical electronics is a fairly well-known new field of science, but the part being played in medicine by the computer is surprising to those of us not close to this work. Indicative of the use of the computer by medical scientists is a study of infant death rates being conducted by the American Medical Research Foundation. Under the direction of Dr. Sydney Kane, this research uses a UNIVAC computer and in 1961 had already processed information on 50,000 births in ninety participating hospitals. Punched-card data include the mother’s age, maternal complications, type of delivery, anesthetics used, and other pertinent information. Dr. Kane believes that analysis by the computer of this information may determine causes of deaths, after-birth pathological conditions, and incapacity of babies to reach viability. A reduction in infant mortality of perhaps 12,000 to 14,000 annually is believed possible as a result of the studies.
Another killer of mankind, cancer, is being battled by the computer. Researchers at the University of Philadelphia, supported in part by the American Cancer Society, are programming electronic computers to act as cancer cells! The complexity of the problem is seen in the fact that several man-years of work and 500 hours of computer programming have barely scratched the surface of the problem. A third of a million molecules make up the genes in a human cell, and the actions of these tiny components take place many times faster than even the high-speed computer can operate. Despite the problems, some answers to tough chemical questions about the cancer cells are being found by using the computer, which is of course thousands of times faster than manual computation.
If you were discharged from a hospital in 1962, there is a chance that your records are being analyzed by a computer at Ann Arbor, Michigan as part of the work of the Commission on Professional and Hospital Activity. Information on 2-1/2 million patients from thirty-four states will be processed by a Honeywell 400 computer to evaluate diagnostic and hospital care and to compare the performance of the various institutions.
In the first phase of a computerized medical literature analysis and retrieval system for the National Library of Medicine, the U.S. Public Health Service contracted with General Electric for a system called MEDLARS, MEDical Literature Analysis and Retrieval System. MEDLARS will process several hundred thousand pieces of medical information each year. New York University’s College of Engineering has formed a biomedical computing section to provide computer service for medical researchers. Using an IBM 650 and a Control Data Corporation 1604, the computer section has already done important work, including prediction of coronary diseases in men under forty.
The success of computers in these small-scale applications to the problems of medicine has prompted the urging of a national biomedical computer system. It is estimated that as yet only about 5 per cent of medical research projects are using computer techniques, but that within ten years the figure will jump to between 50 and 75 per cent.
An intriguing possibility is the use of the computer as a diagnostic tool. Small office machines, costing perhaps only $50, have been suggested, not by quacks or science-fiction writers, but by scientists like Vladimir Zworykin of the Rockefeller Institute of Medical Research. Zworykin is the man who fathered the iconoscope and kinescope that made television possible. The simple diagnostic computer he proposes would use information compiled by a large electronic computer which might eventually catalog the symptoms of as many as 10,000 diseases. Using an RCA 501 computer, a pilot project of this technique has already gathered symptoms of 100 hematological diseases.