Abstract

Advances in high-throughput molecular biology and electronic health records (EHR), coupled with increasing computer capabilities have resulted in an increased interest in the use of big data in health care. Big data require collection and analysis of data at an unprecedented scale and represents a paradigm shift in health care, offering (1) the capacity to generate new knowledge more quickly than traditional scientific approaches; (2) unbiased collection and analysis of data; and (3) a holistic understanding of biology and pathophysiology. Big data promises more personalized and precision medicine for patients with improved accuracy and earlier diagnosis, and therapy tailored to an individual’s unique combination of genes, environmental risk, and precise disease phenotype. This promise comes from data collected from numerous sources, ranging from molecules to cells, to tissues, to individuals and populations—and the integration of these data into networks that improve understanding of heath and disease. Big data-driven science should play a role in propelling comparative medicine and “one medicine” (i.e., the shared physiology, pathophysiology, and disease risk factors across species) forward. Merging of data from EHR across institutions will give access to patient data on a scale previously unimaginable, allowing for precise phenotype definition and objective evaluation of risk factors and response to therapy. High-throughput molecular data will give insight into previously unexplored molecular pathophysiology and disease etiology. Investigation and integration of big data from a variety of sources will result in stronger parallels drawn at the molecular level between human and animal disease, allow for predictive modeling of infectious disease and identification of key areas of intervention, and facilitate step-changes in our understanding of disease that can make a substantial impact on animal and human health. However, the use of big data comes with significant challenges. Here we explore the scope of “big data,” including its opportunities, its limitations, and what is needed capitalize on big data in one medicine.

Highlights

  • Specialty section: This article was submitted to Veterinary Epidemiology and Economics, a section of the journal Frontiers in Veterinary Science

  • Advances in high-throughput molecular biology and electronic health records (EHR), coupled with increasing computer capabilities have resulted in an increased interest in the use of big data in health care

  • Investigation and integration of big data from a variety of sources will result in stronger parallels drawn at the molecular level between human and animal disease, allow for predictive modeling of infectious disease and identification of key areas of intervention, and facilitate step-changes in our understanding of disease that can make a substantial impact on animal and human health

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Summary

OVERVIEW AND INTRODUCTION

“Big data” has become a catch phrase across many industries including medicine As of this writing, a PubMed search for the term “big data” retrieves 10,015 entries, each detailing some aspect of big data in human or veterinary medicine, public heath, veterinary epidemiology, environmental or ecosystem health, and animal husbandry, among others. A PubMed search for the term “big data” retrieves 10,015 entries, each detailing some aspect of big data in human or veterinary medicine, public heath, veterinary epidemiology, environmental or ecosystem health, and animal husbandry, among others Big Data and One Medicine big data at the intersection of one or more of the above fields, but they generally deal with only one aspect or application of big data. Before delving into the breadth and depth of big data, we start by introducing the reader to our definitions of “one medicine” and “big data” as they will be used throughout this review

ONE MEDICINE
Veracity Data with variable quality and data from uncontrolled environments
OPPORTUNITIES FOR BIG DATA IN ONE MEDICINE
LEVELS OF BIOMEDICAL INFORMATICS DATA
IMAGING INFORMATICS
CLINICAL INFORMATICS
POPULATION INFORMATICS
Infectious Disease Epidemiology
Genetic Epidemiology
Environmental Epidemiology and Toxicology
Deep Phenotyping
Disease Subclassification
Clinical Decision Support Systems
Findings
CHALLENGES AND OPPORTUNITIES FOR BIG DATA IN ONE MEDICINE
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