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Tech Turns Hospitals Into Concert Halls, Diseases Into Songs

Gil Alterovitz presents a graphical image of a network of genes. As part of his research, he then turns those networks into music. (Courtesy)

BOSTON — Could music improve the practice of medicine?

In the operating room of just a few decades ago, technology wasn’t sophisticated enough to keep track of more than a few basic body functions — mainly blood pressure, breathing and heart rate.

Today, the situation is totally different.

Listen: Surgical Symphonies

A Healthy Cell…

http://audio.wbur.org/storage/2010/03/news_0304_surgical-symphony-happy.mp3

An Unhealthy Cell…

http://audio.wbur.org/storage/2010/03/news_0304_surgical-symphony-sad.mp3

…And The DJ Remix

http://audio.wbur.org/storage/2010/03/news_0304_surgical-symphony-remix.mp3

Modern-day hospitals are filled with the beeping, buzzing and chirping of dozens of high-tech machines, which can be noisy and distracting. But a new sound technology by local researchers has the potential to turn operating rooms into concert halls and diseases into songs.

Heart monitors. Ventilators. Respirators. Defibrillators. Alarms. A 21st-century operating room can be chaos for the eyes and ears. And when too many machines compete to be seen and heard, doctors may miss something important. Or tune them out. Or, worse, turn them off.

In fact, a heart monitor that was off when it was supposed to be on is blamed for the recent death of a patient at Massachusetts General Hospital. Hospital officials say they aren’t sure why the monitor had been disabled. But in similar cases around the country, alarms were unplugged because doctors said they were too loud or annoying.

The Operating Room As Concert Hall

So imagine a better way. What if, instead of an operating room cluttered with electronic beeps and tones, it were just filled with music?

If the patient’s body functions were normal, the music would play along beautifully. But if the patient had a problem — perhaps a drop in heart rate or trouble breathing — the music would change by becoming dissonant and off-key.

That’s the technology that Gil Alterovitz, a researcher at Harvard and MIT, is working to create.

A waveform

What the sound of a healthy cell looks like

“We felt that music, in some sense, can serve as a translator,” Alterovitz says, who is also affiliated with Children’s Hospital Boston. “There’s more and more information presented, so either we need a new super brain or we need a way to present it to the brain that we have in a way that it can handle it.”

His way is music, and his solution is to turn all those beeps and alarms into musical instruments.

“So you can turn your heart rate monitor into the violins, you can turn the blood pressure monitor into violas, and so forth,” explains Marco Ramoni, an associate professor at Harvard Medical School who does research with Alterovitz.

“The number of monitors in an operating room increases every year,” Ramoni adds, “so at some point the number of monitors we will have will create a terrible cacophony of signals.”

But if those signals become musical notes, a doctor would immediately know that harsh-sounding notes mean a patient may be in distress.

Using Music To Track Disease

Music could also be used to track disease.

Take cancer, for example. Scientists use advanced technology to collect an enormous amount of data on something as tiny as an individual cell. Conceivably, they could then follow the health of a cell by translating its genes into musical notes.

“You can turn your heart rate monitor into the violins; you can turn the blood pressure monitor into violas.”
– Researcher Marco Ramoni

Dissonant notes might mean a tumor is getting worse, in which case a doctor might prescribe chemotherapy. Then, if the music is harmonious again after several rounds of treatment, that would be an indication that the chemo has been successful.

Alterovitz says this technology could also have other applications.

The U.S. Naval Research Laboratory, for example, has inquired whether sonar signals from its submarines, which aren’t audible to the human ear, could be turned into music, Alterovitz says. Or, he says, the hundreds of flights monitored by air traffic controllers could become music, too, and a bad note could mean that a plane is off-course.

But this technology doesn’t always have to be serious.

Alterovitz used disc jockey mixing software to make a remix of hospital sounds turned into dance music. If you listen closely, you can pick out someone’s heart thumping and someone else’s respirator whooshing.

Because sometimes scientists just want to have fun.

This story originally aired on March 4. It re-aired Dec. 29.

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  • http://www.verdearc.com Mark Three Stars

    Sacha,
    I couldn’t help but notice that the notes used to represent the healthy cells sound remarkably like opening notes of the original Star Trek theme. As an MIT Alum I think I felt it at a cellular level. Is it true?
    Regards,
    Mark

  • http://briantarbox.blogspot.com Brian Tarbox

    I’ve done a very similar for computer outputs. Most computer programs write extensive log files as they run, my log4jfugue project converts those log files into a music stream. Just as a doctor can hear a disonent note, a programmer can hear oddities in a the music stream created by log4jfugue. See http://www.log4jfugue.org/press.html for details.

  • Erick

    I don’t think I want to trust a doctor to know the difference between the sound of a violin and a viola. How about they stop complaining about annoying beeps and just do their jobs?

  • JClev19

    As someone who works in the medical device industry, all I can say is “good luck.” There are very specific and concise standards governing all aspects of medical devices (EU, AAMI, ISO, etc..), including warning tones, and anything smacking of originality inevitably gets quashed. Standards take a long time to change….

  • Ron Matthews

    Reading the postings of Tarbox, Erick, and JClev19, it makes it easier for me to understand why the mortality rate drops when doctors go on strike, as was the case in 1973 Los Angeles and Israel in 2000.

    I say let the allopathic behemoth continue its inexorable descent into irrelevance and look for alternatives that focus on health rather than illness.

  • Kyriacos Markianos

    Please note that Dr. Ramoni passed away last July.

    Sincerely,

    Kyriacos Markianos

    ———————————
    Kyriacos Markianos
    kmarkianos@enders.tch.harvard.edu
    617-919-4665

    Assistant Professor
    Program in Genomics Children’s Hospital Boston
    and Department of Pediatrics
    Harvard Medical School
    ———————————

    http://www.wbur.org/2010/03/04/surgical-symphony

  • Karen Tannenholz

    I like the idea of the pleasant music in the operating room when all machines are operating properly. However, if it is true that the patient can sense what is going on, even if unconscious, he or she will know something is wrong when they hear the dischordant music. An alternative would be to have the music stop when a monitor senses distress.

  • TJ

    Brilliant concept!

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