Vancouver Sun

CANADA’S NERVE CENTRE FOR BRAIN HEALTH IS B.C.

In a half-decade, we’ve become a global leader in neurologic­al innovation

- DR. RYAN D’ARCY Dr. Ryan D’Arcy is the B.C. leadership chair in medical technology at Simon Fraser University and head of health sciences and innovation at Surrey Memorial Hospital.

It’s easy to argue that our brains are our most important resource. One in three Canadians will have to deal with a brain, nervous-system or spinal-cord disorder in their lifetime, according to the Canadian Associatio­n for Neuroscien­ce.

Our region, and Canada in general, are among the global leaders studying neurologic­al conditions such as Alzheimer’s disease, stroke, multiple sclerosis, Parkinson’s disease, epilepsy, brain injury and concussion. There are also major advances being made in mental-health conditions such as depression, anxiety, schizophre­nia and addiction.

Over the past five years, B.C. has fast become a global force for innovation in the area of brain health. Our province is leading networks of excellence to improve aging through technology, healthy brain developmen­t, mental health and addiction, and advanced brain evaluation and imaging technologi­es.

With solid roots in foundation­al science, B.C. has quickly grown its translatio­nal and innovation capabiliti­es that have now attracted some of the world’s top minds and partners. We are quickly becoming the Silicon Valley of health technology.

World-renowned scientists and celebritie­s routinely come through our province seeking our brain innovation­s. Toronto’s Dr. Sandra Black, among the world’s top neuroscien­tists leading how we understand dementia and stroke, was recently here as part of a long-standing collaborat­ion in brain-imaging. Celebrity Montel Williams, who has successful­ly managed multiple sclerosis, was recently here to help promote the developmen­t of better treatments for MS, brain injury and other brain conditions.

In 2012, I was recruited as the B.C. leadership chair in multimodal technologi­es in health care at Simon Fraser University, after having moved all across Canada as a clinical neuroscien­tist, researcher and innovator. This was through vital support from the B.C. Innovation Council, Surrey Memorial Hospital Foundation and Fraser Health.

The vision was to make an impact in brain health through technology innovation. At the time, we collective­ly committed to make a real-world difference in B.C.’s health-technology innovation landscape, starting with Surrey Memorial Hospital’s health sciences and innovation strategy, which then led to the co-creation of Surrey’s Innovation Boulevard and, subsequent­ly, the Health and Technology District directly across from Surrey Memorial Hospital.

For concrete, real-world signs of health-technology success, one need look no further than B.C.’s recent quantum leap in the adoption of advanced medical brainimagi­ng technologi­es like magnetic-resonance imaging.

A provincial network has grown out of the University of B.C., Children’s Hospital and SFU. This network supports core brain-imaging infrastruc­ture in state-ofthe-art MRI along with high-tech instrument­s such as positron-emission tomography and magnetoenc­ephalograp­hy, or MEG.

This fall, SFU will open the ImageTech Laboratory, embedded within Surrey Memorial Hospital, which hosts a high-field 3T MRI and a high-density 275-channel MEG. Surrey’s ImageTech Lab will become the first of its kind in Western Canada to provide the critical combinatio­n of these multimilli­ondollar advanced technologi­es to non-invasively monitor a person’s brain activities.

The ImageTech Lab’s MRI and MEG means that our citizens will no longer have to travel out of province to access this level of advanced brain-imaging technology. Similar developmen­ts are also planned and coming for other key partners.

Imagine a brain as the high-performanc­e engine in a Formula One race car. Even the slightest impact — like a concussion — can be enough to disrupt its outputs and the performanc­e that we rely on daily.

Until now, individual­s with epilepsy needing access to MEG to better characteri­ze their seizure activities had to travel to Toronto, Montreal or Halifax. In spite of B.C. producing world-leading MEG technology, our region has struggled to find ways to keep that technology here in a sustainabl­e, accessible way. With the MEG in Surrey’s ImageTech Lab, this is expected to change.

MRI and MEG will also continue to help brain-injury survivors such as former Canadian captain Trevor Greene, who survived a major brain injury in Afghanista­n after an axe blow to his head in 2006. Using advanced brain-imaging, it was possible to monitor Greene as he rewired his brain connection­s through a concept called neuroplast­icity. Together with other innovative health technologi­es, such as an exoskeleto­n, he continues to recover the ability to move and to walk farther with every effort and technologi­cal advancemen­t.

When I moved back in 2012, much of this technology was considered experiment­al. This was quite concerning because it was in common use around Canada and the world. There have been many people hard at work to change this situation.

Over the last five years, owing in large thanks to an incredible network of dedicated health researcher­s in brain-imaging, it has been a privilege to witness B.C. leapfroggi­ng to the front of the field.

Innovation­s in technology are enabling these advances, bringing them directly to the bedside or into the hand of patients and families that can use them directly, thus playing a critical catalytic role and disrupting how health care will be delivered, and what we can expect in the foreseeabl­e future. It’s particular­ly important to see this network expand outward to hubs like Surrey and others like it.

Connecting our various strengths across B.C. ensures globally competitiv­e capabiliti­es that actually touch people’s lives. We believed this was important then, and we believe it is even more so now.

For the next five years, we look to the stratosphe­re for growth in networks within B.C., across Canada and internatio­nally. We plan to touch many more lives around brain health and attract increasing­ly unpreceden­ted opportunit­ies to our home soil.

This fall, when the ImageTech Lab opens at SMH, it will be hard to predict how B.C.’s neuroscien­ce community will continue to innovate brain health, but rest assured, it will be big. It’s a born-in-B.C. story.

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