Session Introduction: Digital health technology data in biocomputing: Research efforts and considerations for expanding access (PSB2024).

Data from digital health technologies (DHT), including wearable sensors like Apple Watch, Whoop, Oura Ring, and Fitbit, are increasingly being used in biomedical research. Research and development of DHT-related devices, platforms, and applications is happening rapidly and with significant private-sector involvement with new biotech companies and large tech companies (e.g. Google, Apple, Amazon, Uber) investing heavily in technologies to improve human health. Many academic institutions are building capabilities related to DHT research, often in cross-sector collaboration with technology companies and other organizations with the goal of generating clinically meaningful evidence to improve patient care, to identify users at an earlier stage of disease presentation, and to support health preservation and disease prevention. Large research consortia, cross-sector partnerships, and individual research labs are all represented in the current corpus of published studies. Some of the large research studies, like NIH's All of Us Research Program, make data sets from wearable sensors available to the research community, while the vast majority of data from wearable sensors and other DHTs are held by private sector organizations and are not readily available to the research community. As data are unlocked from the private sector and made available to the academic research community, there is an opportunity to develop innovative analytics and methods through expanded access. This is the second year for this Session which solicited research results leveraging digital health technologies, including wearable sensor data, describing novel analytical methods, and issues related to diversity, equity, inclusion (DEI) of the research, data, and the community of researchers working in this area. We particularly encouraged submissions describing opportunities for expanding and democratizing academic research using data from wearable sensors and related digital health technologies.

Demonstrating paths for unlocking the value of cloud genomics through cross cohort analysis.

Recently, large scale genomic projects such as All of Us and the UK Biobank have introduced a new research paradigm where data are stored centrally in cloud-based Trusted Research Environments (TREs). To characterize the advantages and drawbacks of different TRE attributes in facilitating cross-cohort analysis, we conduct a Genome-Wide Association Study of standard lipid measures using two approaches: meta-analysis and pooled analysis. Comparison of full summary data from both approaches with an external study shows strong correlation of known loci with lipid levels (R2 ~ 83-97%). Importantly, 90 variants meet the significance threshold only in the meta-analysis and 64 variants are significant only in pooled analysis, with approximately 20% of variants in each of those groups being most prevalent in non-European, non-Asian ancestry individuals. These findings have important implications, as technical and policy choices lead to cross-cohort analyses generating similar, but not identical results, particularly for non-European ancestral populations.

De-black-boxing health AI: demonstrating reproducible machine learning computable phenotypes using the N3C-RECOVER Long COVID model in the All of Us data repository.

Machine learning (ML)-driven computable phenotypes are among the most challenging to share and reproduce. Despite this difficulty, the urgent public health considerations around Long COVID make it especially important to ensure the rigor and reproducibility of Long COVID phenotyping algorithms such that they can be made available to a broad audience of researchers. As part of the NIH Researching COVID to Enhance Recovery (RECOVER) Initiative, researchers with the National COVID Cohort Collaborative (N3C) devised and trained an ML-based phenotype to identify patients highly probable to have Long COVID. Supported by RECOVER, N3C and NIH's All of Us study partnered to reproduce the output of N3C's trained model in the All of Us data enclave, demonstrating model extensibility in multiple environments. This case study in ML-based phenotype reuse illustrates how open-source software best practices and cross-site collaboration can de-black-box phenotyping algorithms, prevent unnecessary rework, and promote open science in informatics.

Session Introduction: Digital health technology data in biocomputing: Research efforts and considerations for expanding access.

Data from digital health technologies (DHT), including wearable sensors like Apple Watch, Whoop, Oura Ring, and Fitbit, are increasingly being used in biomedical research. Research and development of DHT-related devices, platforms, and applications is happening rapidly and with significant private-sector involvement with new biotech companies and large tech companies (e.g. Google, Apple, Amazon, Uber) investing heavily in technologies to improve human health. Many academic institutions are building capabilities related to DHT research, often in cross-sector collaboration with technology companies and other organizations with the goal of generating clinically meaningful evidence to improve patient care, to identify users at an earlier stage of disease presentation, and to support health preservation and disease prevention. Large research consortia, cross-sector partnerships, and individual research labs are all represented in the current corpus of published studies. Some of the large research studies, like NIH's All of Us Research Program, make data sets from wearable sensors available to the research community, while the vast majority of data from wearable sensors and other DHTs are held by private sector organizations and are not readily available to the research community. As data are unlocked from the private sector and made available to the academic research community, there is an opportunity to develop innovative analytics and methods through expanded access. This Session solicited research results leveraging digital health technologies, including wearable sensor data, describing novel analytical methods, and issues related to diversity, equity, inclusion (DEI) of both the underlying research data sets and the community of researchers working in this area. We particularly encouraged submissions describing opportunities for expanding and democratizing academic research using data from wearable sensors and related digital health technologies.

Biomedical research in the Cloud: considerations for researchers and organizations moving to (or adding) cloud computing resources.

As biomedical research data grow, researchers need reliable and scalable solutions for storage and compute. There is also a need to build systems that encourage and support collaboration and data sharing, to result in greater reproducibility. This has led many researchers and organizations to use cloud computing [1]. The cloud not only enables scalable, on-demand resources for storage and compute, but also collaboration and continuity during virtual work, and can provide superior security and compliance features. Moving to or adding cloud resources, however, is not trivial or without cost, and may not be the best choice in every scenario. The goal of this workshop is to explore the benefits of using the cloud in biomedical and computational research, and considerations (pros and cons) for a range of scenarios including individual researchers, collaborative research teams, consortia research programs, and large biomedical research agencies / organizations.

I can drive in Iceland: Enabling international joint analyses.

In this issue of Cell Genomics, GA4GH reports key efforts to help share data across enclaves, including a framework for responsible data sharing, a data use ontology, and approaches for data use oversight. While there remains work in establishing reciprocity between data providers, we envision a future where joint analysis across enclaves is as easy as driving in different countries.