>> Instructor: From around the globe, it's theCUBE with digital coverage of AWS Public Sector Partner Awards brought to you by, Amazon Web Services. >> Hello everyone, welcome to the special CUBE program. We are here with the Amazon Web Services public sector, partner awards program. It's a celebration of AWS, public sectors, partners and their end user customers, where there's been innovation. And we're pleased to have on the show here, the award winner for the most innovative AI, and ML artificial intelligence and machine learning solution. Axial3D is the newest partner and the end user is Belfast hospital. We got Roger Johnson, the CEO of Axial3D, and Dr. Tim Brown consulted transplant surgeon, at Belfast hospital, who has been doing amazing things, not only on the as an innovative partner, but really during COVID, making things happen, by solving the problem of the surgical gap and the number of surgeries that you're doing. Really high performance saving lives, congratulations. First of all, congratulations Roger and Dr.Tim Brown, thanks for joining me. >> We're pleasure. >> Okay, let's get into it. First of all, Dr. Tim Brown, I really want to commend you on the amazing work, that you're doing. Before we get, into some of the partnership awards conversations. You have been at the front lines solving a lot of problems around the gap, between the number of surgeries, that could take place with COVID. Tell that story real quick. I really think it's super important. Take a minute to explain. >> Yeah, thanks for the opportunity. And it's been an incredible roller coaster, for the last three months. And pretty much all of the transplant programs, across the world who have been affected, by COVID have shut down. But with some pretty innovative and real leadership and team working advances, we've managed to open a program up again and in Belfast, we have about 50 deceased donor transplants a year. Over the last three months, we've just done 90 kidney transplants and pretty much we've cleared, the whole waiting list in Northern Ireland pretty much, for people waiting for a kidney transplant in this time. And it's been a remarkable few weeks. But really is a testament to the critical care community, the people that work in intensive care, as to how much they support organ donation. And of course, our donors who have given so selflessly, at such a tragic time for them. So I'd like to pay tribute to all of our donors, and to the amazing amount of people, who have been involved in the teamwork and Belfast at this time. >> That's super amazing. Can you just I just want to pause for a minute just capture, the number of orders of magnitude, you said it was six to 10 a year and you did nine zero, 90? >> Yeah, so we have done two years work in six weeks, all in the middle of the night as well. So it's been it's been a hard work, so you can see the screen (mumbles). I'm trying to catch up with a minute. But it's been really, really satisfying, and an incredible outcome for our patients. The legacy of this program, is going to last at Belfast for 40 years. >> Brown I want to say congratulations, I'll give you my CUBE award for not changing the world, but saving the world, one person at a time. 90 interviews in six weeks. That's amazing. That's like clearing the waiting list. You're really changing lives there, congratulations. >> That's great, thank you very much. >> Roger, what a great partner and customer you have here. Talk about this award that you guys have, talk about the company. What is this all about? Why you guys in this position? Why are you winning? >> So I think our motivation for our company, is driven by our partners such as Tim, what they're doing transforms care, and even in these horrific situation are scenarios, we have the moment with COVID think you're hearing the start of an amazing story. Our job is to give surgeons like Tim, the best possible insight that he can have going into his surgeries. For the last 20 years, surgeons have relied largely on 2D imaging, so CT and MRI scans for being able to plan their surgeries, when in fact modern technology, should apply them much greater insight, before they actually perform their surgery. So we've created a technology, that platforms on AWS that allows us, to turn those traditional, hard to understand 2D images, into micromillimeter precise models of the patient's exact anatomy. The value hopefully to amazing colleagues like Tim, is that instead of trying to interpret what a 2D image CT or MRI scan might mean, he can actually see for the first time before, he opens the patient up exactly what he's going, to find when he starts the surgery, So he can really start planning, and complete that planning before, the surgery actually takes place. So hopefully, that allows a number of benefits result, whether that be shorter operations time, less surgical equipment needing to be brought, into the surgery, hopefully faster surgeries means less risk of infection, for patients means shorter time, means better outcomes the healthcare system but most importantly the patient. >> Awesome, Dr. Brown, I want to get your take on this. Can you describe the impact on your side because, you know, the future of work, which is everyone's been talking about, in the tech industry for many years. Now with COVID we were just talking about the successes, you're having and changing lives and saving lives. The notion of work workplace, workforces, work loads, work flows are all changing. Certainly the workplace people aren't as on site as they used to be. The workforce has to be protected. How does the AI and how does the Axial3D help you, in your workflows? Are you getting more done? Can you can you give specifics, around the impact to your job? >> Yeah, it's been a fantastic journey to date. And we're still learning our way. It's a journey. And we're trying to work out exactly where this lies. And the fact that COVID has not come along, which has changed our working practices means that, we have to look for different solutions. And this I think, is a very handy solution, to where it's come into my practice over the last three years has been, in terms of complex renal surgery and oncological surgery, where we have for example, a tumor in a kidney where we think my goodness, we're I have to take this kidney out and throw it in the bin because it's very badly diseased. So the index case that we were involved with, was involving a chap who wanted, to donate his kidney to his daughter. But when we worked him up, we find a tumor in his kidney, which ordinarily would have to be discarded. And but thanks to the imaging that Axial was able, to produce for us, we were able to plan well choose well cut well, and as a result, we took the kidney if we were able to plan, a removal of the tumor from the kidney itself, we were able to repair the kidney and then transplant into his daughter. So with the technology that was available, we were able to save two lives in one particular case. And it's really grown from there. And we've now been involved, in five or six different real complex cases, where the imaging has changed the outcomes for patients, who ordinarily wouldn't have been able to achieve them, as they comes, I think, the AI interface and the AI solution that we've, we've developed in our partnership with Axial. As I said, it's a journey, and we're still finding our way. But the two insights that I've really got are. The first is that what we want to do is reduce variability. And not just in our, in our observers from the way that we interpret imaging. Traditionally, as Roger said, we look at 2D images, we're now able to sit and look at this imaging in a three dimensional space on our desk. Rather than trying to reconstruct these things in our head. We can look at them and discuss the different images, with our colleagues in real time. As well as that, which I think is probably the most important thing, is that we're not able to engage our patients, in a partnership, before we've had a bit of an unfair advantage, that we're able to interpret these images. Because we've been trying to get 30 years of getting used, to doing this as professionals, and but the patients are presented, with some incredibly difficult decisions, to make by their own health. And with very little understanding, but my I can hand them a model of their own disease, they're able to understand. And that gives my patient the autonomy, to make the decisions about their own bodies back again, I think that's a hugely powerful, powerful tool for these guys to have, but potential decisions that they have, to make that will affect them for the rest of their lives. >> So the problem you were solving was one, of the technical problems, so you're trying to figure out manually get more insight, into the imaging and to the customer, or the patient in this case, customer the patient can make a better decision. Those are two problem statements. That seemed to be the big ones. Did I miss anything? >> Absolutely, no, he got one, yeah, absolutely. >> Okay, so Axial3D. You guys have a great solution. How did you get here? Tell us about your story. What's the big trajectory for you guys, in terms of this value proposition just seems to be amazing. And again highlights the advantages, how technology really solves a problem, but the outcome on the patient side is pretty phenomenal. >> So the chance for us is there, or the moment that we have made the leap we have made, is to be able to automatically turn these 2D images into 3D models. So we take each of the slices off of a MRI, or CT scan, using AWS machine learning, we construct 3D, micromillimeter precise representation of an anatomy. That's only possible, first of all, we train the algorithms that we created on the Amazon platform, using over a million pre labeled CT scans. So our system automatically detects a pixel level. What is bone, what is ligament, what is an artery or blood vessel? And with the training that we're able to perform, we've been able to with these million images, we've been able to, in effect train our system, to automatically detect the different parts of them, through this micro precise level, that hasn't been previously possible. And this technology, or the ability to create 3D models has existed for maybe 10, or 15 years. But it's needed experts like Tim to during effect, manually code, the 2D image at a pixel level and codify it so some software to turn that into 3D image, typically to either an RS of an expert like Tim to do, and the problem is Tim could only do one at a time. We estimate there are about three million, of these complex surgeries each year in the world, that need benefit greatly from this Enhanced Imaging. And we couldn't get three million months, he's selected that. So we have this process. Now on AWS platform, we have these models in parallel. And each model will take maybe a few minutes, to turn from the CT into the 3D representation. So through the power of the Amazon public cloud, we've been able to provide this powerful machine learning, automated solution that can actually scale, to the demand that we hope to see in the world. >> Dr. Tim Brown talked about the impact because I mean, Andy Jassy, the CEO of AWS always talks about this, when I interview him, he says, you know, we're here to help do the heavy lifting. This sounds like some pretty heavy lifting. What was just talked about? I mean, the manual work involved, you essentially have collective intelligence and supercomputer power with AWS. What's your take on this as this evolves? Why isn't everyone doing this? >> Yeah, well, I don't know why everyone is doing it. That's the key question it really is. From my perspective, there is no heavy lifting at all. And what I do is I push a couple of buttons, I input a bit of data and I send it off. And from my perspective, it is about as easy as it gets, it's probably as easy as sending an email, which we do hundreds of times a day. And so from my perspective, I'm delighted to say that there's no heavy lifting at all. I get a patient's data, I send the data through to Axial who will then fool me and say, listen, Tim, what is it exactly that you want? There's a great personal service from Axial, and a couple of days later, there's a delivery of a beautiful life size, 3D representation model, which I can then take to plan and treat a patient with. So the heavy lifting really has all been done. As Roger alluded to, in the past, it was hugely time consuming at work, that required a huge amount of training. But now basically, that's been replaced with pushing the button and these supercomputers taken all of my heavy lifting away. And I think this is one of the true representations, of high technology really, really advances, real world solutions. And my patients are the benefactors from this. >> Roger, Dr. Brown lay out the architecture, because first of all, pretend I want to take this every single friend, that I have here in California and around the world. I want to just deploy this what's the architecture and what's needed on the deployment side, say to Belfast as you deploy this, what's kind of involved, can you just take us through high level, I'm actually cloud scale is amazing. No doubt about it. We just talked about that but, what's involved in the architecture side, am I standing up on EC2 is there SageMaker involved me? What's the architecture and then deployment, What does that look like? >> Sure, so can you slide slight step back, one of the challenges when we as the med tech community try and introduce innovation into healthcare into hospitals, the hospitals IT infrastructure network definition, is often pretty locked down. So we're trying to bring new software and load it and install it into the hospital data system is a huge, often lengthy process that has, to jump through lots of hoops, in terms of a key network compliance, lots of different steps along the journey. And that often was for very good reasons, is a significant barrier, to the timely adoption of innovative technologies like ours. What platforming activity on AWS allies, were just another website. As Dr. Tim has said, his own though his only existence, with Axial3D in terms of interface, is dragging and dropping, the CT scan into our website, into our portal exists locally on the AWS instance, in whichever region we are working with, for example, in the US never leaves the US, we use the public cloud version. In US East, we take advantage of many features within AWS. But SageMaker is probably a core of what we do. It's not innovation that AWS introduced, you know, several years ago, that is the lightest to produce this, this machine learning trained set of algorithms, that allow us to give this disruption. >> And it sounds like the more you use it, the more get smarter is that as well. >> Absolutely, so our journey as Tim said, we're in a journey not only in terms of the technology, and you're very perceptive in terms of, yes, the more we train it, the more we train it, on specific anatomy types or pathology types or trauma types, the better our system gets, at recognizing the specific characteristics of those. But more importantly, this is about journey pipe. Having made this disruption we make the change and transformation of new standards of care pathways, Nazi innovation that we just enable. It's amazing surgical teams like Tim's, that make transformation. >> Dr. Brown now on your side you're sitting there I got a big problem trying to solve these problems. I got patients one but one better outcomes, they want to live. I don't want to throw away kidneys. I don't have to you just solve that problem. Now when they bring that over, what was it like over on your side of the house as a practitioner deploying it? You got two jobs going on. You're kind of doing IT integration on one hand and you're a surgeon on the other trying to make things happen. You know, what I see this is not a lot of it here. What's the deployment look like? >> Deployment to me is I don't know why ever as doing it, it's such a straightforward, easy situation. And it's, it's remarkable, really. It's such a good solution. I think, part of any sort of change management program, and this, again, is change management. It's challenging the way we think about things. That's challenging people's comfort zones. And anytime we need to change, we've got this anatomy of change. You've got innovators, we've got early adopters, we've got late adopters. And I think what we're going to see over the next five to 10 years is people recognizing that this technology, is a game changer, possibly being driven by their patients who say, I want a 3D model. And I want to see what this actually looks like. Because basically, that black and white picture you're showing me, doesn't make any sense to me. And I think there's going to be the two drivers is that the first is that we want to have consistency of care and the lack of variation in our care across all services. But as well as that the patience, I think, are going to drive this as well. So once once we get the innovators and the early adopters of this technology on board, then we'll see a tipping point. And that's, that's when it becomes an acceptable and normal thing for people, to do when they come into hospital. There'll be shown printout of their 3D printed model of their of their pathology, and that will be used to inform their decision making, for the treatment processes. And that's a true collaboration between doctor or surgeon and the patient. And that's, that's where we need to be in 21st century it's got to be a collaborative decision making process. And you talked about patient journeys, and, this is a really integral part. This is the roadmap of your journey to a large extent. So I think this I can see this, that's being rolled out worldwide, being driven by patients by correction and variability of health care provision. >> Its a great example, of an innovative award winner for the most innovative use of artificial intelligence and machine learning 3D images saving lives. Congratulations, Tim, Roger, it's phenomenal. Final question as we end this out. What's the scar tissue, pun intended? Well, what did you learn? What are some of the things that you could share with folks, as people look at this and say, this is an example of cloud scale and technology for good? What lessons have you learned? What can you share for folks, take a minute to explain each. But Roger, we'll start with you. >> Yeah, sure. So I think a number of lessons for us on this journey. As Tim says, this is a we're at the start of a journey, of understanding the power of what 3D imaging can bring to providing a consistent or less variable care, but also, as Tim also alluded to, in terms of the patient understanding, I think that patient understanding, is one of the huge leap forwards, that we didn't set out initially thinking, we're going to be able to help educate and better inform patients. But that was one of the derive benefits suddenly became apparent. So that was a great lesson. I think that incredible levels of adoption, that we're starting to see across the US across Europe. Because it's so easy to adopt, compared to traditional IT methods. Surgeons just register for a website, and they can start transacting and getting service from us, as opposed to having to have these huge IT programs. So I think we're now starting to really scratch the surface and start seeing the benefits of this isn't an administrative system. It's not the HR system. It's not a finance system, or maybe healthcare was comfortable in using public cloud. This is core hardcore clinical service, clinical diagnosis, clinical education, and the Amazon cloud is enabling that, just wouldn't be possible with this technology, (mumbles) the lessons we're learning are just (mumbles). >> Dr. Tim Brown and take us home and the segment, with your take, lessons learned and advice to others. >> I think the lesson learned are that doctors and healthcare providers are all extremely wary of change of new innovations. Because they feel that already, they're overburdened, and probably my colleagues in the States and across Europe feel like, we're a bit overburdened by all the things that we have to do. And this may potentially have been a more difficult or odds to your workload and actually fact, this makes your workload a lot easier and convincing people and getting people to understand that, this really does make your life a lot easier. It actually removes all the scar tissue it removes the difficulties that have been put in place by organizations. And once people realize that, that's what there is no heavy lifting. And this will make a huge difference to your practice and your patients understanding of your practice. And once that, once up, people really realize that, then the tipping point will be achieved. I'm looking forward to that date because this is going to be the new normal in the next five to 10 years. >> While the performance that you're putting up the numbers of 90 transplants successfully over six weeks, dwarfs the full year last year, really kind of shows the outcome is a game changer. And again, congratulations on your success. Roger, thank thank you for coming on. Congratulations on being the award winner, a diverse partner for the most innovative AI and machine learning solutions. Thanks for taking the time for part of this AWS partner awards program. Thank you. >> Thank you. >> Thank you. >> Okay, I'm John Furrier, we're covering the AWS public sector partner awards, program put on by the CUBE and AWS public sector partners. Thanks for watching. (bright upbeat music)

>>from the Cube Studios in Palo Alto and Boston connecting with thought leaders all around the world. This is a cube conversation. Welcome to the >>Special Cube program. We are here with the Amazon Web Services Public Sector Partner Awards program. It's a celebration of AWS public sectors partners and their end user customers where there's been innovation and we're pleased to have on this show here, the award winner for the most innovative AI and ML Artificial intelligence and machine learning solution. Axial three D is the partner, and the end user is Belfast Hospital. He got Roger Johnson, the CEO of actual three D, and Dr Tim Brown consulted transplant surgeon at Belfast Hospital, who has been doing amazing things not only on the as an innovative partner, but really during Covic making things happen by solving the problem of the surgical gap in the number of surgeries that you're doing really high performance saving lives. Congratulations. First of all, congratulations. Roger. Dr Kimberly. Thanks for joining me. >>Re pleasure. >>Okay, let's get into it. First of all, Dr Tim Brown, I really want to commend you on the amazing work that you're doing before we get into some of the partnership awards conversations. You have been at the front lines solving a lot of problems around the gap between the number of surgeries that could take place with Cove. It, um, tell that story real quick. I really think it's super important. Take a minute to >>explain. Yeah, thanks for the opportunity. And it's been an incredible rollercoaster for the last three months, pretty much all of the transplant programs across the world who have been affected by Coupet of shut down but with some pretty innovative on the grill leadership team Working advances with managed to open a program up again. And and Belfast, we have a bytes and 50 to 50 disease donor transplants year over the last three months, with just a 90 90 kidney transplants. Pretty much we've cleared the whole waiting list in Northern Ireland, pretty much for people waiting for a kidney transplant at this time. And it's been a remarkable few weeks, but it really is a testament to the critical care community. People that work in intensive care is the high marks, a support organ donation. Of course, our donors who have given so selflessly at such a tragic time for them. So I'd like to pay tribute to all of our donors into the amazing people who have been involved in the team. Mark belt faster this time. >>That's super amazing. Can you just I just want to pause from and just captured the number of order of magnitude. You said it was 6 to 10 year and you didn't 90 90. >>Yeah, so six weeks basically Teoh, two years work in six weeks old in the middle of the night as well. So it's been It's been hard of hard work, so you can see the sleeplessness. I'm trying to catch up with a minute, but it's been really, really satisfying. An incredible I come for patients and legacy of this of this, the program is gonna last about faster. 40 years. >>Well, I want to say congratulations. I'll give you my Cube Award for not changing the world but saving the world. One person at a time. 90 interviews and six weeks. That's amazing. That's like thinking clearing the waiting list. You really changing lives there. Congratulations. >>That's very kind of you. Thank you very much. >>Roger. Good. A great partner and customer. You have here. Talk about this award. You guys have talked about the company? What is this all about? Why you guys in this position? Why are you winning? >>Yes, So I think our motivation for our company is driven by our partners, such such as? In what they're doing transforms care And even in these horrific situation, our scenarios. We have the moment with Kobe. Think you're hearing the start of the amazing story our job is to give Surgeons liked him the best possible insight that he can have going into his surgeries For the last 20 years, surgeons of relied largely on two D imaging, so C, t and memory scans or for being able to plan their surgeries when it's murdered, technology should apply them much greater insight or they actually perform the surgery. So we've created a technology that platforms on AWS that allows us to turn those traditional hard to understand to the images into micro millimeter precise models off the patients exact anatomy. The value hopefully, two amazing colleagues like Tim is that instead of trying to interpret what a two D image CD or memory scan might mean he can actually see for the first time before he opens the patient up exactly what he's going to find when when he when he starts the surgery. So he immediately start to complete that planning before the surgery actually takes. So hopefully that analyze a number of benefits to results without the shorter operations. Find less surgical meeting we brought into the surgery. Hopefully, faster Surgeries names last risk of infection For patients being shorter Time means most >>awesome. Dr. Brian, I want to get your take on this. Can you describe the impact on your side because you know the future of work, which is everyone's been talking about in the tech industry for many years now, with code we were just talking about. The success is you're having and changing lives and saving lives. The notion of work workplace work, forces, work loads, work flows are all changing. Certainly the workplace people aren't as on site as they used to be. The workforce has to be protected. How does the AI and how does the actual three D help you and your work flows? Are you getting more done? Can you give specifics around the impact to your job? >>Yeah, it's a bit It's been a fantastic journey to date. We're still learning away. It's a journey. We're trying to work out exactly where this lies in. The fact that Kubla does not come along, which has changed, or working practices, that means that we have to look for different solutions on this, I think, is very 100 solution to amend. My practice over the last three years has been in terms of complex and real surgery on oncological surgery, where we have, for example, a tumor and kidney where we think, my goodness, we're gonna have to take this kidney I and throw it in the bin because it's very badly disease. So the index case that we were involved with that was building a child who wanted to donate his kidney to his daughter. But when we worked him up, we find a tumor in his kidney, which ordinarily would have to be discarded. But thanks to the imaging that Excel was able to produce for us, we were able to plan Well, geez, well cut well and as a result of kidney, I really plan a removal of the tumor from the kidney itself. We really repair kidney and then transplant it into his daughter. So with the technology that was available, we were able to save two lives on one particular case on, and it's really grown from there on. We've been involved in five or six different, really complex cases where the imaging has changed the outcomes for our patients who ordinarily wouldn't have been able to. Chief insight comes, I think, the AI interface on the AI solution we've developed in our partnership with the Excel. As I said, it's a journey and we're still finding our way. But to insights that I've really got our the first is that what we want to do is reduce variability, not just in our in our observers, from the way that we interpret imaging tradition is what you're saying is, look a two D images. We're now able to sit and look at this, emerging in a three dimensional space on our desk. Rather than trying to reconstruct these things in your head, we can look at them and discuss the different images with our colleagues in real time, a zealous that which I think is probably the most important thing, is that we're not able to engage our patients and a partnership. Before we had a bit of an unfair advantage that we're able to interpret these images because 20 or 30 years of getting used to doing this as professionals. But the patients are presented with some incredibly difficult decisions to make by their own health and with very little understanding that. But now I can handle the model of their own disease very easy to understand, and that gives my patient autonomy to make the decisions about their own bodies back again. And I think that's a hugely powerful, powerful tool for these guys have about potential decisions that they have to make that more effective for the rest of their lives. >>So the problem you're solving was one of the technical problem. So you're trying to figure out manually, get more insight into the the imaging and to the customer or the patient. This case customer, the patient. I can make a better decision. Those are two problems, statements that seem to be the big ones that I missed. Anything? >>Absolutely, absolutely. >>Okay, so actual three d you guys have a great solution? How >>did you >>get here? Tell us about your story. What's what's What's the big trajectory for you guys? In terms of the value proposition, it seems to be amazing and again highlights. The advantages of technology really solves the problem. But the outcome on the patient side is pretty phenomenal. >>Yes, so the chance for us is there or the development that we have made. The lately, we admit, is to be able to automatically turn these two D images into three D models. So we take each of the slices off of memory or cities. Using AWS is machine learning. We construct three D macro millimeter precise representation of For me. That's only possible. First of all, we treat the algorithms that we created on Amazon platform using over a 1,000,000 pre labeled CDs. Consume our system automatically detect. Yeah, it's a level. What is bone? What is ligament? What is on our earlier vessel? With the training that we're able to perform, we've been able to with with these 1,000,000 images we've been able to in effect, tree and our system automatically detect the parts of me with this micro service level that hasn't been previously possible. This technology, or the ability to create three D models, has existed for maybe 10 or 15 years, but it's it's needed. Experts like him who were, in effect manually code the two D image pixel level and could affect so some software and turn it into a three D image. Typically, too, it's in ours, often expert like them to do. And the problem is, Tim could only do one of the time. We estimate there about three million of these complex surgeries each year in the world that need open effort from greatly from this enhanced imaging. And we couldn't get 33 million under these, especially. And that. So we have this process no on the AWS platform, with dozens of these models in parallel, and each more will take maybe a few minutes to turn from the CD into the into the three D representation. So through the park off the Amazon Public cloud, we've been able to provide this this powerful machine learning automated solution that can actually scale toe man >>Dr Brian talk about the impact because, I mean Andy Jassy, the CEO of AWS, always talks about this. When I interviewed him, he says, you know, we're here to help do the heavy lifting this sounds like some pretty heavy lifting. What was just talked about? I mean, the manual work involved. You essentially have a collective intelligence and supercomputer power with AWS. What's your take on this as this evolves? Why isn't everyone doing this? >>Yeah, well, I don't know why. Every minute. That's that's That's the key question. It really is. From my perspective, there is no heavy lifting at all, and what I do is I push a couple buttons. I put a bit of data, and I send it off. From my perspective, it is about as easy as it gets is probably a ZTE sending email, which we do hundreds of times a day. And so, from from my perspective, I'm delighted to say there's no heavy lifting until I get a patient's data. I send data through to excel, who will then fool me and say, Listen to what is it exactly that we want to have a personal service from actual on? A couple days later, there's a delivery of a beautiful life size three D representation model, will check and then take to plan on and treat a patient with. So the heavy lifting really has all been done. A Z Roger alluded to in the past. It was hugely time consuming work that required a huge amount of training. But basically that's being replaced with a push of a button on. These supercomputers have taken all of my heavy lifting away on, and I think this is one of the true representation. Zoff technology really, really advances real world solutions and my patients are benefactors. From this >>Roger Dr Brown. Lay out the architecture because, first of all, pretend I want to take this every single friend that I have here in California and around the world. I want to just deploy this. What's the architecture and what's needed on the deployment side? Say it to Belfast as you deploy this. What's kind of involved in you? Just take us through high level. I must be cloud scales. Amazing, No doubt about it. We just talked about that. But what's involved in the architecture side of my standing? A bunch PC two's Is there sage maker involvement? What's the architecture and then deployment? What does that look like? >>Sure, So again, a slight step back. One of the challenges when, when we is the MedTech community try and introduce innovation into health and hospitals that the hospitals i t. Infrastructure network definition is often very locked on. So we're trying to bring new software and load it and install it in the hospital data system. That is a huge, often lengthy process that has to be done through lots of hoops in terms off Hey, network a compliance. Lots of different steps along the journey and that often wants from a good reasons, is a significant barrier to the timely adoption off innovative technologies in the cars. What a what a platform a selfie on AWS allies were just another website, as Tennis said, is, uh, only that, though his only existence with actual three D in terms of the interface is dragging and dropping the CT scan into our website into a portal portal exists quickly on the AWS instance. In one of our region, we are working with a little in the US. Never leave the US We use the the public client version in US East. We take advantage of many features within AWS, but a sage maker is probably a core of what we do. It's not innovation that AWS introduced know several years ago that was like juice this this machine learning trained set of algorithms that allow us to give this disruption. >>And it sounds like the more you use it, the more get smarter. Or is that as well? >>Absolutely. So our journey is, As Tim said, we're on a journey not only in terms off the technology and you're very receptive. In terms of yes, the more we train it, the more we treated on specific anatomy types or pathology types or trouble types, the better our system gets recognizing the specific characteristics of those. More importantly, this is about a journey I having made this disruption, we make the change and transformation off new standards of care pathways. That's the innovation that we just enable. It's amazing. Surgical teams like hymns. Let me transformation >>Dr Brown on your side. You're sitting there. I got a big problem trying to solve these problems. I got patients one but one better outcomes. They want to live. I don't want to throw away kitty, so I don't have to you to solve that problem that when when they bring that over, what was it like over on your side of the house is a practitioner. Deploying it. You've got you've got two jobs going. You're kind of doing I t integration on one hand and you're a surgeon on the other, trying to make things happen. You know what I see? This is not a lot of I t here. What's the deployment? Looks like. >>Yeah, deployment means I don't know. Why ever announces doing that. Such a straightforward, easy situation. It's that's remarkable. Ready? It's such a good solution, and I think part of any sort of change management program, and this again is change management. It's challenging the way we think about things. It's challenging people's comfort zones on any time we need to do change. We've got this anatomy of change. You've got innovators go early, adopters will lead the doctors, and I think what we're going to see over the next 5 to 10 years is people are recognizing that this technology is a game changer, possibly being driven by their patients who say I'm on the three D model and I want to see what this actually looks like because basically not black and white picture you're showing me doesn't make any sense to me and I think there's going to be the two drivers is that the first is that we want to have a consistency of care on the lack of variation in our care across across old old services. But as well is that patients? I think we're gonna drive this as well. So once once we get the innovators and the early adopters of this technology on board, then we'll see a tipping point. And that's that's when it becomes an acceptable normal thing for people to do. When they come in the hospital, they'll be sure print tight off their three d printed like moral off their pathology. I'm not a huge demand for their decision making for treatment processes, and that's a true collaboration between doctor or surgeon on the patient. That's that's where we need to be in the 21st century. It's it's going to be a collaborative decision making process. You talked about the pressures, journeys and this This is a really integral part. This is the roadmap of your journey to a large extent. So I think this I can see this being rolled out worldwide, being driven by patients buying a correction and variability of healthcare provision. >>That's a great example is an innovative award winner for the most innovative use of artificial intelligence and machine learning. Three D images saving lives Congratulations, Tim Rogers. Phenomenal Final question As we end this out, what's the scar tissue pun intended? You know, What did you learn? What was some of the things that you could share with folks as people look at this and say This is an example of cloud scale and the technology for good. What lessons have you learned? What can you share for folks? Take a minute to explain the split. Roger. We'll start with you. >>Yeah, sure. So I think a number off lessons for us on this journey Assistances, This is Ah, we're at the start of a journey of understanding the power off the what three d imaging can bring just to providing a consistent use variable care, but also as a stem also alluded to in terms of off the patient understanding, I think that patient understanding is one of the huge leap forwards that way. Didn't set out initially thinking we're going to be able to help educate on better inform patients. But that was one of the derive benefits suddenly part. So that was a great lesson. I think there is incredible levels of adoption that we're starting to see across the US across Europe because it's so easy to adopt. Compared to traditional methods, surgeons registered for Canadian start transacting and instead of us almost as opposed to having to have these huge I t programs. So I think we're now starting to really scratch the surface and start seeing the benefits of this isn't an administrative system. It's not me. HR system. It's not a finance system. Or maybe a healthcare was comfortable. And using public like this is core hard core clinical services, clinical diagnosis. Clinical education on the Amazon cloud is enabling that it just wouldn't be possible with this technology we started. Actually, the lessons were learning or just just >>Dr Tim Brown and take us home and the segment with your take lessons learned and advice to others. >>I think the lessons learned are the doctors and health care providers are all extremely wary off change of new innovations because they feel that already they're overburdened. Probably my colleagues in the states and across Europe perfectly like they were a bit over, burdened by all the things that we have to do, and this may potentially have been more difficult or wants to your workloads. And actually, let's make your workload along each year convincing people and getting people to understand that this really does make your life a lot easier. It actually removes all the scar tissue, removes the difficulties that have been put in place by by organizations on once. People realize that, that's what that there is no heavy lifting. And this will make a huge difference to your practices, your patients understanding of your practice, and we'll stop so people really realize that the tipping point will be achieved. I'm looking forward to that day because this this is going to be the new normal in the next 5 to 10 years. >>While the performance that you're putting up the numbers of 90 transplant successfully over six weeks dwarfs the full year, last year really kind of shows the outcome is a game changer. And again, congratulations on your success. Roger think Thank you for coming on Corrections on being the award winner. Eight of his partner for the most innovative AI and machine learning solutions. Thanks for taking the time for this 80 s partner awards program. Thank you. >>Thank you. >>Okay, I'm John Furrier. We're covering the AWS Public Sector Partner Awards program put on by the Cube and AWS Public Sector Partners. Thanks for watching. Yeah, Yeah, yeah, yeah, yeah.

>> Announcer: From around the globe, it's "theCUBE" with digital coverage of AWS Public Sector Partner Awards, brought to you by Amazon Web Services. >> Welcome to the AWS Public Sector Awards Program. This year, AWS partnered with "theCUBE" to interview a selection of the award winners and their clients. My name is Jeff Frick. I'm the GM and host of "theCUBE" and to share more on the award program and this year's winners, I'd like to introduce Sandy Carter, joining us from Seattle. She is the VP Worldwide Public Sector Partners and Programs for AWS. Sandy, great to see you. >> So great to see you too, Jeff. Everything's going well. >> Yeah, exactly. How are you doing? So you're in Seattle, you're sheltering in place, but you're getting through and business moves on and you guys are doing a lot of exciting things based on some of the challenges that have come from COVID. >> Absolutely. And we're even making our logo signs out of Legos to support our home offices. So we're having a blast and we're really helping a lot of our customers and our partners through this time as they are helping us as well. >> Right. So let's jump into it. So you run Partners and Programs. Share with everyone why partners are so important to Amazon and AWS specifically and public sector specifically? >> Yeah, Jeff, the partner business, of course, is critical to public sector. For us, partners represent that overall customer experience. They're often subject matter experts at raising awareness, helping customers evaluate AWS and some of the workloads. They help accelerate procurement, deploy services, and most important, our partners support our customer missions. And mission is almost everything in public sector. Now for us, public sector is not just government, but it's also education, nonprofits, healthcare, depending upon where you are in the world, it could also be travel and transportation or oil and gas. It's a really big mission that our partners go on every day with us in the field and the real world. >> Right, so one of the things that comes up all the time, if anyone's spent any time listening to Amazon content, whether it's Bezos or Andy, talks about customer obsession and this constant drive around customer obsession. Now, I noticed you've got 18 awards and people can see all the awards later today or they can go to the website, but I noticed like a third of your awards are customer obsession. So you've really kind of taken that customer obsession theme, if you will, and pushed it in and through all these awards and award categories. So talk about customer obsession in the context of these awards. >> Well, customer obsession for us is everything. Everything that we do starts with the customer and then works backwards. So if you think about what's been happening during these COVID times, like call center wait times are astronomical, too long. Customers are waiting too long. We've been helping States and local governments and countries really implement artificial intelligence and have that ability to answer calls quickly. That's one example of working backwards from a customer. Another example might be having limited access to data. So Jeff, we've always said, and I know "theCUBE's" always said that data is queen or king, but during COVID, data became so essential. So working backwards from our customers, leaders needed to make emergency decisions and did not have immediate access to data. So we had a lot of partners who said, "Hey, I can help you with that. "I can build a data lake. "I can use analytics to help you get to that data." So those were just some examples of how our partners did some extraordinary things, working backwards from their customer. >> Right, well, the other thing obviously is COVID, we've been at this now since mid-March and there was a lot of challenges that came out of COVID. But the other thing that came out of it is this light switch moment for digital transformation and initiatives that were potentially running or thought about running or moving slow. Suddenly digital transformation came to the top of everybody's priorities because of COVID and they had no other choice. And I noticed you've got a couple of COVID-19 specific winners in your list. I wonder if you can speak to some of the challenges that arose that they responded to, to earn some of these COVID awards. >> Yeah, it was funny, Jeff, I'm sure you saw it too on social media. There was a slide that said, "Who drove your digital transformation? "Was it your CEO, your CIO, your chief marketing officer, "or was it COVID?" And, of course, everybody picked COVID. So some of the areas that our partners focused in on was the failure of some legacy systems that occurred, decade old mission critical systems and websites, failed under the stress because they couldn't go up for the demand like the cloud can. We also saw limited remote access. You and I were chatting before, how do you do remote work? How does that work? So employees had limited access to systems, to tools, to data that they needed. And so our customers were really, again, really in want of a solution for remote work. And we had a lot of partners who really stepped up. And then of course, looking at the tech skills that existed, I'm sure you had people call you. I had people call me saying, "I don't really know how to get on Zoom or WebEx or Chime. "Can you help me?" And our customers experience the same thing. Employees don't have the same level of technical skills. And so we saw partners step up with training systems, for example. I was really impressed with the scrappiness of our partners and the way that they always started with the customer, working backwards. But they pivoted because COVID really did create some of these new opportunities in the marketplace. >> Right. So we've got a full program running at the conclusion of this conversation which people will get to see the winners and see some of the solution providers. And we've got three tracks, like you said, the government, nonprofit and education, and there's 18 award winners. And I wouldn't ask you to pick your favorite kid, but I'm going to ask you to share a couple of favorites amongst these award winners that really jumped out to you. >> Okay, I will but first I'll just say, Jeff, that we did have 18 winners and amongst them, they had over 45 customer references. They averaged over six years of experience with AWS and they spread across every single geo. So I thought that was pretty amazing. They also spanned across a couple of different areas, a set of technical capabilities like AI-ML, migration, you know, having a skill for Amazon Connect, which is our call center. They spread a cost missions that you talked about for education, healthcare, DOD. And then they also had a lot of special focus on migration. This was one of Andy's really big, big themes at re:Invent. And so we wanted to reinforce that as well with our partners. So a couple of highlights. So I'm going to start with migration because that was a really big one for Andy at re:Invent, as well as Teresa, our head of public sector. So one of our award winners is around migration is the Navy and SAP NS2. They were asked to migrate 26 ERPs across 50 landscapes with 60,000 users accessing the data from around the globe or another one of my favorites was the Accenture Award where they help the government of Canada and they help them through some of the employment and social development areas that they need to focus in on, really launching a 2,600 person contact center to help deal with some of the spikes in call volumes and other areas. And then let me see. I would also call out Maxar. Maxar set up a high performance computing or HPC environment for a number of weather prediction areas for NOAA, which was also very essential because it wasn't just COVID. Right now, we're in the midst of hurricane season. And how can you optimize that performance and cost even more? Or my last one I'll do, I promise, Jeff, is mission-based, which is Tyler Technologies and they help the city of Alvin in Texas and their municipal courts. Like how do you continue to do court systems? How do you implement a virtual court? And that's exactly what Tyler technology helped to have happen in Texas. So those are just some of the favorite ones that I have today, Jeff. >> (laughs) That's great. And again, everybody can watch interviews with the selection of these people. They'll be running, starting at the bottom of the hour and really get to meet the solution providers as well as the customers that put some of these things in. I've been fortunate to cover a couple of the AWS IMAGINE shows, which are really small public sector shows around nonprofits and education. And it's pretty amazing, once you get out of the commercial space, some of the things that are being enabled by cloud generally and AWS specifically around things that people aren't thinking, missing children, community colleges and education for quick employment. And there's just so many really meaningful, you said mission type of activities going on out there that you guys support. So that's really exciting to keep up with. So before we close out and let everybody watch the award winners, your priorities for 2020? We're kind of halfway through, it's a very strange year. I'm sure every plan that was written and approved in January got ripped up to shreds (Sandy laughs) by April. So Sandy, what are some of your priorities for what you're working on with partners and programs and public sector for the balance of the year? >> Yeah, I would start out by reemphasizing migration. I think migration is really crucial, taking something that's on premises and moving it to the cloud. And the reason that's so important, moving forward, is that the discussion we just had, Jeff, around digital transformation, the cloud provides you so much on-demand capacity. You can just scale and do so many more things. We're also seeing a big focus on cyber security. A lot of our customers across the globe now need to secure remote education, their call centers, their portals, their elections. So cyber security will continue to be really important. As well as our Amazon Connect area. So Amazon Connect, this amazing call center that we've integrated with salesforce, one of our other award winners continues to grow rapidly as we see more and more demand for that as well. And Jeff, I would be remiss to also not call out the mission areas. So whether that's helping with public safety or whether that is assisting in healthcare or our new telemedicine, just providing that, not just the technology, but the mission help too, really understanding what's required and delivering that will be really important. And Jeff, we can't end the key without talking about #techforgood either, right? >> Right, right. Something that's close to both our hearts. >> (chuckles) So we did have some really cool award winners that I think one, because of that #techforgood. So Axial3D, for instance, really helped out Belfast Hospital. And they won an award for AI-ML because of the way that they help surgeons save lives. And this is, your intro here was really important to me. It's not just about your super power for profit. That's important because you have to stay in business, but that super power for purpose is equally as important. We didn't do an award this time for startups, but we have also been working with Hello Alice who set up an entire, saying a website is too small, but they've used AI and ML through SageMaker to tag stories and help for small businesses and other startups that are diverse either through gender or race or be in veteran-owned. They're doing an amazing thing. So we continue, at Amazon to focus on #techforgood, as I know, you guys do at "theCUBE" as well. >> Right, right. Well, we used to call it a word and the triple line accounting. So it's not only just for profitability, but also for your employees and your constituents, which include your customers and your partners, but also the broader community and doing well for the broader community. And I do think, the younger people today that are entering the workforce have really forced that conversation and raised the status of mission-based activities. And really trying to think beyond just the bottom line, you still need to make money cause you got to pay the bills and keep the lights on, but that shouldn't be the only thing. And it shouldn't be really at the expense of everything else. So that's great to hear. And again, I think that the tech for good angle is a really, really important one. It probably doesn't get enough pub compared to some of the other stuff that we see in the news. So Sandy, congratulations to you and the team for weeding through all the applicants, selecting these 18 lucky winners. And thank you for giving us the opportunity to interview a few of them and share their stories on "theCUBE" and on this program. And, that's what we love, love to do since we can't be together in person as we have been so many times in the past. >> Yeah, so Jeff, if we could just show that slide real quick as we end. As we end, I want to say thank you from the bottom of my heart to all of these partners who were here. All 18, you're going to get to hear most of them. I don't want to take away from their thunder, but I know that "theCUBE" has been doing interviews with them and their customers, see and hear the amazing stories that they have and how they really have helped customers beyond what we can normally even expect because they are award winners. So Jeff, thank you and "theCUBE" for helping us to find a way to get their stories out. Because it's not normal times, we didn't have our public conference, but this is a great way to celebrate each and every one of these 18. So I want to say, thank you, congratulations. And from the bottom of my heart, I appreciate all the great work that you're doing. And to the rest of our partners, I hope that I see you on this list in our next award ceremony. >> Alright, well, thank you Sandy, for those kind words. And without further ado, we will end this segment, this kickoff and people can jump into the award-winner segments and learn lots. And hopefully, it won't be too long, Sandy, till we can actually meet again in-person. So thank you for watching this portion and enjoy the rest of the show. (calm music)

>> Announcer: From around the globe, it's "theCUBE" with digital coverage of AWS Public Sector Partner Awards, brought to you by Amazon Web Services. >> Welcome to the AWS Public Sector Awards Program. This year, AWS partnered with "theCUBE" to interview a selection of the award winners and their clients. My name is Jeff Frick. I'm the GM and host of "theCUBE" and to share more on the award program and this year's winners, I'd like to introduce Sandy Carter, joining us from Seattle. She is the VP Worldwide Public Sector Partners and Programs for AWS. Sandy, great to see you. >> So great to see you too, Jeff. Everything's going well. >> Yeah, exactly. How are you doing? So you're in Seattle, you're sheltering in place, but you're getting through and business moves on and you guys are doing a lot of exciting things based on some of the challenges that have come from COVID. >> Absolutely. And we're even making our logo signs out of Legos to support our home offices. So we're having a blast and we're really helping a lot of our customers and our partners through this time as they are helping us as well. >> Right. So let's jump into it. So you run Partners and Programs. Share with everyone why partners are so important to Amazon and AWS specifically and public sector specifically? >> Yeah, Jeff, the partner business, of course, is critical to public sector. For us, partners represent that overall customer experience. They're often subject matter experts at raising awareness, helping customers evaluate AWS and some of the workloads. They help accelerate procurement, deploy services, and most important, our partners support our customer missions. And mission is almost everything in public sector. Now for us, public sector is not just government, but it's also education, nonprofits, healthcare, depending upon where you are in the world, it could also be travel and transportation or oil and gas. It's a really big mission that our partners go on every day with us in the field and the real world. >> Right, so one of the things that comes up all the time, if anyone's spent any time listening to Amazon content, whether it's Bezos or Andy, talks about customer obsession and this constant drive around customer obsession. Now, I noticed you've got 18 awards and people can see all the awards later today or they can go to the website, but I noticed like a third of your awards are customer obsession. So you've really kind of taken that customer obsession theme, if you will, and pushed it in and through all these awards and award categories. So talk about customer obsession in the context of these awards. >> Well, customer obsession for us is everything. Everything that we do starts with the customer and then works backwards. So if you think about what's been happening during these COVID times, like call center wait times are astronomical, too long. Customers are waiting too long. We've been helping States and local governments and countries really implement artificial intelligence and have that ability to answer calls quickly. That's one example of working backwards from a customer. Another example might be having limited access to data. So Jeff, we've always said, and I know "theCUBE's" always said that data is queen or king, but during COVID, data became so essential. So working backwards from our customers, leaders needed to make emergency decisions and did not have immediate access to data. So we had a lot of partners who said, "Hey, I can help you with that. "I can build a data lake. "I can use analytics to help you get to that data." So those were just some examples of how our partners did some extraordinary things, working backwards from their customer. >> Right, well, the other thing obviously is COVID, we've been at this now since mid-March and there was a lot of challenges that came out of COVID. But the other thing that came out of it is this light switch moment for digital transformation and initiatives that were potentially running or thought about running or moving slow. Suddenly digital transformation came to the top of everybody's priorities because of COVID and they had no other choice. And I noticed you've got a couple of COVID-19 specific winners in your list. I wonder if you can speak to some of the challenges that arose that they responded to, to earn some of these COVID awards. >> Yeah, it was funny, Jeff, I'm sure you saw it too on social media. There was a slide that said, "Who drove your digital transformation? "Was it your CEO, your CIO, your chief marketing officer, "or was it COVID?" And, of course, everybody picked COVID. So some of the areas that our partners focused in on was the failure of some legacy systems that occurred, decade old mission critical systems and websites, failed under the stress because they couldn't go up for the demand like the cloud can. We also saw limited remote access. You and I were chatting before, how do you do remote work? How does that work? So employees had limited access to systems, to tools, to data that they needed. And so our customers were really, again, really in want of a solution for remote work. And we had a lot of partners who really stepped up. And then of course, looking at the tech skills that existed, I'm sure you had people call you. I had people call me saying, "I don't really know how to get on Zoom or WebEx or Chime. "Can you help me?" And our customers experience the same thing. Employees don't have the same level of technical skills. And so we saw partners step up with training systems, for example. I was really impressed with the scrappiness of our partners and the way that they always started with the customer, working backwards. But they pivoted because COVID really did create some of these new opportunities in the marketplace. >> Right. So we've got a full program running at the conclusion of this conversation which people will get to see the winners and see some of the solution providers. And we've got three tracks, like you said, the government, nonprofit and education, and there's 18 award winners. And I wouldn't ask you to pick your favorite kid, but I'm going to ask you to share a couple of favorites amongst these award winners that really jumped out to you. >> Okay, I will but first I'll just say, Jeff, that we did have 18 winners and amongst them, they had over 45 customer references. They averaged over six years of experience with AWS and they spread across every single geo. So I thought that was pretty amazing. They also spanned across a couple of different areas, a set of technical capabilities like AI-ML, migration, you know, having a skill for Amazon Connect, which is our call center. They spread a cost missions that you talked about for education, healthcare, DOD. And then they also had a lot of special focus on migration. This was one of Andy's really big, big themes at re:Invent. And so we wanted to reinforce that as well with our partners. So a couple of highlights. So I'm going to start with migration because that was a really big one for Andy at re:Invent, as well as Teresa, our head of public sector. So one of our award winners is around migration is the Navy and SAP NS2. They were asked to migrate 26 ERPs across 50 landscapes with 60,000 users accessing the data from around the globe or another one of my favorites was the Accenture Award where they help the government of Canada and they help them through some of the employment and social development areas that they need to focus in on, really launching a 2,600 person contact center to help deal with some of the spikes in call volumes and other areas. And then let me see. I would also call out Maxar. Maxar set up a high performance computing or HPC environment for a number of weather prediction areas for NOAA, which was also very essential because it wasn't just COVID. Right now, we're in the midst of hurricane season. And how can you optimize that performance and cost even more? Or my last one I'll do, I promise, Jeff, is mission-based, which is Tyler Technologies and they help the city of Alvin in Texas and their municipal courts. Like how do you continue to do court systems? How do you implement a virtual court? And that's exactly what Tyler technology helped to have happen in Texas. So those are just some of the favorite ones that I have today, Jeff. >> (laughs) That's great. And again, everybody can watch interviews with the selection of these people. They'll be running, starting at the bottom of the hour and really get to meet the solution providers as well as the customers that put some of these things in. I've been fortunate to cover a couple of the AWS IMAGINE shows, which are really small public sector shows around nonprofits and education. And it's pretty amazing, once you get out of the commercial space, some of the things that are being enabled by cloud generally and AWS specifically around things that people aren't thinking, missing children, community colleges and education for quick employment. And there's just so many really meaningful, you said mission type of activities going on out there that you guys support. So that's really exciting to keep up with. So before we close out and let everybody watch the award winners, your priorities for 2020? We're kind of halfway through, it's a very strange year. I'm sure every plan that was written and approved in January got ripped up to shreds (Sandy laughs) by April. So Sandy, what are some of your priorities for what you're working on with partners and programs and public sector for the balance of the year? >> Yeah, I would start out by reemphasizing migration. I think migration is really crucial, taking something that's on premises and moving it to the cloud. And the reason that's so important, moving forward, is that the discussion we just had, Jeff, around digital transformation, the cloud provides you so much on-demand capacity. You can just scale and do so many more things. We're also seeing a big focus on cyber security. A lot of our customers across the globe now need to secure remote education, their call centers, their portals, their elections. So cyber security will continue to be really important. As well as our Amazon Connect area. So Amazon Connect, this amazing call center that we've integrated with salesforce, one of our other award winners continues to grow rapidly as we see more and more demand for that as well. And Jeff, I would be remiss to also not call out the mission areas. So whether that's helping with public safety or whether that is assisting in healthcare or our new telemedicine, just providing that, not just the technology, but the mission help too, really understanding what's required and delivering that will be really important. And Jeff, we can't end the key without talking about #techforgood either, right? >> Right, right. Something that's close to both our hearts. >> (chuckles) So we did have some really cool award winners that I think one, because of that #techforgood. So Axial3D, for instance, really helped out Belfast Hospital. And they won an award for AI-ML because of the way that they help surgeons save lives. And this is, your intro here was really important to me. It's not just about your super power for profit. That's important because you have to stay in business, but that super power for purpose is equally as important. We didn't do an award this time for startups, but we have also been working with Hello Alice who set up an entire, saying a website is too small, but they've used AI and ML through SageMaker to tag stories and help for small businesses and other startups that are diverse either through gender or race or be in veteran-owned. They're doing an amazing thing. So we continue, at Amazon to focus on #techforgood, as I know, you guys do at "theCUBE" as well. >> Right, right. Well, we used to call it a word and the triple line accounting. So it's not only just for profitability, but also for your employees and your constituents, which include your customers and your partners, but also the broader community and doing well for the broader community. And I do think, the younger people today that are entering the workforce have really forced that conversation and raised the status of mission-based activities. And really trying to think beyond just the bottom line, you still need to make money cause you got to pay the bills and keep the lights on, but that shouldn't be the only thing. And it shouldn't be really at the expense of everything else. So that's great to hear. And again, I think that the tech for good angle is a really, really important one. It probably doesn't get enough pub compared to some of the other stuff that we see in the news. So Sandy, congratulations to you and the team for weeding through all the applicants, selecting these 18 lucky winners. And thank you for giving us the opportunity to interview a few of them and share their stories on "theCUBE" and on this program. And, that's what we love, love to do since we can't be together in person as we have been so many times in the past. >> Yeah, so Jeff, if we could just show that slide real quick as we end. As we end, I want to say thank you from the bottom of my heart to all of these partners who were here. All 18, you're going to get to hear most of them. I don't want to take away from their thunder, but I know that "theCUBE" has been doing interviews with them and their customers, see and hear the amazing stories that they have and how they really have helped customers beyond what we can normally even expect because they are award winners. So Jeff, thank you and "theCUBE" for helping us to find a way to get their stories out. Because it's not normal times, we didn't have our public conference, but this is a great way to celebrate each and every one of these 18. So I want to say, thank you, congratulations. And from the bottom of my heart, I appreciate all the great work that you're doing. And to the rest of our partners, I hope that I see you on this list in our next award ceremony. >> Alright, well, thank you Sandy, for those kind words. And without further ado, we will end this segment, this kickoff and people can jump into the award-winner segments and learn lots. And hopefully, it won't be too long, Sandy, till we can actually meet again in-person. So thank you for watching this portion and enjoy the rest of the show. (calm music)

>> Instructor: From the Cube Studios in Palo Alto in Boston, connecting with thought leaders all around the world, this is a CUBE conversation. >> Over welcome to the special CUBE program. We are here with the Amazon Web Services public sector, partner awards program. It's a celebration of AWS, public sectors, partners and their end user customers, where there's been innovation. And we're pleased to have on the show here, the award winner for the most innovative AI, and ML artificial intelligence and machine learning solution. Axial3D is the newest partner and the end user is Belfast hospital. We got Roger Johnson, the CEO of Axial3D, and Dr. Tim Brown consulted transplant surgeon, at Belfast hospital, who has been doing amazing things, not only on the as an innovative partner, but really during COVID, making things happen, by solving the problem of the surgical gap and the number of surgeries that you're doing. Really high performance saving lives, congratulations. First of all, congratulations Roger and Dr.Tim Brown, thanks for joining me. >> We're pleasure. >> Okay, let's get into it. First of all, Dr. Tim Brown, I really want to commend you on the amazing work, that you're doing. Before we get, into some of the partnership awards conversations. You have been at the front lines solving a lot of problems around the gap, between the number of surgeries, that could take place with COVID. Tell that story real quick. I really think it's super important. Take a minute to explain. >> Yeah, thanks for the opportunity. And it's been an incredible roller coaster, for the last three months. And pretty much all of the transplant programs, across the world who have been affected, by COVID have shut down. But with some pretty innovative and real leadership and team working advances, we've managed to open a program up again and in Belfast, we have about 50 deceased donor transplants a year. Over the last three months, we've just done 90 kidney transplants and pretty much with with care, the whole wedding list in Northern Ireland pretty much, for people waiting for kidney transplant in this time. And it's been a remarkable few weeks. But really is a testament to the critical care community, the people that work in intensive care, as to how much they support organ donation. And of course, our donors who have given so selflessly, at such a tragic time for them. So I'd like to pay tribute to all of our donors, and to the amazing amount of people, who have been involved in the team mark and Belfast at this time. >> That's super amazing. Can you just I just want to pause for a minute just capture, the number of orders of magnitude, you said it was six to 10 a year and you did nine zero, 90? >> Yeah, so we have done two years work in six weeks, all in the middle of the night as well. So it's been it's been a hard work, so you can see the screen (mumbles). I'm trying to catch up with a minute. But it's been really, really satisfying, and an incredible outcome for our patients. The legacy of this program, is going to last at Belfast for 40 years. >> Brown I want to say congratulations, I'll give you my CUBE award for not changing the world, but saving the world, one person at a time. 90 interviews in six weeks. That's amazing. That's like clearing the waiting list. You're really changing lives there, congratulations. >> That's great, thank you very much. >> Roger, what a great partner and customer you have here. Talk about this award that you guys have, talk about the company. What is this all about? Why you guys in this position? Why are you winning? >> So I think our motivation for our company, is driven by our partners such as Tim, what they're doing transforms care, and even in these horrific situation are scenarios, we have the moment with COVID think you're hearing the start of an amazing story. Our job is to give surgeons like Tim, the best possible insight that he can have going into his surgeries. For the last 20 years, surgeons have relied largely on 2D imaging, so CT and MRI scans for being able to plan their surgeries, when in fact modern technology, should apply them much greater insight, before they actually perform their surgery. So we've created a technology, that platforms on AWS that allows us, to turn those traditional, hard to understand 2D images, into micromillimeter precise models of the patient's exact anatomy. The value hopefully to amazing colleagues like Tim, is that instead of trying to interpret what a 2D image CT or MRI scan might mean, he can actually see for the first time before, he opens the patient up exactly what he's going, to find when he starts the surgery, So he can really start planning, and complete that planning before, the surgery actually takes place. So hopefully, that allows a number of benefits result, whether that be shorter operations time, less surgical equipment meeting we brought, into the surgery, hopefully faster. surgeries means less risk of infection, for patients means shorter time, means the healthcare system (mumbles). >> Awesome, Dr. Brown, I want to get your take on this. Can you describe the impact on your side because, you know, the future of work, which is everyone's been talking about, in the tech industry for many years. Now with COVID we were just talking about the successes, you're having and changing lives and saving lives. The notion of work workplace, workforces, work loads, work flows are all changing. Certainly the workplace people aren't as on site as they used to be. The workforce has to be protected. How does the AI and how does the Axial3D help you, in your workflows? Are you getting more done? Can you can you give specifics, around the impact to your job? >> Yeah, it's been a fantastic journey to date. And we're still learning our way. It's a journey. And we're trying to work out exactly where this lies. And the fact that COVID has not come along, which has changed our working practices means that, we have to look for different solutions. And this I think, is a very handy solution, to where it's come into my practice over the last three years has been, in terms of complex renal surgery and oncological surgery, where we have for example, a tumor in a kidney where we think my goodness, we're I have to take this kidney out and throw it in the bin because it's very badly diseased. So the index case that we were involved with, was involving a chap who wanted, to donate his kidney to his daughter. But when we worked him up, we find a tumor in his kidney, which ordinarily would have to be discarded. And but thanks to the imaging that Axial was able, to produce for us, we were able to plan well choose well cut well, and as a result, we took the kidney if we were able to plan, a removal of the tumor from the kidney itself, we were able to repair the kidney and then transplant into his daughter. So with the technology that was available, we were able to save two lives in one particular case. And it's really grown from there. And we've now been involved, in five or six different real complex cases, where the imaging has changed the outcomes for patients, who ordinarily wouldn't have been able to achieve them, as they comes, I think, the AI interface and the AI solution that we've, we've developed in our partnership with Axial. As I said, it's a journey, and we're still finding our way. But the two insights that I've really got are. The first is that what we want to do is reduce variability. And not just in our, in our observers from the way that we interpret imaging. Traditionally, as Roger said, we look at 2D images, we're now able to sit and look at this imaging in a three dimensional space on our desk. Rather than trying to reconstruct these things in our head. We can look at them and discuss the different images, with our colleagues in real time. As well as that, which I think is probably the most important thing, is that we're not able to engage our patients, in a partnership, before we've had a bit of an unfair advantage, that we're able to interpret these images. Because we've been trying to get 30 years of getting used, to doing this as professionals, and but the patients are presented, with some incredibly difficult decisions, to make by their own health. And with very little understanding, but my I can hand them a model of their own disease, they're able to understand. And that gives my patient the autonomy, to make the decisions about their own bodies back again, I think that's a hugely powerful, powerful tool for these guys to have, but potential decisions that they have, to make that will affect them for the rest of their lives. >> So the problem you were solving was one, of the technical problems, so you're trying to figure out manually get more insight, into the imaging and to the customer, or the patient in this case, customer the patient can make a better decision. Those are two problem statements. That seemed to be the big ones. Did I miss anything? >> Absolutely, no, he got one, yeah, absolutely. >> Okay, so Axial3D. You guys have a great solution. How did you get here? Tell us about your story. What's the big trajectory for you guys, in terms of this value proposition just seems to be amazing. And again highlights the advantages, how technology really solves a problem, but the outcome on the patient side is pretty phenomenal. >> So the chance for us is there, or the moment that we have made the leap we have made, is to be able to automatically turn these 2D images into 3D models. So we take each of the slices off of a MRI, or CT scan, using AWS machine learning, we construct 3D, micromillimeter precise representation of an anatomy. That's only possible, first of all, we train the algorithms that we created on the Amazon platform, using over a million pre labeled CT scans. So our system automatically detects a pixel level. What is bone, what is ligament, what is an artery or blood vessel? And with the training that we're able to perform, we've been able to with these million images, we've been able to, in effect train our system, to automatically detect the different parts of them, through this micro precise level, that hasn't been previously possible. And this technology, or the ability to create 3D models has existed for maybe 10, or 15 years. But it's needed experts like Tim to during effect, manually code, the 2D image at a pixel level and codify it so some software to turn that into 3D image, typically to either an RS of an expert like Tim to do, and the problem is Tim could only do one at a time. We estimate there are about three million, of these complex surgeries each year in the world, that need benefit greatly from this Enhanced Imaging. And we couldn't get three million months, he's selected that. So we have this process. Now on AWS platform, we have these models in parallel. And each model will take maybe a few minutes, to turn from the CT into the 3D representation. So through the power of the Amazon public cloud, we've been able to provide this powerful machine learning, automated solution that can actually scale, to the demand that we hope to see in the world. >> Dr. Tim Brown talked about the impact because I mean, Andy Jassy, the CEO of AWS always talks about this, when I interview him, he says, you know, we're here to help do the heavy lifting. This sounds like some pretty heavy lifting. What was just talked about? I mean, the manual work involved, you essentially have collective intelligence and supercomputer power with AWS. What's your take on this as this evolves? Why isn't everyone doing this? >> Yeah, well, I don't know why everyone is doing it. That's the key question it really is. From my perspective, there is no heavy lifting at all. And what I do is I push a couple of buttons, I input a bit of data and I send it off. And from my perspective, it is about as easy as it gets, it's probably as easy as sending an email, which we do hundreds of times a day. And so from my perspective, I'm delighted to say that there's no heavy lifting at all. I get a patient's data, I send the data through to Axial who will then fool me and say, listen, Tim, what is it exactly that you want? There's a great personal service from Axial, and a couple of days later, there's a delivery of a beautiful life size, 3D representation model, which I can then take to plan and treat a patient with. So the heavy lifting really has all been done. As Roger alluded to, in the past, it was hugely time consuming at work, that required a huge amount of training. But now basically, that's been replaced with pushing the button and these supercomputers taken all of my heavy lifting away. And I think this is one of the true representations, of high technology really, really advances, real world solutions. And my patients are the benefactors from this. >> Roger, Dr. Brown lay out the architecture, because first of all, pretend I want to take this every single friend, that I have here in California and around the world. I want to just deploy this what's the architecture and what's needed on the deployment side, say to Belfast as you deploy this, what's kind of involved, can you just take us through high level, I'm actually cloud scale is amazing. No doubt about it. We just talked about that but, what's involved in the architecture side, am I standing up on EC2 is there SageMaker involved me? What's the architecture and then deployment, What does that look like? >> Sure, so can you slide slight step back, one of the challenges when we as the med tech community try and introduce innovation into healthcare into hospitals, the hospitals IT infrastructure network definition, is often pretty locked down. So we're trying to bring new software and load it and install it into the hospital data system is a huge, often lengthy process that has, to jump through lots of hoops, in terms of a key network compliance, lots of different steps along the journey. And that often was for very good reasons, is a significant barrier, to the timely adoption of innovative technologies like ours. What platforming activity on AWS allies, were just another website. As Dr. Tim has said, his own though his only existence, with Axial3D in terms of interface, is dragging and dropping, the CT scan into our website, into our portal exists locally on the AWS instance, in whichever region we are working with, for example, in the US never leaves the US, we use the public cloud version. In US East, we take advantage of many features within AWS. But SageMaker is probably a core of what we do. It's not innovation that AWS introduced, you know, several years ago, that is the lightest to produce this, this machine learning trained set of algorithms, that allow us to give this disruption. >> And it sounds like the more you use it, the more get smarter is that as well. >> Absolutely, so our journey as Tim said, we're in a journey not only in terms of the technology, and you're very perceptive in terms of, yes, the more we train it, the more we train it, on specific anatomy types or pathology types or trauma types, the better our system gets, at recognizing the specific characteristics of those. But more importantly, this is about journey pipe. Having made this disruption we make the change and transformation of new standards of care pathways, Nazi innovation that we just enable. It's amazing surgical teams like Tim's, that make transformation. >> Dr. Brown now on your side you're sitting there I got a big problem trying to solve these problems. I got patients one but one better outcomes, they want to live. I don't want to throw away kidneys. I don't have to you just solve that problem. Now when they bring that over, what was it like over on your side of the house as a practitioner deploying it? You got two jobs going on. You're kind of doing IT integration on one hand and you're a surgeon on the other trying to make things happen. You know, what I see this is not a lot of it here. What's the deployment look like? >> Deployment to me is I don't know why ever as doing it, it's such a straightforward, easy situation. And it's, it's remarkable, really. It's such a good solution. I think, part of any sort of change management program, and this, again, is change management. It's challenging the way we think about things. That's challenging people's comfort zones. And anytime we need to change, we've got this anatomy of change. You've got innovators, we've got early adopters, we've got late adopters. And I think what we're going to see over the next five to 10 years is people recognizing that this technology, is a game changer, possibly being driven by their patients who say, I want a 3D model. And I want to see what this actually looks like. Because basically, that black and white picture you're showing me, doesn't make any sense to me. And I think there's going to be the two drivers is that the first is that we want to have consistency of care and the lack of variation in our care across all services. But as well as that the patience, I think, are going to drive this as well. So once once we get the innovators and the early adopters of this technology on board, then we'll see a tipping point. And that's, that's when it becomes an acceptable and normal thing for people, to do when they come into hospital. There'll be shown printout of their 3D printed model of their of their pathology, and that will be used to inform their decision making, for the treatment processes. And that's a true collaboration between doctor or surgeon and the patient. And that's, that's where we need to be in 21st century it's got to be a collaborative decision making process. And you talked about patient journeys, and, this is a really integral part. This is the roadmap of your journey to a large extent. So I think this I can see this, that's being rolled out worldwide, being driven by patients by correction and variability of health care provision. >> Its a great example, of an innovative award winner for the most innovative use of artificial intelligence and machine learning 3D images saving lives. Congratulations, Tim, Roger, it's phenomenal. Final question as we end this out. What's the scar tissue, pun intended? Well, what did you learn? What are some of the things that you could share with folks, as people look at this and say, this is an example of cloud scale and technology for good? What lessons have you learned? What can you share for folks, take a minute to explain each. But Roger, we'll start with you. >> Yeah, sure. So I think a number of lessons for us on this journey. As Tim says, this is a we're at the start of a journey, of understanding the power of what 3D imaging can bring to providing a consistent or less variable care, but also, as Tim also alluded to, in terms of the patient understanding, I think that patient understanding, is one of the huge leap forwards, that we didn't set out initially thinking, we're going to be able to help educate and better inform patients. But that was one of the derive benefits suddenly became apparent. So that was a great lesson. I think that incredible levels of adoption, that we're starting to see across the US across Europe. Because it's so easy to adopt, compared to traditional IT methods. Surgeons just register for a website, and they can start transacting and getting service from us, as opposed to having to have these huge IT programs. So I think we're now starting to really scratch the surface and start seeing the benefits of this isn't an administrative system. It's not the HR system. It's not a finance system, or maybe healthcare was comfortable in using public cloud. This is core hardcore clinical service, clinical diagnosis, clinical education, and the Amazon cloud is enabling that, just wouldn't be possible with this technology, (mumbles) the lessons we're learning are just (mumbles). >> Dr. Tim Brown and take us home and the segment, with your take, lessons learned and advice to others. >> I think the lesson learned are that doctors and healthcare providers are all extremely wary of change of new innovations. Because they feel that already, they're overburdened, and probably my colleagues in the States and across Europe feel like, we're a bit overburdened by all the things that we have to do. And this may potentially have been a more difficult or odds to your workload and actually fact, this makes your workload a lot easier and convincing people and getting people to understand that, this really does make your life a lot easier. It actually removes all the scar tissue it removes the difficulties that have been put in place by organizations. And once people realize that, that's what there is no heavy lifting. And this will make a huge difference to your practice and your patients understanding of your practice. And once that, once up, people really realize that, then the tipping point will be achieved. I'm looking forward to that date because this is going to be the new normal in the next five to 10 years. >> While the performance that you're putting up the numbers of 90 transplants successfully over six weeks, dwarfs the full year last year, really kind of shows the outcome is a game changer. And again, congratulations on your success. Roger, thank thank you for coming on. Congratulations on being the award winner, a diverse partner for the most innovative AI and machine learning solutions. Thanks for taking the time for part of this AWS partner awards program. Thank you. >> Thank you. >> Thank you. >> Okay, I'm John Furrier, we're covering the AWS public sector partner awards, program put on by the CUBE and AWS public sector partners. Thanks for watching. (bright upbeat music)