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Cultivating ‘eureka’ moments
Discovery should be ‘everyone, everywhere,’ says Lawson Research Institute Scientific Director Lisa Porter.
Lisa Porter believes excellence in health research is a continuum of inquiry, inspiration, innovation and improved patient care.
That’s why she is so energized by the promise and potential of Lawson Research Institute (Lawson) at St. Joseph’s Health Care London (St. Joseph’s), where she is Scientific Director and Vice President Research.
“Discovery comes from exploring great questions. You can’t have a ‘eureka’ moment without asking why things work, or don’t work – and that’s what we do so well here at St. Joseph’s,” says Porter.
A distinguished scientist herself with a passion for asking those probing questions, Porter leads strategic planning for research across the organization. Her vision includes growing the rich culture of research in several specialty pillars, while also reinforcing direct links between scientific inquiry and patient health.
“There’s data to show that patients who are treated in research-intensive hospitals live longer. That’s not just patients in clinical trials who benefit; that’s all patients who live longer,” she notes.
Other elements of her vision for Lawson include elevating data sharing and research support, expanding training opportunities for young researchers, growing grant support, strengthening collaboration and partnerships, and building relationships and reputation.
“I love that excellence is one of the values of St. Joseph’s. Excellence doesn’t mean we have all the answers. It means we’re continuously striving to be better. It means we’re asking questions that can drive better health care – not just for the patients we serve, but for national and global impact, too.”
Porter comes from a family of knowledge-seekers and problem-solvers. Her father repaired electronics and was an avid inventor. Her mother was a self-taught income –tax preparer with meticulous attention to detail. They ignited in her a curiosity that continued through her undergraduate studies in biology and pharmacology, her graduate and postdoctoral work, and her research as a cancer scientist at University of Windsor and founding director of its WE-SPARK Health Research Institute.
Now at Lawson, she wants to encourage, inspire and spotlight the innovative work of researchers, scientists, clinicians and students who are passionate about improving health.
“I want research to be everyone, everywhere,” she says. “We need hospitals, industry, people with lived experience, and policy makers coming into the fray. It can’t be just the researcher, the scientist. It’s about having champions embedded in all walks of life, from first line of care to people who can influence systemic change. It’s a messy piece, but it’s also how we fulfil this bigger mission to help everyone who comes to us for health care.”
Groundbreaking Alzheimer’s and cancer studies receive $7.2M boost
Lawson Research Institute scientists and partners will focus on molecular imaging and theranostics to potentially transform the detection and treatment of neurodegeneration and cancer.
The quest to advance detection and treatment of Alzheimer’s disease and to personalize cancer care has received a major boost, with $7.2 million in funding to Lawson Research Institute (Lawson) of St. Joseph’s Health Care London (St. Joseph’s) for first-of-its kind research.
Lawson scientists will partner with a broad team of researchers at London Health Sciences Centre Research Institute (LHSCRI), McMaster University, University Health Network and BC Cancer on the ground-breaking studies focused on molecular imaging and theranostics as a potential game-changer in detecting and treating neurodegeneration and cancer, particularly prostate, brain and breast cancer.
Principal investigator Ting-Yim Lee, PhD, Lawson’s Director of PET/CT Research, and his team of investigators were awarded $2 million through the Ontario Research Fund – Research Excellence for the study titled “Improving Cancer and Alzheimer’s Disease Diagnosis and Treatment Through Cutting-edge Molecular Imaging and Theranostics”. Co-Principal Investigator is radiation oncologist Dr. Glenn Bauman at LHSCRI.
Additional funding from private-sector partners and Lawson, as well as from donors through St. Joseph’s Health Care Foundation, brings the total research investment to $7.2 million.
The research has the potential to offer hope for solutions to some of the most prevalent and pernicious diseases affecting Canadians, explains Lee.
“Both research projects are the first of their kind in Canada aimed at advancing how we diagnose and treat Alzheimer’s disease and cancer,” he says. “This collaborative funding initiative will also drive innovation in the exciting field of molecular imaging and theranostics at St. Joseph’s, at the heart of which is St. Joseph’s new, high-sensitivity GE HealthCare Omni Legend 2 PET/CT – the first in Canada.”
The studies encompass the following:
- Alzheimer’s disease: The new PET/CT at St. Joseph’s allows researchers to simultaneously study both blood flow and glucose metabolism in the brain. Both these mechanisms are believed to be contributing factors in the onset of Alzheimer’s. By measuring both at the same time, the research team hopes to uncover early signs that the brain is in trouble and at risk of plaque deposits and toxic proteins that have been linked to the development of Alzheimer’s.
- Cancer: The cancer study will focus on developing theranostic techniques to achieve personalized dosimetry – a method used to determine the exact amount of radiation a patient should receive during treatment, based on their individual characteristics. This maximizes effective treatment while minimizing harm to healthy tissues.
Molecular imaging and theranostics is a rapidly emerging field of medicine that combines ultra-precise scans and theranostics (a term that melds the words therapeutics and diagnostics). Together, they offer a one-two punch by integrating imaging and radiotracers that can identify the location and extent of diseased tissues and selectively destroy the abnormal cells while leaving surrounding healthy cells undamaged. In collaboration with GE HealthCare, St. Joseph’s is developing Canada’s first GE HealthCare Centre of Excellence in Molecular Imaging and Theranostics.
“By bridging the gap between research and clinical practice, we hope to ease the burden on patients and their families, offering more effective and compassionate care”
-Ting-Yim Lee, PhD, Director of PET/CT Research at Lawson Research Institute.
“We are already seeing the impact of novel theranostics for treatment of men with advanced prostate cancer,” says Bauman. “Promising new theranostic approaches are emerging for many cancers and this investment further positions London to be a leader in this area of research.”
In the initial phase of the studies, 100 patients will be recruited from St. Joseph’s Aging Brain and Memory Clinic at Parkwood Institute for the Alzheimer’s study; while 90 patients will be recruited from London Health Sciences Centre’s Verspeeten Family Cancer Centre for cancer studies. There are plans to recruit patients from the collaborating centres once results from the initial phase are confirmed.
“By bridging the gap between research and clinical practice, we hope to ease the burden on patients and their families, offering more effective and compassionate care,” says Lee. “We are deeply grateful for the opportunity to turn our research into real-world solutions that can make a meaningful impact.”
With dozens of 'firsts' in imaging research, “Lawson is a powerhouse of innovation,” adds Michael Kovacs, PhD, Program Lead, Lawson’s Imaging Research Program, and Lead, Cyclotron & PET Radiochemistry Facility. “We're excited to explore how this work could transform care."
Keeping an eye on care of the future
Dr. Khaldon Abbas is using his curiosity and passion for ophthalmology to improve patient care and outcomes for people with eye diseases and disorders.
While in university, Dr. Khaldon Abbas had a deeply moving experience as a volunteer with the Canadian Centre for Victims of Torture (CCVT) that changed the trajectory of his life and career.
The community-based organization helps victims of war and torture, and Abbas, whose family immigrated to Canada from Iraq a little more than a decade before, wanted to share his skills as a translator and tutor with newcomers.
“I came to Canada when I was 12. I had limited English, we had no family or friends here, and it was really hard to acclimate,” says Abbas. “I wanted to give back to the community and to be there for immigrant families who were facing similar challenges that my family had to deal with.”
During one shift with CCVT, Abbas was paired with a family from Syria, whose nine-year old daughter was losing her eyesight. She was living with retinal dystrophy, a degenerative disorder that can progress to complete blindness.
Witnessing the impact the eye disorder had on the young girl and her family inspired Abbas to further his own education and set a goal to become an ophthalmologist.
That was eight years ago. Since then, Abbas spent several years working as a clinical research coordinator and completed four years of medical school at the University of British Columbia.
Today, he is a clinical research fellow at the Ivey Eye Institute of St. Joseph’s Health Care London (St. Joseph’s) – a position supported through St. Joseph’s Health Care Foundation thanks to the generosity of donors.
During the next year, Abbas’ research will focus on improving patient care and outcomes for people with eye diseases and disorders.
Drs. Phil Hooper, Verena Juncal and Tom Sheidow, all retinal surgeons at Ivey Eye, are the impetus behind the fellowship and now serve as Abbas’ mentors. Through the fellowship, the trio wanted to expand their clinical research program which is heavily focused on clinical trials. Their goal was to delve into quality improvement projects and explore, among other things, patient data, referral patterns and wait times – information that could guide Ivey Eye in refining care to better understand how to improve the overall flow of patient care.
As surgeons at the largest single-site eye care centre in Canada committed to innovative care, the Ivey Eye physician leaders felt a responsibility to make this work a reality.
“We started talking about this about three years ago,” says Sheidow. “We were familiar with similar roles at other academic eye care centres and we were fortunate to have some funding, so we brought the idea to the foundation and started to craft the terms of reference,” he adds.
Abbas is the second physician in this fellowship, following in the footsteps of Dr. Amy Basilious, who is now in her second year of residency at Ivey Eye.
“Amy did an exceptional job as our inaugural fellow and we were looking for someone with similar characteristics – bright, curious, motivated, a self-starter and a passion for ophthalmology,” says Sheidow. “Khaldon has all of that and more,” he adds, referring to Abbas’ interest and background in clinical trial work.
Even before arriving in London for the fellowship, Abbas began working with his new team to generate research project ideas and shape a research plan. Among the projects he will tackle is one that will assess the effectiveness and complications of lens exchange surgeries, and another in collaboration with Basilious focused on macular hole repairs.
He will also spearhead two quality improvement studies aimed at streamlining the referral process to Ivey Eye for optometrists and enhancing education and information resources for patients with eye diseases and disorders. Through his work, Abbas is excited to build his research skills, forge new professional connections and see some of his research translated into tangible improvements in patient care.
He’s grateful to Hooper, Juncal and Sheidow, along with St. Joseph’s and the Foundation, for their vision and spirit of innovation in establishing the fellowship.
“Everyone has been extremely welcoming and supportive of me, especially my mentors and fellow co-workers” he says. “There’s a real family environment at St. Joseph’s. I feel like this is my new home away from home.”
Landmark study investigates potential of Ambroxol, a cough medicine, to slow Parkinson’s-related dementia
Researchers at Lawson are studying Ambroxol - a common cough medicine in Europe - as a potential treatment for dementia linked to Parkinson’s disease.
LONDON, Ont. – Dementia poses a major health challenge with no safe, affordable treatments to slow its progression.
Researchers at Lawson Research Institute (Lawson), the research arm of St. Joseph’s Health Care London, are investigating whether Ambroxol - a cough medicine used safely for decades in Europe - can slow dementia in people with Parkinson’s disease.
Published today in the prestigious JAMA Neurology, this 12-month clinical trial involving 55 participants with Parkinson’s disease dementia (PDD) monitored memory, psychiatric symptoms and GFAP, a blood marker linked to brain damage.
Parkinson’s disease dementia causes memory loss, confusion, hallucinations and mood changes. About half of those diagnosed with Parkinson’s develop dementia within 10 years, profoundly affecting patients, families and the health care system.
Led by Cognitive Neurologist Dr. Stephen Pasternak, the study gave one group daily Ambroxol while the other group received a placebo.
“Our goal was to change the course of Parkinson’s dementia,” says Pasternak. “This early trial offers hope and provides a strong foundation for larger studies.”
Key findings from the clinical trial include:
Ambroxol was safe, well-tolerated and reached therapeutic levels in the brain.
Psychiatric symptoms worsened in the placebo group but remained stable in those taking Ambroxol.
Participants with high-risk GBA1 gene variants showed improved cognitive performance on Ambroxol.
A marker of brain cell damage (GFAP) increased in the placebo group but stayed stable with Ambroxol, suggesting potential brain protection.
Although Ambroxol is approved in Europe for treating respiratory conditions and has a long-standing safety record - including use at high doses and during pregnancy - it is not approved for any use in Canada or the U.S.
“Current therapies for Parkinson’s disease and dementia address symptoms but do not stop the underlying disease,” explains Pasternak. “These findings suggest Ambroxol may protect brain function, especially in those genetically at risk. It offers a promising new treatment avenue where few currently exist.”
An old drug with new possibilities
Ambroxol supports a key enzyme called glucocerebrosidase (GCase), which is produced by the GBA1 gene. In people with Parkinson’s disease, GCase levels are often low. When this enzyme doesn’t work properly, waste builds up in brain cells, leading to damage.
Pasternak learned about Ambroxol during a fellowship at The Hospital for Sick Children (SickKids) in Toronto, where it was identified as a treatment for Gaucher disease - a rare genetic disorder in children caused by a deficiency of GCase. He is now applying that research to explore whether boosting GCase with Ambroxol could help protect the brain in Parkinson’s related diseases.
“This research is vital because Parkinson’s dementia profoundly affects patients and families,” says Pasternak. “If a drug like Ambroxol can help, it could offer real hope and improve lives.”
Funded by the Weston Family Foundation, this study is an important step toward developing new treatments for Parkinson’s disease and other cognitive disorders, including dementia with Lewy bodies. Pasternak and his team plan to start a follow-up clinical trial focused specifically on cognition later this year.
- 30 –
Dr. Stephen Pasternak is available for interviews on June 30.
To arrange, please contact:
Allison Hansen, Communication Consultant
St. Joseph’s Health Care London
Cell: 519-933-4272
About Lawson Research Institute: Lawson Research Institute, the health innovation arm of St. Joseph's Health Care London, is committed to making and sharing discoveries that improve lives locally and internationally. Every day, Lawson researchers work to transform imagination to innovation to patient impact. Lawson leads health-care research. Find us online at sjhc.london.on.ca/research and on social media @stjosephslondon
noteWORTHY – Teamwork and patients inspire clinical research assistant
St. Joseph’s celebrates people who provide exceptional care, grow stronger communities and contribute to a healthier world. Today, meet Heather LaPier, a clinical research assistant whose work helps keep clinical research running smoothly for four Lawson research scientists in diabetes and nephrology. She is a liaison among patients, researchers, clinicians, ethicists, regulatory bodies and pharmaceutical companies.
What values or people inspire your work:
I couldn’t ask for better than the physicians and researchers I work with. It’s a true team. We can bring our own ideas and expertise and know that we’re valued. We’re all good at showing appreciation for each other.
Best part of your workday:
Visiting with people receiving dialysis. They have treatment four hours a day, three times a week, so they’re used to talking with physicians and staff and we get to know them really well. They’re honest and funny – and, despite living with a chronic illness, they’re some of the most positive people I’ve ever met.
What one thing do you wish people knew about your work?
Our job is to advocate for patients and protect them, so every study is carefully designed, planned, regulated and monitored. We work to find solutions to patients’ health issues, and that means putting them first.
One big thing people should know is that participants in clinical trials and research studies get extra care and attention. Other patients have regular appointments, maybe every six months, but as a participant in research they’ll have even more frequent monitoring. So even though they’re helping advance medical knowledge generally and there’s no certainty of direct benefit to them from a specific clinical trial, they do have a whole team of people fully involved in their current care. Any time they have a question, they have direct access to an endocrinologist or nephrologist.
Why this work is meaningful to you:
It’s definitely exciting and always interesting. It can be easy to get caught up in the day-to-day tasks – but I never want to lose sight of the fact patients are living longer and better lives because of the work we’re doing. I have a front-row seat when patients come in for visits and tell us a diabetes treatment or a dialysis intervention is making them feel better.
Back-story:
My mom has been a nurse for over 30 years, so I grew up in a home where we talked about health and patient care a lot. We have a shared language. After my university degree, I applied to college for either forensic science or clinical research. I’m so glad clinical research is where I landed.
One other thing:
I love learning about the history of the Second World War, specifically naval ships and naval battles. It seems totally random, but I studied it as one of my non-science courses in university. I still find it fascinating.
Well said:
Heather is a true gem – highly skilled, creative, and an outstanding team player who expertly manages multiple research projects and investigators. She has been a game-changer for diabetes, metabolic, and chronic disease research at Lawson Research Institute, supporting everything from qualitative studies to large randomized-controlled trials with innovative designs. Our successes wouldn’t have been possible without her.
- Dr. Kristen Clemens, St. Joseph’s endocrinologist and Lawson Research Institute scientist
Revolutionizing rehab
St. Joseph’s Health Care London is taking giant strides in the science of rehabilitation and movement, with direct benefit to patients.
St. Joseph’s is setting a long-time vision into motion.
“Five years ago, we had a vision of leveraging our long history and expertise in providing innovative rehabilitation treatments to improve the lives of people with mobility needs on a larger scale,” says Roy Butler, President and CEO of St. Joseph’s Health Care London (St. Joseph’s). “That dream has come to life.”
While experts at St. Joseph’s had the knowledge, innovative spirit and passion to achieve the vision, they needed a partner who shared the same enthusiasm.
William and Lynn Gray answered that call. With their generosity and ground-breaking investment, The Gray Centre for Mobility and Activity was created.
“Lynne and I are very pleased with the steady forward advancement of the centre’s mission since its establishment just a few short years ago,” says Bill Gray. “The innovative thinking and idea generation that seeks new solutions to the issue of mobility have really taken root. We hoped that The Gray Centre would have an impact on care ... and it has.”
“We’ve watched the development of The Gray Centre with enormous pride and are pleased to have our name associated with it, and the excellence it stands for,” adds Lynne Gray.
A unique concept
Established in 2020, The Gray Centre at St. Joseph’s Parkwood Institute is a regional hub focused on researching leading-edge treatments and interventions in mobility and activity. The centre’s unique model of linking research and care allows researchers to work side-by-side with clinicians, patients, and caregivers to uncover optimal methods for maintaining mobility throughout a person’s life.
“Scientists at The Gray Centre are leading the way in integrating technology and solutions in care to better understand how we can enhance each patient’s treatment plan to improve their functionality and ability to move,” says Butler.
Pioneering Research
More than 50 ongoing rehabilitation research projects at Parkwood Institute are exploring areas such as spinal cord and traumatic brain injury rehabilitation, pain, outcomes for amputees, virtual exercise and cognitive behavioral therapy, gait analysis as a measure of dementia progression, and stroke rehabilitation and recovery.
The Gray Centre is a catalyst and connector for these projects by investing in cutting-edge technology, providing seed grants, embedding researchers from Western University, leveraging clinical expertise, attracting world-class researchers and translating new knowledge into clinical practice by training students and clinicians, and fostering sustainable practice change.
More than $1.3 million granted through St. Joseph’s Health Care Foundation has advanced work at The Gray Centre over the past year. From researcher support to new equipment such as two transcranial magnetic stimulators, a portable handheld ultrasound and several sensored mats for gait assessment donors have stepped up to advance this work.
Leadership with Purpose
At the helm of The Gray Centre is Siobhan Schabrun, PhD, a world-renowned neuroscientist and the inaugural William and Lynne Gray Research Chair in Mobility and Activity. Thanks to a partnership with Western University’s Faculty of Health Sciences and Schulich School of Medicine & Dentistry, donor funding for the chair made through St. Joseph’s Health Care Foundation was matched, creating a $5-million endowed position.
Schabrun’s innovative research benefits people suffering from chronic pain. With a focus on non-invasive brain stimulation techniques to enhance neuroplasticity and improve mobility and activity outcomes, she and her team are, in essence, retraining the brain’s pain response. This innovative work bridges the gap between neuroscience and rehabilitation, offering new hope for individuals with musculoskeletal and neurological conditions.
Originally trained as a physiotherapist with a PhD in neuroscience from the University of Adelaide in Australia, Schabrun has attracted more than $15 million in competitive research funding and written or contributed to more than 140 scholarly publications.
FLOATing Forwards
The newest advancement is a first-in-Canada and a marvel of medical engineering that is transforming options in rehabilitation research and practice.
The Reha-Stim Medtec FLOAT system at St. Joseph’s Parkwood Institute enables patients with mobility limitations to walk, supported, without fear of falling. They "float" in a controlled environment using a combination of robotics, body-weight support and real-time feedback. The device has a harness attached to a robotic arm, which adjusts the level of support based on the patient's movements. Sensors provide continuous feedback for maximum learning and greatest benefit to physical therapists and patients alike. The FLOAT system has shown significant improvements in patients' mobility, balance and overall functional independence.
“Innovative equipment like the new FLOAT System is an example of the type of innovation that does not exist anywhere else in Canada,” says Bill Gray. “The real-life application of technologies like this are what The Gray Centre is intended to be about.”
Through the combined efforts of dedicated professionals, cutting-edge technology and philanthropist partners, St. Joseph’s Gray Centre has combined vision with passion and is transforming lives, one step at a time.
St. Joseph’s in partnership with Lawson to become Canada’s first centre of excellence in molecular imaging and theranostics
In a Canadian first, Lawson Health Research Institute (Lawson) and St. Joseph’s Health Care London (St. Joseph’s), in partnership with GE HealthCare, will become a centre of excellence in personalized treatment of cancer and other diseases by advancing the powerful blend of precision diagnostic imaging and targeted therapy.
This rapidly emerging field of medicine is called molecular imaging and theranostics (MIT). Molecular imaging provides detailed imaging at the molecular level and theranostics is a term that combines the words therapeutics and diagnostics. Together, MIT is a two-pronged approach to diagnosing and treating cancers and other diseases that merges imaging with the use of radiotracers that can not only identify the location and extent of diseased tissues but also selectively destroy the abnormal cells while leaving surrounding healthy cells undamaged.
“The centre will confirm St. Joseph’s and the wider London medical and scientific community as national and international leaders in advancing MIT in the diagnosis of disease, for instance in the identification of cancer and its sub-types, to allow more treatment options for patients,” says Dr. Narinder Paul, Lawson Scientist, Chief, Medical Imaging at St. Joseph’s and Physician Executive, Medical Imaging at London Health Sciences Centre (LHSC). “It will also allow for an expansion of scientific collaborations, increased numbers of scientific and medical learners, and access to the latest software to acquire and integrate imaging science with other patient information.”
The partnership with GE HealthCare will see St. Joseph’s become the first hospital in Canada to install the latest generation, state-of-the-art PET-CT from GE, which will be delivered to St. Joseph’s Hospital by September 2023. The new PET-CT will mean faster exams, better patient experience, more detailed images and increased accuracy in diagnosing disease at a lower dose of radiation for patients. It will also expand clinical care at St. Joseph’s by significantly enhancing research through the Imaging Research Group at Lawson, working together with researchers at LHSC, the London Regional Cancer Program, and Western University.
“We will leverage the combined scientific expertise and innovation of scientists from GE HealthCare and Lawson to maximize the future opportunities of molecular imaging theranostics made possible through PET- CT imaging and be leaders in Canada in this area of medical science,” says Dr. David Hill (D.Phil), Lawson’s Scientific Director.
As a dedicated MIT centre of excellence, St. Joseph’s will…
• Advance innovation and expand the science in precision imaging of disease through Lawson, and broaden the potential of PET-CT imaging
• Develop new treatment options for patients with cancer and other diseases
• Examine how to maximize the opportunities of digital health technologies to improve access for patients across Canada and optimize their treatment journeys
• Create a knowledge dissemination hub for Canada to educate and train others in the use of advanced imaging technologies, including how to organize hospital services to maximize access to patients and improve the health care system for all Canadians.
“St. Joseph’s is proud to be in partnership with GE HealthCare on this exciting opportunity to transform the care journey and outcomes for patients with cancer and other diseases, not only locally and regionally, but also nationally,” says Roy Butler (PhD), President and CEO of St. Joseph’s.
For patients seen in London, the benefits will include expanded use of PET-CT, the ability to extract more information from their diagnostic images more rapidly and with less radiation exposure compared to current procedures, greater diagnostic and treatment accuracy, and new options for treatment, particularly for cancers that are more difficult to treat.
“A personalized approach to medical care requires a very detailed understanding of the localization of disease and potential response to different treatment options,” says Dr. Paul who is also the Chair of Medical Imaging at Schulich School of Medicine & Dentistry at Western University. “We will be able to offer patients across our region access to the latest therapeutic options based on a deeper understanding of the nature of their individual disease conditions gained through next generation medical imaging.”
At its core, theranostics is about treating each patient as an individual, “recognizing that the same treatment plan doesn’t work for everyone – with the goal of providing more efficient and effective medical care,” adds says Mike Hamilton, President, GE HealthCare Canada. “This collaboration aims to advance this practice for the benefit of clinicians and patients around the world.”
St. Joseph’s and Lawson have invested in critical MIT infrastructure for more than two decades with an on-site cyclotron at St. Joseph’s Hospital, a radiochemistry laboratory, scientists to make the clinical grade reagents, Canada’s first PET-CT (2002), Canada’s first whole body PET-MRI (2012), and now Canada’s first next-generation PET-CT from GE HealthCare, says Dr. Ting-Yim Lee (PhD), Lawson’s Director of PET/CT Research and medical physicist at St. Joseph’s Hospital. There are also clinical trials research teams and state-of-the-art PET-CT cameras across London’s hospitals and Western, dedicated facilities at Western to develop new probes used to detect and diagnose disease, and the London Regional Cancer Program at LHSC.
In addition, there has been investment in research leadership roles through St. Joseph’s Health Care Foundation. Three donor-funded research chairs will be contributing to this important work.
“This makes the city the obvious location to maximize the development of this exciting new science for the benefit of patients,” says Dr. Lee. “London has an established record of working in partnership with global companies in the field of medical imaging and have together generated many discoveries that are now made available as best patient care.”
The new PET-CT at St. Joseph’s will replace an aging machine and has been made possible in part through the generosity of donors to St. Joseph’s Health Care Foundation, which is contributing $1 million to state-of-the-art machine.
Standing up to falls
By merging world class care with research and artificial intelligence, St. Joseph’s Health Care London is catching falls before they happen.
They wreak havoc on independence and well-being, making them one Canada’s most pressing health challenges: falls.
A leading cause of injury-related hospitalizations, even death, among older adults, a fall can happen anytime, anywhere – with 50 per cent occurring at home. But what if we could predict and prevent falls before they happen?
A pioneering initiative at St. Joseph’s Health Care London (St. Joseph’s) is doing just that. The 3FM Clinic, short for Falls, Fractures, Frailty and Mobility, at St. Joseph’s Parkwood Insitute is at the leading edge of falls prevention in Canada, integrating research with clinical practice to offer hope and practical solutions to older adults.
Led by St. Joseph’s geriatrician Dr. Jaspreet Bhangu and Western University rehabilitation scientist and physiotherapist Janelle Unger, PhD, the visionary 3FM Clinic is working to prevent falls before they happen.
“We know there are a number of factors that can cause an older adult to fall such as illness, medication side effects, balance and gait issues, cognitive impairment, visual changes and environmental hazards,” says Bhangu. “What we’re working to understand is how those factors together impact individual patients and their risk of falling.”
To do so, the 3FM Clinic team – one of the largest, most diverse teams of its kind in the country – completes a multi-step evaluation of patients:
- Nurses gather their medical history, current medications, functional abilities and personal goals.
- Physical therapists measure the patient’s gait (how they walk) and balance to understand their physical capabilities.
- Occupational therapists test their vision, cognitive function and identify issues that might hinder the individual’s ability to perform routine tasks safely.
- A geriatrician focuses on medical risk factors such as bone health, medications and cardiovascular health to help manage risks associated with aging. The team then creates a customized care plan that incorporates exercises, therapeutic interventions and educational strategies.
On the research side, Unger and her team in the RED Neuro Lab at St. Joseph’s Gray Centre for Mobility and Activity are leveraging artificial intelligence (AI) to predict falls more accurately.
“Traditional fall prediction models often rely on limited data and lack real-world input from clinicians and patients,” explains Unger. “By partnering with Bhangu and the clinical team, as well as the patients in the 3FM Clinic, we’re able to integrate clinical information with biomechanical data collected from wearable sensors known as inertial measurement units (IMUs).”
An IMU is a device that tracks and measures a person’s movement and orientation and provides valuable data on how that person moves and stays stable.
“We plan to use AI to analyze the data collected through the IMU’s and are working to create accurate fall prediction models,” says Unger. “This research, funded by Western’s Bone and Joint Institute, has the potential to improve care decisions, enhance preventive strategies and ultimately reduce the incidence of fall-related injuries and hospitalizations for our patients and people across the globe.”
By embracing innovative research and compassionate care, the 3FM Clinic is a model for future efforts in fall prevention and geriatric care, offering a safer, more independent future for older adults.
You can prevent falls too:
- Use assistive devices: Properly fitted walkers or canes provide essential support and stability.
- Fitted footwear: Shoes (not slippers or flip-flops) with appropriate tread and low heels help prevent slips and falls. They should also fit your feet.
- Home improvements: Improved lighting, clear walkways and assistive bathroom fixtures.
- Exercise: Participate in strength and balance exercises to enhance physical fitness.
- Medication reviews: Regularly have your medications reviewed to identify if you are at risk of falling.
Third-party review of animal research at Lawson Research Institute, St. Joseph’s Health Care London
In August 2025, members of our community raised concerns about our animal research program at Lawson Research Institute (Lawson). While we were confident we followed all regulations and ethical standards, we commissioned an independent third-party review of animal research at Lawson and indicated we would make the results of that review public.
What the third-party review found:
- Lawson met all regulatory, ethical and professional standards in animal research.
- There was no evidence of intentional secrecy, concealment or avoidance of oversight. The research is reported in peer-reviewed publications, grant disclosures and academic presentations - all available to the public.
- No other animal or non-animal model could have been used to achieve the translational outcomes the researchers were trying to achieve.
What areas of improvement did they identify?
Recommendations include improved communication between St. Joseph’s, Lawson, Western University and Western’s Animal Care Committee, with clear accountabilities for decision making, to ensure all parties are aware of their unique roles and responsibilities, to update shared agreements and policies, including transparency plans and enhance the process for reporting of concerns.
What other reviews were completed?
- Western Animal Care Committee Report
- Canadian Council on Animal Care Special Assessment Report
- Ontario Ministry of Agriculture, Food and Agribusiness inspection Report
The majority of the key findings of these reports align with those of the third-party panel.
What’s next?
We are developing an action plan to address all recommendations and are working with our partners on next steps.
Animal research remains an important part of medical discovery. The life-saving imaging approaches developed at Lawson are now standard of care worldwide for people suffering from heart disease and heart attacks. We are immensely proud of the work our researchers conduct every day to save and improve lives.
Thank you,
Roy Butler, PhD
President and CEO
Jeremy Burton, PhD
Interim Vice-President
Research and Scientific Director Lawson Research Institute