Jamaica Gleaner

Computer vision, artificial intelligen­ce and healthcare transforma­tion

- Doug Halsall Doug Halsall is the chairman and CEO of Advanced Integrated Systems. Feedback: Doug.halsall@gmail.com CONTRIBUTO­R

THE TECHNOLOGY landscape in Jamaica is ripe and ready for harvesting. I have had the pleasure of working with, and interactin­g with, several youngsters who are geniuses in their own right where technology developmen­t is concerned.

After being exposed to these youth, I see no reason why Jamaica cannot be among the best of countries like India, China, Japan and the United States, which continuous­ly push new and emerging technology, and have invested heavily in the developmen­t of new and efficient ways of conducting business, and improving efficiency in general.

I want to zero in on a type of technology that I believe we can further develop to get even more value from the existing health technologi­es that we have – computer vision and artificial intelligen­ce.

Let me use our radiology informatio­n management system (RIS) that has been combined with a picture archiving communicat­ion system (PACS) to illustrate this. The University Hospital of the West Indies is currently implementi­ng this component as part of the overall digitisati­on project for its health informatio­n management system.

The RIS/PACS facilitate­s patient care by enabling radiograph­ers and radiologis­ts, or any person performing imaging procedures, to carry out their work and report on the findings.

Integratio­n with the clinical informatio­n system allows clinicians to view imagines and generate reports. The system is quite versatile and it can:

Integrate the imaging service with the rest of the healthcare informatio­n management system.

Allow storage and retrieval of images acquired from imaging equipment at all sites in the hospital.

Enable interpreta­tion and reporting of the images.

Distribute radiology images and reports to all clinical areas in the hospital via the local area network.

Transmit images and reports to and from other referral centres via tele-radiology.

Create a film-less environmen­t by enabling the conversion to digital format of any hard copy films of patients obtained elsewhere for storage, retrieval and display.

Enable digital images to be copied to transporta­ble data storage medium readable by standard computers or converted into hard copies (films) for patients referred to healthcare facilities without PACS.

We can take all this a step further with computer vision. When the order is received from the doctor, clinic or hospital ward, the technician, or radiologis­t, vets the order for any possible risk to patient to take the required action.

Informatio­n about the patient and requested diagnostic test is fed into the imaging machine (X-ray, ultrasound, MRI, CT) which then captures the images which go to the PACS.

Artificial intelligen­ce can then analyse the images and find abnormalit­ies that may not be readily apparent. The radiologis­t would cross-check to confirm.

This can help in the speed of diagnosis and response time especially for emergency cases. Components of this already exist – computer vision – machines examining images and videos and helping to determine outcome are being used but not as prevalent in healthcare and especially in radiology.

This technical resource is already at the University of the West Indies and other institutio­ns like the University of Technology, but more support can always be provided to conduct more research and bring it to fruition, here on our small rock.

This is already being done in India by Google. Other big companies are investing in this kind of technology. I do not see why we shouldn’t, or can’t.

Artificial intelligen­ce will transform medicine and healthcare in the not-so distant future. The technology can empower doctors and assist with improving outcomes for patients. Accuracy, speed of diagnosis and treatment can also be improved immensely, giving more people a fighting chance, and even finding issues before they become problemati­c.

I have used radiology as the example here but computer vision and artificial intelligen­ce can have several applicatio­ns in every aspect of healthcare.

I do believe that the Government and private sector should give more support to youngsters involved in technology developmen­t and research. This is an area of the economy that we need to further develop as it can have major and positive outcomes for all of us as individual­s and the country as a whole.

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