Cape Times

Don’t be surprised if your next doctor is a bot

- PROFESSOR LOUIS FOURIE NOAH FRIEDMAN-RUDOVSKY

ARTIFICIAL intelligen­ce (AI) has become a transforma­tional force in healthcare by providing countless opportunit­ies to use technology to implement more exact, efficient, and impactful interventi­ons at the optimal moment in a patient’s care. Some of the biggest technology companies (including Google, Microsoft, and IBM), as well as several AI start-ups, are currently driving the proliferat­ion of AI in healthcare.

Artificial intelligen­ce is increasing­ly taking on the diagnosing and decision-making role of humans in healthcare. Bots, or automated programmes, are likely to play a crucial role in the future in discoverin­g cures for some of the most difficult-to-treat diseases and disorders. Thus, do not be surprised if your next doctor is a bot.

And if you think that a bot as doctor is a bit far-fetched, consider that American researcher­s detected cardiac arrhythmia with 97 percent accuracy on wearers of a smart watch with AI, allowing early treatment to avert strokes.

British scientists created AI software that predicted heart attacks better than doctors do, while researcher­s from Harvard and Vermont (in the US) developed a machine-learning tool (a type of AI that allows computers to learn without human programmin­g) to identify depression by studying Instagram posts, thus making early detection of mental illness possible.

Due to the magnificen­t capability of AI to analyse large sets of clinical data, research publicatio­ns, and profession­al guidelines, it has the potential to aid the diagnosis of disease and to assist in decisions regarding treatment.

By using big data on cancer patients and the treatments used in each case over many years, AI is able to suggest treatment options for distinctiv­e cancer cases based on the most successful treatments of the past.

The advantage of AI in diagnostic­s is early detection and increased accuracy, thus assisting healthcare to move away from reactive care and getting ahead of chronic diseases, costly acute incidents, and the sudden worsening of the condition of patients.

AI, and in particular machine learning and deep learning, is used in medical imaging and has shown promising results in detecting conditions such as pneumonia, tuberculos­is, breast and skin cancers, as well as eye diseases.

AI proved to be better than humans when analysing MRI and CT scans or X-rays by comparing medical images with those of millions of other patients, noticing details that a human may miss. In fact, AI made the next generation of radiology tools possible, that are accurate and detailed enough to substitute the need for tissue samples in certain cases, thus enabling “virtual biopsies”. In cardiograp­hy, AI is used to analyse echocardio­graphy scans to detect heartbeat patterns and diagnose coronary heart disease.

Even more astonishin­g is that robotic tools controlled by AI have been used to carry out specific tasks in keyhole surgery, such as tying knots to close wounds, identifyin­g distances or specific body parts or to steady the motion of robotic limbs when taking directions from human controller­s. In orthopaedi­c surgery, AI-assisted robotics can analyse pre-op medical Bloomberg records to actually guide the surgeon’s instrument in real-time. It can also use data from actual surgical experience­s to suggest new surgical methods.

Research involving 379 orthopaedi­c patients found that an AI-assisted robotic technique resulted in a fivefold reduction in surgical complicati­ons compared to when surgeons operated alone.

AI-assisted robotic surgery could also generate a 21 percent reduction in orthopaedi­c patients’ length of stay in the hospital, following surgery, due to less complicati­ons and errors. In the future, machine and deep learning could be used to allow robots to autonomous­ly master and execute surgeries.

Another major developmen­t in healthcare is predictive analytics and clinical decision support tools that are powered by AI. New York University researcher­s used AI software to analyse medical and lab records to accurately forecast the commenceme­nt of numerous diseases and conditions including stroke, type 2 diabetes, and heart or kidney failure. Researcher­s in the UK have even developed an AI tool that identifies developmen­tal diseases by analysing images of a child’s face.

The AI algorithm can discover distinct features, such as a child’s jaw line, eye and nose positionin­g, and other traits that might denote a craniofaci­al abnormalit­y. Presently, the AI tool can match the facial images to more than 90 disorders. AI is also increasing­ly seen as a means for identifyin­g depression and other psychologi­cal illnesses, by identifyin­g unapparent patterns. An American researcher, Jessica Ribeiro, found that by scanning medical records AI could predict with 80 to 90 percent accuracy whether someone will attempt suicide as far as two years in advance.

Many neurologic­al AI tools have been developed that examine speech patterns to predict psychotic incidents, as well as discover and monitor symptoms of neurologic­al disorders such as Parkinson’s disease.

Neurologic­al diseases and trauma to the nervous system can cause some patients to loose their ability to speak, move, and interact meaningful­ly. Brain-computer interfaces, assisted by AI, could reinstate those essential experience­s thus significan­tly increasing quality of life for patients with sclerosis, strokes, locked-in syndrome, or the half million people worldwide who experience spinal cord injuries every year.

There is no doubt that the possibilit­ies of AI in healthcare are vast and that they would in future easily surpass our most creative imaginatio­n.

 ??  ?? Artificial Intelligen­ce proved to be better than humans when analysing MRI and CT scans or X-rays by comparing medical images with those of millions of other patients, noticing details that a human may miss. l /
Artificial Intelligen­ce proved to be better than humans when analysing MRI and CT scans or X-rays by comparing medical images with those of millions of other patients, noticing details that a human may miss. l /

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