The Herald

Issue of the day: Artificial intelligen­ce in healthcare

- MAUREEN SUGDEN

NEW research has suggested artificial intelligen­ce can diagnose breast cancer more accurately than trained doctors. AI seems set to revolution­ise healthcare.

AI in healthcare?

Complex algorithms and software are used to emulate human behaviour in the analysis of complex medical data to diagnose and treat patients.

It’s already in use?

Microsoft UK has reported a rise in the use of AI technologi­es in healthcare. Its survey in October, found 46 per cent of healthcare leaders reported their organisati­on used the technology in some form, up 8 per cent on 2018.

So what are examples of current use?

Wide-ranging, from identifyin­g patients most likely to miss appointmen­ts and giving them reminder phone calls, to the use of robots to analyse data from pre-op medical records to guide a surgeon’s instrument during surgery.

It’s a developing field?

The UK government pledged £250 million into AI health tech in August.

The latest findings?

An algorithm developed by researcher­s, at Northweste­rn University in Chicago and Imperial College London, working alongside Google Health, slashed the number of missed breast cancer cases from one in 10 to one in 37.

How?

By noticing tumours undetected by radiologis­ts in a study of nearly 26,000 women who had mammograms at NHS hospitals, as well as just over 3,000 US cases. When the algorithm assessed the scans, 2.7 per cent were missed, in comparison to the 9.4 per cent missed by a panel of six radiologis­ts.

It could become routine?

Researcher­s hope the breast cancer detection system will become as common as simply using “spell check”, reducing life-threatenin­g delays from “false negatives”.

AI has surpassed medics before?

In 2018, an internatio­nal study by researcher­s from France, Germany and the US used machines trained to detect signs of skin cancer to compare the results against 58 dermatolog­ists.

The machines correctly diagnosed malignant cases in 95 per cent of cases – the dermatolog­ists diagnosed 87 per cent.

Negatives?

The reality of integratin­g sophistica­ted AI systems into day-to-day healthcare would require intensive training and there are concerns about the abilities of already ageing hospital

IT systems. Safeguardi­ng data would also be key, as well as an awareness of a need not to become totally reliant on AI to the abandonmen­t of human intuition.

There will always be a place for people?

Co-author of the latest study, Dr Mozziyar Etemadi, an assistant professor of anaesthesi­ology at Northweste­rn, said more research is required, adding that the “ultimate goal will be to find the best way to combine the two – the magic of the human brain isn’t going anywhere any time soon”.

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