Artificial intelligence in clinical practice: Implications for physiotherapy education

2019 ◽  
Author(s):  
Michael Rowe ◽  
Keyword(s):  
Artificial Intelligence ◽  
Clinical Practice ◽  
Economic Education ◽  
Steam Engine ◽  
Cognitive Capacity ◽  
Data Sets ◽  
Human Beings ◽  
Physiotherapy Practice ◽  
Recent Emergence ◽  
Physiotherapy Education

About 200 years ago the invention of the steam engine triggered a wave of unprecedented development and growth in human social and economic systems, whereby human labour was either augmented or completely supplanted by machines. The recent emergence of artificially intelligent machines has seen human cognitive capacity enhanced by computational agents that are able to recognise previously hidden patterns within massive data sets. The characteristics of this technological advance are already influencing all aspects of society, creating the conditions for disruption to our social, economic, education, health, legal and moral systems, and which may have a more significant impact on human progress than did the steam engine. As this emerging technology becomes increasingly embedded within devices and systems, the fundamental nature of clinical practice will evolve, resulting in a healthcare system that may require concomitant changes to health professions education. Clinicians in the near future will find themselves working with information networks on a scale well beyond the capacity of human beings to grasp, thereby necessitating the use of artificial intelligence (AI) to analyse and interpret the complex interactions of data, patients and the newly-constituted care teams that will emerge. This paper describes some of the possible influences of AI-based technologies on physiotherapy practice, and the subsequent ways in which physiotherapy education will need to change in order to graduate professionals who are fit for practice in a 21st-century health system.

scholarly journals Artificial Intelligence Explained for Nonexperts

2020 ◽  
Vol 24 (01) ◽  
pp. 003-011 ◽  
Author(s):  
Narges Razavian ◽  
Florian Knoll ◽  
Krzysztof J. Geras
Keyword(s):  
Artificial Intelligence ◽  
Neural Networks ◽  
Clinical Practice ◽  
Medical Imaging ◽  
Deep Neural Networks ◽  
Large Data ◽  
Large Data Sets ◽  
Natural Images ◽  
Data Sets ◽  
Current State

AbstractArtificial intelligence (AI) has made stunning progress in the last decade, made possible largely due to the advances in training deep neural networks with large data sets. Many of these solutions, initially developed for natural images, speech, or text, are now becoming successful in medical imaging. In this article we briefly summarize in an accessible way the current state of the field of AI. Furthermore, we highlight the most promising approaches and describe the current challenges that will need to be solved to enable broad deployment of AI in clinical practice.

Humor, Ethics, and Dignity: Being Human in the Age of Artificial Intelligence

2019 ◽  
Vol 33 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Sean Kanuck
Keyword(s):  
Artificial Intelligence ◽  
New Technologies ◽  
Ethical Reasoning ◽  
Machine Learning Algorithms ◽  
Training Data ◽  
Data Sets ◽  
Human Beings ◽  
Human In The Loop ◽  
Software Algorithms ◽  
Decision Making Processes

AbstractThe growing adoption of artificial intelligence (AI) raises questions about what comparative advantage, if any, human beings will have over machines in the future. This essay explores what it means to be human and how those unique characteristics relate to the digital age. Humor and ethics both rely upon higher-level cognition that accounts for unstructured and unrelated data. That capability is also vital to decision-making processes—such as jurisprudence and voting systems. Since machine learning algorithms lack the ability to understand context or nuance, reliance on them could lead to undesired results for society. By way of example, two case studies are used to illustrate the legal and moral considerations regarding the software algorithms used by driverless cars and lethal autonomous weapons systems. Social values must be encoded or introduced into training data sets if AI applications are to be expected to produce results similar to a “human in the loop.” There is a choice to be made, then, about whether we impose limitations on these new technologies in favor of maintaining human control, or whether we seek to replicate ethical reasoning and lateral thinking in the systems we create. The answer will have profound effects not only on how we interact with AI but also on how we interact with one another and perceive ourselves.

scholarly journals Artificial Intelligence and Machine Learning in Prostate Cancer Patient Management—Current Trends and Future Perspectives

Diagnostics ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 354
Author(s):  
Octavian Sabin Tătaru ◽  
Mihai Dorin Vartolomei ◽  
Jens J. Rassweiler ◽  
Oșan Virgil ◽  
Giuseppe Lucarelli ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Artificial Intelligence ◽  
Machine Learning ◽  
Digital Pathology ◽  
Machine Learning Algorithms ◽  
Smart Devices ◽  
Data Sets ◽  
Human Beings ◽  
Proper Actions ◽  
Patient Will

Artificial intelligence (AI) is the field of computer science that aims to build smart devices performing tasks that currently require human intelligence. Through machine learning (ML), the deep learning (DL) model is teaching computers to learn by example, something that human beings are doing naturally. AI is revolutionizing healthcare. Digital pathology is becoming highly assisted by AI to help researchers in analyzing larger data sets and providing faster and more accurate diagnoses of prostate cancer lesions. When applied to diagnostic imaging, AI has shown excellent accuracy in the detection of prostate lesions as well as in the prediction of patient outcomes in terms of survival and treatment response. The enormous quantity of data coming from the prostate tumor genome requires fast, reliable and accurate computing power provided by machine learning algorithms. Radiotherapy is an essential part of the treatment of prostate cancer and it is often difficult to predict its toxicity for the patients. Artificial intelligence could have a future potential role in predicting how a patient will react to the therapy side effects. These technologies could provide doctors with better insights on how to plan radiotherapy treatment. The extension of the capabilities of surgical robots for more autonomous tasks will allow them to use information from the surgical field, recognize issues and implement the proper actions without the need for human intervention.

scholarly journals Beginnings of Artificial Intelligence in Medicine (AIM): Computational Artifice Assisting Scientific Inquiry and Clinical Art – with Reflections on Present AIM Challenges

2019 ◽  
Vol 28 (01) ◽  
pp. 249-256 ◽  
Author(s):  
Casimir A. Kulikowski
Keyword(s):  
Artificial Intelligence ◽  
Deep Learning ◽  
Clinical Practice ◽  
Problem Solving ◽  
Computational Modeling ◽  
Scientific Inquiry ◽  
Medical Decision ◽  
Biomedical Science ◽  
Human Beings ◽  
Knowledge Based

Background: The rise of biomedical expert heuristic knowledge-based approaches for computational modeling and problem solving, for scientific inquiry and medical decision-making, and for consultation in the 1970’s led to a major change in the paradigm that affected all of artificial intelligence (AI) research. Since then, AI has evolved, surviving several “winters”, as it has oscillated between relying on expensive and hard-to-validate knowledge-based approaches, and the alternative of using machine learning methods for inferring classification rules from labelled datasets. In the past couple of decades, we are seeing a gradual but progressive intertwining of the two. Objectives: To give an overview of early directions in AI in medicine and threads of some subsequent developments motivated by the very different goals of scientific inquiry for biomedical research, and for computational modeling of clinical reasoning and more general healthcare problem solving from the perspective of today’s “AI-Deep Learning Boom”. To show how, from the beginning, AI was central to Biomedical and Health Informatics (BMHI), as a field investigating how to understand intelligent thinking in dealing professionally with the practice for healthcare, developing mathematical models, technology, and software tools to aid human experts in biomedicine, despite many previous bouts of “exuberant optimism” about the methodologies deployed. Methods: An overview and commentary on some of the early research and publications in AI in biomedicine, emphasizing the different approaches to the modeling of problems involved in clinical practice in contrast to those of biomedical science. A concluding reflection of a few current challenges and pitfalls of AI in some biomedical applications. Conclusion: While biomedical knowledge-based systems played a critical role in influencing AI in its early days, 50 years later they have taken a back seat behind “Deep Learning” which promises to discover knowledge structures for inference and prediction, both in science and for clinical decision-support. Early work on AI for medical consultation turned out to be more useful for explanation and teaching than for clinical practice, as had been originally intended. Today, despite the many reported successes of deep learning, fundamental scientific challenges arise in drawing on models of brain science, cognition, and language, if AI is to augment and complement rather than replace human judgment and expertise in biomedicine while also incorporating these advances for translational medicine. Understanding clinical phenotypes and how they relate to precision and personalization of care requires not only scientific inquiry, but also humanistic models of treatment that respond to patient and practitioner narrative exchanges, since it is the stories and insights of human experts which encourage what Norbert Weiner termed the ethical “human use of human beings”, so central to adherence to the Hippocratic Oath

scholarly journals Interventional radiology and artificial intelligence in radiology: Is it time to enhance the vision of our medical students?

2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Pierre Auloge ◽  
Julien Garnon ◽  
Joey Marie Robinson ◽  
Sarah Dbouk ◽  
Jean Sibilia ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Interventional Radiology ◽  
Clinical Practice ◽  
Medical Students ◽  
Medical Curriculum ◽  
New Technology ◽  
Large Population ◽  
The Other ◽  
Clinical Phase ◽  
Preclinical Phase

Abstract Objectives To assess awareness and knowledge of Interventional Radiology (IR) in a large population of medical students in 2019. Methods An anonymous survey was distributed electronically to 9546 medical students from first to sixth year at three European medical schools. The survey contained 14 questions, including two general questions on diagnostic radiology (DR) and artificial intelligence (AI), and 11 on IR. Responses were analyzed for all students and compared between preclinical (PCs) (first to third year) and clinical phase (Cs) (fourth to sixth year) of medical school. Of 9546 students, 1459 students (15.3%) answered the survey. Results On DR questions, 34.8% answered that AI is a threat for radiologists (PCs: 246/725 (33.9%); Cs: 248/734 (36%)) and 91.1% thought that radiology has a future (PCs: 668/725 (92.1%); Cs: 657/734 (89.5%)). On IR questions, 80.8% (1179/1459) students had already heard of IR; 75.7% (1104/1459) stated that their knowledge of IR wasn’t as good as the other specialties and 80% would like more lectures on IR. Finally, 24.2% (353/1459) indicated an interest in a career in IR with a majority of women in preclinical phase, but this trend reverses in clinical phase. Conclusions Development of new technology supporting advances in artificial intelligence will likely continue to change the landscape of radiology; however, medical students remain confident in the need for specialty-trained human physicians in the future of radiology as a clinical practice. A large majority of medical students would like more information about IR in their medical curriculum; almost a quarter of students would be interested in a career in IR.

Artificial Intelligence and Ethics in Dentistry: A Scoping Review

2021 ◽  
pp. 002203452110138
Author(s):  
C.M. Mörch ◽  
S. Atsu ◽  
W. Cai ◽  
X. Li ◽  
S.A. Madathil ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Scoping Review ◽  
Ethical Issues ◽  
Data Extraction ◽  
Cochrane Library ◽  
Data Sets ◽  
Ethical Challenges ◽  
Internal Validation ◽  
Neural Learning ◽  
Learning Techniques

Dentistry increasingly integrates artificial intelligence (AI) to help improve the current state of clinical dental practice. However, this revolutionary technological field raises various complex ethical challenges. The objective of this systematic scoping review is to document the current uses of AI in dentistry and the ethical concerns or challenges they imply. Three health care databases (MEDLINE [PubMed], SciVerse Scopus, and Cochrane Library) and 2 computer science databases (ArXiv, IEEE Xplore) were searched. After identifying 1,553 records, the documents were filtered, and a full-text screening was performed. In total, 178 studies were retained and analyzed by 8 researchers specialized in dentistry, AI, and ethics. The team used Covidence for data extraction and Dedoose for the identification of ethics-related information. PRISMA guidelines were followed. Among the included studies, 130 (73.0%) studies were published after 2016, and 93 (52.2%) were published in journals specialized in computer sciences. The technologies used were neural learning techniques for 75 (42.1%), traditional learning techniques for 76 (42.7%), or a combination of several technologies for 20 (11.2%). Overall, 7 countries contributed to 109 (61.2%) studies. A total of 53 different applications of AI in dentistry were identified, involving most dental specialties. The use of initial data sets for internal validation was reported in 152 (85.4%) studies. Forty-five ethical issues (related to the use AI in dentistry) were reported in 22 (12.4%) studies around 6 principles: prudence (10 times), equity (8), privacy (8), responsibility (6), democratic participation (4), and solidarity (4). The ratio of studies mentioning AI-related ethical issues has remained similar in the past years, showing that there is no increasing interest in the field of dentistry on this topic. This study confirms the growing presence of AI in dentistry and highlights a current lack of information on the ethical challenges surrounding its use. In addition, the scarcity of studies sharing their code could prevent future replications. The authors formulate recommendations to contribute to a more responsible use of AI technologies in dentistry.

scholarly journals The International Radiomics Platform – An Initiative of the German and Austrian Radiological Societies

2020 ◽  
Author(s):  
Daniel Overhoff ◽  
Peter Kohlmann ◽  
Alex Frydrychowicz ◽  
Sergios Gatidis ◽  
Christian Loewe ◽  
...  
Keyword(s):  
Neural Network ◽  
Artificial Intelligence ◽  
Image Data ◽  
Quality Parameters ◽  
Image Features ◽  
Performance Criteria ◽  
Data Sets ◽  
Proof Of Concept ◽  
Concept Study ◽  
Artificial Intelligence Methods

Purpose The DRG-ÖRG IRP (Deutsche Röntgengesellschaft-Österreichische Röntgengesellschaft international radiomics platform) represents a web-/cloud-based radiomics platform based on a public-private partnership. It offers the possibility of data sharing, annotation, validation and certification in the field of artificial intelligence, radiomics analysis, and integrated diagnostics. In a first proof-of-concept study, automated myocardial segmentation and automated myocardial late gadolinum enhancement (LGE) detection using radiomic image features will be evaluated for myocarditis data sets. Materials and Methods The DRG-ÖRP IRP can be used to create quality-assured, structured image data in combination with clinical data and subsequent integrated data analysis and is characterized by the following performance criteria: Possibility of using multicentric networked data, automatically calculated quality parameters, processing of annotation tasks, contour recognition using conventional and artificial intelligence methods and the possibility of targeted integration of algorithms. In a first study, a neural network pre-trained using cardiac CINE data sets was evaluated for segmentation of PSIR data sets. In a second step, radiomic features were applied for segmental detection of LGE of the same data sets, which were provided multicenter via the IRP. Results First results show the advantages (data transparency, reliability, broad involvement of all members, continuous evolution as well as validation and certification) of this platform-based approach. In the proof-of-concept study, the neural network demonstrated a Dice coefficient of 0.813 compared to the expert's segmentation of the myocardium. In the segment-based myocardial LGE detection, the AUC was 0.73 and 0.79 after exclusion of segments with uncertain annotation.The evaluation and provision of the data takes place at the IRP, taking into account the FAT (fairness, accountability, transparency) and FAIR (findable, accessible, interoperable, reusable) criteria. Conclusion It could be shown that the DRG-ÖRP IRP can be used as a crystallization point for the generation of further individual and joint projects. The execution of quantitative analyses with artificial intelligence methods is greatly facilitated by the platform approach of the DRG-ÖRP IRP, since pre-trained neural networks can be integrated and scientific groups can be networked.In a first proof-of-concept study on automated segmentation of the myocardium and automated myocardial LGE detection, these advantages were successfully applied.Our study shows that with the DRG-ÖRP IRP, strategic goals can be implemented in an interdisciplinary way, that concrete proof-of-concept examples can be demonstrated, and that a large number of individual and joint projects can be realized in a participatory way involving all groups. Key Points:  Citation Format

The perception of humanness in conversational journalism: An algorithmic information-processing perspective

2021 ◽  
pp. 146144482199380
Author(s):  
Donghee Shin
Keyword(s):  
Artificial Intelligence ◽  
Information Processing ◽  
Cognitive Model ◽  
Human Beings ◽  
User Perception ◽  
User Experiences ◽  
Step Flow ◽  
Algorithmic Information ◽  
Information Processing Perspective ◽  
Practical Implications

How much do anthropomorphisms influence the perception of users about whether they are conversing with a human or an algorithm in a chatbot environment? We develop a cognitive model using the constructs of anthropomorphism and explainability to explain user experiences with conversational journalism (CJ) in the context of chatbot news. We examine how users perceive anthropomorphic and explanatory cues, and how these stimuli influence user perception of and attitudes toward CJ. Anthropomorphic explanations of why and how certain items are recommended afford users a sense of humanness, which then affects trust and emotional assurance. Perceived humanness triggers a two-step flow of interaction by defining the baseline to make a judgment about the qualities of CJ and by affording the capacity to interact with chatbots concerning their intention to interact with chatbots. We develop practical implications relevant to chatbots and ascertain the significance of humanness as a social cue in CJ. We offer a theoretical lens through which to characterize humanness as a key mechanism of human–artificial intelligence (AI) interaction, of which the eventual goal is humans perceive AI as human beings. Our results help to better understand human–chatbot interaction in CJ by illustrating how humans interact with chatbots and explaining why humans accept the way of CJ.

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