scholarly journals Universal artificial intelligence platform for collaborative management of cataracts

2019 ◽  
Vol 103 (11) ◽  
pp. 1553-1560 ◽  
Author(s):  
Xiaohang Wu ◽  
Yelin Huang ◽  
Zhenzhen Liu ◽  
Weiyi Lai ◽  
Erping Long ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Real World ◽  
Diagnostic Performance ◽  
Collaborative Management ◽  
Common Disease ◽  
Referral Pattern ◽  
Mode Recognition ◽  
Clinical Scenarios ◽  
Normal Lens ◽  
Medical Referral

PurposeTo establish and validate a universal artificial intelligence (AI) platform for collaborative management of cataracts involving multilevel clinical scenarios and explored an AI-based medical referral pattern to improve collaborative efficiency and resource coverage.MethodsThe training and validation datasets were derived from the Chinese Medical Alliance for Artificial Intelligence, covering multilevel healthcare facilities and capture modes. The datasets were labelled using a three-step strategy: (1) capture mode recognition; (2) cataract diagnosis as a normal lens, cataract or a postoperative eye and (3) detection of referable cataracts with respect to aetiology and severity. Moreover, we integrated the cataract AI agent with a real-world multilevel referral pattern involving self-monitoring at home, primary healthcare and specialised hospital services.ResultsThe universal AI platform and multilevel collaborative pattern showed robust diagnostic performance in three-step tasks: (1) capture mode recognition (area under the curve (AUC) 99.28%–99.71%), (2) cataract diagnosis (normal lens, cataract or postoperative eye with AUCs of 99.82%, 99.96% and 99.93% for mydriatic-slit lamp mode and AUCs >99% for other capture modes) and (3) detection of referable cataracts (AUCs >91% in all tests). In the real-world tertiary referral pattern, the agent suggested 30.3% of people be ‘referred’, substantially increasing the ophthalmologist-to-population service ratio by 10.2-fold compared with the traditional pattern.ConclusionsThe universal AI platform and multilevel collaborative pattern showed robust diagnostic performance and effective service for cataracts. The context of our AI-based medical referral pattern will be extended to other common disease conditions and resource-intensive situations.

scholarly journals Stress testing reveals gaps in clinic readiness of image-based diagnostic artificial intelligence models

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Albert T. Young ◽  
Kristen Fernandez ◽  
Jacob Pfau ◽  
Rasika Reddy ◽  
Nhat Anh Cao ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Real World ◽  
Stress Testing ◽  
Operating Characteristic ◽  
Characteristic Curve ◽  
Skin Lesions ◽  
Stress Tests ◽  
Performance Metric ◽  
Intelligence Models ◽  
Artificial Intelligence Models

AbstractArtificial intelligence models match or exceed dermatologists in melanoma image classification. Less is known about their robustness against real-world variations, and clinicians may incorrectly assume that a model with an acceptable area under the receiver operating characteristic curve or related performance metric is ready for clinical use. Here, we systematically assessed the performance of dermatologist-level convolutional neural networks (CNNs) on real-world non-curated images by applying computational “stress tests”. Our goal was to create a proxy environment in which to comprehensively test the generalizability of off-the-shelf CNNs developed without training or evaluation protocols specific to individual clinics. We found inconsistent predictions on images captured repeatedly in the same setting or subjected to simple transformations (e.g., rotation). Such transformations resulted in false positive or negative predictions for 6.5–22% of skin lesions across test datasets. Our findings indicate that models meeting conventionally reported metrics need further validation with computational stress tests to assess clinic readiness.

scholarly journals A Survey on Bias and Fairness in Machine Learning

2021 ◽  
Vol 54 (6) ◽  
pp. 1-35
Author(s):  
Ninareh Mehrabi ◽  
Fred Morstatter ◽  
Nripsuta Saxena ◽  
Kristina Lerman ◽  
Aram Galstyan
Keyword(s):  
Artificial Intelligence ◽  
Machine Learning ◽  
Deep Learning ◽  
Real World ◽  
State Of The Art ◽  
Future Directions ◽  
Discriminatory Behavior ◽  
Real World Applications ◽  
Near Future ◽  
Different Sources

With the widespread use of artificial intelligence (AI) systems and applications in our everyday lives, accounting for fairness has gained significant importance in designing and engineering of such systems. AI systems can be used in many sensitive environments to make important and life-changing decisions; thus, it is crucial to ensure that these decisions do not reflect discriminatory behavior toward certain groups or populations. More recently some work has been developed in traditional machine learning and deep learning that address such challenges in different subdomains. With the commercialization of these systems, researchers are becoming more aware of the biases that these applications can contain and are attempting to address them. In this survey, we investigated different real-world applications that have shown biases in various ways, and we listed different sources of biases that can affect AI applications. We then created a taxonomy for fairness definitions that machine learning researchers have defined to avoid the existing bias in AI systems. In addition to that, we examined different domains and subdomains in AI showing what researchers have observed with regard to unfair outcomes in the state-of-the-art methods and ways they have tried to address them. There are still many future directions and solutions that can be taken to mitigate the problem of bias in AI systems. We are hoping that this survey will motivate researchers to tackle these issues in the near future by observing existing work in their respective fields.

scholarly journals Detection and Diagnosis of Breast Cancer Using Artificial Intelligence Based Assessment of Maximum Intensity Projection Dynamic Contrast-Enhanced Magnetic Resonance Images

Diagnostics ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. 330
Author(s):  
Mio Adachi ◽  
Tomoyuki Fujioka ◽  
Mio Mori ◽  
Kazunori Kubota ◽  
Yuka Kikuchi ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Magnetic Resonance ◽  
Diagnostic Performance ◽  
Maximum Intensity Projection ◽  
Breast Mri ◽  
Magnetic Resonance Images ◽  
Maximum Intensity ◽  
Validation Data ◽  
Dynamic Contrast Enhanced ◽  
Contrast Enhanced

We aimed to evaluate an artificial intelligence (AI) system that can detect and diagnose lesions of maximum intensity projection (MIP) in dynamic contrast-enhanced (DCE) breast magnetic resonance imaging (MRI). We retrospectively gathered MIPs of DCE breast MRI for training and validation data from 30 and 7 normal individuals, 49 and 20 benign cases, and 135 and 45 malignant cases, respectively. Breast lesions were indicated with a bounding box and labeled as benign or malignant by a radiologist, while the AI system was trained to detect and calculate possibilities of malignancy using RetinaNet. The AI system was analyzed using test sets of 13 normal, 20 benign, and 52 malignant cases. Four human readers also scored these test data with and without the assistance of the AI system for the possibility of a malignancy in each breast. Sensitivity, specificity, and area under the receiver operating characteristic curve (AUC) were 0.926, 0.828, and 0.925 for the AI system; 0.847, 0.841, and 0.884 for human readers without AI; and 0.889, 0.823, and 0.899 for human readers with AI using a cutoff value of 2%, respectively. The AI system showed better diagnostic performance compared to the human readers (p = 0.002), and because of the increased performance of human readers with the assistance of the AI system, the AUC of human readers was significantly higher with than without the AI system (p = 0.039). Our AI system showed a high performance ability in detecting and diagnosing lesions in MIPs of DCE breast MRI and increased the diagnostic performance of human readers.

scholarly journals Real-world analysis of artificial intelligence in musculoskeletal trauma

2021 ◽  
Vol 22 ◽  
pp. 101573
Author(s):  
Pranav Ajmera ◽  
Amit Kharat ◽  
Rajesh Botchu ◽  
Harun Gupta ◽  
Viraj Kulkarni
Keyword(s):  
Artificial Intelligence ◽  
Real World ◽  
Musculoskeletal Trauma

scholarly journals Deep learning-enabled medical computer vision

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Andre Esteva ◽  
Katherine Chou ◽  
Serena Yeung ◽  
Nikhil Naik ◽  
Ali Madani ◽  
...  
Keyword(s):  
Artificial Intelligence ◽  
Neural Networks ◽  
Computer Vision ◽  
Deep Learning ◽  
Medical Imaging ◽  
Real World ◽  
Recent Progress ◽  
Medical Applications ◽  
Modern Computer ◽  
Medical Computer

AbstractA decade of unprecedented progress in artificial intelligence (AI) has demonstrated the potential for many fields—including medicine—to benefit from the insights that AI techniques can extract from data. Here we survey recent progress in the development of modern computer vision techniques—powered by deep learning—for medical applications, focusing on medical imaging, medical video, and clinical deployment. We start by briefly summarizing a decade of progress in convolutional neural networks, including the vision tasks they enable, in the context of healthcare. Next, we discuss several example medical imaging applications that stand to benefit—including cardiology, pathology, dermatology, ophthalmology–and propose new avenues for continued work. We then expand into general medical video, highlighting ways in which clinical workflows can integrate computer vision to enhance care. Finally, we discuss the challenges and hurdles required for real-world clinical deployment of these technologies.

Against generalisation: Data-driven decisions need context to be human-compatible

2021 ◽  
pp. 026638212110619
Author(s):  
Sharon Richardson
Keyword(s):  
Artificial Intelligence ◽  
Real World ◽  
Data Science ◽  
Machine Learning Algorithms ◽  
Data Driven ◽  
Theoretical Frameworks ◽  
The Past ◽  
Real World Applications ◽  
Contextual Framework ◽  
Data Driven Decisions

During the past two decades, there have been a number of breakthroughs in the fields of data science and artificial intelligence, made possible by advanced machine learning algorithms trained through access to massive volumes of data. However, their adoption and use in real-world applications remains a challenge. This paper posits that a key limitation in making AI applicable has been a failure to modernise the theoretical frameworks needed to evaluate and adopt outcomes. Such a need was anticipated with the arrival of the digital computer in the 1950s but has remained unrealised. This paper reviews how the field of data science emerged and led to rapid breakthroughs in algorithms underpinning research into artificial intelligence. It then discusses the contextual framework now needed to advance the use of AI in real-world decisions that impact human lives and livelihoods.

scholarly journals Artificial Intelligence (AI) and Its Associated Ethical Issues

ICR Journal ◽  
2019 ◽  
Vol 10 (1) ◽  
pp. 124-126
Author(s):  
Shahino Mah Abdulllah
Keyword(s):  
Artificial Intelligence ◽  
Real World ◽  
Ethical Issues ◽  
Economic Inequality ◽  
Human Behaviour ◽  
Intelligent Machines ◽  
Normal Shift

The adoption of AI in many industries has been regarded by some as a threat to low- and middle-skill workers, as it will drastically cut down reliance on the human workforce. Besides unemployment, there are also concerns about rising economic inequality caused by AI-driven companies. With fewer employees, these companies could gain a disproportionate advantage over conventional companies that still depend on normal, shift-based systems. There is also the issue that some AI bots have achieved the capability to interact with humans and build relationships through conversations. This influential communication could eventually enable these bots to affect human behaviour and possibly trigger certain actions. Significantly, therefore, such intelligent machines are not immune to mistakes and confusion since not all possible examples of real world interaction are covered during their training; this weakness could be manipulated to fulfil certain ends. Also, Al cannot be expected to be entirely fair and neutral, since it is dependent on human programmers, who have their own interests and whims.

scholarly journals Real World of Artificial Intelligence - A Review

2020 ◽  
Vol 11 (2) ◽  
pp. 41-47
Author(s):  
Amandeep Kaur ◽  
Madhu Dhiman ◽  
Mansi Tonk ◽  
Ramneet Kaur
Keyword(s):  
Artificial Intelligence ◽  
Neural Networks ◽  
Natural Language Processing ◽  
Face Recognition ◽  
Language Processing ◽  
Real World ◽  
Review Paper ◽  
General Concept ◽  
Research Trends ◽  
Human Intelligence

Artificial Intelligence is the combination of machine and human intelligence, which are in research trends from the last many years. Different Artificial Intelligence programs have become capable of challenging humans by providing Expert Systems, Neural Networks, Robotics, Natural Language Processing, Face Recognition and Speech Recognition. Artificial Intelligence brings a bright future for different technical inventions in various fields. This review paper shows the general concept of Artificial Intelligence and presents an impact of Artificial Intelligence in the present and future world.

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