2.41 CME

Peran AI dan Pembelajaran Mesin dalam Layanan Kesehatan

Pembicara: Dr. Viduthalai Virumbi Balagurusamy

Founder Director, Honeybee Population Healthcare Foundation, Chennai

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Keterangan

AI and machine learning are transforming healthcare by improving diagnosis, treatment, and patient care. These technologies analyze vast amounts of medical data to detect patterns, enabling early disease diagnosis, such as cancer or heart conditions. Predictive analytics helps identify at-risk patients and optimize care plans. AI-powered tools, like chatbots and virtual assistants, enhance patient engagement and streamline administrative tasks. In treatment, machine learning supports precision medicine by tailoring therapies to individual needs. Additionally, AI accelerates drug discovery and research. While offering immense potential, ethical considerations, data privacy, and algorithm transparency remain critical for successful integration into healthcare systems.

Ringkasan

  • AI is crucial in healthcare for automating repetitive tasks like identifying disease clusters across vast geographical regions and multiple administrative levels. This includes analyzing data from districts, sub-districts, villages, and urban areas, a task too large for manual processing, thereby allowing for efficient diagnosis at scale. AI can also help uncover unknown factors influencing health, such as climate and environmental conditions, by analyzing existing datasets to identify patterns and connections between exposures, symptoms, and diseases.
  • The integration of AI facilitates the overlap of knowledge from textbooks, protocols, clinician experience, and patient data. By linking and processing this diverse information for thousands of patients, AI can enhance diagnostic accuracy and personalize treatment plans, achieving better healthcare outcomes. The core function of AI involves data input, processing, and output generation, often bypassing the need for explicit equations or tests, streamlining the diagnostic and treatment processes.
  • AI overcomes human limitations by processing information and generating outputs through complex hidden steps, including activation practices, bias norms, and multiple intermediates. While not meant to replace clinicians or surgeons, AI acts as a complementary tool, offering increased accuracy and facilitating complex procedures in fields like robotic surgery. The most common metric for AI performance is accuracy, assessed through the Area Under the Receiver Operating Characteristic (AUROC) curve, indicating the probability of accurate diagnoses in real-world scenarios.
  • AI can assist in identifying outliers or rare cases within patient data. Reactive AI handles pattern recognition and rapid calculations, while AI with limited memory can identify similar cases based on historical data, aiding in faster and more accurate diagnoses. However, current AI capabilities are primarily limited to this "limited memory" stage, relying on existing practices and historical data for predictions.
  • AI finds its initial use in diagnostics based on image analysis, such as breast cancer detection. While diagnostic accuracy varies from below 20% to over 80%, depending on the complexity and objectivity of the task, it has shown promising results in areas like severe respiratory illness diagnosis in ICUs. AI also enhances operational efficiency in hospitals by reducing waiting times and improving patient satisfaction, resulting in cost savings.
  • For patients with chronic diseases, AI supports the creation of longitudinal health records and personalized medicine plans. AI-driven care plans allow for individual adjustments, such as insulin dosage, based on test results and doctor recommendations, which the system learns over time. Various AI models exist for specific conditions like cancers and eye diseases, often trained on extensive datasets.
  • The application of AI in healthcare should be seen as a tool for automating routine tasks, enhancing diagnostic accuracy, and improving clinical decision support. By acting as a virtual presence through AI assistants, clinicians can extend care to remote areas, providing consistent and unbiased information. Ethical considerations and guidelines, such as those outlined in the Government of India's Responsible AI approach and the TAMDF framework, are essential for ensuring the safe and ethical deployment of AI in healthcare.
  • The current limitations of AI include the need for further improvement in disease classification and diagnostic algorithm development. Validation processes are crucial to ensure accurate outputs and comparability with gold standard tests and clinical assessments. Close collaboration between medical professionals and AI developers is vital to enhance the classification and validation capabilities of AI, and the building of trust between AI systems, clinicians, and beneficiaries are all imperative for the successful integration of AI in healthcare.
  • AI-powered tools in hospitals include patient flow management systems integrated with Hospital Management Information Systems (HMIES) and Electronic Health Records (EHRs). These systems, complemented by AI for resource forecasting, optimize queue management and source doctors from various locations. In addition, AI is enhancing the drug discovery and development process through the documentation of clinical outputs which supports and directs ongoing research. By documenting how current drugs are working the system can expand research, improve existing medications, identify drug resistance and manufacture new drugs.

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