“Doctors need to know how artificial intelligence can help us”

“Artificial intelligence provides much more information than a doctor could get from reading articles all his life.” Who confirms it is Edgardo Chuela, author of the book “Artificial Intelligence in Medicine” (place of publication).

Chuela, who is currently Associate Professor of Dermatology at the Faculty of Medicine of the University of Buenos Aires (UBA)first contextualizes the issue in an interview with RÍO NEGRO.

Remember that artificial intelligence (AI) participates in our lives in the form of various applications, both in smartphones and in various types of devices, as well as in our purchases in e-shops and banking operations, among others. Artificial intelligence has a great influence in medicine, which will grow exponentially in the coming years in the form of various types of equipment, which will allow developing diagnostic, prognostic and therapeutic proposals or all together for specific clinical cases.

All medical professions where image is paramount, those that deal with large amounts of data, and those that require real-time interaction will be affected by AI. But this influence on medical practice as a correlation has a huge number of ethical and medico-legal implications.

However, adequate training in AI has not yet taken place, either in undergraduate or postgraduate courses.; something that allows medical users to understand the validity of the information it creates and its risks, in addition to that provided by the equipment companies.

The future of artificial intelligence in medicine is promising, as reflected in the multimillion-dollar annual investments by digital companies to develop applications for various aspects of health. This book provides a basic introduction to the subject, from a medical perspective, and offers an overview of developments and potential applications in various medical specialties.

Q – How does AI work and how is it being incorporated into medicine?
R-
AI has the ability to collect vast amounts of data, far more than a doctor can incorporate in a lifetime. This data will provide calculations and probabilities from artificial intelligence algorithms based on a particular diagnosis, prognosis or treatment recommendation. This data is processed many times as it collects statistics and patient data; and thereby forms an “information fund”. From there, the information is provided to the doctor.

Q – Is there a new language that AI brings?
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The doctor should know what artificial intelligence can offer him and what it cannot, what are the limits and scopes. Relying on the infallibility of an instrument can also be a mistake. There are a number of situations that arise with AI, such as diagnostics. An X-ray that diagnoses lung cancer that is not clearly visible. In that case, who is responsible for finally determining the diagnosis? The AI ​​or the Doctor? There is a conflict there that needs to be clarified. Currently the doctor is responsible, but tomorrow it may be different, we don’t know that.

Much of the information collected by physicians today is from diagnostic systems, not the result of their personal experience and the information that patients bring to their bodies. My generation used to do exhaustive clinical research, but now all the cross-talk between labs, radiology, and imaging analysis takes second place. simply because a CT scan is far more informative and accurate about what a patient has than direct doctor-patient experience can provide.

Question – What is the difference between digital tools and AI in medicine?
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The difference simply means that there is more information about the device than the number that appears on the screen. AI is a type of analysis of current information related to past information from thousands and thousands of cases. Just because numbers appear in a diagnostic system doesn’t necessarily mean it’s AI.

AI is the underlying algorithm for analyzing information. Whoever evaluates and interprets this information is always an expert. The doctor will always be responsible, at least for this legal framework that we have now.

The problem is that big companies like Amazon or Google are allowed to displace more and more central medical systems. There will be a change in the future, taking into account the economy and the growth of these companies. It is no coincidence that Amazon offers an ever-growing range of services. a company that has developed many products and services from a book sales platform, through a food purchasing department, a pharmacy service, and now develops, among other services, clinical diagnostic support in some way.

Question – How close or far are we in implementing this type of development in Argentina?
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We are neither closer nor further away from the rest of the countries, because in fact it is always associated with an integrated team. The mobile phone already comes with AI. if you want to listen to Spotify, you’ll have some kind of AI that will analyze your taste and make some recommendations about it. If you also want to buy something on Mercado Libre, more of the same will appear: a profile of your interests based on your purchases. In short, every technology system has AI behind it, be it with more or less quality of analysis and validation.

By Ezequiel Mario Martinez:-


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