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Critical Review on the Contribution of Machine Learning to Health Science 关于机器学习对健康科学贡献的重要评论
Pub Date : 2024-05-20 DOI: 10.62487/qgpcnt08
Neji Hasni
Background: The field of machine learning in health science is evolving exponentially, with a focus on accelerating scientific discoveries, improving holistic well-being, and advancing personalized healthcare. Aim: In this same spirit, this critical review article aims to provide a comprehensive understanding of the role, challenges, opportunities, and ethical considerations of integrating machine learning into health science, with an emphasis on healthcare research and practice. Methods: To base its critiques on previous literature, the elucidative survey considered specific criteria, such as the significance and contribution of each source to the field, methodology or approach, and argument, as well as the use of evidence. Results: The study results indicate that machine learning holds great promise to improve evidence-based health science, but significant work is needed to ensure the technology is developed and deployed in a way that is trustworthy and ethical. Conclusion: In conclusion, the literature review presents a balanced assessment of the strengths, weaknesses, and notable features of the current state of machine learning in health science. The key takeaway point is that while machine learning has demonstrated significant potential to improve health science outcomes and strategic management, there are still important challenges, limitations, and research gaps that need to be addressed to facilitate widespread adoption and trust in these technologies.
背景:健康科学中的机器学习领域正在飞速发展,其重点是加速科学发现、改善整体健康和推进个性化医疗保健。目的:本着同样的精神,这篇评论性文章旨在让人们全面了解将机器学习融入健康科学的作用、挑战、机遇和伦理考虑,重点关注医疗保健研究和实践。方法:为了在以往文献的基础上进行评论,阐释性调查考虑了具体的标准,如每篇文献对该领域的意义和贡献、方法论或方法、论据以及证据的使用。研究结果研究结果表明,机器学习在改善循证健康科学方面大有可为,但还需要做大量工作,以确保该技术的开发和部署方式值得信赖且符合道德规范。结论总之,文献综述对机器学习在健康科学中的应用现状的优势、劣势和显著特点进行了均衡的评估。其主要启示是,虽然机器学习在改善健康科学成果和战略管理方面已展现出巨大潜力,但仍存在重大挑战、局限性和研究空白,需要加以解决,以促进这些技术的广泛采用和信任。
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引用次数: 0
Smartphone Camera for Angiographic Computer Vision in Vascular Medicine 用于血管医学血管造影计算机视觉的智能手机摄像头
Pub Date : 2024-05-03 DOI: 10.62487/82grqt38
Y. Rusinovich, V. Rusinovich, Markus Doss
Aim: This study aimed to develop a TensorFlow Lite algorithm for angiography classification and to deploy it on a basic mobile smartphone device, thereby verifying the proof of concept for creating a comprehensive end-to-end mobile computer vision application for vascular medicine. Materials and Methods: After ethical approval by the local ethics committee, we collected institutional and open source peripheral angiograms of lower limbs. The angiograms were labeled by a researcher with more than 10 years of experience in vascular surgery. The labeling included dividing the angiograms according to their anatomical pattern into the Global Limb Anatomic Staging System (GLASS). The model was developed using the open-source TensorFlow framework for general image classification and deployed as an Android application. Results: The model utilized 700 angiograms, distributed as follows within the femoropoliteal GLASS disease (fp) categories: fp0 – 187 images, fp1 – 136 images, fp2 – 128 images, fp3 – 97 images, fp4 – 152 images. The reference dataset included 372 non-angiographic images (not_angio). Consequently, the entire model included 1,072 images. After training and deployment, the model demonstrated the following performance: a mean accuracy of 0.72. The best self-reported accuracy per class was for fp0 0.72, fp4 0.83 and not_angio 1.0 classes. Conclusion: We discovered that a smartphone camera could be utilized for angiographic computer vision through end-to-end applications accessible to every healthcare professional. However, the predictive abilities of the model are limited and require improvement. The development of a robust angiographic computer vision smartphone application should incorporate an upload function, undergo validation through head-to-head human-machine comparisons, potentially include segmentation, and feature a prospective design with explicit consent for using collected data in the development of AI models.
目的:本研究旨在开发一种用于血管造影分类的 TensorFlow Lite 算法,并将其部署到基本的移动智能手机设备上,从而验证为血管医学创建一个全面的端到端移动计算机视觉应用的概念验证。材料与方法:在获得当地伦理委员会的伦理批准后,我们收集了机构和开源的下肢外周血管造影。血管造影由一位在血管外科领域有 10 多年经验的研究人员进行标注。标注工作包括根据解剖模式将血管造影分为全球肢体解剖分期系统(GLASS)。该模型使用开源的 TensorFlow 框架开发,用于一般图像分类,并作为安卓应用程序部署。结果该模型使用了 700 张血管造影,按股骨关节 GLASS 疾病(fp)类别分布如下:fp0 - 187 张图像,fp1 - 136 张图像,fp2 - 128 张图像,fp3 - 97 张图像,fp4 - 152 张图像。参考数据集包括 372 张非血管造影图像(not_angio)。因此,整个模型包括 1,072 张图像。经过培训和部署后,该模型的性能如下:平均准确率为 0.72。每个类别的最佳自我报告准确率为 fp0 0.72、fp4 0.83 和 not_angio 1.0。结论我们发现,智能手机摄像头可以通过端到端应用程序用于血管造影计算机视觉,每个医疗保健专业人员都可以使用。然而,该模型的预测能力有限,需要改进。开发强大的血管造影计算机视觉智能手机应用程序应包含上传功能,通过人机头对头比较进行验证,可能包括分割,并采用前瞻性设计,明确同意在开发人工智能模型时使用收集的数据。
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引用次数: 0
Xavatar: A Web3 Metaverse Application as a support for Patients with Mobility Disorders Xavatar:作为行动障碍患者辅助工具的 Web3 Metaverse 应用程序
Pub Date : 2024-04-24 DOI: 10.62487/gq9wh015
Jason P. Rothberg, Colin Keogh, Y. Rusinovich
Xavatar is a media, educational, and therapeutic platform specializing in immersive virtual reality (VR) and augmented reality (AR) content, as well as seamless interconnectivity across various devices such as mobiles, tablets, and computers. It is aimed at improving the lives of patients with chronic mobility and communication disorders, including dementia, Alzheimer's, autism, chronic immobility, isolation, and long-term hospitalization. The project represents a fusion of digital technologies including the Metaverse, artificial intelligence (AI), and Web3, all designed to enhance healthcare interactions and patient support. This opinion piece explores the transformative potential of Xavatar, highlighting its role in shaping future healthcare landscapes through innovative, empathetic, and engaging digital solutions.
Xavatar 是一个媒体、教育和治疗平台,专注于身临其境的虚拟现实(VR)和增强现实(AR)内容,以及手机、平板电脑和计算机等各种设备之间的无缝互联。它旨在改善慢性行动障碍和交流障碍患者的生活,包括痴呆症、阿尔茨海默氏症、自闭症、慢性行动不便、孤独症和长期住院患者。该项目融合了包括元宇宙(Metaverse)、人工智能(AI)和 Web3 在内的各种数字技术,旨在加强医疗保健互动和对患者的支持。这篇评论文章探讨了 Xavatar 的变革潜力,强调了它在通过创新、移情和吸引人的数字解决方案塑造未来医疗保健景观方面的作用。
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引用次数: 0
Human Categorization with “Dirty” Confounders in AI and ML Medical Models: The Role of Religion 人工智能和 ML 医疗模型中的 "肮脏 "混杂因素的人类分类:宗教的作用
Pub Date : 2024-02-13 DOI: 10.62487/2rm68r13
Y. Rusinovich, V. Rusinovich
Aim: This study was conducted to evaluate the acceptance among healthcare practitioners and scientific researchers of the current official regulatory recommendations regarding the incorporation of human categorization through confounders, such as “Religion”, into AI and ML-based clinical research and healthcare settings. Materials and Methods: An anonymous online survey was conducted using the Telegram platform, where participants were asked a single question: "Do you consider the inclusion of Religious status in Artificial Intelligence and Machine Learning models justified from the perspective of medical ethics and science?" Respondents were provided with only two response options: "Yes" or "No." This survey was specifically targeted at international groups, focusing primarily on English and Russian-speaking clinicians and scientific researchers. Results: 134 unique individuals participated in the survey. The results revealed that two-third of the respondents (87 individuals) agreed that including Religion status as predictor in the ML and AI models is inappropriate. Conclusion: Two-thirds of healthcare practitioners and scientific researchers agree that categorizing individuals within healthcare settings based on their religion is inappropriate. Educational programs are needed to inform healthcare and scientific professionals that AI and ML applications should be built on unbiased and ethically appropriate predictors. ML is incapable of distinguishing individual human characteristics. Therefore, constructing healthcare AI and ML models based on confounders like religion is unlikely to aid in identifying the cause of or treating any pathology or disease. Moreover, the high conflict potential of this predictor may further deepen societal disparities.
目的:本研究旨在评估医疗保健从业人员和科学研究人员对当前官方监管建议的接受程度,这些建议涉及通过 "宗教 "等混杂因素将人类分类纳入基于人工智能和 ML 的临床研究和医疗保健环境。材料与方法:使用 Telegram 平台进行匿名在线调查,向参与者提出一个问题:"从医学伦理和科学的角度来看,您认为将宗教信仰纳入人工智能和机器学习模型是否合理?受访者只有两个回答选项:是 "或 "否"。这项调查专门针对国际群体,主要侧重于讲英语和俄语的临床医生和科学研究人员。调查结果共有 134 人参与了调查。结果显示,三分之二的受访者(87 人)同意将宗教状况作为预测因素纳入 ML 和 AI 模型是不恰当的。结论三分之二的医疗从业人员和科学研究人员都认为,根据宗教信仰对医疗机构中的个人进行分类是不恰当的。有必要开展教育计划,告知医疗保健和科研专业人员,人工智能和 ML 应用应建立在无偏见且符合道德规范的预测指标基础上。人工智能无法区分人类的个体特征。因此,基于宗教等混杂因素构建医疗人工智能和 ML 模型不太可能有助于确定病因或治疗任何病理或疾病。此外,这种预测因素的高冲突可能性可能会进一步加深社会差异。
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引用次数: 0
AI and ML: The Hype Theme in Mass Media 人工智能和 ML:大众媒体的炒作主题
Pub Date : 2024-01-19 DOI: 10.62487/z7qn2134
Y. Rusinovich
This report examines the disproportionate media focus on AI and ML investments compared to humanitarian and environmental issues. It questions the ethical implications of this trend and the trustworthiness of mass media in balancing technological advancements with human-centric concerns.
本报告探讨了与人道主义和环境问题相比,媒体对人工智能和 ML 投资的过度关注。报告质疑了这一趋势的道德影响,以及大众传媒在平衡技术进步与以人为本方面的可信度。
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引用次数: 0
AI and ML in Healthcare Settings: Is it Really a Breakthrough? 医疗环境中的人工智能和 ML:这真的是一项突破吗?
Pub Date : 2024-01-17 DOI: 10.62487/bcpb3133
Y. Rusinovich
Only 200 out of 300,000 AI/ML-related original publications on PubMed focus on human-centered settings. Why is human wellbeing often overlooked in medical AI research? 
在 PubMed 上发表的 300,000 篇 AI/ML 相关原创论文中,只有 200 篇关注以人为本的环境。为什么医学人工智能研究常常忽视人类福祉?
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引用次数: 0
Why "ML in Health Science" 为什么选择 "健康科学中的 ML
Pub Date : 2024-01-01 DOI: 10.62487/e4ccm968
Y. Rusinovich
This is the first editorial of the journal, discussing the balance between humans and AI in healthcare and emphasizing the need for a human-centric approach in AI and ML applications.
这是该期刊的第一篇社论,讨论了医疗保健中人类与人工智能之间的平衡问题,并强调了在人工智能和 ML 应用中需要以人为本的方法。
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引用次数: 0
期刊
Web3 Journal: ML in Health Science
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