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> I'm curious: is anybody else here applying deep learning, or any other subfield of AI, to healthcare? > If so... do the challenges listed in this post resona
by mgreg 10y ago
> I'm curious: is anybody else here applying deep learning, or any other subfield of AI, to healthcare?
> If so... do the challenges listed in this post resonate? Do you believe the shifts identified are the right ones to focus on?
I'm applying deep learning in a healthcare application and certainly the points you raise resonate and are generally the right areas to address for utilizing AI (for points 2 and 3 really any innovative technology) but let me expand on them a bit.
#2: Deployment and the Outside-In Principle - Very often new technologies are coupled with business model innovation to bring about change. The complex and often perverse mechanics of the healthcare system in this country make this exceedingly difficult. I agree that models that more rationally couple risk with reward (e.g. Accountable Care Organizations, Bundled Payments, and payer/provider organizations like Kaiser) provide the right incentives to reduce cost while increasing the quality of care. This is an environment where technology can make a difference; not so in the fee for service model. I think the software "deployment" model is much less of an issue.
#3: Regulation and Fear - This is actually a significant challenge. The FDA has significant incentive to be very conservative with their approvals (lives may hang in the balance) and for them the risk of failure (i.e. a death caused by a device/test they approved and likely makes the news headlines) is MUCH more traumatic and negative than the rewards of success (some costs are reduced for a specific treatment or diagnostic that almost no one will ever hear about). Additionally the FDA, Doctors, and medical administrators suffer the same fear of formulaic decisions that most people do. We simply don't trust an algorithm to make decisions and so will resist them or hold them to significantly higher standards than we hold human driven decisions. This means even if you get through the FDA you'll potentially have resistance of doctors and patients.
If we export some of the other posts about radiology I can just imagine a patient's experience in a hospital. I'm sure a doctor or radiologist will share an anecdote like the one in this thread (radiologist saw an occlusion due to a poor image and detected a tumor) and scare a patient into thinking a radiologist is better than an algorithm at reading an MRI/x-ray despite statistics that will (eventually) show that the deep learning algorithm will be more consistent and accurate. To be clear I'm not arguing that a radiologist not continue to be involved and review the diagnosis but that it will be difficult for this technology to be established in high-stakes applications due to fear.