BACKGROUND
Innovations in Digital Health, Diagnostics, and Biomarkers emphasizes the crossroads of artificial intelligence (AI) and healthcare/medicine, targeting the verbalization and visualization of the patient care advancing sciences, as well as the research, that accelerates drug discovery, and improves health sciences performance. As researchers at that technological and medical interface, we task ourselves to strengthen revolutionary research that pushes the limits of digital biomedicine, and ultimately supports and enables the research dialogue toward a healthier future. Thus, the topic of AI and machine learning (ML) as implemented in the field of medicine is, and is likely to remain, a hot topic.
In 2024, AI and ML seem to have penetrated almost every aspect of our professional lives, and this is happening at pace. Such transformative technology ensures to modernize (if not upgrade) the provision of healthcare at every level (prevention, diagnosis, treatment, and long-term care, as well as public health and management), if the healthcare industry can keep up with the speed.[1] Deep learning (DL), a subsection of ML, uses AI neural networks that have several layers in recognizing and solving problems with complex patterns in data. It’s a complex AI method predominantly effective for studying large datasets such as imaging data or any-omics data (e.g., genomic, lipidomic, metabolomic).
However, AI is not new—it has existed since the 1940s.[2] Its usage in different modes of healthcare has been applied for several decades—although it has reached a phase in which it has become so powerful and multifaceted that its usage and impact have been multiplied and as a result attracted increasing awareness. Innovation in healthcare, powered by AI in an ideal setting, will revolutionize patient treatment with personalized care plans, early disease detection, and remote monitoring. It will optimize workflows, accelerate drug discovery, and enhance medical sciences and research performance. AI’s predictive capabilities will ensure efficient resource allocation, while fostering patient engagement and improving healthcare outcomes.
AI is an algorithmic mechanism. It works with the help of machines mimicking human cognitive processes. ML is a set of AI algorithms that allows systems to learn from data and improve over time without actual and active programming. With the capability to evaluate large volumes of data and comprehend multifaceted patterns, AI and ML promise unparalleled opportunities to advance the medical field with decision-support, novel personalized (or precision) medicine methods, more functional end effective treatment plans, and increased productivity of the total healthcare system. In short, the use of AI and ML is shaping the future of healthcare, as in the characteristic examples provided in the following.[1–3]
COMMON APPLICATIONS OF ARTIFICIAL INTELLIGENCE (AI) AND MACHINE LEARNING (ML) IN MEDICINE
Disease Diagnosis and Prognosis
AI and ML methods have shown great potential in disease diagnosis and prediction, as for example in skin cancer classification for dermatologists, developed by Esteva et al.[3] This demonstrated the ability of AI-powered tools to help healthcare professionals diagnose diseases more accurately, especially in fields in which visual inspection plays an important role.
Medical Imaging Interpretation
Medical imaging interpretation is another area in which AI and ML have made significant strides, specifically in computed tomography and magnetic resonance imaging, offering precise diagnostic support tools.[4,5] AI algorithms can examine and assess digital pathology pictures (microscopic images) to support pathologists in spotting the characteristic patterns of diseases, such as in systemic diseases or cancer. For example, Ehteshami Bejnordi et al[6] developed an algorithm capable of identifying breast tumor metastases in lymph nodes with very high accuracy, highlighting the potential of AI to augment human expertise in interpreting complex medical images.
Laboratory Medicine
AI and ML are transforming laboratory medicine by improving predictive outcomes and improving patient management. For example, Miotto et al[7] described ML algorithms applied to electronic health records to predict drug side effects, allowing healthcare providers to improve personalized medication regimens and reduce potential patient risks.
Drug Discovery and Development
AI and ML accelerate drug discovery and development by predicting molecular properties, identifying drug candidates, and optimizing drug design. A study by Stokes et al[8] discusses how AI-based systems can facilitate drug discovery, ultimately lowering the expenditure and time invested by traditional methods.
Personalized (or Precision) Medicine
One of the most promising applications of AI and ML in medicine is personalized (or precision) medicine, in which treatment plans are tailored to each patient based on unique genetics, medical history, and other individual factors.[9] Obermeyer and Emanuel[10] demonstrated the potential of ML algorithms to predict patient outcomes and recommend personalized treatment strategies, leading to improved patient satisfaction.
REVOLUTIONARY APPLICATIONS OF AI AND ML IN MEDICINE
Virtual Health Assistants
AI-powered virtual health assistants are poised to transform patient care with personalized health advice, medication reminders, and real-time symptom monitoring. These virtual assistants can allow patients to monitor their health and improve adherence to treatment plans.[11]
Predictive Analytics for Preventive Care
By analyzing the whole range of data from laboratory data, electronic health records, and other sources, AI and ML can predict the risk of certain diseases and recommend preventive measures to reduce the risk for an individual as well as for a large subset of the population.[12] Such an approach to healthcare can eventually reduce healthcare costs and improve public health.
Robotics in Surgery
Robotic surgery techniques, incorporating AI and ML systems, allow doctors to perform minimally invasive procedures with more precision and control. These procedures can improve surgical outcomes, shorten recovery time, and reduce the risk of complications in patients undergoing multimodal surgery.[13]
Continuous Monitoring for Chronic Disease Management
AI-powered monitoring systems are capable of continuously monitoring physiological parameters and biomarkers of patients with chronic diseases, allowing for some complications to be identified at an earlier stage and timely measures to be taken.[14] This proactive approach to disease management can improve patient outcomes and reduce hospital readmissions.
CHALLENGES AND CONSIDERATIONS
Although the potential benefits of AI and ML in healthcare and medicine are numerous, many challenges must be considered for their safe and effective integration into clinical practice. These include data privacy and security, algorithmic clarity and interpretation, legal compliance, staff training, and the ethics of AI decision-making. Researchers and policymakers must work together to develop robust frameworks and guidelines that prioritize patient safety, privacy, and equity when using AI and ML technologies in medicine and healthcare equity within healthcare systems.
CONCLUSION
In conclusion, AI and ML are transforming the practice of medicine by providing new solutions to some of the traditional problems of diagnosis, treatment, and cure. From diagnosis and medical image interpretation to drug discovery and personalized medicine, AI and ML promise to improve patient outcomes, enhance clinical decision-making, and improve healthcare delivery. However, to realize the full potential of these technologies, various challenges must be addressed, including data privacy and algorithmic interpretability, as well as ethical concerns. By facilitating collaboration among researchers, healthcare providers, policymakers, and other stakeholders, we can harness the power of AI and ML to transform medicine and create a new era of precision medicine.
References
Competing Interests
Source of Support: None. Conflict of Interest: None.