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Healthcare
Clinical AI, diagnostic bias, patient safety and medical-device regulation — the healthcare front of AI ethics, daily.
Large language models encode clinical knowledge
Abstract Large language models (LLMs) have demonstrated impressive capabilities, but the bar for clinical applications is high. Attempts to assess the clinical knowledge of models typically rely on automated evaluations based on limited benchmarks. Here, to address these limitations, we present MultiMedQA, a benchmark combining six existing medical question answering datasets spanning professional medicine, research and consumer queries and a new dataset of medical questions searched online, Hea
Shaping the Future of Education: Exploring the Potential and Consequences of AI and ChatGPT in Educational Settings
Over the last decade, technological advancements, especially artificial intelligence (AI), have significantly transformed educational practices. Recently, the development and adoption of Generative Pre-trained Transformers (GPT), particularly OpenAI’s ChatGPT, has sparked considerable interest. The unprecedented capabilities of these models, such as generating humanlike text and facilitating automated conversations, have broad implications in various sectors, including education and health. Desp
The imperative for regulatory oversight of large language models (or generative AI) in healthcare
The rapid advancements in artificial intelligence (AI) have led to the development of sophisticated large language models (LLMs) such as GPT-4 and Bard. The potential implementation of LLMs in healthcare settings has already garnered considerable attention because of their diverse applications that include facilitating clinical documentation, obtaining insurance pre-authorization, summarizing research papers, or working as a chatbot to answer questions for patients about their specific data and
New approach methodologies in human regulatory toxicology – Not if, but how and when!
The predominantly animal-centric approach of chemical safety assessment has increasingly come under pressure. Society is questioning overall performance, sustainability, continued relevance for human health risk assessment and ethics of this system, demanding a change of paradigm. At the same time, the scientific toolbox used for risk assessment is continuously enriched by the development of "New Approach Methodologies" (NAMs). While this term does not define the age or the state of readiness of
Algorithmic fairness in artificial intelligence for medicine and healthcare
ChatDoctor: A Medical Chat Model Fine-Tuned on a Large Language Model Meta-AI (LLaMA) Using Medical Domain Knowledge
Objective The primary aim of this research was to address the limitations observed in the medical knowledge of prevalent large language models (LLMs) such as ChatGPT, by creating a specialized language model with enhanced accuracy in medical advice. Methods We achieved this by adapting and refining the large language model meta-AI (LLaMA) using a large dataset of 100,000 patient-doctor dialogues sourced from a widely used online medical consultation platform. These conversations were cleaned and
Bias in artificial intelligence algorithms and recommendations for mitigation
The adoption of artificial intelligence (AI) algorithms is rapidly increasing in healthcare. Such algorithms may be shaped by various factors such as social determinants of health that can influence health outcomes. While AI algorithms have been proposed as a tool to expand the reach of quality healthcare to underserved communities and improve health equity, recent literature has raised concerns about the propagation of biases and healthcare disparities through implementation of these algorithms
The Role of AI in Drug Discovery: Challenges, Opportunities, and Strategies
Artificial intelligence (AI) has the potential to revolutionize the drug discovery process, offering improved efficiency, accuracy, and speed. However, the successful application of AI is dependent on the availability of high-quality data, the addressing of ethical concerns, and the recognition of the limitations of AI-based approaches. In this article, the benefits, challenges, and drawbacks of AI in this field are reviewed, and possible strategies and approaches for overcoming the present obst
Utility of ChatGPT in Clinical Practice
ChatGPT is receiving increasing attention and has a variety of application scenarios in clinical practice. In clinical decision support, ChatGPT has been used to generate accurate differential diagnosis lists, support clinical decision-making, optimize clinical decision support, and provide insights for cancer screening decisions. In addition, ChatGPT has been used for intelligent question-answering to provide reliable information about diseases and medical queries. In terms of medical documenta
Reliability of Medical Information Provided by ChatGPT: Assessment Against Clinical Guidelines and Patient Information Quality Instrument
BACKGROUND: ChatGPT-4 is the latest release of a novel artificial intelligence (AI) chatbot able to answer freely formulated and complex questions. In the near future, ChatGPT could become the new standard for health care professionals and patients to access medical information. However, little is known about the quality of medical information provided by the AI. OBJECTIVE: We aimed to assess the reliability of medical information provided by ChatGPT. METHODS: Medical information provided by Cha
Bias in AI-based models for medical applications: challenges and mitigation strategies
Artificial intelligence systems are increasingly being applied to healthcare. In surgery, AI applications hold promise as tools to predict surgical outcomes, assess technical skills, or guide surgeons intraoperatively via computer vision. On the other hand, AI systems can also suffer from bias, compounding existing inequities in socioeconomic status, race, ethnicity, religion, gender, disability, or sexual orientation. Bias particularly impacts disadvantaged populations, which can be subject to
Re-Thinking Data Strategy and Integration for Artificial Intelligence: Concepts, Opportunities, and Challenges
The use of artificial intelligence (AI) is becoming more prevalent across industries such as healthcare, finance, and transportation. Artificial intelligence is based on the analysis of large datasets and requires a continuous supply of high-quality data. However, using data for AI is not without challenges. This paper comprehensively reviews and critically examines the challenges of using data for AI, including data quality, data volume, privacy and security, bias and fairness, interpretability
A Review of the Role of Artificial Intelligence in Healthcare
Artificial intelligence (AI) applications have transformed healthcare. This study is based on a general literature review uncovering the role of AI in healthcare and focuses on the following key aspects: (i) medical imaging and diagnostics, (ii) virtual patient care, (iii) medical research and drug discovery, (iv) patient engagement and compliance, (v) rehabilitation, and (vi) other administrative applications. The impact of AI is observed in detecting clinical conditions in medical imaging and
Artificial intelligence in healthcare and education
Artificial intelligence (AI) is rapidly transforming the healthcare and medical and dental education sectors. With advancements in AI technology and its integration into routine tasks, the field of healthcare and education is rapidly evolving. This article aims to provide an in-depth analysis of the impact of AI in these sectors and to discuss the advantages and disadvantages of its integration. The article will begin by examining the use of AI in healthcare, including its impact on patient care
Towards Expert-Level Medical Question Answering with Large Language Models
Recent artificial intelligence (AI) systems have reached milestones in "grand challenges" ranging from Go to protein-folding. The capability to retrieve medical knowledge, reason over it, and answer medical questions comparably to physicians has long been viewed as one such grand challenge. Large language models (LLMs) have catalyzed significant progress in medical question answering; Med-PaLM was the first model to exceed a "passing" score in US Medical Licensing Examination (USMLE) style quest
User Intentions to Use ChatGPT for Self-Diagnosis and Health-Related Purposes: Cross-sectional Survey Study
BACKGROUND: With the rapid advancement of artificial intelligence (AI) technologies, AI-powered chatbots, such as Chat Generative Pretrained Transformer (ChatGPT), have emerged as potential tools for various applications, including health care. However, ChatGPT is not specifically designed for health care purposes, and its use for self-diagnosis raises concerns regarding its adoption's potential risks and benefits. Users are increasingly inclined to use ChatGPT for self-diagnosis, necessitating
ChatGPT in medicine: an overview of its applications, advantages, limitations, future prospects, and ethical considerations
This paper presents an analysis of the advantages, limitations, ethical considerations, future prospects, and practical applications of ChatGPT and artificial intelligence (AI) in the healthcare and medical domains. ChatGPT is an advanced language model that uses deep learning techniques to produce human-like responses to natural language inputs. It is part of the family of generative pre-training transformer (GPT) models developed by OpenAI and is currently one of the largest publicly available
Comparing scientific abstracts generated by ChatGPT to real abstracts with detectors and blinded human reviewers
Large language models such as ChatGPT can produce increasingly realistic text, with unknown information on the accuracy and integrity of using these models in scientific writing. We gathered fifth research abstracts from five high-impact factor medical journals and asked ChatGPT to generate research abstracts based on their titles and journals. Most generated abstracts were detected using an AI output detector, 'GPT-2 Output Detector', with % 'fake' scores (higher meaning more likely to be gener
An Overview of Chatbot-Based Mobile Mental Health Apps: Insights From App Description and User Reviews
BACKGROUND: Chatbots are an emerging technology that show potential for mental health care apps to enable effective and practical evidence-based therapies. As this technology is still relatively new, little is known about recently developed apps and their characteristics and effectiveness. OBJECTIVE: In this study, we aimed to provide an overview of the commercially available popular mental health chatbots and how they are perceived by users. METHODS: We conducted an exploratory observation of 1
The evolution of lung cancer and impact of subclonal selection in TRACERx
. Here we analysed 1,644 tumour regions sampled at surgery or during follow-up from the first 421 patients with non-small cell lung cancer prospectively enrolled into the TRACERx study. This project aims to decipher lung cancer evolution and address the primary study endpoint: determining the relationship between intratumour heterogeneity and clinical outcome. In lung adenocarcinoma, mutations in 22 out of 40 common cancer genes were under significant subclonal selection, including classical tum
ChatGPT Utility in Healthcare Education, Research, and Practice: Systematic Review on the Promising Perspectives and Valid Concerns
ChatGPT is an artificial intelligence (AI)-based conversational large language model (LLM). The potential applications of LLMs in health care education, research, and practice could be promising if the associated valid concerns are proactively examined and addressed. The current systematic review aimed to investigate the utility of ChatGPT in health care education, research, and practice and to highlight its potential limitations. Using the PRIMSA guidelines, a systematic search was conducted to
Attention is not all you need: the complicated case of ethically using large language models in healthcare and medicine
Large Language Models (LLMs) are a key component of generative artificial intelligence (AI) applications for creating new content including text, imagery, audio, code, and videos in response to textual instructions. Without human oversight, guidance and responsible design and operation, such generative AI applications will remain a party trick with substantial potential for creating and spreading misinformation or harmful and inaccurate content at unprecedented scale. However, if positioned and
A systematic review of trustworthy and explainable artificial intelligence in healthcare: Assessment of quality, bias risk, and data fusion
The rise of <scp>ChatGPT</scp>: Exploring its potential in medical education
The integration of artificial intelligence (AI) into medical education has the potential to revolutionize the way students learn about biomedical sciences. Large language models, such as ChatGPT, can serve as virtual teaching assistants, providing students with detailed and relevant information and perhaps eventually interactive simulations. ChatGPT has the potential to increase student engagement and enhance student learning, though research is needed to confirm this. The challenges and limitat
From patterns to patients: Advances in clinical machine learning for cancer diagnosis, prognosis, and treatment
Using ChatGPT to write patient clinic letters
The appropriate recording and communication of clinical information between clinicians and patients are of paramount importance. Recently there has been a much-needed drive to improve the information that is shared with patients.1 However, the preparation of clinical letters can be time consuming. Although there has been an increase in the use of letter templates and voice recognition systems, with the aim of improving efficiency, novel technologies such as natural language processing (NLP) and
The Role of ChatGPT, Generative Language Models, and Artificial Intelligence in Medical Education: A Conversation With ChatGPT and a Call for Papers
ChatGPT is a generative language model tool launched by OpenAI on November 30, 2022, enabling the public to converse with a machine on a broad range of topics. In January 2023, ChatGPT reached over 100 million users, making it the fastest-growing consumer application to date. This interview with ChatGPT is part 2 of a larger interview with ChatGPT. It provides a snapshot of the current capabilities of ChatGPT and illustrates the vast potential for medical education, research, and practice but al
Artificial Intelligence–Based Chatbots for Promoting Health Behavioral Changes: Systematic Review
BACKGROUND: Artificial intelligence (AI)-based chatbots can offer personalized, engaging, and on-demand health promotion interventions. OBJECTIVE: The aim of this systematic review was to evaluate the feasibility, efficacy, and intervention characteristics of AI chatbots for promoting health behavior change. METHODS: A comprehensive search was conducted in 7 bibliographic databases (PubMed, IEEE Xplore, ACM Digital Library, PsycINFO, Web of Science, Embase, and JMIR publications) for empirical a
Artificial Hallucinations in ChatGPT: Implications in Scientific Writing
While still in its infancy, ChatGPT (Generative Pretrained Transformer), introduced in November 2022, is bound to hugely impact many industries, including healthcare, medical education, biomedical research, and scientific writing. Implications of ChatGPT, that new chatbot introduced by OpenAI on academic writing, is largely unknown. In response to the Journal of Medical Science (Cureus) Turing Test - call for case reports written with the assistance of ChatGPT, we present two cases one of homocy
Digital Transformation in Healthcare: Technology Acceptance and Its Applications
Technological innovation has become an integral aspect of our daily life, such as wearable and information technology, virtual reality and the Internet of Things which have contributed to transforming healthcare business and operations. Patients will now have a broader range and more mindful healthcare choices and experience a new era of healthcare with a patient-centric culture. Digital transformation determines personal and institutional health care. This paper aims to analyse the changes taki
Diagnostic Accuracy of Differential-Diagnosis Lists Generated by Generative Pretrained Transformer 3 Chatbot for Clinical Vignettes with Common Chief Complaints: A Pilot Study
The diagnostic accuracy of differential diagnoses generated by artificial intelligence (AI) chatbots, including the generative pretrained transformer 3 (GPT-3) chatbot (ChatGPT-3) is unknown. This study evaluated the accuracy of differential-diagnosis lists generated by ChatGPT-3 for clinical vignettes with common chief complaints. General internal medicine physicians created clinical cases, correct diagnoses, and five differential diagnoses for ten common chief complaints. The rate of correct d
Drawbacks of Artificial Intelligence and Their Potential Solutions in the Healthcare Sector
Generating scholarly content with ChatGPT: ethical challenges for medical publishing
The impact of generative artificial intelligence (AI) on medical publishing practices is currently unknown. However, as our experiences underline, generative AI could have substantial ethical implications.
ChatGPT for healthcare services: An emerging stage for an innovative perspective
Generative Pretrained Transformer, often known as GPT, is an innovative kind of Artificial Intelligence (AI) which can produce writing that seems to have been written by a person. OpenAI created this AI language model called ChatGPT. It is built using the GPT architecture and is trained on a large corpus of text data to respond to natural language inquiries that resemble a person’s requirements. This technology has lots of applications in healthcare. The need for accurate and current data is one
Single-cell spatial landscapes of the lung tumour immune microenvironment
Abstract Single-cell technologies have revealed the complexity of the tumour immune microenvironment with unparalleled resolution 1–9 . Most clinical strategies rely on histopathological stratification of tumour subtypes, yet the spatial context of single-cell phenotypes within these stratified subgroups is poorly understood. Here we apply imaging mass cytometry to characterize the tumour and immunological landscape of samples from 416 patients with lung adenocarcinoma across five histological p
Nonhuman “Authors” and Implications for the Integrity of Scientific Publication and Medical Knowledge
Artificial intelligence (AI) technologies to help authors improve the preparation and quality of their manuscripts and published articles are rapidly increasing in number and sophistication.These include tools to assist with writing, grammar, language, references, statistical analysis, and reporting standards.Editors and publishers also use AI-assisted tools for myriad purposes, including to screen submissions for problems (eg, plagiarism, image manipulation, ethical issues), triage submissions,
Evaluation of artificial intelligence techniques in disease diagnosis and prediction
A broad range of medical diagnoses is based on analyzing disease images obtained through high-tech digital devices. The application of artificial intelligence (AI) in the assessment of medical images has led to accurate evaluations being performed automatically, which in turn has reduced the workload of physicians, decreased errors and times in diagnosis, and improved performance in the prediction and detection of various diseases. AI techniques based on medical image processing are an essential
Interoperability of heterogeneous health information systems: a systematic literature review
BACKGROUND: The lack of interoperability between health information systems reduces the quality of care provided to patients and wastes resources. Accordingly, there is an urgent need to develop integration mechanisms among the various health information systems. The aim of this review was to investigate the interoperability requirements for heterogeneous health information systems and to summarize and present them. METHODS: In accordance with the PRISMA guideline, a broad electronic search of a
MRI-based brain tumor detection using convolutional deep learning methods and chosen machine learning techniques
BACKGROUND: Detecting brain tumors in their early stages is crucial. Brain tumors are classified by biopsy, which can only be performed through definitive brain surgery. Computational intelligence-oriented techniques can help physicians identify and classify brain tumors. Herein, we proposed two deep learning methods and several machine learning approaches for diagnosing three types of tumor, i.e., glioma, meningioma, and pituitary gland tumors, as well as healthy brains without tumors, using ma
How Antimicrobial Resistance Is Linked to Climate Change: An Overview of Two Intertwined Global Challenges
Globally, antimicrobial resistance (AMR) and climate change (CC) are two of the top health emergencies, and can be considered as two interlinked public health priorities. The complex commonalities between AMR and CC should be deeply investigated in a One Health perspective. Here, we provided an overview of the current knowledge about the relationship between AMR and CC. Overall, the studies included pointed out the need for applying a systemic approach to planetary health. Firstly, CC increasing