12 healthcare areas where AI will result in near-term breakthroughs
Faculty members of Partners HealthCare have ranked artificial intelligence-enabled technologies that will have the greatest impact on medicine in the next 12 months.
The Boston-based health system announced the 2019 “Disruptive Dozen” AI technologies last week during a panel session at its World Medical Innovation Forum.
More than 60 in-person and telephone interviews were conducted with Partners HealthCare faculty to nominate the breakthrough innovations that were ultimately whittled down to 12 AI technologies, according to Erica Shenoy, MD, associate chief of Massachusetts General Hospital’s Infection Control Unit.
To be considered for the annual ranking, Shenoy said nominated healthcare innovations had to have strong potential for significant clinical impact and patient benefit in comparison to current medical practices, as well as be on the market by 2020.
“They have to be technologies that are pretty close to making it to market,” added Shenoy. “The idea here is that these are high probability of deployment within the next couple of years.”
The 12 healthcare areas in which AI is expected to result in breakthroughs over the next year include:
1) Reimagining Medical Imaging—Researchers are using AI-based approaches to increase the power of mammography, transforming it from a one-size-fits-all method to a more targeted tool for assessing breast cancer risk. For example, a team in Massachusetts is leveraging machine learning in multiple ways to improve breast cancer screening. The researchers developed an AI-based method, now in clinical use at a large hospital for slightly more than a year, that can automatically determine breast density using mammograms.
2) Better Prediction of Suicide Risk—Research teams in Washington, Virginia and other states, as well as teams based at major social media companies, are using natural language processing and machine learning methods to create algorithms that can analyze data and detect the early warning signs of suicide. Based on their predictive power, such tools could form the basis of an app or other technology-based system that parents, other caregivers and medical providers can use to alert them when an adolescent in their care is contemplating suicide.
3) Streamlining Diagnosis—Clinical imaging has become increasingly digitized, paving the way for computer vision and other AI-based approaches that promise to improve clinical operations and decision making. One example is clinical workflows. AI offers the prospect of prioritizing patients’ images for analysis, moving them to the top of the virtual stack based on the likelihood of an abnormal and potentially life-threatening finding. For example, researchers in California recently developed a deep-learning-based algorithm that can distinguish normal chest X-ray images from abnormal ones.
4) Automated Malaria Detection—With the help of deep learning methods, a research group in Washington has developed a software program to help automate malaria diagnosis. Notably, their tool can detect and quantify malaria parasites with 90 percent accuracy and specificity, matching the level of performance of human experts. Researchers packaged their algorithm within an inexpensive, automated digital microscope, which has yielded impressive results in field tests in Thailand and Peru. The system continues to undergo further field tests and is now in commercial development.
5) A Window on the Brain: Toward Real-Time Monitoring and Analysis of Brain Health—A team of researchers in Boston has annotated some 30 terabytes of EEG data from thousands of patients. They have mined the data to create deep learning algorithms that can automatically detect seizures in the critically ill, regardless of the underlying cause of illness. These tools are now under development and will be deployed in the coming year at a large hospital in the region, making real-time analysis of EEG a clinical reality.
6) AI for Eye Health and Disease—In 2018, the Food and Drug Administration took a historic step with the approval of a new AI-based system for the detection of diabetic retinopathy. Researchers based in Iowa recently examined the clinical use of this tool for diabetic retinopathy through a large prospective analysis. Meanwhile, research teams in the United Kingdom have been working to design AI-based tools that are more generalizable and not geared to a single eye disease, but able to detect within a single imaging modality features used in the diagnosis of more than 50 common eye conditions, including age-related macular degeneration.
7) Lighting a FHIR Under Health Information Exchange—A new data standard, known as the Fast Healthcare Interoperability Resources (FHIR) is gaining popularity and has become the de facto standard for sharing medical and other health-related information. With its web-based approach to health information exchange, FHIR promises to enable a new world of possibilities rooted in patient-centered care. Perhaps the most trailblazing aspect of FHIR is the new realm of patient-controlled data sharing it will create.
8) Reducing the Burden of Healthcare Administration—A key area where AI could have a sizeable impact is medical coding and billing. To help streamline the process of medical coding, teams across the country are harnessing AI to develop automated approaches. For example, a Boston-based startup has created a suite of machine learning algorithms that can analyze the doctors’ notes from patients’ electronic health records and automatically generate the proper diagnostic and procedure codes.
9) A Revolution in Acute Stroke Care—Massachusetts researchers have developed a set of AI-based algorithms that can help determine whether or not there is bleeding within the brain. The algorithms, which were trained on some 2,000 head CT images, can automatically review a patient’s head CT scan to identify a cerebral hemorrhage as well as help localize its source and determine the volume of brain tissue that is affected. Currently, the team is working to expand these tools by creating additional AI-based methods that similarly automate the subsequent steps of ischemic stroke diagnosis.
10) The Hidden Signs of Intimate Partner Violence—Researchers are working to develop AI-enabled tools that can help alert clinicians if a patient’s injuries likely stem from intimate partner violence (IPV). Their goal is to create an integrated, AI-based system that can analyze a patient’s clinical and radiological data and automatically alert radiologists and clinicians if the injuries are likely to be associated with IPV. A research team in Boston recently conducted a pilot study that analyzed the electronic health records and imaging exams of nearly 200 patients with a known history of IPV as well as a control set of more than 550 non-abused patients.
11) Voice-First Technology Comes to Healthcare—AI-powered, voice-first technology is coming to the clinic. Using speech recognition and natural language processing, several vendors are developing tools that are designed to help clinicians deliver better care and also give them more quality time with patients. For example, a host of healthcare technology companies are working on voice assistants that can help reduce physicians’ data entry burdens.
12) Narrowing the Gaps in Mental Healthcare—Research teams across the country are harnessing technology, including AI-based methods, to help narrow the gaps in mental healthcare. For example, researchers in Massachusetts are developing an app for patients with opioid, alcohol and other forms of drug addiction, which provides a virtual form of integrated group therapy, a highly effective treatment that teaches patients behaviors and skills to manage their own recovery and prevent relapse.
“The promise and potential for digital behavioral health solutions and apps are enormous to address the gaps in mental healthcare that we have in the United States and across the world,” said David Ahern, a psychologist at Brigham and Women’s Hospital. “There’s research now underway, and we’re doing some in my laboratory, that’s actually looking at the impact of these interventions delivered by a smartphone or mobile device that has embedded in them evidence-based approaches to mental healthcare.”