Thread by @akkified

#Doctors and #Medicine need an #AI update.
Bold and convincing book.

@EricTopol

#ArtificialIntelligence has the ability to bring the fourth industrial revolution. Healthcare is deemed to be an industry which can get transformed the most.

#DeepMedicine

@EricTopol is a #cardiologist, historian of the present and a #MedicalFuturist.
He believes that the way we practice medicine now ( #ShallowMedicine ) relies too heavily on human inputs and is thus plagued by human biases and imperfections.

#DeepMedicine

3. A patient presenting with a set of symptoms will be diagnosed differently by different specialists. Unnecessary investigations and imaging might be ordered subsequently to rule out diseases. Often unnecessary procedures might be ordered for incidental findings.

#DeepMedicine

4. These wasteful investigations, imaging and procedures add to the burden of healthcare costs for every nation. The author rightly calls this #ShallowMedicine or #UnintelligentMedicine and blames the medical fraternity's inability to adapt to newer technologies.

#DeepMedicine

5. Although carefully looking, listening and feeling the patient is enough to make the right #diagnosis, this rarely happens because of innate #humanbiases in making a #diagnosis, limited eye contact with the patient because of #ElectronicHealthRecords and..

#DeepMedicine

6. ... overburdened #doctors skipping #ClinicalExaminations (#WNL = We did Not Look). A doctor's visit has become more of a data entry session than a chance to connect with another human being. The #Care component is missing in #Healthcare.

#DeepMedicine

7. The principle concepts of #DeepMedicine can be summarised as the 3 Ds of #DeepMedicine - #Digitization of #HealthData,
#Democratisation of #HealthData and #DeepLearning.

8. #Radiology and #Pathology are two image based specialities which will get transformed the most because of #AI. As a second reader of scans and slides #AI can become assistants, help in triaging patients and pulling up latest treatment guidelines.

#DeepMedicine

9. #Radiologists and #Pathologists according to the author will have new roles to play (as an independent doctor to assess the need of an investigation or to suggest treatments) and will have more #patient interaction.

#DeepMedicine

10. Patients will get cost advantages as millions of scans can be read by #AI algorithms in minutes. #Algorithms might be able to predict diseases rather than just diagnose them. Image enhancement can pave the way for ultra low dose and fast scanning.

#DeepMedicine

11. #AI in #dermatology can empower #familyphysicians. #AI in #opthalmology can help in retinal scans and smartphone based self eye checkups in the future. #AI in hard sciences can help in faster drug discovery.

#DeepMedicine

12. #AI for #MentalHealth. Studies suggest that a digital #shrink might be better than a physical one. Multiple inputs like voice quality, Instagram posts, etc can be used for diagnosis. Cognitive behavioral therapies can be given on phones.

#DeepMedicine

13. @EricTopol believes that the #21stCentury will be THE CENTURY OF THE BRAIN. Advancements in the field of #Neurosciences will propel #AI and vice-versa.

#DeepMedicine

14. #ElectronicHealthRecords can be substituted with #MachineLearning powered audio transcription of medical visits, thus freeing the doctors from data entry. #CleanData can thus be generated free from inaccuracies arising from blind copying of past data.

#DeepMedicine

15. Med schools don't emphasize on #DiagnosticSkills. Without feedback, a doctor's confidence is growing faster than diagnostic accuracy. Symptom checkers are currently unable to beat doctors. #AI's power to devour medical data will eventually come in handy.

#DeepMedicine

16. #ClinicalDecisionSupportSystems can be powered with #AI for latest medical literature based systems. #ECG's will go beyond the prevailing rule based 1 layer network. #Echocardiography and #Gastroenterology can benefit from pathology recognition algorithms.

#DeepMedicine

17. #VirtualReality and cloud connected surgical robots will improve surgical practice and patient outcomes. #Robots can also take over certain nursing jobs like giving medicines.

#DeepMedicine

18. Hospitals can improve efficiency with #AI monitoring and #AI backed predictive diagnosis and management support. #VirtualHospitals with the help of telemedicine and #AI powered at-home monitoring devices can provide care beyond hospital walls.

#DeepMedicine

19. #AI is already being applied in genomics and proteomics to understand genetic and molecular basis of cancers. #CancerTherapeutics and #PrecisionMedicine advances are mostly because of #AI.

#DeepMedicine

20. Pitfalls of #AI : #AI is as good as the quality of input data but medical data is cluttered, unstructured, biased and often contended. #BlackBox decisions violates patient's right to explanation for a decision. Human biases can seep into #AI algorithms.

#DeepMedicine

21. And ofcourse there is always the issue of #DataPrivacy.

But despite these pitfalls @EricTopol envisions a future in which your phone will tell you about your abnormal blood sugar levels & ask you whether it can schedule a doctor's appointment for you.

#DeepMedicine

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