Thursday, May 19, 2022

Its Good To See Some Evidence Of AI Making A Clinical Difference – And In OZ!

This appeared last week:

AI increasing accuracy and efficiency in cancer screening

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Dr Helen Frazer is leading the research at St Vincent’s Hospital in Melbourne using AI to improve the accuracy of breast cancer screening and shorten the time to return results to patients.

St Vincent’s Hospital in Melbourne has partnered with BreastScreen Victoria, St Vincent’s Institute of Medical Research, the Australian Institute of Machine Learning at the University of Adelaide and the University of Melbourne to support the research program, and its being overseen by Aikenhead Centre for Medical Discovery.

Despite the screening program being largely considered as a successful public health initiative over its 30 year term, Frazer believes that AI can not only save lives in this space, but improve the experience for women.

“We're now working with five of our top performing algorithms and their ensemble and the exciting thing is that we've moved into this real world setting. So we've been testing and validating our models in a real-world retrospective cohort of women of over half a million women,” she said.

“We’re also working in a digital twin environment where we're prospectively testing those models in real time as women come into the screening pathway.”

Frazer said that the research program is focusing on data central and model centric development to train and test the models.

“We have over 4.2 million mammogram images and the associated non-image data for that image. So we know that the words age, whether she has a family history, has she had hormone replacement therapy? We also know whether the mammogram was abnormal, whether the woman came back to assessment, a biopsy performed, a cancer diagnosed, the cancer removed and the surgical histopathology,” said Frazer.

The biggest challenge that they are facing is generalisability she said.

https://www.itnews.com.au/digitalnation/video/ai-increasing-accuracy-and-efficiency-in-cancer-screening-579869

There is also coverage here ( with some other AI successes)

AI driving solutions in healthcare, gender equality and wildlife conservation

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Artificial intelligence (AI) and machine learning (ML) are making significant inroads in solving intractable problems in healthcare, gender inequality and wildlife conservation.

The Women in AI Awards Australia and New Zealand 2022 awards the top-performing female leaders and innovators using AI to drive impact in their sectors and who are also providing a social good.

Digital Nation Australia spoke to the winners and runner-ups of the most prestigious award of the night, the Innovator of the Year award, as well as the winner of the WAI Trailblazer. Between them, the four winners shared a prize pool of $30,000.

AI in breast cancer screening

Dr Helen Frazer, radiologist, breast cancer clinician and clinical director at BreastScreen at St Vincent’s Hospital in Melbourne, won the WAI Innovator of the Year award, for her work in transforming women’s experience in breast cancer screening, and saving lives.

“We have curated a very large, globally unique data set for breast cancer AI research,” said Frazer.

“We've been testing and validating our models in a real-world retrospective cohort of over half a million women, and we're also working in a digital twin environment where we're prospectively testing those models in real-time, as women come into the screening pathway.”

The outcomes include higher test accuracy, due to specificity and sensitivity, as well as shortening the timeframe for women to wait for their screening results.

“An algorithm will actually pass through a mammogram almost instantaneously. Whereas for someone like me, a radiologist to read the mammogram, it takes a lot longer,” she said.

“Currently women wait up to 14 days for an all-clear result from their mammogram and 95 percent of our work in population screening of well women is normal. So there's a lot of anxiety as women wait that period to get their result.”

Frazer said she is working to implement AI to more rapidly assess images to make that turn-around the same day or within just a few days.

Radiologist talent shortages are a key challenge facing the health sector, and Frazer believes that AI can help to meet this need.

On winning the award, Frazer said she hopes that it can encourage more women and girls to work in STEM.

“We know that female participation [in STEM] is low and global figures will say 25 percent or less proportion of women are in STEM-related roles. We know also that women in artificial intelligence is even less again, and probably at best around about 15 percent,” she said.

“There are ethical, legal and social implications of machines actually making medical decisions or used to support or augment medical decisions. I believe it is so important to hear all voices, for everyone to have a seat at the table and that includes women.”
More here:

https://www.itnews.com.au/digitalnation/video/cover-story-ai-driving-solutions-in-healthcare-gender-equality-and-wildlife-conservation-579755?

This seems to really be a win-win with diagnosis quicker and more accurate and the patient not having a long wait for most results.

Also the rare radiologists can look more carefully at the hard images where the outcome is unclear and human judgement is useful!

Good stuff.

David.

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