What's All The Buzz About AI? Here's What We Know For Jacksonville Health Care

As artificial intelligence becomes more mainstream, the University of Florida College of Medicine in Jacksonville has introduced federally approved AI-based computer software to help doctors make faster and more accurate breast and prostate cancer diagnoses.

The software was developed by Paige, a New York-based digital pathology company, which stands for Pathology Artificial Intelligence Guide Engine. Doctors scan the images and send them electronically to the company along with relevant information.

"AI is a tool like any other," says Page CEO Andy Moye, who was once a Navy pilot at Naval Air Station Jacksonville. But especially in health... it is a tool that saves lives.

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Professor Dr. Shahla Masood, head of the Department of Pathology and Laboratory Medicine at Jacksonville College, said AI is an invaluable addition to the expertise of physicians and pathologists.

When test results show multiple possibilities, the AI ​​can provide an objective second opinion and decide on a diagnosis, she said. And the speed of AI calculations can mean that processing starts faster.

"If we look at the lab results, they show that they trained machines to detect early changes," she says. "It's not about changing traditional diagnosis, it's about using digital pathology as an additional process to quickly bring more consistency."

With artificial intelligence in the news today and around the world, many people—including some skeptics—want to know more.

What is artificial intelligence and who created it?

Among the many candidates to find the father of AI are the British logician and computer pioneer Alan Turing in the 1940s and the computer scientist and cognitive scientist John McCarthy in the 1950s. The class and in the 1960s, computers began to be trained to "imitate the basis of human thinking".

As for the definition of AI, the McKinsey Explainer, from management consulting firm McKinsey & Co., offers "straightforward answers to complex questions."

"Artificial intelligence is the ability of machines to perform cognitive functions that we typically associate with the human mind, including perception, reasoning, learning, interacting with the environment, solving problems, and exercising creativity," said McKinsey. Ultimately, the value of AI is not in the systems, but in how companies use them to support people, and in the ways in which they can explain to shareholders and the public what these systems do and create. trust. he said.

Gaining trust will be key to answering Google's famous question: Will AI rule the world?

That's the question business leaders asked themselves at the Yale SEO Summit in June. According to a CNN report, 58% said they were "not worried" that AI could ever destroy humanity, while 34% said it could happen within 10 years and 8% said it could happen within five years.

Experts at Lyrise, a platform that helps companies hire AI talent, write that despite its great potential, artificial intelligence will not destroy humanity.

"One of the main reasons AI isn't an existential threat is that it's a tool, not a living being. AI is created and controlled by humans, and it can't just do what it's designed to do," LyRise said. . They have the ability to make their own decisions or develop their own goals.

Lirise also stated that AI will come with safety mechanisms, such as the ability to handle humans, and research is underway to "ensure that AI is built responsibly and to identify and mitigate potential risks." arrive.

Massoud of the UF-Jacksonville College of Medicine compared the impact of AI to that of cell phones or the Internet. They can be intimidating at first, but now we've come to trust them.

"AI is the latest advancement in computer science in how we can use computers to focus on limitless applications not only in healthcare but also in industry," she said. "We can teach machines to learn anything ... to imitate the human mind."

How can AI benefit healthcare?

According to the Journal of Medical Economics, the biggest benefit is "improving the speed and accuracy of diagnosis."

"AI algorithms can process large amounts of data quickly and accurately, making it easier for health care providers to diagnose and treat diseases," the magazine says. "AI algorithms can analyze medical images such as X-rays and MRIs to identify patterns and abnormalities that a human doctor might miss. This leads to earlier and more accurate diagnoses, which lead to better patient outcomes." the patient.

Moye de Page said AI "uses complex pattern recognition to explore and allow computers to find patterns in different objects." This helps doctors quickly determine whether or not a patient has cancer.

"Make the right diagnosis in less time," he said. "Waiting days and weeks to get results is a terrible time."

Additionally, in the medical economy, AI can also monitor a patient's vital signs such as heart rate and blood pressure and detect unexpected changes, among others.

Therefore, AI is one of the many tools that can be used by doctors, Masood said. Other factors to consider include patient and physician information, laboratory and imaging tests, age, and family history.

"Medicine is not black and white. Many diseases are similar," she said. The investigation will be done after "we put all these things together as a puzzle. Artificial intelligence is the final piece of the puzzle," she said.

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What are federal regulators saying about Paige AI?

After several clinical trials and regulatory evaluations, the software was released in 2015. It received marketing approval from the United States Food and Drug Administration in 2021 for prostate cancer screening and later for breast cancer screening.

"Every day, pathologists examine biopsies of suspicious tissue, such as prostate cancer," said Dr. Tim Stenzel, director of the Office of In Vitro Diagnostics and Radiological Health at the Centers for Disease Control and Prevention. and Radiological Health from the FDA. "Identifying areas of concern in biopsy images can help pathologists make diagnoses that can serve as the basis for appropriate treatment. Validation of this software will help increase the number of prostate cancer biopsy specimens that contain cancerous tissue." , thus saving lives."

In a study by Page, 18 pathologists evaluated 610 prostate biopsy tissue samples from 218 different institutions. Two evaluations were performed on each sample: one with page support and one without. The study showed that doctors using the prostate software reduced false negative diagnoses by 70% and false positive diagnoses by 24%. The findings were published in Archives of American Pathology of Pathology and Laboratory Medicine in 2022.

"They had their eyes opened," Moye said.

How was UF born?

Page, founded in 2017, contacted UF about using the software. Moye has a personal connection: He received a master's degree in business administration from UF in 2007.

In addition to UF, the software is used at about two dozen locations, including Memorial Sloan Kettering Cancer Center in New York and the National Health Service in Oxford, England, Moy said.

"We have very well-studied algorithms," he said. "You have to be really comfortable."

UF has acquired all of Paige's AI offerings, including Paige Prostate Suite and PaigeBreast Suite.

"The decision to adopt AI was made primarily with our patients in mind," said Masood. "We strive to provide the best outcomes for our patients and improve the diagnostic experience for pathologists. Using an AI-powered application frees our pathologists from tedious and repetitive tasks that come with diagnosis, improves their diagnostic confidence and it allows them to focus on more knowledge-intensive matters." .

UF also uses AI in other areas that include research and authentication, she said.

Do other hospitals in the Jacksonville area use AI?

To varying degrees, yes.

Rochester, Minn.-based Mayo Clinic. said in a statement that it is "developing, testing and deploying multiple AI-based tools in clinical practice" at all of its locations, including Jacksonville Hospital. "Data scientists and clinical researchers collaborate to collect massive data sets and apply sophisticated AI and machine learning algorithms to generate medical insights. They apply AI to rapidly solve problems, leading to the development of tools and new health treatments."

In addition, Mayo created a new AI and computer science research unit in Minnesota and created the Center for Digital Health and the Department of Quantitative Health Sciences, which will be used across all sites. And "Mayo Clinic has launched a platform that enables connections between innovators and professionals to transform healthcare," the statement said.

HCA Healthcare, which owns and operates HCA Florida Memorial Hospital in Jacksonville and HCA Florida Orange Park Hospital, said in a statement that it is "building on a legacy of innovation." For example, Memorial is one of two HCA hospitals involved in staffing and scheduling that uses "AI machine learning algorithms to predict staffing needs."

Baptist Health says the health system uses AI to "improve patient experience and clinical and administrative efficiency." In medical offices, with the patient's consent, the technology acts as a "scribe" during the appointment, allowing doctors to focus on the patient and not on the paperwork.

Other examples of AI include delivery robots at Jacksonville Baptist Medical Center, which free up nurses and other doctors to spend more time with patients.

Aaron Miri, chief digital and information officer at Baptist Health, said the integration of AI "will drive healthcare workflows, with privacy, accuracy, security and ethics as key issues." Mary's team created tools that provide administrative support by "integrating meetings, analyzing data and surveys to provide diagnostic insights, and extracting valuable insights from big data sources."

The Way of Ascension. As of Friday afternoon, Vincent had not released any information about the use of AI.

bcravey@jacksonville.com, (904) 359-4109

This article originally appeared in the Florida Times-Union: UF College of Medicine-Jacksonville uses AI to diagnose cancer.

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