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Medical AI Not Able to Scan Accurately with Small Manipulations

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Artificial intelligence is often regarded as the future of technology. However, many people don’t realize that AI technology has already found use in a majority of fields. Hospitals and medical care facilities around the world use AI to help increase their accuracy, efficiency, and productivity.

Although medical AI has been implemented to improve the healthcare industry, this technology seems to be falling short of this idea. Technology that was intended to enhance the speeds at which doctors can analyze medical scans has shown a propensity to malfunction and breaks over the smallest changes.

A group of scientists from Harvard Medical School was able to fool three different AIs which were constructed to scan simple medical images. The group of colleagues led by Sam Finlayson was able to fool these three AIs by simply altering a few pixels. This accuracy of this technology is paramount as doctors use this AI technology to make medical decisions.

In one experiment, the team slightly altered an image of a mole. The AI classified the first image as benign at a 99-percent confidence rating. After the slight modification, the same AI classified the mole as malignant at a 100-percent confidence rating. These two images were indistinguishable for the average person.

The other AIs tested in this experiment were used for very different medical scans. One AI was in charge of detecting a collapsed lung with chest X-rays. The other AI was responsible for spotting damage in the eye through retina scans.

Issues with a slight turn

The rotation of an image can cause a similar confusion in AI processing. This is highly disconcerting as a slight rotation of images can happen in everyday practice. Even with a low percentage of malfunction, this problem will increase exponentially as medical AI usage becomes more widespread. These cases of misclassification could cause irreparable damage.

This malfunction may also incentivize doctors to prompt these miscalculations if insurance will only reimburse the practice if an AI agrees with the diagnosis. This misreading could lead to purposeful alteration of borderline cases in order to ensure payment. Finlayson worries that these AI miscalculations could have massive repercussions in the medical field.

Although artificial intelligence is designed and created by scientists, the decision-making process that happens within these machines isn’t always predictable or clear. This can cause major problems when these decisions are introduced into the real world.

Another study discovered a similar AI malfunction. A machine that was designed to find hip fractures wasn’t even focusing on the fracture. Instead, the AI was making predictions based on the patient’s age by using the imaging device model.

According to Finlayson, attempts to correct these AI malfunctions typically result in the technology being less accurate. As many people become excited about the future of AI and its role in the medical field, it is important to remember that the technology isn’t foolproof. There are still many kinks that need to be worked out. In a field where a small mistake can mean the difference between life and death, avoiding these small mistakes is crucial.

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A science fiction nerd a heart who grew up reading everything written by Robert A. Heinlein and Isaac Asimov, Alan loves to report on the future and AI.

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AI to Assist with Selection of Embryo

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IF A WOMAN (or non-female-identifying person with a uterus and visions of starting a family) is struggling to conceive and decides to improve their reproductive odds at an IVF clinic, they’ll likely interact with a doctor, a nurse, and a receptionist. They will probably never meet the army of trained embryologists working behind closed lab doors to collect eggs, fertilize them, and develop the embryos bound for implantation.

One of embryologists’ more time-consuming jobs is grading embryos—looking at their morphological features under a microscope and assigning a quality score. Round, even numbers of cells are good. Fractured and fragmented cells, bad. They’ll use that information to decide which embryos to implant first.

It’s more gut than science and not particularly accurate. Newer methods, like pulling off a cell to extract its DNA and test for abnormalities, called preimplantation genetic screening, provide more information. But that tacks on additional costs to an already expensive IVF cycle and requires freezing the embryos until the test results come back. Manual embryo grading may be a crude tool, but it’s noninvasive and easy for most fertility clinics to carry out. Now, scientists say, an algorithm has learned to do all that time-intensive embryo ogling even better than a human.

In new research published today in NPJ Digital Medicine, scientists at Cornell University trained an off-the-shelf Google deep learning algorithm to identify IVF embryos as either good, fair, or poor, based on the likelihood each would successfully implant. This type of AI—the same neural network that identifies faces, animals, and objects in pictures uploaded to Google’s online services—has proven adept in medical settings. It has learned to diagnose diabetic blindness and identify the genetic mutations fueling cancerous tumor growth. IVF clinics could be where it’s headed next.

“All evaluation of the embryo as it’s done today is subjective,” says Nikica Zaninovic, director of the embryology lab at Weill Cornell Medicine, where the research was conducted. In 2011, the lab installed a time-lapse imaging system inside its incubators, so its technicians could watch (and record) the embryos developing in real time. This gave them something many fertility clinics in the US do not have—videos of more than 10,000 fully anonymized embryos that could each be freeze-framed and fed into a neural network. About two years ago, Zaninovic began Googling to find an AI expert to collaborate with. He found one just across campus in Olivier Elemento, director of Weill Cornell’s Englander Institute for Precision Medicine.

For years, Elemento had been collecting all kinds of medical imaging data—MRIs, mammograms, stained slides of tumor tissue—from any colleague who would give it to him, to develop automated systems to help radiologists and pathologists do their jobs better. He’d never thought to try it with IVF but could immediately see the potential. There’s a lot going on in an embryo that’s invisible to the human eye but might not be to a computer. “It was an opportunity to automate a process that is time-consuming and prone to errors,” he says. “Which is something that’s not really been done before with human embryos.”

To judge how their neural net, nicknamed STORK, stacked up against its human counterparts, they recruited five embryologists from clinics on three continents to grade 394 embryos based on images taken from different labs. The five embryologists reached the same conclusion on only 89 embryos, less than a quarter of the total. So the researchers instituted a majority voting procedure—three out of five embryologists needed to agree to classify an embryo as good, fair, or poor. When STORK looked at the same images, it predicted the embryologist majority voting decision with 95.7 percent accuracy. The most consistent volunteer matched results only 70 percent of the time; the least, 25 percent.

For now, STORK is just a tool embryologists can upload images to and play around with on a secure website hosted by Weill Cornell. It won’t be ready for the clinic until it can pass rigorous testing that follows implanted embryos over time, to see how well the algorithm fares in real life. Elemento says the group is still finalizing the design for a trial that would do that by pitting embryologists against the AI in a small, randomized cohort. Most important is understanding if STORK actually improves outcomes—not just implantation rates but successful, full-term pregnancies. On that score, at least some embryologists are skeptical.

“All this algorithm can do is change the order of which embryos we transfer,” says Eric Forman, medical and lab director at Columbia University Fertility Center. “It needs more evidence to say it helps women get pregnant quicker and safer.” On its own, he worries that STORK might make only a small contribution to improving IVF’s success rate, while possibly inserting its own biases.

In addition to embryo grading, the Columbia clinic uses pre-implantation genetic screening to improve patients’ odds of pregnancy. While not routine, it is offered to everyone. Forman says about 70 percent of the clinic’s IVF cycles include the blastocyst biopsy procedure, which can add a few thousand dollars to a patient’s tab. That’s why he’s most intrigued about what Elemento’s team is cooking up next. They’re training a new set of neural networks to see if they can detect chromosomal abnormalities, like the one that causes Down Syndrome. With an embryo developing under a camera’s watchful gaze, Elemento’s algorithm would monitor the feed for telltale signs of trouble. “We think the patterns of cell division we can capture with these movies could potentially carry information about these defects, which are hidden in just the snapshots,” says Elemento. They’re also looking into using the technique to predict miscarriages.

There’s plenty of room to improve the performance of IVF, and these algorithmic upgrades could make a dent—in the right circumstances. “If it could provide accurate predictions in real time with minimal risk for harm and no additional cost, then I could see the potential to implement AI like this for embryo selection,” says Forman. But there would be barriers to its adoption. Most IVF clinics in the US don’t have one of these fancy time-lapse recording systems because they’re so expensive. And there are a lot of other potential ways to improve embryo viability that could be more affordable—like tailoring hormone treatments and culturing techniques to the different kinds of infertility that women experience. In the end, though, the number one problem IVF clinics contend with is that sometimes there just aren’t enough high-quality eggs, no matter how many cycles a patient goes through. And no AI, no matter how smart, can do anything about that.

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Google Employees Sign Petition to Remove Conservative from AI Ethics Pane;

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Over 1,720 Google employees have signed a petition requesting the company to remove Kay Cole James, the president of the Heritage Foundation, from a Google panel that was new.

The petition says that James’s positions on civic and transgender rights must disqualify her from sitting on Google’s new artificial intelligence (AI) ethics board, which was declared last week.

The controversy introduces a struggle for Google, which is already facing criticism over a host of issues.

Thus far, the business has been publicly silent about the request as pressure builds and conservatives demanding the leadership of Google stand their own ground.

Lawmakers and industry watchers told The Hill that James’s inclusion on the AI integrity council was likely an attempt to allay issues over bias by Google and other online platforms.

, chairman of the Senate Judiciary Committee, told The Hill for the ethics panel Regarding James’ Collection.

Graham added that it was”good for Google to know they’ve got an issue.”

Google and james didn’t respond for comment to The Hill’s requests.

Google has faced criticism in particular LGBTQ groups which pressured the company to eliminate an app that critics said promoted conversion therapy, a discredited idea that someone could change their sexual orientation. The program was removed by google month. But critics noted that the business acted following a rights group that was LGBTQ suspended Google out of its corporate ranks.

James’s comments about transgender people have Google back.

James last month called the Equality Act, federal legislation that would enshrine civil rights for LGBTQ people,”anything but equality.”

“This bill would… open every female toilet and sports group to biological males,” James wrote.

The petitioners wrote that her addition on the regulation could indicate Google”values closeness to power over the health of trans folks, other LGBTQ individuals, and immigrants.”

“That is unacceptable.”

“There’s this attempt to integrate each the views of as many stakeholders as possible, but a total ignorance of the fact that a stakeholder group that warrants the validity of nonbinary men and women, for example, isn’t a plausible, inclusive practice,” Ali Alkhatib, a computer science student at Stanford University and a petition signer, told The Hill.

For conservatives, the request is ammunition for their claims that Google is hostile to conservative views, and they have rallied to James’s defense.

Sen. Ted Cruz (R-Texas) called the Google worker protest”consistent with a persistent pattern.”

“We have observed Google and all of big tech acting with nude partisan and ideological bias,” Cruz told The Hill. “It is more than ironic that leftists at Google, in the name of inclusivity, are pushing to bar one of the most respected African American women in the country from participating in discussions of coverage.”

Google has repeatedly denied claims that its search results are biased against conservatives and has noted that there is evidence for all those allegations. Google CEO Sundar Pichai only last week met with President Trump to discuss”political fairness,” Trump shown in a tweet.

The Google employees, coordinating under the title Googlers Against Hate and Transphobia, say the issue is not that she has lobbied against expanded rights for LGBTQ men and women, although that James is a conservative.

The brand new AI ethics committee, that has fewer than 10 members of google, is tasked with providing an ethical test on AI technologies as new cloud computing enterprise is pursued by the firm.

Googlers Against Transphobia and Hate state that there are civil rights issues such as research demonstrating it misrecognize transgender men and women and may discriminate against, about AI technology.

Kate Crawford, co-founder of this AI Now Institute at New York University, stated”respecting human rights for everybody should be a simple pre-requisite for membership of an ethics board.”

“There’s no greater obligation for major companies making AI tools that affect the lives of countless people,” Crawford said in a statement to The Hill.

The Google protesters wrote that the company must”place agents from vulnerable communities in the middle of conclusion” about AI technology.

Google so far has not responded to any of the concerns raised about the AI integrity council and James.

Workers have pushed the business on different difficulties. Google last year finished work from workers about working with the military after criticism together with the Pentagon on an AI project. And the firm gave up pursuit of a Pentagon cloud computing agency.

The latest controversy only highlights the issues in balancing the issues of Google’s activist workforce with the bottom line of the company.

“This is truly unacceptable, & we anticipate an on the record answer from Google.”

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Using AI to Target Liver Cancer

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A genomics company claims it’s discovered a way to detect liver cancer linked to hepatitis B months before other methods can detect it.

The conclusion has been based on a study from Genetron Health and the Australian Academy using a method named HCCscreen, which applies intelligence in blood.

The researchers found that the new method could pick up early signs of the cancer in people who had tested negative based on traditional alpha-fetoprotein (AFP) and ultrasound tests.

Genetron Health chief executive Wang Sizhen explained early detection was important because it significantly improved the chances of survival.

“The study is a breakthrough in genomics technology and it’s very likely to aid hepatitis B virus carriers, whose risk of liver cancer is much higher,” Wang explained.

The researchers used AI engineering to identify biomarkers frequent in famous instances of a kind of liver cancer called hepatocellular carcinoma, or HCC.

The group used it with hepatitis B that had tested negative for liver cancer in AFP and ultrasound tests on people and developed the HCCscreen technique to look for those markers.

Individuals tested positive and have been tracked over eight months, with four finally being diagnosed with pericardial liver .

The four patients had surgery to remove the tumours and another 20 from the group had a HCCscreen test that is second . Wang reported all participants in the group of 20 would continue to be tracked.

“This is the very first large-scale potential study on early identification [of liver cancer],” he said.

The results were published in the Proceedings of the National Academy of Sciences earlier this month.

There are approximately 93 million people with hepatitis B in China and carriers of this virus have a higher chance of developing liver disease.

Liver cancer is generally tough to find in its early stages, also AFP tests and twice-yearly ultrasounds for the disease are advocated for groups such as people with hepatitis B virus infections, or cirrhosis — scarring of liver tissue.

However, in China HCC cases were discovered at stage, the authors of the study wrote.

According to the National Cancer Centre, 466,000 people were diagnosed with liver cancer and 422,000 died in 2015 from the disease in China.

Wang said the company aimed to commercialise the technology but even then it would take the time to make it cheap.

“[High-risk] individuals need to have regular screening. This is important for public health but the technology has to be affordable enough to become widespread,” Wang said. “The ultimate goal of the study is to develop a product that people in China can manage.”

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