The real use feedback of medical artificial intelligence, how do 7 types of doctors view its value?
Release date: 2017-05-23 Medical artificial intelligence Since the fire in 2016, after more than a year of hard work, many enterprises' artificial intelligence products have been doing clinical trials, and some products have become the model for goods to start selling and exploring fees. So what is the real effect of artificial intelligence products on doctors after they come into contact with doctors? What is the attitude of doctors at various stages after using artificial intelligence? The arterial network interviewed the dean of the primary hospital, the party secretary of the top three hospitals, the oncologist, the imaging doctor and other core medical personnel at various stages, and collected the ideas of other doctors. I hope to use them as representatives to interpret from the doctor's point of view. Look at the current state of medical artificial intelligence. Zhang Jianyan, Dean of the 55th Staff Hospital of China Electronics Technology Group Corporation: Artificial intelligence increases the self-confidence of grassroots doctors On April 12th, the staff hospital of the 55th Research Institute of China Electronics Technology Group Co., Ltd. was officially launched recently. The “DE-Ultrasonic Robot†artificial intelligence invented by scientists from Zhejiang Deshang Yunxing Image Technology Co., Ltd. was integrated by Huiyi Online. Auxiliary diagnostic program for the diagnosis of thyroid cancer. It is reported that the ultrasound robot has been clinically applied in the First Affiliated Hospital of Zhejiang University, and the diagnostic accuracy rate is about 86%, which can be used as an auxiliary tool for doctors' diagnosis. This art network interviewed the hospital's dean, Zhang Jianyan, to find out how the chief of the primary hospitals viewed artificial intelligence products. Thyroid ultrasound has become the first choice for identifying the nature of nodules because of its outstanding advantages in soft tissue, no trauma, low cost, and convenient operation. Zhang Jianyan told the arterial network that the reason for the introduction of "DE-ultrasonic robots" was to assist their hospital ultrasound imaging doctors on the one hand and the medical associations of their hospitals on the other hand. The diagnostic level was similar to that of the deputy chief physician. The primary medical institutions in the medical association can help the primary medical institutions to improve the diagnostic ability and level of the patients' first diagnosis, so that patients can receive high-level diagnosis without going far. In the past, their medical procedures were like this. The outpatient doctor recommended patients with suspected thyroid cancer to perform ultrasound imaging, and then found the nodule location based on the image and combined the clinical judgment of the nodules of the nodules. If it is still difficult to draw conclusions, go pathology. However, the incidence of thyroid cancer has no obvious clinical symptoms, the diagnostic indicators are complex, and the characteristics of the indicators are not obvious. Therefore, the diagnosis should be comprehensively analyzed in combination with the patient's age, gender, medical history, physical signs and various examinations. This requires high doctors' experience. Now they introduce the "DE-ultrasonic robot". After the patient image data comes out, the robot will give the accuracy of the patient's thyroid nodules within 5 minutes. The doctor then combines his own judgment to draw conclusions and improve the accuracy. More than 100 patients diagnosed at the moment are really useful. Speaking of the changes brought about by artificial intelligence, Zhang Jianyan told the arterial network, in addition to improving the accuracy of doctors' judgment, the most important thing is to improve the doctor's confidence. There is a level equivalent to the assistant doctor's artificial intelligence assistant to help, the doctor is making The diagnosis is more emboldened and more confident. However, in the actual application process, artificial intelligence is only an assistant. When a person and a machine collide, for example, when the machine thinks it is a nodule and the doctor does not think so, the doctor will gather the patient's situation and make a decision after careful consideration. For the entire hospital, with the "DE-ultrasonic robot", Zhang Jianyan said that the number of patients admitted to the hospital has indeed increased. From the current patient response, the patient is still very accepting this new thing, and very positively wants With the diagnosis of artificial intelligence, there is no patient rejection. Speaking of the insufficiency of "DE-ultrasonic robot", Zhang Jianyan told the arterial network that the "DE-ultrasonic robot" only covers only one thyroid cancer, which is a little less, and can not meet the needs of the hospital completely, and it is judged whether it is a knot. There will be differences between the doctor and the doctor. Finally, for the problem of artificial intelligence replacing doctors, Zhang Jianyan said that it is too early, the doctors in their hospitals do not contradict artificial intelligence, artificial intelligence is now only a doctor's assistant, the doctor is the decision. Ding Huamin, Party Secretary of Qingdao Municipal Hospital: Helping municipal hospitals to increase their influence and competitiveness Qingdao Municipal Hospital officially used Watson for Oncology in April this year, and it took only one week to go. Qingdao Municipal Hospital has provided services for more than 10 patients. To this end, the arterial network interviewed Ding Huamin, the party secretary of the hospital, to see how artificial intelligence can be seen from his perspective? Ding Huamin told the arterial network that the medical conditions in China are mostly concentrated in the north, the upper and the wide, and the medical resources in each province are mainly concentrated in the provincial capital cities. Local leaders in Qingdao and some wealthy entrepreneurs, what should they do after they have a tumor? Under normal circumstances, do a local clinic, then go to Beijing, Shanghai to do expert consultation, and then treat. However, ordinary people have to go to Beijing and Shanghai. It is not easy to find an expert consultation. The first economy is not allowed. Second, no famous experts can be found to give him a consultation. After Watson’s cancer hospital, Ding Huamin told the arterial network that the main media in Qingdao had reported. Since then, the hospital’s oncology department has made more appointments, including some leaders and entrepreneurs. Some people are actually receiving treatment, they just want to use Watson's tumor to determine that his treatment plan is not reliable. There is also an 80-year-old worker who has undergone surgery for gastric cancer. The doctor advised him to review it for three months according to the examination. However, he had doubts and asked the newspaper to come to the hospital to ask Watson. The arterial network learned that the patients who are currently scheduled for the Qingdao Municipal Hospital are not recommended by the doctor, but the patients themselves make an appointment. Now Qingdao is developing very fast and the environment is good. Not only do people settle there, but many hospitals build branches there. The hospital has more competition. After Watson’s tumors are stationed in the hospital, the number of patients is significantly increased, which will increase the hospital’s influence. The income is very meaningful. Zhu Ying, Director of the Union Medical Doctor Group: I hope that artificial intelligence can help us make decisions. Arterial Net once reorganized Zhu Ying’s speech. She believes that “50% of doctors in the future will be replaced by artificial intelligence.†In the future, doctors in primary medicine, imaging, and pathology will work more likely to be machine-driven. With the help of the doctor, the doctor will have more time for patient communication and clinical research. For details, please click on "Zhu Ying, Director of the Union Medical Doctor Group: 50% of doctors will be replaced by smart doctors". At the same time, Zhu Ying also said that it is sometimes difficult for doctors at their stage to make decisions. She has a patient who has found a nodule at the time of the examination. At present, it is impossible to judge whether it is a malignant tumor. There are two treatment options. One is that the patient performs a review every three months, and the other is a surgery immediately. The first type The plan is the most insured, but the patient has to live in the shadow of the tumor every day. The second option is the fastest but the surgery is risky. Should the patient take this risk? Zhu Ying is still not decisive when making decisions. She hopes that artificial intelligence can help in this regard. Dr. Lindsey Bordone, Attending Physician, Columbia University Dermatology Clinic: I would welcome if artificial intelligence helped me make a more accurate judgment. Dr. Lindsey Bordone is an attending physician at the Columbia University Dermatology Clinic. She looks at about 50 patients a day. Each patient has to look at the condition and make a diagnosis. She will look around 200,000 cases in a lifetime. Dr. Bordone said: "If artificial intelligence It helps me to make more accurate judgments, I will welcome. Some of my patients can take pictures of their skin problems before seeing me, which will increase the coverage of the clinic." However, artificial intelligence cannot represent doctors and patients. In foreign countries, long-term communication between doctors and patients can help patients relax and make patients feel safe. At the same time, for dermatologists, she can touch patients and carefully check to avoid Misdiagnosis occurred. Liu Kai, a radiologist at Changzheng Hospital: artificial intelligence can really reduce missed diagnosis. Enterprises need to know more about doctors when developing products. Liu Kai uses the products of the technology to tell the arterial network, artificial intelligence can indeed help the imaging doctor to improve the diagnostic efficiency, and at the same time requires the coordination of many aspects such as machine equipment and technicians. At the same time, he believes that the doctors believe that it is impossible to replace the doctor with AI at present, and to help doctors is real. Extremely, even if it can be replaced, just as electric lights will replace kerosene lamps, cars will replace horse-drawn carriages. This is an era of progress. After the car replaces the carriage, the coachman can drive the car. If the doctor is really replaced, you can also go hand in hand with artificial intelligence. Dr. Liu said that many of the reports that I have seen so far can be said to be false propositions. People in related industries such as enterprises and media should talk more with users and doctors, and don't pat their heads. For more information about Dr. Liu Kai's story, please click on "Imagine that the technology products are on the Shanghai Changzheng Hospital. The imaging doctor believes that reducing the missed diagnosis is its biggest role." Gu Xidong, chief physician of breast surgery in Zhejiang Provincial Hospital of Traditional Chinese Medicine: Artificial intelligence does help us in research, teaching, diagnosis, treatment, etc. Gu Xidong was the first product in China to use Watson's tumors. It was the first batch of cooperative customers in Hangzhou's cognitive care. When Gu Xidong was interviewed by the arterial network, he said that the benefits of Watson's tumors are indeed visible, such as helping to train young doctors. In order to study the empirical speech, choose the best treatment plan, reduce the misdiagnosis of doctors, and so on. However, Gu Xidong also said that artificial intelligence also has some shortcomings. For example, Watson itself is positioned to assist the doctor's role, and it is impossible to adjust the actual life situation of the patient. Only the objective pathological index can be recommended, but the tumor treatment situation. It is very complicated. It is not the best treatment plan that the patient can accept. In many cases, the doctor needs to adjust according to the actual condition of the patient, and to convince and comfort the patient, which Watson can't do. Gong Xiangyang, Department of Radiology, Zhejiang People's Hospital: Resolving doctors' misdiagnosis caused by fatigue and emotions, and improving the efficiency of doctors In the "Approaching Science" column on February 14, 2017, Gong Xiangyang's view on artificial intelligence was introduced. Their hospital imaging department had to watch more than 200 patients a day, and each patient had hundreds of films for a normal one. The human beings, watching the film, will fatigue when they look too much, and the emotion will appear when they are tired, and the video reading is a fine work. The poor state of the person can easily lead to missed diagnosis and misdiagnosis. With artificial intelligence, it can first screen, identify the lesion and describe the lesion, compare the results of the artificial intelligence with the results of the doctor, and the results will be checked by experts, which can effectively reduce The workload of the experts. Improve the efficiency of doctors' reading while ensuring accuracy. From the grassroots dean to the hospital party secretary, from imaging doctors to oncologists, from these interviews we get conclusions about the advantages and disadvantages of artificial intelligence. Advantage: First, doctors are looking forward to artificial intelligence and are also welcome; Second, artificial intelligence products are positioned as doctor assistants and cannot be used as doctors; Third, artificial intelligence mainly helps doctors to do repetitive tasks and improve the efficiency of hospitals; Fourth, help hospitals improve their competitiveness and influence; Fifth, increase the self-confidence of doctors; Sixth, assist doctors to make decisions and improve the accuracy and efficiency of doctors' diagnosis. insufficient: First, artificial intelligence can't communicate with patients and carry out humanistic care. This is the most important reason why he can't replace doctors. Second, the introduction of foreign artificial intelligence products has a localization process. In addition, because foreign products use data from other ethnic groups, some diseases may not be suitable for domestic patients, especially the treatment of gastric cancer; Third, medical artificial intelligence products are still in the early stage, and the coverage of the disease is incomplete, and it is still unable to fully meet the needs of the hospital; Fourth, artificial intelligence can indeed reduce missed diagnosis, but because it is too detailed, it is necessary to mark the nodules or problems that are not necessary to mark up patients and doctors; Fifth, artificial intelligence companies must communicate with doctors when developing products. Closed-door vehicles may not necessarily create products that truly solve problems. Source: Arterial Network Probiotics are a class of active microorganisms that are beneficial to the host by colonizing the human body and changing the composition of the flora in a certain part of the host. By regulating the immune function of the host mucosa and system or by regulating the balance of intestinal flora, promoting nutrient absorption and maintaining intestinal health, resulting in the production of single microorganisms or mixed microorganisms with a well-defined composition that are beneficial to health Probiotics,Acidophilus Lactobacillus,Lactobacillus Acidophilus,Lactobacillus Salivarius SHAANXI HAIBO BIOTECHNOLOGY CO., LTD , https://www.rozenbio.com