Cargando…

A Perspective from a Case Conference on Comparing the Diagnostic Process: Human Diagnostic Thinking vs. Artificial Intelligence (AI) Decision Support Tools

Artificial intelligence (AI) has made great contributions to the healthcare industry. However, its effect on medical diagnosis has not been well explored. Here, we examined a trial comparing the thinking process between a computer and a master in diagnosis at a clinical conference in Japan, with a f...

Descripción completa

Detalles Bibliográficos
Autores principales: Harada, Taku, Shimizu, Taro, Kaji, Yuki, Suyama, Yasuhiro, Matsumoto, Tomohiro, Kosaka, Chintaro, Shimizu, Hidefumi, Nei, Takatoshi, Watanuki, Satoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504543/
https://www.ncbi.nlm.nih.gov/pubmed/32842581
http://dx.doi.org/10.3390/ijerph17176110
_version_ 1783584649146007552
author Harada, Taku
Shimizu, Taro
Kaji, Yuki
Suyama, Yasuhiro
Matsumoto, Tomohiro
Kosaka, Chintaro
Shimizu, Hidefumi
Nei, Takatoshi
Watanuki, Satoshi
author_facet Harada, Taku
Shimizu, Taro
Kaji, Yuki
Suyama, Yasuhiro
Matsumoto, Tomohiro
Kosaka, Chintaro
Shimizu, Hidefumi
Nei, Takatoshi
Watanuki, Satoshi
author_sort Harada, Taku
collection PubMed
description Artificial intelligence (AI) has made great contributions to the healthcare industry. However, its effect on medical diagnosis has not been well explored. Here, we examined a trial comparing the thinking process between a computer and a master in diagnosis at a clinical conference in Japan, with a focus on general diagnosis. Consequently, not only was AI unable to exhibit its thinking process, it also failed to include the final diagnosis. The following issues were highlighted: (1) input information to AI could not be weighted in order of importance for diagnosis; (2) AI could not deal with comorbidities (see Hickam’s dictum); (3) AI was unable to consider the timeline of the illness (depending on the tool); (4) AI was unable to consider patient context; (5) AI could not obtain input information by themselves. This comparison of the thinking process uncovered a future perspective on the use of diagnostic support tools.
format Online
Article
Text
id pubmed-7504543
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-75045432020-09-24 A Perspective from a Case Conference on Comparing the Diagnostic Process: Human Diagnostic Thinking vs. Artificial Intelligence (AI) Decision Support Tools Harada, Taku Shimizu, Taro Kaji, Yuki Suyama, Yasuhiro Matsumoto, Tomohiro Kosaka, Chintaro Shimizu, Hidefumi Nei, Takatoshi Watanuki, Satoshi Int J Environ Res Public Health Perspective Artificial intelligence (AI) has made great contributions to the healthcare industry. However, its effect on medical diagnosis has not been well explored. Here, we examined a trial comparing the thinking process between a computer and a master in diagnosis at a clinical conference in Japan, with a focus on general diagnosis. Consequently, not only was AI unable to exhibit its thinking process, it also failed to include the final diagnosis. The following issues were highlighted: (1) input information to AI could not be weighted in order of importance for diagnosis; (2) AI could not deal with comorbidities (see Hickam’s dictum); (3) AI was unable to consider the timeline of the illness (depending on the tool); (4) AI was unable to consider patient context; (5) AI could not obtain input information by themselves. This comparison of the thinking process uncovered a future perspective on the use of diagnostic support tools. MDPI 2020-08-22 2020-09 /pmc/articles/PMC7504543/ /pubmed/32842581 http://dx.doi.org/10.3390/ijerph17176110 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Perspective
Harada, Taku
Shimizu, Taro
Kaji, Yuki
Suyama, Yasuhiro
Matsumoto, Tomohiro
Kosaka, Chintaro
Shimizu, Hidefumi
Nei, Takatoshi
Watanuki, Satoshi
A Perspective from a Case Conference on Comparing the Diagnostic Process: Human Diagnostic Thinking vs. Artificial Intelligence (AI) Decision Support Tools
title A Perspective from a Case Conference on Comparing the Diagnostic Process: Human Diagnostic Thinking vs. Artificial Intelligence (AI) Decision Support Tools
title_full A Perspective from a Case Conference on Comparing the Diagnostic Process: Human Diagnostic Thinking vs. Artificial Intelligence (AI) Decision Support Tools
title_fullStr A Perspective from a Case Conference on Comparing the Diagnostic Process: Human Diagnostic Thinking vs. Artificial Intelligence (AI) Decision Support Tools
title_full_unstemmed A Perspective from a Case Conference on Comparing the Diagnostic Process: Human Diagnostic Thinking vs. Artificial Intelligence (AI) Decision Support Tools
title_short A Perspective from a Case Conference on Comparing the Diagnostic Process: Human Diagnostic Thinking vs. Artificial Intelligence (AI) Decision Support Tools
title_sort perspective from a case conference on comparing the diagnostic process: human diagnostic thinking vs. artificial intelligence (ai) decision support tools
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504543/
https://www.ncbi.nlm.nih.gov/pubmed/32842581
http://dx.doi.org/10.3390/ijerph17176110
work_keys_str_mv AT haradataku aperspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT shimizutaro aperspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT kajiyuki aperspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT suyamayasuhiro aperspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT matsumototomohiro aperspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT kosakachintaro aperspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT shimizuhidefumi aperspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT neitakatoshi aperspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT watanukisatoshi aperspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT haradataku perspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT shimizutaro perspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT kajiyuki perspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT suyamayasuhiro perspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT matsumototomohiro perspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT kosakachintaro perspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT shimizuhidefumi perspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT neitakatoshi perspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools
AT watanukisatoshi perspectivefromacaseconferenceoncomparingthediagnosticprocesshumandiagnosticthinkingvsartificialintelligenceaidecisionsupporttools