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Artificial Intelligence and the Early Detection of Osteoarthritis

Most patients and every medical practitioner know that when it comes to chronic debilitating diseases, the earlier they can be detected and treated, the better. This is one of the major promises of AI in healthcare, improved diagnostics for earlier detection and better patient outcomes.

The latest such application comes as researchers are developing an AI solution that can find the early sign of osteoarthritis of the knee. Like many AI-driven diagnostic enhancements, this one can see subtle signs on X-rays better than the human eye. This is critical because x-rays are the primary diagnostic method for early knee osteoarthritis. An early diagnosis can save the patient from unnecessary examinations, treatments, and even knee replacement surgery.

Osteoarthritis is the most common joint-related ailment globally. In Finland alone – where this research took place — it causes as many as 600,000 medical visits every year. It has been estimated to cost the national economy up to EUR1 billion every year.

The new AI-based method was trained to detect a radiological feature predictive of osteoarthritis from x-rays. The method was developed in cooperation with the Digital Health Intelligence Lab at the University of Jyvaskyla as a part of the AI Hub Central Finland project. It utilizes neural network technologies that are widely used globally.

“The aim of the project was to train the AI to recognize an early feature of osteoarthritis from an x-ray. Something that many experienced doctors can visually distinguish from the image, but cannot be done automatically, and is often missed by the untrained eye,” explains Anri Patron, the researcher responsible for the development of the method.

The anomaly the AI has been trained to automatically detect is to see if there is “spiking” on the tibial tubercles in the knee joint or not. Tibial spiking is known to be an early sign of osteoarthritis.

The researchers say that the AI matched human doctors’ assessment of the presence of spiking in nearly 90% of cases, instantly, without the need to scrutinize and deeply examine the x-rays as the human orthopedic surgeons did.

The research offers definitive proof that AI can support early diagnosis of osteoarthritis at the point of primary healthcare before a patient is referred to an orthopedic specialist, which can make a major difference in catching and treating knee arthritis early.

“If we can make the diagnosis in the early stages, we can avoid uncertainty and expensive examinations such as MRI scanning. In addition, the patient can be motivated to take measures to slow down or even stop the progression of symptomatic osteoarthritis. In the best possible scenario, the patient might even avoid joint replacement surgery,” sums up professor of surgery Juha Paloneva, one of the Finnish researchers on the project.

How BigRio Helps Healthcare AI Startups

Like the technology developed by the researchers with the Central Finland Health Care District, BigRio is also a facilitator and incubator for AI startups, particularly in healthcare. In fact, it was my father’s own battle with and eventual death from lung disease that set me on my path to finding ways to use AI to improve healthcare delivery.
Eventually, among our other success stories, we did collaborate with a researcher who is in the process of developing a cognitive digital twin of the human lung. Right now, that technology is being used specifically in the realm of testing inhalers for asthma patients, but like the UWS tool, it has broader implications for better diagnostics and treatments for COPD and other lung diseases.
We like to think of ourselves as a “Shark Tank for AI.”

If you are familiar with the TV series, then you know that, basically, what they do is hyper-accelerate the most important part of the incubation process – visibility. You can’t get better visibility than getting in front of celebrity investors and a TV audience of millions of viewers. Many entrepreneurs who have appeared on that program – even those who did not get picked up by the sharks – succeeded because others who were interested in their concepts saw them on the show.

At BigRio, we may not have a TV audience, but we can do the same. We have the contacts and the expertise to not only weed out the companies that are not ready, as the sharks on the TV show do but also mentor and get those that we feel are readily noticed by the right people in the biomedical community.

Rohit Mahajan is a Managing Partner with BigRio. He has a particular expertise in the development and design of innovative solutions for clients in Healthcare, Financial Services, Retail, Automotive, Manufacturing, and other industry segments.

BigRio is a technology consulting firm empowering data to drive innovation, and advanced AI. We specialize in cutting-edge Big Data, Machine Learning, and Custom Software strategy, analysis, architecture, and implementation solutions. If you would like to benefit from our expertise in these areas or if you have further questions on the content of this article, please do not hesitate to contact us.

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AI Is Being Used for Earlier Detection of Urinary Tract Infections

Urinary tract infections, commonly known as UTIs, usually do not pose serious health risks – when they are detected and treated early. However, when allowed to advance undetected past a certain point, a number of serious adverse outcomes can result from late or misdiagnosis of UTI.

A group of researchers from the University of Edinburgh and Heriot-Watt University are developing artificial intelligence and “socially assistive robots” to detect urinary tract UTIs earlier and ensure better patient outcomes.

UTIs affect 150 million people worldwide annually, making it one of the most common types of infection. When diagnosed early, it can be treated with antibiotics. If left untreated, UTIs can lead to sepsis, kidney damage, and even loss of life.

Diagnosis, however, can be difficult with lab analysis, a process taking up to 48 hours, providing the only definitive result. Early signs of a UTI can also be challenging to recognize because symptoms vary according to age and existing health conditions. There is no single sign of infection but a collection of symptoms which may include pain, fever, increased need to urinate, changes in sleep patterns, and tremors.

To address these concerns, the researchers are working with two industry partners from the care sector who are helping the scientists to develop machine learning methods and interactions with socially assistive robots to support earlier detection of potential infections and raise an alert for investigation by a clinician.

The project will gather continual data about the daily activities of individuals in their homes via sensors that could help spot changes in behavior or activity levels and trigger an interaction with a socially assistive robot. Known as “FEATHER,” the AI platform will combine and analyze these data points to flag potential infection signs before an individual or caretaker is even aware that there is a problem. Behavioral changes that could indicate UTI include changes in walking pace, increased frequency of urination, changes in cognitive function, or a change in sleep patterns, all of which could be noticed and documented by interaction with the assistive robot.

The AI and implementation aspects of the project will be led by Professor Kia Nazarpour, Dr. Nigel Goddard, and Dr. Lynda Webb from the University of Edinburgh. The Human-Robot Interaction aspects will be led by Professor Lynne Baillie, assisted by Dr. Mauro Dragone, from Heriot-Watt University.

Professor Kia Nazarpour, project lead and Professor of Digital Health at the School of Informatics, University of Edinburgh, said, “This unique data platform will help individuals, caretakers, and clinicians to recognize the signs of potential urinary tract infections far earlier, helping to prompt the investigations and medical tests needed. Earlier detection makes timely treatment possible, improving outcomes for patients, lowering the number of people presenting at hospital, and reducing costs to the NHS.”

How BigRio Helps Bring Advanced AI Solutions to Healthcare

Like the FEATHER project, improving disease detection, medical imaging, and diagnostics is an area where AI and machine learning are making one of the technology’s biggest impacts.

BigRio prides itself on being a facilitator and incubator for such advances in leveraging AI to improve diagnostics. In fact, it was my father’s own battle with and eventual death from lung disease that set me on my path to finding ways to use AI to provide earlier detection of serious medical conditions for improved patient outcomes.

Eventually, among our other success stories, we did collaborate with a researcher who is in the process of developing a cognitive digital twin of the human lung. Right now, that technology is being used specifically in the realm of testing inhalers for asthma patients, but like the FEATHER UTI detection tool, it has broader implications for better diagnostics and treatments for COPD and other lung diseases.

We like to think of ourselves as a “Shark Tank for AI.”

If you are familiar with the TV series, then you know that, basically, what they do is hyper-accelerate the most important part of the incubation process – visibility. You can’t get better visibility than getting in front of celebrity investors and a TV audience of millions of viewers. Many entrepreneurs who have appeared on that program – even those who did not get picked up by the sharks – succeeded because others who were interested in their concepts saw them on the show.

At BigRio, we may not have a TV audience, but we can do the same. We have the contacts and the expertise to not only weed out the companies that are not ready, as the sharks on the TV show do but also mentor and get those that we feel are readily noticed by the right people in the biomedical community.

Rohit Mahajan is a Managing Partner with BigRio. He has a particular expertise in the development and design of innovative solutions for clients in Healthcare, Financial Services, Retail, Automotive, Manufacturing, and other industry segments.

BigRio is a technology consulting firm empowering data to drive innovation, and advanced AI. We specialize in cutting-edge Big Data, Machine Learning, and Custom Software strategy, analysis, architecture, and implementation solutions. If you would like to benefit from our expertise in these areas or if you have further questions on the content of this article, please do not hesitate to contact us.

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The Top Seven AI Applications in Healthcare

Artificial Intelligence has been promising to revolutionize healthcare for quite some time; however, one look at any modern hospital or healthcare facility, and it is easy to see that the revolution is already here.

In almost every patient touchpoint AI is already having an enormous impact on changing the way healthcare is delivered, streamlining operations, improving diagnostics, and improving outcomes.

Although the deployment of AI in the healthcare sector is still in its infancy, it is becoming a much more common sight. According to technology consulting firm, Gartner, healthcare IT spending for 2021 was a hefty $140 billion worldwide, with enterprises listing “AI and robotic process automation (RPA)” as their lead spending priorities.

Here, in no particular order or importance, are seven of the top areas where healthcare AI solutions are being developed and currently deployed.

1. Operations and Administration
A hospital’s operation and administration expenses can be a major drain on the healthcare system. AI is already providing tools and solutions that are designed to improve and streamline administration. Such AI algorithms are proving to be invaluable for insurers, payers, and providers alike. Specifically, there are several AI programs and AI healthcare startups that are dedicated to finding and eliminating fraud. It has been estimated that healthcare fraud costs insurers anywhere between $70 billion and $234 billion each year, harming both patients and taxpayers.

2. Medical Research
Probably one of the most promising areas where AI is making a major difference in healthcare is in medical research. AI tools and software solutions are making an astounding impact on streamlining every aspect of medical research, from improved screening of candidates for clinical trials, to targeted molecules in drug discovery, to the development of “organs on a chip” – AI combined with the power of ever-improving Natural Language Processing (NLP) is changing the very nature of medical research for the better.

3. Predictive Outcomes and Resource Allocation
AI is being used in hospital settings to better predict patient outcomes and more efficiently allocate resources. This proved extraordinarily helpful during the peak of the pandemic when facilities were able to use AI algorithms to predict upon admission to the ER, which patients would most benefit from ventilators, which were in very short supply. Similarly, a Stanford University pilot project is using AI algorithms to determine which patients are at high risk of requiring ICU care within an 18 to 24 hours period.

4. Diagnostics
AI applications in diagnostics, particularly in the field of medical imaging, are extraordinary. AI can “see” details in MRIs and other medical images far greater than the human eye and, when tied into the enormous volume of medical image databases, can make far more accurate diagnoses of conditions such as breast cancer, eye disease, heart, and lung disease and so much more. AI can look at vast numbers of medical images and then identify patterns in seconds that would take human technicians hours or days to do. AI can also detect minor variations that humans simply could not find, no matter how much time they had. This not only improves patient outcomes but also saves money. For example, studies have found that earlier diagnosis and treatment of most cancers can cut treatment costs by more than 50%.

5. Training
AI is allowing medical students and doctors “hands-on training” via virtual surgeries and other procedures that can provide real-time feedback on success and failure. Such AI-based training programs allow students to learn techniques in safe environments and receive immediate critique on their performance before they get anywhere near a patient. One study found that med students learned skills 2.6 times faster and performed 36% better than those not taught with AI.

6. Telemedicine
Telemedicine has revolutionized patient care, particularly since the pandemic, and now AI is taking remote medicine to a whole new level where patients can tie AI-driven diagnostic tools through their smartphones and provide remote images and monitoring of changes in detectable skin cancers, eye conditions, dental conditions and more. AI programs are also being used to remotely monitor heart patients, diabetes patients, and others with chronic conditions and help to ensure they are complying with taking their medications.

7. Direct treatment
In addition to adding better clinical outcomes with improved diagnostics and resource allocation, AI is already making a huge difference in the direct delivery of treatments. One exciting and extremely profound example of this is robotic/AI-driven surgical procedures. Minimally invasive and non-invasive AI-guided surgical procedures are already becoming quite common. Soon, all but some of the most major surgeries, such as open heart surgeries, can and will be done as minimally invasive procedures, and even the most complex “open procedures” will be made safer, more accurate, and more efficient thanks to surgical AI and digital twins of major organs such as lungs and the heart.

Rohit Mahajan is a Managing Partner with BigRio. He has a particular expertise in the development and design of innovative solutions for clients in Healthcare, Financial Services, Retail, Automotive, Manufacturing, and other industry segments.
BigRio is a technology consulting firm empowering data to drive innovation, and advanced AI. We specialize in cutting-edge Big Data, Machine Learning, and Custom Software strategy, analysis, architecture, and implementation solutions. If you would like to benefit from our expertise in these areas or if you have further questions on the content of this article, please do not hesitate to contact us.

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