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人工智能与深度学习:医学及医疗实践的未来。

Artificial Intelligence and Deep Learning: The Future of Medicine and Medical Practice.

作者信息

Sanal Madhusudana Girija, Paul Kolin, Kumar Senthil, Ganguly Nirmal Kumar

机构信息

Assistant Professor, Department of Molecular and Cellular Medicine, Institute of Liver and Biliary Sciences, New Delhi.

Professor, Department of Computer Science and Engineering, Indian Institute of Technology Delhi, New Delhi.

出版信息

J Assoc Physicians India. 2019 Apr;67(4):71-73.

Abstract

Artificial Intelligence (AI) and access to "Big Data" together with the evolving techniques in biotechnology will change the medical practice a big way. Many diseases such as type II diabetes will no longer be considered as a single disease. Many familiar cancers such as cancer of liver or pancreas will have hundreds of subtypes whose management will be very different. The way we think about diseases will change. It will no longer be possible for clinicians to make a diagnosis, remember the names of diseases, the names of drugs or management protocols without the help of computers. As computer intelligence becomes more important than human intelligence in deciding diagnosis and treatment there will be a paradigm in the role of doctors. Internet, computers and social media will become more important than individuals in decision making. As a result, medicine will go more and more egalitarian ("wiki") with increasing community participation in health decision making and management. A socialistic pattern will evolve over time globally as an adaptive reaction to the pressures put by artificial intelligence. This is because the individual differences in knowledge or intellect between human beings will become less apparent compared to the super powers of artificial intelligence. Qualities which are unique for humans such as compassion, empathy and emotional care will decide the professional success of future physicians even more than today. Today we are using artificial intelligence in diagnosis and prediction to help clinicians. Clinical algorithms and human experience cannot be replaced by machines. It will take many years to completely merge or replace humans with machines. However, we need to modify our medical education system in order to prepare the medical community and sensitize the society well in advance for a smooth transition.

摘要

人工智能(AI)、获取“大数据”以及生物技术不断发展的技术将极大地改变医疗实践。许多疾病,如II型糖尿病,将不再被视为单一疾病。许多常见癌症,如肝癌或胰腺癌,将有数百种亚型,其治疗方法会大不相同。我们对疾病的认知方式将会改变。如果没有计算机的帮助,临床医生将无法做出诊断、记住疾病名称、药物名称或治疗方案。随着计算机智能在诊断和治疗决策中变得比人类智能更重要,医生的角色将发生范式转变。在决策过程中,互联网、计算机和社交媒体将比个人发挥更重要的作用。因此,随着社区越来越多地参与健康决策和管理,医学将变得越来越平等(“维基”模式)。随着对人工智能带来压力的适应性反应,全球范围内将逐渐形成一种社会主义模式。这是因为与人工智能的超强能力相比,人类个体在知识或智力方面的差异将变得不那么明显。诸如同情心、同理心和情感关怀等人类独有的品质,将比现在更能决定未来医生的职业成就。如今,我们在诊断和预测中使用人工智能来帮助临床医生。临床算法和人类经验无法被机器取代。完全用机器融合或取代人类还需要很多年。然而,我们需要修改我们的医学教育体系,以便提前让医学界做好准备,并让社会做好充分准备,实现平稳过渡。

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