FDA
Multimodal machine learning in precision health: A scoping review - npj Digital Medicine
Machine learning is frequently being leveraged to tackle problems in the health sector including utilization for clinical decision-support. Its use has historically been focused on single modal data. Attempts to improve prediction and mimic the multimodal nature of clinical expert decision-making has been met in the biomedical field of machine learning by fusing disparate data. This review was conducted to summarize the current studies in this field and identify topics ripe for future research. We conducted this review in accordance with the PRISMA extension for Scoping Reviews to characterize multi-modal data fusion in health. Search strings were established and used in databases: PubMed, Google Scholar, and IEEEXplore from 2011 to 2021. A final set of 128 articles were included in the analysis. The most common health areas utilizing multi-modal methods were neurology and oncology. Early fusion was the most common data merging strategy. Notably, there was an improvement in predictive performance when using data fusion. Lacking from the papers were clear clinical deployment strategies, FDA-approval, and analysis of how using multimodal approaches from diverse sub-populations may improve biases and healthcare disparities. These findings provide a summary on multimodal data fusion as applied to health diagnosis/prognosis problems. Few papers compared the outputs of a multimodal approach with a unimodal prediction. However, those that did achieved an average increase of 6.4% in predictive accuracy. Multi-modal machine learning, while more robust in its estimations over unimodal methods, has drawbacks in its scalability and the time-consuming nature of information concatenation.
AI-Bind: Improving Binding Predictions for Novel Protein Targets and Ligands
Chatterjee, Ayan, Walters, Robin, Shafi, Zohair, Ahmed, Omair Shafi, Sebek, Michael, Gysi, Deisy, Yu, Rose, Eliassi-Rad, Tina, Barabรกsi, Albert-Lรกszlรณ, Menichetti, Giulia
Identifying novel drug-target interactions (DTI) is a critical and rate limiting step in drug discovery. While deep learning models have been proposed to accelerate the identification process, we show that state-of-the-art models fail to generalize to novel (i.e., never-before-seen) structures. We first unveil the mechanisms responsible for this shortcoming, demonstrating how models rely on shortcuts that leverage the topology of the protein-ligand bipartite network, rather than learning the node features. Then, we introduce AI-Bind, a pipeline that combines network-based sampling strategies with unsupervised pre-training, allowing us to limit the annotation imbalance and improve binding predictions for novel proteins and ligands. We illustrate the value of AI-Bind by predicting drugs and natural compounds with binding affinity to SARS-CoV-2 viral proteins and the associated human proteins. We also validate these predictions via docking simulations and comparison with recent experimental evidence, and step up the process of interpreting machine learning prediction of protein-ligand binding by identifying potential active binding sites on the amino acid sequence. Overall, AI-Bind offers a powerful high-throughput approach to identify drug-target combinations, with the potential of becoming a powerful tool in drug discovery.
Artificial Intelligence and Interventional Surgical Robots
What does AI bring to interventional surgical robots? Interventional surgical robots remove the physician from X-ray hazards, enable surgeries and stenting without compromising safety, and allow increased precision. Image navigation is the eye and brain of interventional robots, playing a crucial role in both diagnoses and as the primary guidance tool during interventions. Fortunately, powerful artificial intelligence (AI) technology is penetrating the medical imaging arena, holding significant promise for creating an'eye-hand-brain' collaborative system for interventional robots and optimizing fluoroscopic interventional procedures. From preoperative treatment plans to intraoperative imaging navigation and postoperative imaging follow-ups, AI can help realize image-guided precision medical visualization and provide physicians with additional information not available through conventional approaches.
Using Large Pre-Trained Language Model to Assist FDA in Premarket Medical Device
This paper proposes a possible method using natural language processing that might assist in the FDA medical device marketing process. Actual device descriptions are taken and matched with the device description in FDA Title 21 of CFR to determine their corresponding device type. Both pre-trained word embeddings such as FastText and large pre-trained sentence embedding models such as sentence transformers are evaluated on their accuracy in characterizing a piece of device description. An experiment is also done to test whether these models can identify the devices wrongly classified in the FDA database. The result shows that sentence transformer with T5 and MPNet and GPT-3 semantic search embedding show high accuracy in identifying the correct classification by narrowing down the correct label to be contained in the first 15 most likely results, as compared to 2585 types of device descriptions that must be manually searched through. On the other hand, all methods demonstrate high accuracy in identifying completely incorrectly labeled devices, but all fail to identify false device classifications that are wrong but closely related to the true label.
AI Ethics in Smart Healthcare
Abstract--This article reviews the landscape of ethical challenges of integrating artificial intelligence (AI) into smart healthcare products, including medical electronic devices. Differences between traditional ethics in the medical domain and emerging ethical challenges with AI-driven healthcare are presented, particularly as they relate to transparency, bias, privacy, safety, responsibility, justice, and autonomy. Open challenges and recommendations are outlined to enable the integration of ethical principles into the design, validation, clinical trials, deployment, monitoring, repair, and retirement of AI-based smart healthcare products. Healthcare systems in countries around the been approved by the FDA, and there are many more globe are struggling to cope with health emergencies in the development pipeline [8]. Many direct to such as the COVID-19 pandemic, provide universal consumer AI devices for health monitoring and wellbeing health coverage, and improve general health and wellbeing.
Applications of artificial intelligence in COVID-19 clinical response measures
In a recent study published in PLOS Digital Health, researchers reviewed existing literature on the use of artificial intelligence (AI) in health care to characterize the AI applications used in the clinical applications during the coronavirus disease 2019 (COVID-19) pandemic, investigate the location, timing, and extent of AI use in healthcare, and examine the United States (U.S.) regulatory approval processes. Despite the large number of approvals granted by the U.S. Food and Drug Administration (FDA) to AI applications in healthcare in the last six years, the adoption of AI applications in different areas of healthcare has been limited. Furthermore, there is limited information on the development and use of AI applications during the COVID-19 pandemic, unlike the significant and rapid growth in telehealth and vaccine technologies. While previous reviews have reviewed the potential uses, challenges, and impacts of AI applications for COVID-19 clinical response, many of the reviews found methodological flaws and potential biases in the use of AI applications in clinical practice. A scarcity of reviews provides a comprehensive report on the development, testing, and applications of AI in COVID-19 clinical responses.
The AI Health Care Dilemma
Scholars explore regulatory approaches to artificial intelligence in the health care sector. Patient-centered care is a pillar of the American health care system. But, as the U.S. population grows and ages, providers need new ways to manage ever-increasing caseloads. Artificial intelligence (AI) offers an opportunity to improve the efficiency of health care administration, disease diagnosis and detection, drug development, and more. Although AI is poised to transform business operations across various sectors of the economy, experts agree that it holds heightened potential in the health care industry.
AI Model Accurately Predicts Patient Response to Drug Compounds
Researchers at the CUNY Graduate Center have created an artificial intelligence model, Context-aware Deconfounding Autoencoder (CODE-AE), that can screen drug compounds to accurately predict efficacy in humans. In tests, the model was able to theoretically identify personalized drugs that could better treat more than 9,000 cancer patients. The researchers expect the technique will improving the accuracy and reduce the time and cost of drug discovery and development, and accelerate precision medicine. "Our new machine learning model can address the translational challenge from disease models to humans," said Lei Xie, PhD, a professor of computer science, biology and biochemistry at the CUNY Graduate Center and Hunter College. "CODE-AE uses biology-inspired design and takes advantage of several recent advances in machine learning. For example, one of its components uses similar techniques in Deepfake image generation."
Artificial Intelligence Can Accurately Predict Human Response to New Drug Compounds
A novel artificial intelligence model could significantly improve the accuracy and reduce the time and cost of the drug development process. Between identifying a potential therapeutic compound and U. S. Food and Drug Administration (FDA) approval of a new drug is an arduous journey that can take well over a decade and cost upwards of a billion dollars. A team of researchers at the CUNY Graduate Center has developed a novel artificial intelligence model that could significantly improve the accuracy and reduce the time and cost of the drug development process. As described in a paper to be published today (October 17) in Nature Machine Intelligence, the new model, called CODE-AE, can screen novel drug compounds to accurately predict efficacy in humans. In tests, it was also able to theoretically identify personalized drugs for over 9,000 patients that could better treat their conditions.
Top 10 Biotechnology Trends
It's a technique by which genomes of living organisms can be modified precisely, cheaply, and easily. It can be used for the creation of new medicines, agricultural products, and even genetically modified organisms. Trials are used to establish which formula is the most beneficial to the widest segment of society. Remember that half of any drug advert goes towards listing the risks for the rest. With the advent of modern genomics, it's possible to formulate medicines that are tailor-made to an individual's unique DNA makeup.