Artificial Intelligence in Urology

Dear Venugopal Sir,

I have attached below a brief synopsis of the two articles written by Dr. Milap Shah (KMC Manipal) and Kim et al on Artificial Intelligence.
This is an emerging field making its way into various specialties. We are doing a lot of good work in AI and I am glad that you are updated on this topic and shown interest. Though AI is embraced by clinicians for diagnosis, treatment and follow up of various urological conditions, it will not to be able to replace the knowledge of a human. It will aid in the clinical decision making and will help in reducing judgemental errors. 
Please feel free to comment on the synopsis and the article 
sincerely
BM Zeeshan Hameed 
KMC Manipal

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Comments(1)

  • Venugopal P
    Venugopal P
    25 Jun 2020 09:08:55 AM

    Dear All,

    Any new development that occurs in Urology, nay Medicine is fraught with Skepticism and for long we criticize it for want of knowing its utility. This was what happened for many procedures that we consider standard currently. The same may apply to Artificial Intelligence, Machine Learning, Deep learning and such. I have been trying to understand what all these AI, Machine Learning and Deep Learning are all about and I gave up trying to understand as these are beyond my scope for learning.

    But as mentioned by Zeeshan, in his brief write up, it will ever replace human mind. The dictum ‘Garbage in and Garbage out’ or ‘Rubbish in and Rubbish Out’ is possible and we have to be sure of inputs for adequate outputs. If as you mention AI and the like are going to replace many aspects of Urology, nay medicine, then why is there a need for years and years of training and blood turned into sweat. Even, probably, a lay person can perform many of the tasks performed by a qualified and trained medical personal if he has access to a Smartphone (as you have mentioned) with all the needed applications installed. In that case there could be a total overhaul of the way Medicine could be taught and the number of years of struggle can be minimized or even negated (this view will change eventually).

    You have given two articles (one being yours) where in most aspects that we need to know about these developing areas are well informed. For the benefit of all, I am providing the links for both the articles.

    https://www.turkishjournalofurology.com/en/artificial-intelligence-ai-in-urology-current-use-and-future-directions-an-itrue-study-1610615 (PDF available)

    https://icurology.org/Synapse/Data/PDFData/2020ICU/icu-61-239.pdf

    P Ca is probably the bread and butter of many Urologists. Even in a country like India, where the incidence is low, but considerable space at our meetings are devoted to it. One of the main problems encountered is accuracy of Interpretation of Pathology. It is being mentioned that this Interobserver and Intraobserver problems could be sorted out by implementation of AI into Pathology and reporting. On a lighter vein, it has been mentioned that with AI being introduced at all levels of Pathology, the breed of Pathologists may not exist.

    I am providing links for some articles referring to usage of AI for P Ca pathology

    https://www.nature.com/articles/s41746-019-0112-2.pdf

    https://www.eu-focus.europeanurology.com/article/S2405-4569(19)30344-X/pdf

    http://www.jpathinformatics.org/temp/JPatholInform10141-9221897_023341.pdf

    If AI and its ilk are going to be the future, then we better start understanding their intricacies now and be ready for the future.

    With warm regards,

    Venu

     

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