AI Assignment
AI Assignment
AI Assignment
ID/NO: 25874/11
AI APPLICATION IN HEALTH CARE AND GAMING
Contents
1. Introduction.................................................................................................2
1.1 Types of AI of relevance to healthcare......................................................2
1.2 Machine learning – neural networks and deep learning........................2
1.3 Natural language processing..................................................................3
1.4 Rule-based expert systems......................................................................4
1.5 Physical robots........................................................................................4
1.6 Robotic process automation...................................................................4
1.7 Diagnosis and treatment applications.......................................................5
1.8 Patient engagement and adherence applications......................................7
1.9 Administrative applications......................................................................8
1.10 Implications for the healthcare workforce..............................................9
1.11 Ethical implications...............................................................................10
1.12 The future of AI in healthcare...............................................................11
2. Understanding the Role of AI in Gaming....................................................12
2.1 Use of AI in Gaming Development and Programming...............................12
2.2 Making Games Smarter Than Ever............................................................13
2.3 Making Games More Real.........................................................................13
2.4 Enhancing the Overall Gaming Experience................................................14
2.5 Transforming Skills of Developer..............................................................14
2.6 Making Mobile Games Smarter with AI in Gaming....................................14
2.7 Final Words about AI in Gaming................................................................15
3. References.....................................................................................................15
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1. Introduction
There are already a number of research studies suggesting that AI can perform as
well as or better than humans at key healthcare tasks, such as diagnosing disease.
Today, algorithms are already outperforming radiologists at spotting malignant
tumors, and guiding researchers in how to construct cohorts for costly clinical
trials. However, for a variety of reasons, we believe that it will be many years
before AI replaces humans for broad medical process domains. In this article, we
describe both the potential that AI offers to automate aspects of care and some of
the barriers to rapid implementation of AI in healthcare.
Artificial intelligence is not one technology, but rather a collection of them. Most
of these technologies have immediate relevance to the healthcare field, but the
specific processes and tasks they support vary widely. Some particular AI
technologies of high importance to healthcare are defined and described below.
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Machine learning is a statistical technique for fitting models to data and to ‘learn’
by training models with data. Machine learning is one of the most common forms
of AI; in a 2018 Deloitte survey of 1,100 US managers whose organizations’ were
already pursuing AI, 63% of companies surveyed were employing machine
learning in their businesses. It is a broad technique at the core of many approaches
to AI and there are many versions of it.
Deep learning is also increasingly used for speech recognition and, as such, is a
form of natural language processing (NLP), described below. Unlike earlier forms
of statistical analysis, each feature in a deep learning model typically has little
meaning to a human observer. As a result, the explanation of the model's outcomes
may be very difficult or impossible to interpret.
Making sense of human language has been a goal of AI researchers since the
1950s. This field, NLP, includes applications such as speech.
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are easy to understand. However, when the number of rules is large (usually over
several thousand) and the rules begin to conflict with each other, they tend to break
down. Moreover, if the knowledge domain changes, changing the rules can be
difficult and time-consuming. They are slowly being replaced in healthcare by
more approaches based on data and machine learning algorithms.
Physical robots are well known by this point, given that more than 200,000
industrial robots are installed each year around the world. They perform pre-
defined tasks like lifting, repositioning, welding or assembling objects in places
like factories and warehouses, and delivering supplies in hospitals. More recently,
robots have become more collaborative with humans and are more easily trained
by moving them through a desired task. They are also becoming more intelligent,
as other AI capabilities are being embedded in their ‘brains’ (really their operating
systems). Over time, it seems likely that the same improvements in intelligence
that we've seen in other areas of AI would be incorporated into physical robots.
This technology performs structured digital tasks for administrative purposes, i.e.
those involving information systems, as if they were a human user following a
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We've described these technologies as individual ones, but increasingly they are
being combined and integrated; robots are getting AI-based ‘brains’, image
recognition is being integrated with RPA. Perhaps in the future these technologies
will be so intermingled that composite solutions will be more likely or feasible.
Diagnosis and treatment of disease has been a focus of AI since at least the 1970s,
when MYCIN was developed at Stanford for diagnosing blood-borne bacterial
infections. This and other early rule-based systems showed promise for accurately
diagnosing and treating disease, but were not adopted for clinical practice. They
were not substantially better than human diagnosticians, and they were poorly
integrated with clinician workflows and medical record systems.
More recently, IBM's Watson has received considerable attention in the media for
its focus on precision medicine, particularly cancer diagnosis and treatment.
Watson employs a combination of machine learning and NLP capabilities.
However, early enthusiasm for this application of the technology has faded as
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This situation is beginning to change, but it is mostly present in research labs and
in tech firms, rather than in clinical practice. Scarcely a week goes by without a
research lab claiming that it has developed an approach to using AI or big data to
diagnose and treat a disease with equal or greater accuracy than human clinicians.
Many of these findings are based on radiological image analysis, though some
involve other types of images such as retinal scanning or genomic-based precision
medicine. Since these types of findings are based on statistically-based machine
learning models, they are ushering in an era of evidence- and probability-based
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Tech firms and startups are also working assiduously on the same issues. Google,
for example, is collaborating with health delivery networks to build prediction
models from big data to warn clinicians of high-risk conditions, such as sepsis and
heart failure. Google, Enclitic and a variety of other startups are developing AI-
derived image interpretation algorithms. Jovian offers a ‘clinical success machine’
that identifies the patients most at risk as well as those most likely to respond to
treatment protocols. Each of these could provide decision support to clinicians
seeking to find the best diagnosis and treatment for patients.
There are also several firms that focus specifically on diagnosis and treatment
recommendations for certain cancers based on their genetic profiles. Since many
cancers have a genetic basis, human clinicians have found it increasingly complex
to understand all genetic variants of cancer and their response to new drugs and
protocols. Firms like Foundation Medicine and Flatiron Health, both now owned
by Roche, specialize in this approach.
Both providers and payers for care are also using ‘population health’ machine
learning models to predict populations at risk of particular diseases or accidents or
to predict hospital read mission. These models can be effective at prediction,
although they sometimes lack all the relevant data that might add predictive
capability, such as patient socio-economic status.
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Patient engagement and adherence has long been seen as the ‘last mile’ problem of
healthcare – the final barrier between ineffective and good health outcomes. The
more patients proactively participate in their own well-being and care, the better
the outcomes – utilization, financial outcomes and member experience. These
factors are increasingly being addressed by big data and AI.
Providers and hospitals often use their clinical expertise to develop a plan of care
that they know will improve a chronic or acute patient's health. However, that often
doesn't matter if the patient fails to make the behavioral adjustment necessary, e.g.
losing weight, scheduling a follow-up visit, filling prescriptions or complying with
a treatment plan. Noncompliance – when a patient does not follow a course of
treatment or take the prescribed drugs as recommended – is a major problem.
In a survey of more than 300 clinical leaders and healthcare executives, more than
70% of the respondents reported having less than 50% of their patients highly
engaged and 42% of respondents said less than 25% of their patients were highly
engaged.
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There are also a great many administrative applications in healthcare. The use of
AI is somewhat less potentially revolutionary in this domain as compared to
patient care, but it can provide substantial efficiencies. These are needed in
healthcare because, for example, the average US nurse spends 25% of work time
on regulatory and administrative activities. The technology that is most likely to be
relevant to this objective is RPA. It can be used for a variety of applications in
healthcare, including claims processing, clinical documentation, revenue cycle
management and medical records management.
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Some healthcare organizations’ have also experimented with chat bots for patient
interaction, mental health and wellness, and telehealth. These NLP-based
applications may be useful for simple transactions like refilling prescriptions or
making appointments. However, in a survey of 500 US users of the top five chat
bots used in healthcare, patients expressed concern about revealing confidential
information, discussing complex health conditions and poor usability.
There has been considerable attention to the concern that AI will lead to
automation of jobs and substantial displacement of the workforce. Deloitte
collaboration with the Oxford Martin Institute suggested that 35% of UK jobs
could be automated out of existence by AI over the next 10 to 20 years. Other
studies have suggested that while some automation of jobs is possible, a variety of
external factors other than technology could limit job loss, including the cost of
automation technologies, labor market growth and cost, benefits of automation
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To our knowledge thus far there have been no jobs eliminated by AI in health care.
The limited incursion of AI into the industry thus far, and the difficulty of
integrating AI into clinical workflows and EHR systems, have been somewhat
responsible for the lack of job impact. It seems likely that the healthcare jobs most
likely to be automated would be those that involve dealing with digital
information, radiology and pathology for example, rather than those with direct
patient contact.
But even in jobs like radiologist and pathologist, the penetration of AI into these
fields is likely to be slow. Even though, as we have argued, technologies like deep
learning are making inroads into the capability to diagnose and categories images,
there are several reasons why radiology jobs, for example, will not disappear soon.
First, radiologists do more than read and interpret images. Like other AI systems,
radiology AI systems perform single tasks. Deep learning models in labs and
startups are trained for specific image recognition tasks (such as nodule detection
on chest computed tomography or hemorrhage on brain magnetic resonance
imaging). However, thousands of such narrow detection tasks are necessary to
fully identify all potential findings in medical images, and only a few of these can
be done by AI today. Radiologists also consult with other physicians on diagnosis
and treatment, treat diseases (for example providing local ablative therapies) and
perform image-guided medical interventions such as cancer biopsies and vascular
stents (interventional radiology), define the technical parameters of imaging
examinations to be performed (tailored to the patient's condition), relate findings
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from images to other medical records and test results, discuss procedures and
results with patients, and many other activities.
Second, clinical processes for employing AI-based image work are a long way
from being ready for daily use. Different imaging technology vendors and deep
learning algorithms have different foci: the probability of a lesion, the probability
of cancer, a nodule's feature or its location. These distinct foci would make it very
difficult to embed deep learning systems into current clinical practice.
Third, deep learning algorithms for image recognition require ‘labeled data’ –
millions of images from patients who have received a definitive diagnosis of
cancer, a broken bone or other pathology. However, there is no aggregated
repository of radiology images, labeled or otherwise.
Similar factors are present for pathology and other digitally-oriented aspects of
medicine. Because of them, we are unlikely to see substantial change in healthcare
employment due to AI over the next 20 years or so. There is also the possibility
that new jobs will be created to work with and to develop AI technologies. But
static or increasing human employment also mean, of course, that AI technologies
are not likely to substantially reduce the costs of medical diagnosis and treatment
over that timeframe.
Finally, there are also a variety of ethical implications around the use of AI in
healthcare. Healthcare decisions have been made almost exclusively by humans in
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the past, and the use of smart machines to make or assist with them raises issues of
accountability, transparency, permission and privacy.
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We believe that AI has an important role to play in the healthcare offerings of the
future. In the form of machine learning, it is the primary capability behind the
development of precision medicine, widely agreed to be a sorely needed advance
in care. Although early efforts at providing diagnosis and treatment
recommendations have proven challenging, we expect that AI will ultimately
master that domain as well. Given the rapid advances in AI for imaging analysis, it
seems likely that most radiology and pathology images will be examined at some
point by a machine. Speech and text recognition are already employed for tasks
like patient communication and capture of clinical notes, and their usage will
increase.
It also seems increasingly clear that AI systems will not replace human clinicians
on a large scale, but rather will augment their efforts to care for patients. Over
time, human clinicians may move toward tasks and job designs that draw on
uniquely human skills like empathy, persuasion and big-picture integration.
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Perhaps the only healthcare providers who will lose their jobs over time may be
those who refuse to work alongside artificial intelligence.
There are different ways in which AI and game development are growing through
each other. In spite of the fact that AI keeps on being accustomed to bring life into
video games, computer games are currently being designed with the purpose to
study their own patterns in order to improve their algorithms, which is one of the
several ways that AI is getting further developed.
AI runs on the stores of information accessible to it and uses this data to make an
existence where characters can live and perform basic actions. All the essential
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To perform this, AI algorithms must be given a bounty of data to have the best
possible responses to specific stimuli. The gigantic amount of information required
to effectively train AI algorithms isn’t easily accessible and is probably the reason
AI hasn’t yet been adopted in each industry yet, although its features are countless.
The typical features of game development make them a perfect play area for
practicing and actualizing AI techniques. Most games are well perused; it is
moderately easy to generate and utilize the information, and
states/activities/rewards are relatively clear.
AI-based Voice intelligence is now changing the way in which games are played.
These assistants bolster a wide scope of intelligent games across genres. Apart
from hosting their own games, recent advancements show their entrance into
console games too. The main objective of game developers in the future will be to
plan strong frameworks inside games. This will require present-day AI techniques,
for example, design acknowledgment and reinforcement realizing, where the
characters inside the games will self-learn from their own behavior and evolve
accordingly. The gaming industry has recognized this, and some have even started
using these ideas.
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Gamers don’t simply need great illustrations anymore; they need games to take
after the real world. This is a test for game developers, and AI is assuming a
tremendous job in addressing this need. Imagine a game that can interpret and react
to your in-game activities, foresee your next move and act accordingly.
Gamers nowadays give a great deal of consideration to detail – this not just
incorporates the visual appearance and the very good quality graphics, but also,
how vivid and interactive the game is, in every potential way. Through constant
customization of scenarios, AI has the capacity to play a vital job in taking the
gaming experience to the next level.
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Even for the traditional game developers, the rising utilization of AI in games will
mean a change in the way in which games are created.
Whether it’s changing the manner in which we interact with games, the content
inside them, or the manner in which they are designed, it’s evident that AI will
keep on revolutionize the gaming business – perhaps at a faster rate than it ever has
previously.
We can say that Artificial intelligence will keep on creating a huge impact on the
video gaming and e-gaming industry. Since the information turns out to be
increasingly accessible and simplified to the normal game developers, we’re
probably going to see an immense move to further developed visuals and
characters that can make their own storylines.
Developers have started making AI-based player profiles in their game frameworks
to give a characteristic vibe to the players. The AI players are prepared and trained
with styles of player conduct to create a realistic feeling in the game.
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3. References
1. Lee SI, Celik S, Logsdon BA, et al. A machine learning approach to integrate
big data for precision medicine in acute myeloid leukemia. Nat Common 2018;
9:42. [PMC free article] [PubMed] [Google Scholar]
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