
TEHRAN - Medical students’ professors often emphasize to them the importance of every aspect of a patient’s visit to the clinic, as it can provide valuable insights for an accurate diagnosis. To begin the process, the doctor must listen attentively as the patient describes his/her symptoms and complaints, gathering a thorough medical history. The next crucial step is the physical examination. At this step, the doctor inspects (looks at the body), palpates (touches the body gently), auscultates (listens to the heart, lung, abdomen sounds), and percusses the patient’s body to obtain as much relevant information as possible to help narrow down the list of differential diagnoses. By utilizing all senses, doctors can ensure the best possible diagnoses and treatment plans for patients.
The majority of the machine learning (ML) and deep learning (DL) applications in medicine today - not to mention most other fields beyond healthcare - take the opposite tack to this holistic approach: They are much narrower and focus only on doing one task in a single modality, such as detecting pneumonia in chest X-rays (CXR), determining if a pathology slide shows patterns of a certain cancer, or segmenting tumoral cells in a brain magnetic resonance imaging (MRI) scan. At their current level of narrow focus, these applications can at best serve as supportive tools - just as how a calculator supports a mathematician - to boost the efficiency of healthcare providers by a few percentage points, or to serve as something that double checks to avoid missing crucial diagnoses. This is still helpful and useful, but far from being anything that truly revolutionizes medicine.
The development of artificial intelligence (AI) systems that can handle various forms of data and modalities - such as natural language text describing patient history, lab tests as tabular numeric data, imaging studies like CXR, computed tomography (CT) scans, MRIs, ultrasonography, genom
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