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All Journal Journal of Electronics, Electromedical Engineering, and Medical Informatics
Saurav Mishra
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Computer Science & IT Control & Systems Engineering Electrical & Electronics Engineering Engineering

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Artificial Intelligence: A Review of Progress and Prospects in Medicine and Healthcare Saurav Mishra
Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 4 No 1 (2022): January
Publisher : Department of Electromedical Engineering, POLTEKKES KEMENKES SURABAYA and IKATEMI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/jeeemi.v4i1.1

Abstract

Andrew NG, a leading philosopher in the field of Artificial Intelligence (AI) once quoted “AI is the new electricity” which has the potential to transform and drive every industry. The most important driving factor for the AI transformation will be data. Clive Humby, a data science entrepreneur was once quoted saying “data is the new oil” and data analytics being the “combustion engine” will drive the AI led innovations. The rapid rise of Artificial Intelligence technologies in the past decade, has inspired industries to invest in every opportunity for integrating AI solutions to their products. Research, development, and innovation in the field of AI are shaping various industries like automobile, manufacturing, finance, retail, supply chain management, and education among others. The healthcare industry has also been adopting the ways of AI into various workflows within the domain. With the evolution in computing and processing powers coupled with hardware modernizations, the adoption of AI looks more feasible than ever. Research and Innovations are happening in almost every field of healthcare and hospital workflows with the target of making healthcare processes more efficient & accessible, increase the overall state of healthcare, reduce physician stress levels, and increase the patient satisfaction levels. The conventional ways in which healthcare and clinical workflows have been operating are now starting to see the change with the integration of many data driven AI solutions. The digital innovations are making life easy for healthcare professionals allowing them to spend more time listening to the problems of patients and consequently increasing the patient satisfaction levels. However, there are limitations and concerns on security of Protected Health Information which have to be addressed for a seamless amalgamation of AI systems into the healthcare domain. Many papers have been published which mostly talk about one particular field/problem in the healthcare domain. No publications have covered the opportunities provided by AI technologies to the entire healthcare domain. This review paper discusses in detail about the progress AI has been able to make in the healthcare domain holistically and what the future of AI looks like. The paper also discusses about the implementation opportunities various AI technologies like Machine Learning, Deep Learning, Reinforcement Learning, Natural Language Processing, Computer Vision provide in different fields of healthcare and clinical workflows and how Artificial Intelligence systems will boost the capabilities of healthcare professionals in restoring the human touch in patient-physician encounters. A physician’s intuition and judgement will always remain better suited since each case, each health condition, and each person is unique in its own way, but AI methods can help enhance the accuracy of diagnosis, assist physicians in making improved and precise clinical decisions.
A Comparative Study for Time-to-Event Analysis and Survival Prediction for Heart Failure Condition using Machine Learning Techniques Saurav Mishra
Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol 4 No 3 (2022): July
Publisher : Department of Electromedical Engineering, POLTEKKES KEMENKES SURABAYA and IKATEMI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/jeeemi.v4i3.225

Abstract

Heart Failure, an ailment in which the heart isn’t functioning as effectively as it should, causing in an insufficient cardiac output. The effectual functioning of the human body is dependent on how well the heart is able to pump oxygenated, and nutrient rich blood to the tissues and cells. Heart failure falls into the category of cardiovascular diseases - the disorders of the heart and blood vessels. One of the leading causes of global deaths resulting in an estimated 17.9 million deaths globally every year. The condition of heart failure results out of structural changes to the cardiac muscles majorly in the left ventricle. The weakened muscles cause the ventricle to lose its ability to contract completely. Since the left ventricle generates the required pressure for blood circulation, any kind of a failure condition results in the reduction of cardiac power output. This study aims to conduct a thorough survival analysis and survival prediction on the data of 299 patients classified into the class III/IV of heart failure and diagnosed with left ventricular systolic dysfunction. Survival analysis involves the study of the effect of a mediation assessed by measuring the number of subjects survived after that mediation over a period of time. The time starting from a distinct point to the occurrence of a certain event, for example death is known as survival time and the corresponding analysis is known as survival analysis. The analysis was performed using the methods of Kaplan-Meier (KM) estimates and Cox Potential Hazard regression. KM plots showed the survival estimates as a function of each clinical feature and how each feature at various levels affect survival over the period of time. Cox regression modelled the hazard of death event around the clinical features used for the study. As a result of the analysis, ejection fraction, serum creatinine, time and age were identified as highly significant and major risk factors in the advanced stages of heart failure. Age and rise in level of serum creatinine have a deleterious effect on the survival chances. Ejection Fraction has a beneficial effect on survival and with a unit increase in the in the EF level the probability of death event decreases by ~5.2%. Higher rate of mortality is observed during the initial days post diagnosis and the hazard gradually decreases if patients have lived for a certain number of days. Hypertension and anemic condition also seem to be high risk factors. Machine learning classification models for survival prediction were built using the most significant variables found from survival analysis. SVM, decision tree, random forest, XGBoost, and LightGBM algorithm were implemented, and all the models seem to perform well enough. However, the availability of more data will make the models more stable and robust. Smart solutions, like this can reduce the risk of heart failure condition by providing accurate prognosis, survival projections, and risk predictions. Technology and data can combine together to address any disparities in treatment, design better care plan, and improve patient health outcomes. Smart health AI solutions would enhance healthcare policies, enable physicians to look beyond the conventional practices, and increase the patient satisfaction levels not only in case of heart failure conditions but healthcare in general.
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