{"id":8714,"date":"2024-05-21T08:39:32","date_gmt":"2024-05-21T06:39:32","guid":{"rendered":"https:\/\/www.easistent.ro\/?p=8714"},"modified":"2024-06-26T09:56:20","modified_gmt":"2024-06-26T07:56:20","slug":"inteligenta-artificiala-si-medicina-episodul-1","status":"publish","type":"post","link":"https:\/\/www.easistent.ro\/?p=8714","title":{"rendered":"Inteligen\u021ba Artificial\u0103 \u0219i Medicina. Episodul 1"},"content":{"rendered":"\n<h3><em>Timp aprox. de lectur\u0103: 7 minute<\/em><\/h3>\n\n\n\n<p>\u00cen timpul pandemiei COVID-19, Florence, un chatbot conceput pentru a disemina mesaje de s\u0103n\u0103tate public\u0103 privind virusul, vaccinurile, consumul de tutun, alimenta\u021bia s\u0103n\u0103toas\u0103 \u0219i activitatea fizic\u0103, a fost dezvoltat de Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii (OMS), Google \u0219i Amazon Web Services pentru a combate dezinformarea \u0219i dezinformarea. De atunci, baza sa de cuno\u0219tin\u021be s-a extins pentru a include fumatul, s\u0103n\u0103tatea mintal\u0103 \u0219i alimenta\u021bia s\u0103n\u0103toas\u0103.<\/p>\n\n\n\n<p>Anul acesta, la \u00eenceputul lunii aprilie, \u00eenaintea Zilei Mondiale a S\u0103n\u0103t\u0103\u021bii, care a fost axat\u0103 pe tema \u201dS\u0103n\u0103tatea mea, dreptul meu\u201d, Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii (OMS) anun\u021b\u0103 lansarea S.A.R.A.H., un prototip digital de promotor al s\u0103n\u0103t\u0103\u021bii cu un r\u0103spuns empatic \u00eembun\u0103t\u0103\u021bit, alimentat de inteligen\u021ba artificial\u0103 (AI) generativ\u0103. S.A.R.A.H. &nbsp;este un asistent inteligent de resurse de inteligen\u021b\u0103 artificial\u0103 (AI), care reprezint\u0103 o evolu\u021bie a avatarurilor de informa\u021bii despre s\u0103n\u0103tate alimentate de inteligen\u021ba artificial\u0103, folosind noi modele de limbaj \u0219i tehnologii de ultim\u0103 genera\u021bie. Acesta poate implica utilizatorii 24 de ore pe zi, \u00een 8 limbi, pe mai multe subiecte de s\u0103n\u0103tate, pe orice dispozitiv. Promotorul digital de s\u0103n\u0103tate al OMS este instruit s\u0103 ofere informa\u021bii pe principalele subiecte de s\u0103n\u0103tate, inclusiv obiceiuri s\u0103n\u0103toase \u0219i s\u0103n\u0103tate mintal\u0103, pentru a ajuta oamenii s\u0103 \u00ee\u0219i optimizeze parcursul de s\u0103n\u0103tate \u0219i bun\u0103stare. Acesta \u00ee\u0219i propune s\u0103 ofere un instrument suplimentar pentru ca oamenii s\u0103 \u00ee\u0219i realizeze dreptul la s\u0103n\u0103tate, oriunde s-ar afla.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2024\/05\/ai.jpg\"><img width=\"1024\" height=\"393\" src=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2024\/05\/ai-1024x393.jpg\" alt=\"\" class=\"wp-image-8691\" srcset=\"https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2024\/05\/ai-1024x393.jpg 1024w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2024\/05\/ai-300x115.jpg 300w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2024\/05\/ai-768x295.jpg 768w, https:\/\/www.easistent.ro\/new\/wp-content\/uploads\/2024\/05\/ai.jpg 1140w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p>&#8222;Viitorul s\u0103n\u0103t\u0103\u021bii este digital, iar sprijinirea \u021b\u0103rilor pentru a valorifica puterea tehnologiilor digitale pentru s\u0103n\u0103tate este o prioritate pentru OMS&#8221;, a declarat directorul general al OMS, Dr. Tedros Adhanom Ghebreyesus. &#8222;S.A.R.A.H. ne ofer\u0103 o imagine a modului \u00een care inteligen\u021ba artificial\u0103 ar putea fi utilizat\u0103 \u00een viitor pentru a \u00eembun\u0103t\u0103\u021bi accesul la informa\u021biile despre s\u0103n\u0103tate \u00eentr-un mod mai interactiv.&#8221;<\/p>\n\n\n\n<p>A\u0219adar, vedem deja multe semne ale viitorului digital al asisten\u021bei medicale: chirurgii robo\u021bi se ocup\u0103 de o gam\u0103 tot mai larg\u0103 de opera\u021bii. Modul \u00een care pacien\u021bii acceseaz\u0103 informa\u021biile despre s\u0103n\u0103tate \u0219i se motiveaz\u0103 s\u0103 urmeze regimurile de tratament pare preg\u0103tit pentru a fi reimaginat, pe m\u0103sur\u0103 ce robo\u021bii de chat \u0219i monitoarele de s\u0103n\u0103tate portabile \u00eenva\u021b\u0103 s\u0103 lucreze \u00eempreun\u0103. Productivitatea sistemelor de asisten\u021b\u0103 medical\u0103 pare s\u0103 se \u00eembun\u0103t\u0103\u021beasc\u0103 semnificativ. Dac\u0103 astfel de instrumente se vor r\u0103sp\u00e2ndi \u0219i dac\u0103 sistemele de asisten\u021b\u0103 medical\u0103 vor fi remodelate pentru a le valorifica la maximum, acestea ar trebui s\u0103 permit\u0103 furnizarea de servicii medicale mult mai bune. Acest lucru reprezint\u0103 o oportunitate de a \u00eembun\u0103t\u0103\u021bi vie\u021bile a sute de milioane, chiar miliarde de oameni.<\/p>\n\n\n\n<p>Dac\u0103 ne uit\u0103m care a fost istoria acestora, aplica\u021biile de inteligen\u021b\u0103 artificial\u0103 au \u00eenceput s\u0103 intre \u00een domeniul s\u0103n\u0103t\u0103\u021bii la \u00eenceputul anilor 1970. \u00cen 1973 a fost creat Stanford University Medical Experimental-Artificial Intelligence in Medicine (AIM), un sistem de calculatoare cu partajare \u00een timp, care a \u00eembun\u0103t\u0103\u021bit capacit\u0103\u021bile de conectare \u00een re\u021bea a cercet\u0103torilor clinici \u0219i biomedicali din mai multe institu\u021bii. \u00cen mare parte, ca urmare a acestor colabor\u0103ri, primul atelier AIM sponsorizat de National Institutes of Health a avut loc la Universitatea Rutgers \u00een 1975. Aceste evenimente reprezint\u0103 colabor\u0103rile ini\u021biale dintre pionierii AIM. Unul dintre primele prototipuri care au demonstrat fezabilitatea aplic\u0103rii IA \u00een medicin\u0103 a fost dezvoltarea unui program de consultare pentru glaucom folosind modelul CASNET. Acest model este o re\u021bea cauzal-asociativ\u0103 care const\u0103 din 3 programe separate: construirea modelului, consultarea \u0219i o baz\u0103 de date care a fost construit\u0103 \u0219i \u00eentre\u021binut\u0103 de c\u0103tre colaboratori. Acest model ar putea aplica informa\u021bii despre o anumit\u0103 boal\u0103 la pacien\u021bi individuali \u0219i le-ar putea oferi medicilor sfaturi privind gestionarea pacien\u021bilor. Acesta a fost dezvoltat la Universitatea Rutgers \u0219i a fost demonstrat oficial la reuniunea Academiei de Oftalmologie din Las Vegas, Nevada, \u00een 1976.<\/p>\n\n\n\n<p>Un moment cheie \u00een istoria utiliz\u0103rii inteligen\u021bei artificiale \u00een domeniul s\u0103n\u0103t\u0103\u021bii a fost dezvoltarea, la \u00eenceputul anilor 1970, a unui sistem de inteligen\u021b\u0103 artificial\u0103 cu &#8222;\u00eenl\u0103n\u021buire invers\u0103&#8221;, MYCIN. Pe baza informa\u021biilor despre pacien\u021bi introduse de medici \u0219i a unei baze de cuno\u0219tin\u021be de aproximativ 600 de reguli, MYCIN putea furniza o list\u0103 de poten\u021biali agen\u021bi patogeni bacterieni \u0219i apoi recomanda op\u021biuni de tratament cu antibiotice ajustate \u00een mod corespunz\u0103tor la greutatea corporal\u0103 a pacientului. MYCIN a devenit cadrul pentru sistemul bazat pe reguli, EMYCIN. Ulterior, INTERNIST-1 a fost dezvoltat folosind acela\u0219i cadru ca EMYCIN \u0219i o baz\u0103 de cuno\u0219tin\u021be medicale mai mare pentru a ajuta medicul de familie la diagnosticare.<\/p>\n\n\n\n<p>Pe parcursul anilor 1980 \u0219i 1990, proiectarea de noi sisteme de inteligen\u021b\u0103 artificial\u0103 a contribuit la realizarea unor progrese medicale precum:<\/p>\n\n\n\n<ul><li>Implementarea mai cuprinz\u0103toare a dosarelor electronice de s\u0103n\u0103tate.<\/li><li>Asistarea la proceduri chirurgicale mai precise.<\/li><li>Cercetare aprofundat\u0103 \u0219i cartografierea.<\/li><li>Colect\u0103ri, proces\u0103ri \u0219i livr\u0103ri de date mai rapide \u0219i mai cuprinz\u0103toare.<\/li><\/ul>\n\n\n\n<p>De exemplu, \u00een 1986, DXplain, un sistem de sprijinire a deciziilor, a fost lansat de Universitatea din Massachusetts. Acest program utilizeaz\u0103 simptomele introduse pentru a genera un diagnostic diferen\u021bial. Serve\u0219te, de asemenea, ca manual medical electronic, oferind descrieri detaliate ale bolilor \u0219i referin\u021be suplimentare. C\u00e2nd a fost lansat pentru prima dat\u0103, DXplain era capabil s\u0103 furnizeze informa\u021bii despre aproximativ 500 de boli. De atunci, s-a extins la peste 2400 de boli.<\/p>\n\n\n\n<p>La sf\u00e2r\u0219itul anilor 1990, interesul pentru \u00eenv\u0103\u021barea automat\u0103 a fost re\u00eennoit, \u00een special \u00een lumea medical\u0103, care, \u00eempreun\u0103 cu evolu\u021biile medicale \u0219i tehnologice cheie care au avut loc \u00een ultimii 50 de ani, au preg\u0103tit terenul pentru era modern\u0103 a inteligen\u021bei artificiale \u00een medicin\u0103:<\/p>\n\n\n\n<ul><li>Cre\u0219tere exponen\u021bial\u0103 a puterii de calcul, care duce la colectarea \u0219i prelucrarea rapid\u0103 a datelor.<\/li><li>Cre\u0219terea bazei de date de secven\u021biere genomic\u0103.<\/li><li>Implementarea pe scar\u0103 larg\u0103 a sistemelor de eviden\u021b\u0103 medical\u0103 electronic\u0103 \/ sisteme de eviden\u021b\u0103 electronic\u0103 a s\u0103n\u0103t\u0103\u021bii.<\/li><li>\u00cembun\u0103t\u0103\u021biri \u00een domeniul proces\u0103rii limbajului natural \u0219i al viziunii computerizate, permi\u021b\u00e2nd ma\u0219inilor s\u0103 reproduc\u0103 procese similare celor umane.<\/li><li>Salturi uria\u0219e \u00een tehnicile de \u00eenv\u0103\u021bare profund\u0103 \u0219i \u00een jurnalele de date privind bolile rare<\/li><li>Precizie sporit\u0103 \u00een micro-mecanic\u0103, deschiz\u00e2nd calea pentru chirurgia asistat\u0103 de robo\u021bi<\/li><\/ul>\n\n\n\n<p>De la sf\u00e2r\u0219itul anilor 2010, medicina digitalizat\u0103 a devenit mai u\u0219or de accesat, iar AIM a \u00eenceput s\u0103 se dezvolte rapid. Procesarea limbajului natural a transformat chatbots de la comunicarea superficial\u0103 (Eliza) la interfe\u021be semnificative bazate pe conversa\u021bii. Aceast\u0103 tehnologie a fost aplicat\u0103 asistentului virtual al Apple, Siri, \u00een 2011 \u0219i asistentului virtual al Amazon, Alexa, \u00een 2014.<\/p>\n\n\n\n<p>Pharmabot a fost un chatbot dezvoltat \u00een 2015 pentru a ajuta la educarea pacien\u021bilor pediatrici \u0219i p\u0103rin\u021bilor acestora \u00een materie de medica\u021bie, iar Mandy a fost creat \u00een 2017 ca un proces automatizat de primire a pacien\u021bilor pentru un cabinet de \u00eengrijire primar\u0103.<\/p>\n\n\n\n<p>\u00cenv\u0103\u021barea profund\u0103 a marcat un progres important \u00een domeniul IA \u00een medicin\u0103. Spre deosebire de Machine Learning, care utilizeaz\u0103 un num\u0103r stabilit de tr\u0103s\u0103turi \u0219i necesit\u0103 interven\u021bia uman\u0103, Deep Learning poate fi antrenat\u0103 s\u0103 clasifice singur\u0103 datele. De\u0219i Deep Learning a fost studiat\u0103 pentru prima dat\u0103 \u00een anii 1950, aplicarea sa \u00een medicin\u0103 a fost limitat\u0103 de problema &#8222;supra-adapt\u0103rii&#8221;. Supra-adaptarea apare atunci c\u00e2nd Machine Learning se concentreaz\u0103 prea mult pe un anumit set de date \u0219i nu poate procesa cu acurate\u021be noi seturi de date, ceea ce poate fi rezultatul unei capacit\u0103\u021bi de calcul insuficiente \u0219i al lipsei de date de instruire. Aceste limit\u0103ri au fost dep\u0103\u0219ite \u00een anii 2000, odat\u0103 cu disponibilitatea unor seturi de date mai mari \u0219i cu \u00eembun\u0103t\u0103\u021birea semnificativ\u0103 a puterii de calcul.<\/p>\n\n\n\n<p>Arterys a devenit \u00een 2017 prima aplica\u021bie Deep Learning clinic\u0103 bazat\u0103 pe cloud \u00een domeniul s\u0103n\u0103t\u0103\u021bii aprobat\u0103 de Food and Drug Administration din SUA. Primul produs Arterys a fost capabil s\u0103 analizeze imaginile de rezonan\u021b\u0103 magnetic\u0103 cardiac\u0103 \u00een c\u00e2teva secunde, oferind informa\u021bii precum frac\u021bia de ejec\u021bie cardiac\u0103. De atunci, aceast\u0103 aplica\u021bie s-a extins pentru a include imagistica ficatului \u0219i a pl\u0103m\u00e2nilor, imaginile cu raze X ale toracelui \u0219i ale aparatului locomotor \u0219i imaginile CT ale capului f\u0103r\u0103 contrast.<\/p>\n\n\n\n<p>Revolu\u021bia inteligen\u021bei artificiale a \u00eenceput exact \u00een radiologie, iar seria de progrese importante nu s-a \u00eencheiat \u00eenc\u0103. De exemplu, unele sisteme recente de IA pot interpreta imagini realizate cu mai pu\u021bine radia\u021bii dec\u00e2t \u00een mod normal, reduc\u00e2nd astfel nu doar num\u0103rul de medici necesari pentru a interpreta o radiografie, ci \u0219i doza necesar\u0103 pentru realizarea acesteia, ceea ce este benefic pentru pacien\u021bi. De asemenea, ele pot c\u0103uta lucruri pe care medicii nu le-ar verifica. \u00cen cadrul &#8222;screening-ului oportunist&#8221;, o radiografie efectuat\u0103 pentru a c\u0103uta o anumit\u0103 problem\u0103 este scanat\u0103 pentru a detecta \u0219i semnele altor probleme. Cele mai multe dintre cele 80 de milioane de tomografii computerizate efectuate \u00een America \u00een fiecare an sunt efectuate pentru a c\u0103uta o problem\u0103 \u00eentr-o anumit\u0103 parte a corpului, dar aproape \u00eentotdeauna con\u021bin informa\u021bii \u0219i despre alte p\u0103r\u021bi.<\/p>\n\n\n\n<p>Practic, ma\u0219inile nu au nicio problem\u0103 \u00een a \u00eendeplini mai multe sarcini \u0219i pot deveni exper\u021bi \u00een identificarea multor tipuri diferite de boli, ceea ce le transform\u0103 \u00een sisteme extrem de utile omului.<\/p>\n\n\n\n<p><em>Mirela Musta\u021b\u0103, Redactor executiv E-asistent<\/em><\/p>\n\n\n\n<p><em>Surse de documentare<\/em><\/p>\n\n\n\n<ul><li><a href=\"https:\/\/www.who.int\/news\/item\/02-04-2024-who-unveils-a-digital-health-promoter-harnessing-generative-ai-for-public-health\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.who.int\/news\/item\/02-04-2024-who-unveils-a-digital-health-promoter-harnessing-generative-ai-for-public-health<\/a><\/li><li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32565184\/\" target=\"_blank\" rel=\"noreferrer noopener\">History of artificial intelligence in medicine &#8211; PubMed (nih.gov)<\/a><\/li><li><a href=\"https:\/\/www.economist.com\/technology-quarterly\/2024\/03\/27\/ais-will-make-health-care-safer-and-better\" target=\"_blank\" rel=\"noreferrer noopener\">AIs will make health care safer and better (economist.com)<\/a><\/li><li><a href=\"https:\/\/www.xsolis.com\/blog\/the-evolution-of-ai-in-healthcare\/\" target=\"_blank\" rel=\"noreferrer noopener\">The Evolution of AI in Healthcare &#8211; Xsolis<\/a><\/li><li><a href=\"https:\/\/www.economist.com\/technology-quarterly\/2024\/03\/27\/artificial-intelligence-is-taking-over-drug-development\" target=\"_blank\" rel=\"noreferrer noopener\">Artificial intelligence is taking over drug development (economist.com)<\/a><\/li><li><a href=\"https:\/\/www.ideas2it.com\/blogs\/artificial-intelligence-in-healthcare\" target=\"_blank\" rel=\"noreferrer noopener\">Artificial Intelligence (AI): A Brief History And Its Latest Applications in Healthcare (ideas2it.com)<\/a><\/li><li><a href=\"https:\/\/www.economist.com\/technology-quarterly\/2024\/03\/27\/can-artificial-intelligence-make-health-care-more-efficient\" target=\"_blank\" rel=\"noreferrer noopener\">Can artificial intelligence make health care more efficient? (economist.com)<\/a><\/li><li><a href=\"https:\/\/www.economist.com\/technology-quarterly\/2024\/03\/27\/medical-ais-with-human-faces-are-on-their-way\" target=\"_blank\" rel=\"noreferrer noopener\">Medical AIs with human faces are on their way (economist.com)<\/a><\/li><li><a href=\"https:\/\/svn.bmj.com\/content\/2\/4\/230\" target=\"_blank\" rel=\"noreferrer noopener\">Artificial intelligence in healthcare: past, present and future | Stroke and Vascular Neurology (bmj.com)<\/a><\/li><li>Sursa foto: <a href=\"https:\/\/www.ideas2it.com\/blogs\/artificial-intelligence-in-healthcare\" target=\"_blank\" rel=\"noreferrer noopener\">Artificial Intelligence (AI): A Brief History And Its Latest Applications in Healthcare (ideas2it.com)<\/a><\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Timp aprox. de lectur\u0103: 7 minute \u00cen timpul pandemiei COVID-19, Florence, un chatbot conceput pentru a disemina mesaje de s\u0103n\u0103tate public\u0103 privind virusul, vaccinurile, consumul de tutun, alimenta\u021bia s\u0103n\u0103toas\u0103 \u0219i activitatea fizic\u0103, a fost dezvoltat de Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii (OMS), Google \u0219i Amazon Web Services pentru a combate dezinformarea \u0219i dezinformarea. De atunci, baza [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":8691,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[152,13],"tags":[],"_links":{"self":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/8714"}],"collection":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8714"}],"version-history":[{"count":1,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/8714\/revisions"}],"predecessor-version":[{"id":8715,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/8714\/revisions\/8715"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/media\/8691"}],"wp:attachment":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8714"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8714"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8714"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}