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An AI a day,
will keep
the doctor
away
@bart
Domus Medica
19/10/2019
In4Care
Ecosysteem
200
SPEED
Notities -> DL
NU
GLOBAAL
#DMict
NEUTRAAL
Programma
Wat is AI?
Is het een hype?
Ecosysteem
Praktische voorbeelden
TIPS
First, the project adopted the commonly used definition of AI as “the use of computers for automated decision-
making to perform tasks that normally require human intelligence.”1 It also defined machine learning as a subset
of AI that uses algorithms that give computers the ability to learn without being explicitly programmed.
PERSUASION
LABELLING
https://www.usa
id.gov/sites/defa
ult/files/docume
nts/1864/AI-in-
Global-
Health_webFinal
_508.pdf
IS AI EEN HYPE?
https://www.nature.co
m/articles/s41746-019-
0155-4
https://www.linkedin.com/puls
e/inconvenient-truth-ai-
healthcare-leonard-d-avolio/
The greatest contribution
that artificial
intelligence could make to
humanity might be in health
care. According to the
consultancy firm Frost &
Sullivan, AI has the potential
to improve medical
treatment outcomes by 30-
40 per cent and reduce costs
by as much as 50 per cent.
https://spectrum.ieee.org/t
he-human-
os/biomedical/diagnostics/
more-than-60-of-patients-
could-have-avoided-
surgery-if-this-ai-had-been-
their-doctor
https://www.healthcareitnews.com/news/
mayo-clinic-cio-artificial-intelligence-stuff-
real
https://qz.com/168
0098/ai-could-
dramatically-
improve-health-
care-unless-it-
destroys-it/
The research shows that
the AI could accurately
predict AKI in patients up
to 48 hours earlier than
it is currently diagnosed.
NICHE
https://www.uzbrussel.be/
web/guest/home/-
/asset_publisher/8YmW6E
rOnrxi/content/uz-brussel-
zet-artificiele-intelligentie-
in-om-
langetermijncomplicaties-
van-bloeddrukval-tijdens-
operaties-te-
voorkomen/maximized
https://www.digitalhealth.net/2019/09/apps-skin-cancer-
detection-capability-well-above-that-of-gps/
https://www.geekwire.com/2019/artificial-intelligence-scores-another-victory-diagnosing-breast-cancer/
https://www.forbes.com/sites/robertgl
atter/2019/09/28/ai-can-read-a-
cardiac-mri-in-4-seconds-do-we-still-
need-human-input/#4a1665fea401
https://www.medscape.co
m/viewarticle/917058
I’m bleeding
I’m bleeding to death
Okay
I see
https://www.th
elancet.com/jo
urnals/lancet/a
rticle/PIIS0140-
6736(18)32819
-8/fulltext
We tend to overestimate the
effect of a technology in the
short run and underestimate the
effect in the long run.
Roy Charles Amara (1925 – 2007)
https://www.fier
cebiotech.com/
medtech/fda-
delivers-
regulatory-
guidance-ai-
software-and-
clinical-
decisionmaking-
aids
https://www.cnet.com/news/
how-apple-fitbit-samsung-
and-more-are-helping-to-
modernize-the-fda/
https://medicalfuturist.com
https://apps.healthskouts.com
https://www.skipr.nl/actueel/id
39653-focusgroep-werkt-aan-
europese-standaarden-voor-ai-
en-big-data.html
https://www.radbo
udumc.nl/nieuws/2
019/radboudumc-
opent-eerste-ai-
labs-in-de-zorg
https://www.cbinsights.c
om/research/digital-
health-billion-dollar-exits-
infographic/
https://www.cbinsights
.com/research/digital-
health-startups-
redefining-healthcare/
ONVERMELDENSWAARDIG
https://hitconsultant.net/
2019/09/06/microsoft-
astrazeneca-launches-ai-
factory-for-health-
accelerator-in-
europe/#.XXS4QiSAzDs
Eco
systeeM
Technologie
EERSTE LIJN
STARTEN
CONSUMENT
OVERHEID
ARTSEN
DTVT
TECHNOLOGIE
https://www.nature.com/artic
les/d41586-019-02873-1
https://www.forbes.co
m/sites/jamessomauroo
/2019/08/22/fitbit-
partners-with-
singapore-government-
to-offer-trackers-to-
56m-
people/#16d5fd312031
The Data Tsunami
Source - IDC
165 ZETTABYTES BY 2025
hconstandt
EERSTE LIJN
https://www.lab100.org
http://www.mercyvirtual.net/
https://techcrunch.com/2019/09/09/yc-
backed-brave-care-raises-5-million-for-
pediatric-urgent-care-clinics/
the company plans to develop a triage tool
that will help guardians decide between
urgent care and an ER visit; also plans a new
electronic health records system
https://www.handelsblatt.com/dpa/dig
ital-health-schoen-klinik-uebernimmt-
berliner-start-up-aurora-
health/25057836.html
https://www.mobihealthnews.
com/news/europe/boots-uk-
teams-swedish-startup-livi-
offer-store-digital-gp-service
https://www.forbes.c
om/sites/andriacheng
/2019/09/24/this-
business-may-
eventually-be-bigger-
for-best-buy-than-
selling-
electronics/#19958a9
c5a52
https://www.digitalcommerce360.com/2019/07/26/2020-predictions-for-amazon-haven-google-and-apple/
By SSYoung - Own work, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=39723124
https://markets.businessinsider.com/new
s/stocks/300-million-yuan-income-on-
the-first-day-launch-ping-an-good-doctor-
s-private-doctor-recognized-by-the-
market-1028448454
90%
Bedrijf
starten
https://www.sciencedirect.com/scienc
e/article/pii/S2589750019301086
CONSUMENT
https://www.slideshare.net/NikhilKrishnan6/healthcare-tomorrow
https://www.forbes.com/sites/j
oeharpaz/2019/08/26/6-
expectations-millennials-
healthcare/#4f9f889230ec
Ze nemen de zorg in eigen hand.
Ze doen hun research (online + peers)
Kostenbewust (op voorhand)
Ze willen apps om hen te begeleiden (en véél apps)
“Gezond” wil veel meer zeggen dan “Niet Ziek”
Shoppen voor diensten
Ik vier mijn 30 jarig jubileum met type I
diabetes en heb nog nooit een Skype-gesprek
gehad met mijn arts.
Ik kan straks een pizza bestellen en met een
drone laten thuisbezorgen, ik kan bij Nike
online mijn voeten scannen en op maat
schoenen laten bezorgen, maar ik kan niet zelf
mijn eigen medische gegevens wijzigen en ik
wacht nu al 5 weken op mijn bloeduitslagen.
OVERHEID
https://www.fier
cehealthcare.co
m/practices/cpt-
changes-2020-
include-new-
codes-to-allow-
doctors-to-bill-
for-digital-health
Source:
http://datatopics.worldbank.org/health/
• Steady increase in both total
health expenditure as a % of
GDP and health expenditure per
capita.
• Behaviour in Belgium mimicks
trend in rest of High Income
Countries (HIC).
• Expenditure in Belgium at lower
band of HIC range.
Government health expenditure as a % of total
health expenditure continues to represent +80% in
Belgium.
Steady increase in government health expenditure
as a % of GDP in Belgium and rest of High Income
Countries.
ARTSEN
https://annals.org/aim/article-
abstract/2599281/allocation-internal-
medicine-resident-time-swiss-hospital-
time-motion-study
https://hbr.org/2019/06/what-ai-
app-stores-will-mean-for-radiology
Addressing burnout
While AI marketplaces should foster widespread adoption of AI in
radiology, they also have the potential to help alleviate radiologist
burnout by augmenting and assisting them in two ways.
The first, through the iterative development process, is by facilitating
the design of algorithms that integrate seamlessly into
radiologists’ workflows and simplify them, rather
than introducing additional, burdensome screens and steps to click
through.
The second is by improving the speed and quality of radiology
reporting. These algorithms can automate repetitive
tasks and act as virtual residents, pre-processing images to highlight
potentially important findings, making measurements and
comparisons, and automatically adding data and clinical intelligence to
the report for the radiologist’s review. Algorithms also can
provide quality checks, for example by detecting errors in
laterality or patient sex and to ensure report accuracy and assist with
billing and coding, all of which can reduce clinicians’ stress
Bovendien scoort België eind februari 2019 hoog op de ladder
van de Health Consumer Index 2018, een rapport dat jaarlijks
door het Zweedse Health Consumer Powerhouse wordt
gepubliceerd. Volgens dit onafhankelijk instituut heeft
België het 5de beste gezondheidszorgsysteem na
Zwitserland, Nederland, Noorwegen en Denemarken.
Om die excellentie te bereiken geven die landen volgens
Health in a Glance 2018, het jaarlijkse OESO-rapport over
gezondheid in Europa, wel allemaal meer uit dan België, resp.
12,3 % van het bruto binnenlands product, 10,1 %, 10,4 % en
10,3% tegenover 10,0 % voor België en 9,6 % voor het
gemiddelde BBP van de EU-landen.
DE TIJD
VAN TOEN
https://www.amjmed.com/article/S0002-9343(08)00040-5/fulltext
Specifically, clinicians
who were “completely
certain” of the
diagnosis antemorten
were wrong 40% of
the time.
WHO
Wereldwijd lopen 40% van
de patiënten bij ambulante
behandelingen schade op.
PRAKTISCHE
VOORBEELDEN
https://www.cbinsights.com/research/artificial-intelligence-startups-healthcare/
ASSISTENTIE
HUISARTSENPRAKTIJK
https://www.mybingli.com
https://venturebeat.com/2019
/07/10/kyndi-raises-20-million-
for-explainable-ai-that-derives-
insights-from-documents/
https://lynx.care
https://www.suki.ai
https://www.modernhealthcare.c
om/care-delivery/ai-voice-
assistants-listen-patient-visits-
ease-ehr-burden
https://www.replicant.ai
The company has built AI voice technology that enables full
phone conversations between a bot and a customer. Once
deployed, Replicant can take care of common call flows, and
escalate the more complex and emotional calls to live agents.
https://mediseenhealth.com
MediSeen creëert een omgeving die gezondheidsprofessionals in staat te stelt om overal en altijd zorg te verlenen. Dit
wordt verwezenlijkt via een veilige, cloud-gebaseerd mobiel praktijkbeheer-platform. MediSeen’s PaaS (Platform As A
Service) stelt zorgverleners in staat om volledige controle te hebben over hun zorgschema’s, transport, tarieven,
patiëntendossiers én rekeningen. Patiënten kunnen op hun beurt via de app of website aanbieders boeken, betalingen
beheren en toegang krijgen tot hun medische dossiers.
https://www.firefly.health
VIRTUELE
ASSISTENTEN
Mediktor, are on a mission to solve this problem and automate how people access the
care they need. They accomplish this through an AI-based symptom-tracking platform
that assesses the users' symptoms online and provides evidence-based advice on the
right level of care the user should seek. Mediktor’s system is clinically-validated to be
91.3% accurate and is the only symptom tracker of its kind available in 11 languages.
https://www.mediktor.com/en-us
https://www.babylonhealth.com
https://www.khealth.ai
https://ada.com
Conversa delivers personalized, automated virtual care based on
dynamic patient profiling. Through conversational AI programs,
patient generated health data (PGHD) is captured, analyzed, and
delivered back into the clinical workflow
https://conversahealth.com
https://www.woebot.io
OUTPATIENT
ASSISTENTIE
Telehealth &
Wearables
Lifted’s future plans include broadening
their service offering by combining
professional care and in-home
technology. This will bring together
health alerts, in-home sensors and
professional carers to transform what it
means to care.
Lifted will develop AI-based analytics to
predict and prevent health deterioration.
https://www.liftedcare.com
https://www.savorhealth.com
Noom's platform is gericht op
het creëren van
gedragsveranderingen in
verband met gewichtsverlies,
fitness en dieetmanagement.
Het kenmerkende product heet
de Noom Weight Loss Coach.
Noom-gebruikers worden
gekoppeld aan een toegewijde
gezondheidscoach op basis van
hun levensstijl en voorkeuren.
De startup maakt ook gebruik
van AI (Artificiële Intelligentie)
om de ervaring te
personaliseren voor haar
gebruikers.
Terwijl het bedrijf begon met
gewichtsverlies, is het bedrijf in
toenemende mate gaan kijken
naar het gebruik van zijn
technologie om patiënten met
specifieke chronische
gezondheidsproblemen te
helpen.
https://www.noom.com
https://www.bigfootbiomedical.com
https://venturebeat.c
om/2019/09/17/kaia
-raises-8-million-to-
treat-chronic-pain-
with-ai-guided-
exercise/
https://www.freenome.com
Our technology will
follow patients’ basic
health parameters all
over the hospital and at
home, without requiring
the intervention of
specially trained
individuals to obtain and
interpret results.
Changes in the
functioning of the heart
will be signaled, allowing
doctors to intervene.”
HUISARTSENPRAKTIJK
KLINIEK
https://www.insight-rx.com
https://www.arine.io
Virtuele Apotheker
https://venturebeat.co
m/2019/09/23/kheiron
-raises-22-million-for-
machine-learning-that-
helps-radiologists-
detect-cancer-earlier/
LungPrint is a fully automated AI-powered analysis of an inspiratory chest CT
scan, providing a quick flag of lung density abnormalities that may be
indicative of emphysema or interstitial lung disease. The solution addresses
the large and growing burden of pulmonary disease in clinical care.
http://www.vidadiagnostics.com/
https://www.eyediagnosis.co
https://www.telegraph.co.uk/technolo
gy/2019/09/30/life-saving-ai-rapidly-
detects-blocked-arteries-used-nhs/
Heartflow
1. CT Scan
2. Ipad
3. Simulatie
4. Behandeling
https://www.pathai.com
PathAI is a provider of AI-powered research tools and services for
pathology. Its platform aims to improve the accuracy of diagnosis and
the efficacy of treatment of diseases like cancer, leveraging modern
approaches in machine and deep learning.
KLINIEK AAN HUIS
https://www.butterflynetwork.com
https://www.statnews.com/2019/10/
01/an-ai-startup-led-by-23andme-
veteran-andy-page-tries-to-take-
better-pictures-of-the-heart/
https://venturebeat.com/20
19/07/13/brainworks-uses-
smartphone-camera-and-ai-
to-detect-your-heart-rate-
breathing/
https://www.youtube.com/watch?v=vU3bfEkBDZ4
https://healthy.io
TIPS
INFORMATIE
https://www.economi
st.com/podcasts/2019
/10/09/the-promise-
and-peril-of-ai
Intelligent Health 2019 is the world’s leading AI in medicine
summit, bringing together over 100 speakers in Basel,
Switzerland, on September 11-12
Download deze presentatie
in4care.be/dmhuisartsai
https://www.nature.com/arti
cles/s42256-019-0088-2
PATIENT
CENTRAAL
OF
…
MENS + AI
https://www.thelancet.com/action/showPdf?pii
=S2589-7500%2819%2930127-X
In4Care staat ten dienste van
zorgactoren om,
samen met bedrijfsleden én
partners,
de zorg nóg beter te maken.
"AI is not about replacing the human with a robot.
It is about taking the robot out of the human.”
Usama Fayyad
Informatie verwerking:
serieel en overwegend parallel
Snelheid berekening: < 1000/s
Precisie: 1 in 100
Informatie verwerking:
serieel en overwegend parallel
Snelheid berekening: 10 Milj/s
Precisie: 1 in 4,2 Milj
EMPATHY >>>>> TECHNOLOGY
6 December
Ter Elst, Antwerpen
https://www.inspire-healthcare.eu

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