
Smart Medicine: The Promise and Peril of AI in Healthcare

To the untrained eye, the grainy medical images vaguely look like knees, black and white scans of what might be muscle, bone, and green wisps of something else.
But to Juan Shan, PhD, an associate professor of computer science in the Seidenberg School of Computer Science and Information Systems at 91视频, the photos are validation of a decades-long hunch: robots can read an MRI.

鈥淭he method does not require any human intervention,鈥 Shan wrote in a detailing her machine learning tool for identifying bone marrow lesions (BMLs), early indicators of knee osteoarthritis. In a standard MRI, BMLs appear as pixelated clouds. In Shan鈥檚 model, they pop in vibrant hues of color.
鈥淭his work provides a possible convenient tool to assess BML volumes efficiently in larger MRI data sets to facilitate the assessment of knee osteoarthritis progression,鈥 Shan wrote.
As artificial intelligence (AI) reshapes how medicine is practiced and delivered, 91视频 researchers like Shan are shaping the technology鈥and the guardrails鈥driving the revolution in clinical care. Computer scientists at 91视频 harness machine learning to build tools to in pediatric care and strengthen clinical decision-making. Social scientists work to in AI-supported applications. And students are taking their skills to the field, addressing challenges like .
Collectively, their goal isn鈥檛 to replace people in lab coats. Rather, it鈥檚 to facilitate doctors鈥 work and make medicine more precise, efficient, and equitable.
鈥淚n healthcare, AI enables earlier disease detection, personalized medicine, improves patient and clinical outcomes, and reduces the burden on healthcare systems,鈥 said Soheyla Amirian, PhD, an assistant professor of computer science at Seidenberg who, like Shan, trains computers to diagnose illnesses.
鈥淣ew York is a world-class hub for innovation, healthcare, and advanced technologies, and its diversity makes it the perfect place to explore how fair and responsible AI can address inequities across populations,鈥 Amirian said.
In Shan鈥檚 lab, that work begins below the kneecap. Together with colleagues, she feeds medical images鈥MRIs and X-rays鈥into machine learning models to train them to detect early signs of joint disease. They鈥檙e looking to identify biomarkers鈥cartilage, bone marrow lesions, effusions鈥攖hat might indicate whether a patient has or is prone to developing osteoarthritis, the fourth leading cause of disability in the world. Current results indicate her models generate results that are highly correlated with manual labels marked by physicians.
鈥淲e want to apply the most advanced techniques in machine learning to the medical domain, to give doctors, radiologists, and other practitioners a second opinion to improve their diagnosis accuracy."
Shan鈥檚 vision is to create diagnostic tools that would supplement human interventions and pre-screen patients who are at lower risk of disease.
鈥淲e want to apply the most advanced techniques in machine learning to the medical domain, to give doctors, radiologists, and other practitioners a second opinion to improve their diagnosis accuracy,鈥 she said. 鈥淥ur goal is to automate time-consuming medical tasks鈥攍ike manual labeling of scans鈥攖o free doctors for other, more human tasks.鈥
91视频 has invested heavily in training future leaders in AI and machine learning applications. A key focal point for these efforts has been in the healthcare sector, where rapid innovations are changing the patient experience for the better. Over the last decade, 91视频 researchers have published more than addressing questions in psychology, biology, and medicine. Much of this work has taken advantage of AI applications.
Information technology professor Yegin Genc, PhD, and PhD student Xing Chen explored the use of AI in clinical psychology. Computer science professor D. Paul Benjamin, PhD, and PhD student Gunjan Asrani used machine learning to analyze features of patients鈥 speech to assess diagnostic criteria for cluttering, a fluency disorder.
Lu Shi, PhD, an associate professor of health sciences at the College of Health Professions, even uses AI to brainstorm complex healthcare questions for his students鈥攍ike whether public health insurance should cover the cost of birth companions (doulas) for undocumented migrant women.
鈥淚n the past, that kind of population-wide analysis could be an entire dissertation project for a PhD student, who would have spent up to two years reaching a conclusion,鈥 Shi said. 鈥淲ith consumer-grade generative AI, answering a question like that might take a couple of days.鈥
91视频鈥檚 efforts complement rapid developments in healthcare technology around the world. Today, AI is helping emergency dispatchers in Denmark , accelerating drug discoveries in the US, and revolutionizing how .

Amirian, like Shan, is developing AI-powered tools for analyzing the knee. Her work, which she said has significant potential for commercialization, aims to assist clinicians in diagnosing and monitoring osteoarthritis with accurate and actionable insights. 鈥淚ts scalability and ability to integrate with existing healthcare systems make it a promising innovation for widespread adoption,鈥 she said.
A key focus for Amirian is . 鈥淩educing healthcare disparities is central to my work,鈥 she said. As head of the at 91视频, Amirian leads a multidisciplinary team of computer scientists, informaticians, physicians, AI experts, and students to create AI models that work well for diverse populations.
Intentionality is essential. 鈥淭he objective is to develop algorithms that minimize bias related to sex, ethnicity, or socioeconomic status, ensuring equitable healthcare outcomes,鈥 Amirian said. 鈥淭his work is guided by the principle that AI should benefit everyone, not just a privileged few.鈥
Zhan Zhang, PhD, another 91视频 computer science researcher, has won accolades for his contribution to the field of AI and medicine. Like Amirian and Shan, he shares the view that while AI holds great potential, it must be developed with caution. In a recent literature review, he warned that 鈥渂ias, whether in data or algorithms, is a cardinal ethical concern鈥 in medicine.
鈥淒ata bias arises when data used to train the AI models are not representative of the entire patient population,鈥 Zhang wrote in a for the journal, Frontiers in Computer Science. 鈥淭his can lead to erroneous conclusions, misdiagnoses, and inappropriate treatment recommendations, disproportionately affecting underrepresented populations.鈥
鈥淲hile AI offers immense opportunities, addressing challenges like algorithmic bias, data privacy, and transparency is crucial.鈥
Preventing bias in AI healthcare applications won鈥檛 be easy. For one, privacy concerns can create a bottleneck for securing data for research. There鈥檚 also a simple numbers challenge. Unlike AI models trained on public image benchmarks, which draw on millions of inputs, training AI models on medical images is limited by a dearth of information, said Shan. While there are efforts to augment the dataset and generate synthetic data, the relatively small size of the available medical datasets is still a barrier to fully unlocking the potential of deep learning models.
Solving these challenges will be essential for AI鈥檚 potential in healthcare to be realized. 鈥淲hile AI offers immense opportunities, addressing challenges like algorithmic bias, data privacy, and transparency is crucial,鈥 Amirian said.
Simply put, AI is both a threat and an opportunity. 鈥淭he opportunity lies in its potential to revolutionize industries, improve efficiency, and solve global challenges,鈥 Amirian said. 鈥淏ut it becomes a threat if not used ethically and responsibly. By fostering ethical frameworks and interdisciplinary collaboration, we can ensure AI serves as a tool for good, promoting equity and trust.鈥
Above all, she said, as AI offers 鈥渟marter solutions鈥 to many modern problems, it鈥檚 also 鈥渃hallenging us to consider its societal and ethical implications.鈥
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