NLP in Healthcare: Streamlining Documentation and Medical Research

NLP in Healthcare: Streamlining Documentation and Medical Research

AI Health Tech Med Tech

Natural Language Processing (NLP) is a key component in my series on AI in healthcare. By enabling machines to understand and interpret human language, NLP in healthcare is driving significant improvements in patient outcomes and healthcare efficiency. The market for NLP in healthcare shows similar growth of 18% annually (Research and Markets, 2024).

This article explores various NLP applications in healthcare.

Contents

Understanding NLP Applications in Healthcare

nurse with clipboards

NLP is a subset of Artificial Intelligence (AI) focused on the interaction between computers and human language. It involves several core components and techniques:

  • Optical Character Recognition (OCR): Changing written or printed text into digital text.
  • Tokenization: Breaking text into smaller parts like words or sentences.
  • Text Classification: Categorizing text into predefined groups.
  • Named Entity Recognition (NER): Identifying and classifying entities in text, such as names, dates, and medical terms.
  • Sentiment Analysis: Determining the emotional tone of text.
  • Topic Modeling: Discovering abstract topics within a collection of documents.

NLP’s journey in healthcare began with simple text analysis. It has evolved into a sophisticated tool for clinical documentation, patient data analysis, and medical research.

Optical Character Recognition (OCR) 

OCR recognizes text in documents and changes it to digital form for further processing. OCR can extract text in various formats, including digital images, presentations, and scans of printed or handwritten notes, logs, and other documents (Intellias, 2024).

OCR solutions can be especially useful in healthcare applications to preprocess documents generated for medical procedures, like prescriptions, doctors’ notes, test results, and CAT scans. 

When digitized, these artifacts become part of an electronic health record (EHR), which makes them more complete and easier to use.

Tokenization

NLP breaks text into smaller parts called tokens, which can be words or sentences. This process, called tokenization, helps computers understand and analyze text better. It makes it easier for NLP programs to find patterns and important information in the text (Intellias, 2024).

Text Classification 

Text classification uses NLP to sort texts into categories. It involves two steps:

  1. Turning text into numbers (embedding)
  2. Using these numbers to predict the category

Which method to use depends on factors like data size and need for interpretability. Interpretable models like linear regression and decision trees can show which parts of the text were most important for the classification. (Rijcken, et al., 2022).

Named Entity Recognition (NER)

NER finds and labels important information in text, like names, locations, dates, diagnoses, and medicine names from medical records. This helps create more useful EHRs.

In a study conducted in Colombia, researchers reviewed NER techniques from 2011 to 2022, focusing on classification models, tagging systems, and languages used. The study highlights the importance of NER and relation extraction (RE) in automatically gleaning concepts, events, and relationships from EHRs. However, there’s a lack of research on NER and RE tasks in specific clinical domains. While EHRs are crucial for clinical information gathering, creating new collections of machine-readable texts in specific clinical areas is necessary to develop NER and RE models for practical clinical use (Durango et al., 2023).

Sentiment Analysis 

Doctor shows table to senior in blue shirt

Sentiment analysis is a way to understand how people feel about something by looking at what they say or write. It uses a mix of NLP, machine learning, and statistics programs to figure out if opinions are positive, negative, or neutral. It can even detect emotions like happiness or anger.

One way to use sentiment analysis in healthcare is with patient surveys. By analyzing the responses, hospitals and clinicians can see what they’re doing well and what needs improvement. When healthcare providers make changes based on what truly matters to patients, they improve patient care quality, and stay ahead of their competitors. 

Topic Modeling

Clinicians can use a patient’s EHR to predict health outcomes, and make better decisions based on patient records. Using topic models can help make these predictions clearer, but choosing the right model is tricky. 

Machine learning has many uses in healthcare, but clinicians need a better understanding of how it works. One way to make it clearer is by using topic modeling. Topic modeling can group patient notes into topics, making it easier to see patterns. It can also help classify text and make predictions about patient health by finding common themes in patient notes. 

Many researchers have used a method called Latent Dirichlet Allocation (LDA) for topic modeling, but there are other options too. The challenge is picking the right method. It needs to be both accurate in its predictions and easy for doctors to understand. If it’s not accurate or not understandable, it’s not very useful. There’s not much research that looks at both how well these models predict and how easily they can be understood (Rijcken, et al., 2022).

With a foundational understanding of NLP components, let’s explore how these technologies impact clinical documentation.

Enhancing Clinical Documentation with NLP

overhead view of a doctor typing

NLP can process information in a patient’s EHR. This allows health systems to classify patients and summarize conditions quickly in clinical documentation, saving clinicians time when reviewing complex records and finding critical insights.

Accurate and efficient clinical documentation is crucial for patient care. NLP enhances this process in several ways:

  • Automated Data Extraction: NLP can extract relevant information from unstructured text, such as clinical notes, and convert it into structured data.
  • Reduction of Documentation Errors: By automating data entry, NLP minimizes human errors.
  • Time-Saving Benefits: Healthcare providers can save significant time, allowing them to focus more on patient care.

Speech recognition is another application of NLP. Voice recognition software can transcribe clinical notes in an EHR. The clinician can review the updated patient chart on the screen in an instant (IMO Health).

Beyond documentation, NLP’s capabilities extend to extracting valuable insights from patient data and predicting health outcomes.

NLP for Patient Data Insights and Predictive Analytics

NLP processes and analyzes large volumes of patient data, uncovering valuable insights:

  • Early Disease Detection: NLP can analyze patient records to identify early signs of diseases (predictive analytics). This extra layer of monitoring can help doctors catch and address problems early (Alldus, 2022).
  • Population Health Management: By analyzing health trends, NLP can help manage the health of populations.
  • Personalized Treatment Recommendations: NLP provides tailored treatment plans based on individual patient data.

However, with great power comes great responsibility. Privacy concerns and data security measures are paramount when dealing with sensitive patient information. Healthcare providers must ensure that NLP systems comply with data protection regulations.

We’ve seen how NLP enhances data analysis, so let’s examine its role in medical imaging and treatment planning.

Advancing Medical Imaging, Diagnosis, and Treatment Planning

MRI machine with multiple scans on the side

NLP helps in medical imaging by analyzing radiology reports and identifying specific health issues. It can also gather and label images from medical storage systems. This technology helps doctors better understand patient conditions and supports healthcare organizations as they grow and improve their services (Shafii, 2023).

NLP plays a pivotal role in supporting medical diagnosis and optimizing treatment plans:

  • Symptom and History Analysis: NLP analyzes symptoms and medical histories to support diagnostic decisions.
  • Integration with AI: Combining NLP with other AI technologies enhances diagnostic accuracy.
  • Treatment Plan Optimization: NLP analyzes treatment outcomes across large patient populations to identify the most effective treatments and potential drug interactions.

For instance, an NLP system helped a clinic improve diagnostic accuracy for rare diseases by 20%, demonstrating its potential in clinical practice.

While NLP can significantly improve patient care, its influence extends to the broader field of medical research and literature analysis.

NLP in Medical Research and Literature Analysis

Black female doctor typing

NLP is invaluable in processing and analyzing medical literature:

NLP helps healthcare organizations handle large amounts of medical information. It uses AI to read and summarize research papers, clinical trials, and case studies. This technology can find important points and patterns in medical literature, making it easier for healthcare providers to stay up-to-date and provide better care (Shafii, 2024).

By accelerating the analysis of medical literature, NLP has the potential to fast-track medical discoveries and innovations.

Ultimately, the goal of NLP in healthcare is to improve patient outcomes and satisfaction. Let’s explore how.

Improving Patient Experiences: Patient Care: NLP’s Impact on Healthcare Satisfaction 

Family checking in for appointment at the desk

Natural Language Processing (NLP) significantly enhances patient care and satisfaction in several ways (Ariwala, 2024).

Improved Patient-Provider Interactions

NLP bridges the gap between complex medical terminology and patients’ understanding. It simplifies medical jargon, making health information more accessible to patients. This improved communication leads to better patient comprehension of their health status and treatment plans.

Enhanced Electronic Health Record (EHR) Usage

NLP offers an alternative to typing or handwriting notes, reducing EHR-related stress for clinicians. This allows healthcare providers to spend more time interacting with patients and less time on documentation, improving the overall care experience.

Increased Patient Health Awareness

By translating complex medical data into more understandable language, NLP empowers patients to make informed decisions about their health. This increased understanding can lead to better patient engagement and compliance with treatment plans.

Improved Care Quality

NLP tools help healthcare organizations evaluate and improve care quality. They can measure physician performance, identify gaps in care delivery, and flag potential errors. This leads to more consistent, high-quality care across the board.

Critical Care Identification

NLP algorithms can analyze large datasets to identify patients with complex or critical care needs. This enables healthcare providers to prioritize and tailor care for high-risk patients, potentially improving outcomes and patient satisfaction.

Efficient Information Extraction

By quickly extracting and summarizing relevant information from medical records, NLP saves time for healthcare providers. This efficiency allows for more thorough patient assessments and personalized care plans.

Overall, NLP technology in healthcare results in improved patient outcomes, increased satisfaction, and a more positive healthcare experience for both patients and providers.

Despite the numerous benefits of NLP in healthcare, there are still challenges to overcome as well as exciting future directions.

The Road Ahead: Overcoming Barriers with NLP for Healthcare Providers

Doctor smiling and using Mac

Despite its benefits, NLP in healthcare faces several challenges:

  • Data Quality and Standardization: Inconsistent data quality can hinder NLP effectiveness.
  • Multilingual NLP: Developing NLP systems that can process multiple languages is crucial for global healthcare.
  • Real-Time Analysis: Real-time NLP analysis in clinical settings is still in its infancy but holds great promise.
  • Mistrust and Slow Adoption: Clinicians hesitate to use NLP for documentation due to concerns about accuracy and potential errors, despite its time-saving benefits (IMO Health).

Ethical considerations, such as ensuring unbiased algorithms and responsible AI development, are also critical. As NLP technology evolves, its integration with other AI technologies will open new possibilities for patient care.

To address concerns, look to frameworks like the Ethics Guidelines for Trustworthy AI or the Blueprint for an AI Bill of Rights. These frameworks offer design principles for trustworthy AI (Rebitzer & Rebitzer, 2023). 

In the future, NLP will likely change many areas of healthcare, from finding new medicines to helping patients recover. It might completely change how doctors and nurses do their jobs. The Global NLP in Healthcare and Life Sciences market is expected to reach $3.7 Billion by 2025 (Alldus, 2022). 

Conclusion

NLP is transforming healthcare by enhancing clinical documentation, analyzing patient data, supporting medical diagnosis, and advancing medical research. As NLP technologies continue to evolve, their impact on patient care will only grow. 

Overall, NLP technology in healthcare leads to more informed patients, more efficient providers, and a healthcare system better equipped to deliver high-quality, personalized care. 

References

Alldus. (2022). 5 Applications of NLP in Healthcare. Retrieved from https://alldus.com/blog/5-applications-of-nlp-in-healthcare/ 

Ariwala, P. (2024). Top 14 Use Cases of Natural Language Processing in Healthcare. Maruti Techlabs. Retrieved from https://marutitech.com/use-cases-of-natural-language-processing-in-healthcare/

Artera. (2021). The Importance of Sentiment Analysis In Healthcare. Retrieved from  https://artera.io/blog/sentiment-analysis-in-healthcare

Durango, M.C., Torres-Silva, E. A., & Orozco-Duque, A. (2023). Named Entity Recognition in Electronic Health Records: A Methodological Review. Healthcare Informatics Research, 29(4):286-300. doi: 10.4258/hir.2023.29.4.286

Intellias. (2024). Leveraging Natural Language Processing (NLP) in Healthcare. Retrieved from https://intellias.com/natural-language-processing-nlp-in-healthcare/

Natural Language Processing 101: A guide to NLP in clinical documentation. (n.d.) IMO Health. Retrieved from https://www.imohealth.com/ideas/article/natural-language-processing-101-a-guide-to-nlp-in-clinical-documentation

Rebitzer, J.B., & Rebitzer R.S. (2023). AI Adoption in U.S. Health Care Won’t Be Easy. Harvard Busieness Review. Retrieved from  https://hbr.org/2023/09/ai-adoption-in-u-s-health-care-wont-be-easy

Research and Markets. (2024). Natural Language Processing (NLP) in Healthcare and Life Sciences – Global Strategic Business Report. Retrieved from https://www.researchandmarkets.com/report/healthcare-natural-language-processing

Rijcken, E., Kaymak, U., Scheepers, F., Mosteiro, P., Zervanou, K. & Spruit, M. (2022). Topic Modeling for Interpretable Text Classification From EHRs. Frontiers in Big Data 5:846930. doi: 10.3389/fdata.2022.846930 

Shafii, K. (2023). Natural Language Processing in Healthcare Explained. Consensus Cloud Solutions. Retrieved from  https://www.consensus.com/blog/natural-language-processing-in-healthcare/

AI in Clinical Trials: Improving Drug Development and Patient Care

AI in Clinical Trials: Improving Drug Development and Patient Care

AI Health Tech Med Tech

The landscape of clinical trials is quickly evolving, with artificial intelligence (AI) playing an increasingly pivotal role. The number of AI-driven firms specializing in drug discovery and development has grown from 62 in 2011 (Sokolova, 2023) to 400 firms in 2022.

This shift is not just about cutting-edge technology; it’s about improving lives and bringing new treatments to patients faster than ever before. Let’s dive in and see how AI in clinical trials works in healthcare.

Contents

The Current State of AI in Clinical Trials

Clinical trials are the most robust way to show the safety and effectiveness of a treatment or clinical approach, and provide evidence to guide medical practice and health policy. Unfortunately, they have a high failure rate.

Current clinical trials are complex, labor-intensive, expensive, and may involve errors and biases (Zhang et al., 2023). They often start late in the drug development cycle. Only around 10% of drugs entering the clinical trial stage get approved by the U.S. Food and Drug Administration (FDA) [Mai et al., 2023]. 

Key areas where AI is used in clinical trials include:

  • Patient recruitment and retention
  • Trial design and protocol optimization
  • Data management and analysis
  • Safety monitoring and detection of adverse drug reactions (ADRs)
  • Drug discovery and development

According to McKinsey, AI adoption could boost up to $25 billion into clinical development within the pharmaceutical industry, with the potential to a total gain of $110 billion (Bhavik et al., 2024).

Beyond recruitment, AI is also revolutionizing how clinical trials are designed and conducted.

Improving Patient Engagement with AI 

Doctor and patient POCs

Traditional clinical trial methods often face challenges like slow patient recruitment, high dropout rates, and inefficient data analysis. AI is helping to address these issues by providing faster, more accurate, and more personalized solutions (Hutson, 2024). 

Patient Recruitment

Traditional clinical trials have an average 30% dropout rate due to inconvenience, complex protocols, and lack of support (Clinical Trials Arena, 2024). Another big hurdle in clinical trials is finding the right patients, in part due to (Atieh & Domanska, 2024):

  • Lack of eligible participants
  • Inadequate patient awareness
  • Limited locations 

AI is changing the game by:

  • Analyzing electronic health records (EHRs) to identify suitable candidates
  • Using predictive analytics to improve patient retention rates
  • Creating personalized communication strategies to keep patients engaged

For example, AI algorithms can sift through huge amounts of patient data to find those who meet specific trial criteria. Clinical trial matching systems or services use natural language processing (NLP) tools that learn clinical trial protocols and patient data. This process makes recruitment faster, and helps ensure a more diverse and representative patient population (Zhang et al., 2023).

Patient Retention

The majority of clinical trials have participants who drop out. AI can improve retention by (Mai et al., 2023):

  • Identifying factors associated with a high risk of dropping out
  • Predicting the probability that a participant will drop out

AI-powered chatbots are also playing a crucial role in maintaining continuous communication with trial participants by:

  • Providing support 
  • Sending reminders (via AI-assisted apps) [Clinical Trials Arena, 2024]
  • Tracking progress
  • Responding to various events and milestones during the trial 

This personalized engagement can help foster a positive patient experience and build trust, which is crucial for patient retention (Jackson, 2024).

Enhanced Trial Design with Digital Health Technologies (DHTs)

Two researchers looking at a Mac

Decentralized clinical trials (DCTs) can incorporate DHTs to streamline trial design, and expand where to conduct them. 

DHTs aren’t just wearable trackers. It’s possible to implant, swallow, or insert many DHTs into the body. Placing DHTs in a particular setting with real-time data capture from trial participants in their homes and other locations makes it more convenient for them. It also gives clinicians insights on patient health status and healthcare delivery (U.S. Food & Drug Administration, 2024).

As trial designs become more sophisticated, AI can simplify managing and analyzing the resulting data.

AI can make clinical trials more efficient and effective:

  • AI-assisted trial design helps researchers create more robust study protocols
  • Adaptive trial designs use real-time data analysis to make adjustments on the fly
  • Machine learning optimizes inclusion and exclusion criteria for diverse patient selection

These AI-powered approaches can lead to faster, more cost-effective trials with higher success rates.

Data Management and Analysis in Clinical Trials with AI

Group of 4 researchers in a meeting

With decentralized clinical trials, teams must collect data from different sources including (Informatica):

  • Various types of EHRs
  • Data from providers and medical facilities
  • Wireless medical devices that may exist in professional settings or patients’ homes.

In the age of big data, AI is an invaluable tool for managing and analyzing the vast amounts of information generated during clinical trials:

  • AI systems can process and integrate data from multiple sources
  • Real-time data monitoring ensures quality control throughout the trial
  • AI-driven insights enable faster decision-making for researchers and clinicians

By harnessing the power of AI, researchers can uncover patterns and insights that might otherwise go unnoticed. For instance, AI can extract data from unstructured reports, annotate images or lab results, add missing data points, and identify subgroups among a population that responds uniquely to a treatment (Clinical Trials Arena, 2024).

Improving Safety Monitoring and Adverse Event Detection

Monitor attached to back of a woman's left shoulder

Patient safety is paramount in clinical trials. AI is enhancing pharmacovigilance (drug safety) efforts by:

  • Using algorithms for early detection of adverse events
  • Creating predictive models to assess patient safety risks
  • Automating safety signal detection and analysis

These AI-powered tools can help researchers identify potential safety issues faster and more accurately than traditional methods.

While efficient data management is crucial, ensuring patient safety remains paramount in clinical trials.

Accelerating Drug Discovery and Development

Researcher looking at microcope with several vials in foreground

The typical amount of time to launch a new drug is 10 to 12 years. The clinical trial stage itself averages five to seven years (Shah-Neville, 2024).

The estimated cost of launching a new drug is roughly $2.6 billion. Delays in time to market make drug development expensive.

AI isn’t just changing how we conduct clinical trials – it’s also speeding up the entire drug development process:

  • AI assists in target identification and validation for new drugs
  • Machine learning predicts drug efficacy and toxicity
  • AI-powered simulations reduce time and costs in the development pipeline

By leveraging AI, pharmaceutical companies can bring new treatments to patients faster and more efficiently.

As we embrace AI’s potential, we must also address the ethical and regulatory challenges it presents.

Ethical Considerations and Regulatory Challenges

Doctor and patient hands on desk 2

As with any new technology, AI can return inaccurate data or misinterpret nuances in informed consent documents or clinical trial protocols, emphasizing the need for human review (Nonnemacher, 2024).

The use of AI in clinical trials also raises important ethical and regulatory questions:

  • How do we ensure data privacy and security in AI-driven trials?
  • What steps can we take to address bias in AI algorithms and datasets?
  • How should regulatory frameworks evolve to accommodate AI integration in clinical research?

These are complex issues that require ongoing dialogue between researchers, ethicists, regulators, and patients as described in other AI health articles I’ve covered.

As AI technology continues to advance, we can expect to see even more innovative applications in clinical research. 

The Future of AI in Clinical Trials

Group of researchers in a clinical trial

What does the future hold for AI in clinical trials? Some exciting possibilities include:

  • Virtual clinical trials that reduce the need for in-person visits
  • AI systems that collaborate with human researchers to design better studies
  • Precision medicine approaches tailored to individual patients based on AI analysis

Industry experts predict continued growth in AI adoption, with a focus on identifying the most beneficial areas for AI implementation in clinical trials (Studna, 2024).

Conclusion

AI is proving to be an invaluable tool in the clinical research toolkit, offering new ways to streamline processes, improve patient experiences, and accelerate drug development. 

But AI is not a magic solution; it’s a powerful assistant that works best when combined with human expertise and ethical considerations. 

The synergy between AI and clinical trials holds immense promise for advancing medical research, developing more effective treatments, and ultimately, improving patient outcomes. The journey of AI in clinical trials is just beginning, and the potential for positive impact on global health is boundless. 

What do you think about the role of AI in clinical trials? Are you optimistic about its potential to improve patient care?

References

Atieh, D. & Domanska, O. (2024). Finding the right patients for the right treatment with AI. Avenga. Retrieved from https://www.avenga.com/magazine/how-ai-advances-patient-recruitment-in-clinical-trials

Bhavik Shah, B., Bleys, J., Viswa, C.A., Zurkiya, D., & Eoin Leydon, E. (2024). Generative AI in the pharmaceutical industry: Moving from hype to reality. McKinsey. Retrieved from https://www.mckinsey.com/industries/life-sciences/our-insights/generative-ai-in-the-pharmaceutical-industry-moving-from-hype-to-reality

How AI data management can transform your clinical trial. Clinical Trials Arena. 

Retrieved from https://www.clinicaltrialsarena.com/sponsored/how-ai-data-management-can-transform-your-clinical-trial/

Hutson, M. (2024). How AI in being used to accelerate clinical trials. Nature; 627(S2-S5). doi.org/10.1038/d41586-024-00753-x

Informatica. (n.d.) Using AI and Data Management to De-Risk Decentralized Clinical Trials. Retrieved from https://www.informatica.com/resources/articles/ai-data-management-decentralized-clinical-trials.html

Jackson, R. (2024). 3 Areas Where AI Could Revolutionize Patient Recruitment and Retention. Clinical Leader. Retrieved from  https://www.clinicalleader.com/doc/areas-where-ai-could-revolutionize-patient-recruitment-and-retention-0001

Mai, B., Roman, R., & Suarez, A. (2023). Forward Thinking for the Integration of AI into Clinical Trials. Clinical Researcher; 37(3). Retrieved from  https://acrpnet.org/2023/06/forward-thinking-for-the-integration-of-ai-into-clinical-trials

Nonnemacher, H. (2024). Two years of AI learning: Streamlining clinical trials today for future advancements. Suvoda. Retrieved from https://www.suvoda.com/insights/blog/two-years-of-ai-learning

President’s Cancer Panel. (2018). Part 1: The Rising Cost of Cancer Drugs: Impact on Patients and Society. Retrieved from https://prescancerpanel.cancer.gov/report/drugvalue/Part1.html

Sha-Neville, W. (2024). How AI is shaping clinical research and trials. Labiotech. Retrieved from  https://www.labiotech.eu/in-depth/ai-clinical-research

Sokolova, S. (2023). 12 Notable AI-powered Biotech Companies Founded in 2021. BioPharmaTrend. Retrieved from https://www.biopharmatrend.com/post/500-10-notable-ai-powered-biotech-companies-founded-in-2021

Studna, A. (2024). Future Use of Artificial Intelligence in Clinical Trials. Applied Clinical Trials. 

Retrieved from https://www.appliedclinicaltrialsonline.com/view/future-artificial-intelligence-clinical-trials

U.S. Food & Drug Administration. (2024). The Role of Artificial Intelligence in Clinical Trial Design and Research with Dr. ElZarrad. Retrieved from

https://www.fda.gov/drugs/news-events-human-drugs/role-artificial-intelligence-clinical-trial-design-and-research-dr-elzarrad

Zhang, B., Zhang, L., Chen, Q., Jin, Z., Liu, S., & Zhang, S. (2023). Harnessing artificial intelligence to improve clinical trial design. Communications Medicine, 3(1), 1-3. doi.org/10.1038/s43856-023-00425-3 

How AI in Genomics is Improving Personalized Healthcare 

How AI in Genomics is Improving Personalized Healthcare 

AI Health Tech Med Tech

The convergence of artificial intelligence and genomics is a powerful combination in healthcare. AI genomics is decoding the complexities of our DNA, giving us never-before-seen insights into human health and disease.

From personalized treatments to individual genetic profiles to predicted disease risk with remarkable accuracy, AI genomics is poised to transform patient care. In this article, we’ll explore groundbreaking AI genomics applications in healthcare, and their potential to reshape the healthcare landscape.

Contents

Understanding AI Genomics

Before we get into the fusion of AI with genetic science in healthcare, let’s start with a little background.

genetic markers

What is AI Genomics?

The concept of “genome” refers to the whole set of DNA sequences in a cell or organism.

Genomics is a term that describes the nascent discipline of sequencing, mapping, annotating and analyzing genomes (Caudai et al., 2021).

AI genomics is the integration of AI technologies with genomic data to enhance healthcare outcomes (Pearson, 2023). 

Key Technologies Driving AI Genomics Advancements

Several technologies are pivotal in advancing AI genomics:

  • Machine Learning (ML): Algorithms that learn from data to make predictions or decisions without being explicitly programmed.
  • Deep Learning (DL): A subset of ML that uses neural networks with many layers to analyze complex data patterns.
  • Next-Generation Sequencing (NGS): High-throughput sequencing technologies that generate large volumes of genomic data.
  • Bioinformatics: The use of computing tools to manage and analyze biological data (Lin & Ngiam, 2023).

The Intersection of ML, Big Data, and Genetic Research

The convergence of ML, big data, and genetic research is transforming genomics. ML algorithms can process and interpret large sets of genomic data, finding patterns and correlations impossible for humans to discern (Parekh et al., 2023).

Researchers and clinicians use these technologies to analyze large amounts of genomic data more efficiently. This integration facilitates precision medicine, making healthcare more precise and tailored to individual needs (MarketsandMarkets).

​​Now that we understand the foundation of AI genomics, let’s explore its practical applications in precision medicine.

Precision Medicine and Treatment 

Female doctor showing her elderly female patient a tablet

Tailoring Drug Therapies Based on Genetic Profiles

Precision medicine, also known as personalized medicine, aims to customize healthcare with medical decisions tailored to individual genetic profiles. AI-powered genomic analysis helps identify genetic variations that influence drug metabolism and efficacy. This allows clinicians to prescribe effective medications that have fewer side effects for each patient.

Predicting Patient Response to Treatments

AI can predict how patients will respond to specific treatments by analyzing their genetic data. For instance, ML models can identify genetic markers associated with positive or adverse reactions to particular drugs, giving us more informed treatment choices (Dinstag et al., 2023).

Minimizing Adverse Drug Reactions Through Genetic Analysis

Adverse drug reactions (ADRs) are a significant concern in healthcare. By analyzing genetic data, AI can identify patients at risk of ADRs, allowing for adjustments in medication type or dosage. This proactive approach improves the efficiency of patient safety and treatment (Abdallah, et al., 2023).

Early Disease Detection, Risk Assessment, and Management

​​While personalized treatment is crucial, AI genomics also plays a vital role in identifying health risks before they manifest.

AI Accelerates the Diagnostic Process for Diseases and Rare Genetic Disorders

It’s difficult to detect and diagnose rare genetic disorders, because they are uncommon and manifest in the body in various ways. AI can streamline this process by analyzing biomarkers 

that indicate the presence or risk of diseases such as cancer, diabetes, and cardiovascular conditions (Murphy, 2024), significantly reducing the time for diagnosis (National Gaucher Foundation, 2023).

Facilitating Gene Therapy Development and Implementation

Gene therapy offers potential cures for many genetic disorders. AI accelerates the development and implementation of gene therapies by identifying target genes and predicting therapeutic outcomes, enhancing the success rate of these treatments (MarketsandMarkets).

Assessment of Individual Risk Factors for Complex Conditions

Predictive healthcare is like a crystal ball using AI in genomics. AI-driven tools can assess individual risk factors for complex diseases by integrating genetic, environmental, and lifestyle factors. This comprehensive risk assessment helps in early detection and preventive care strategies (Chiu, 2024).

Improving Treatment Plans for Patients with Rare Conditions

AI helps develop tailored treatment plans for rare diseases by analyzing genetic and clinical data. This personalized approach ensures each patient gets the most effective therapies based on their unique genetic profile. 

Preventive Care Strategies Through AI-Driven Insights

Preventive care is crucial for managing chronic diseases. AI provides insights that promote personalized preventive strategies like lifestyle modifications and early interventions, reducing the likelihood of disease development (Bhandari et al., 2022).

Cancer Genomics and Precision Oncology

In the realm of oncology, AI genomics is making significant strides in personalizing cancer care.

genetic markers

Analyzing Tumor Genomes to Guide Targeted Therapies

AI plays a critical role in precision oncology by analyzing tumor genomes to identify mutations and genetic alterations. This information guides the selection of targeted therapies that are more likely to be effective for individual patients (Caudai et al., 2021).

Predicting Cancer Progression and Treatment Outcomes

AI models can predict cancer progression and treatment outcomes. These predictions help oncologists tailor treatment plans and monitor patient responses more effectively.

Developing Personalized Immunotherapy Approaches

Immunotherapy has revolutionized cancer treatment, but its effectiveness varies among patients. AI can identify biomarkers that predict response to immunotherapy, which helps the development of personalized treatment plans (Dinstag et al., 2023).

Pharmacogenomics and Drug Discovery

Pharmacogenomics is the study of how our genes affect our response to medications. Beyond cancer, AI genomics is reshaping the landscape of drug discovery and how new medicines are developed.

Closeup of gloved hands on a microscope

Streamlining the Drug Discovery Process Using AI

AI can find potential drug targets to enhance drug discovery. ML models can predict the efficacy and safety of new compounds, reducing the time and cost associated with traditional drug development.

Identifying New Drug Targets Through Genomic Analysis

Genomic analysis reveals new drug targets by identifying genes and pathways involved in disease processes. AI enhances this process by quickly finding novel targets for therapeutic intervention.

Repurposing Existing Drugs Based on Genetic Insights

AI can identify new uses for existing drugs by analyzing genetic data and uncovering previously unknown mechanisms of action. This approach, known as drug repurposing, can expedite the availability of effective treatments for various conditions.

Balancing Progress and Ethics in Genomic AI

The potential of AI genomics is remarkable, but we must also address the challenges and ethical considerations it presents.

7 researchers in a group

Data Privacy and Security Concerns in Genomic Medicine

The use of genomic data raises significant privacy and security concerns. Ensuring that patient data is protected from unauthorized access and misuse is crucial. Robust data encryption, secure storage solutions, and stringent access controls are essential to safeguarding genomic information.

Addressing Bias and Ensuring Equitable Access to AI Genomic Technologies

AI models can inadvertently perpetuate biases present in the training data, leading to disparities in healthcare outcomes. It is vital to develop and validate AI models using diverse datasets to ensure they are equitable and applicable to all populations.

Regulatory Frameworks for AI-Driven Healthcare Solutions

The integration of AI in healthcare requires robust regulatory frameworks to ensure safety, effectiveness, and ethical use. Regulatory bodies must establish guidelines for the development, validation, and deployment of AI-driven healthcare solutions.

Future Prospects of AI Genomics in Healthcare

Despite the challenges we discussed in the previous section, the future of AI genomics in healthcare is limitless.

genetic markers

The field of AI genomics is rapidly evolving, with emerging trends such as multi-omics integration, real-time genomic analysis, and AI-driven gene editing. These advancements hold the promise of further enhancing personalized healthcare.

Potential Impact on Global Health Outcomes

AI genomics has the potential to significantly improve global health outcomes by enabling early disease detection, personalized treatments, and effective preventive care. The widespread adoption of AI-driven genomic technologies could reduce healthcare disparities and improve quality of life worldwide.

Integration of AI Genomics into Routine Clinical Practice

For AI genomics to realize its full potential, it must be seamlessly integrated into routine clinical practice. This requires collaboration between researchers, clinicians, and policymakers to develop user-friendly tools, establish best practices, and ensure that healthcare professionals are adequately trained.

The integration of AI genomics into clinical practice is transforming personalized healthcare by enabling precise disease prediction, diagnosis, tailored treatments, and effective preventive strategies. 

However, it also presents challenges that must be carefully addressed to ensure equitable access and ethical use of these technologies. As researchers, healthcare providers, and policymakers collaborate to navigate this exciting frontier, the future of healthcare looks increasingly data-driven, personalized, and precise. By understanding and leveraging these advancements, we can move towards a more personalized and effective healthcare system.

References

Abdallah, S. et al. (2023). The Impact of Artificial Intelligence on Optimizing Diagnosis and Treatment Plans for Rare Genetic Disorders. Cureus 15(10) e46860. doi:10.7759/cureus.46860

Bhandari, M., Devereson, A. Change, A., Devenys, T., Loche, A. & Van der Veken, L. (2022). How AI can accelerate R&D for cell and gene therapies. McKinsey & Company. 

Caudai, C., Galizia, A., Geraci, F., Le Pera, L., Morea, V. Salerno, E. Via, A. & Colombo, T. (2021). AI applications in functional genomics. Computational and Structural Biotechnology Journal, 19:5762-5790. doi:10.1016/j.csbj.2021.10.009

Chiu, M. (2024). Using AI to improve diagnosis of rare genetic disorders. Baylor College of Medicine.

Dinstag, G. et al. (2023). Clinically oriented prediction of patient response to targeted and immunotherapies from the tumor transcriptome. Med (New York, N.Y.) 4(1): 15-30.e8. doi:10.1016/j.medj.2022.11.001

Lin, J. & Ngiam, K.Y. (2023). How data science and AI-based technologies impact genomics. Singapore Medical Journal, 64(1), 59-66. Retrieved from https://journals.lww.com/smj/fulltext/2023/01000/how_data_science_and_ai_based_technologies_impact.10.aspx

MarketsandMarkets. (n.d.). AI in Genomics Market Industry Share: Insights, Dynamics, and Current Trends. Retrieved from https://www.marketsandmarkets.com/ResearchInsight/artificial-intelligence-in-genomics-industry.asp

Murphy, S. (2024). Advancing rare disease breakthroughs with genomics, AI, and innovation. Mayo Clinic News Network. 

National Gaucher Foundation. (2023). Using Artificial Intelligence to Diagnose Rare Genetic Diseases

National Human Genome Research Institute. (n.d.). Personalized Medicine

Parekh, A. E., Shaikh, O.A., Simran, Manan S. & Hasibuzzaman, M.A. (2023) Artificial intelligence (AI) in personalized medicine: AI-generated personalized therapy regimens based on genetic and medical history: short communication. Annals of medicine and surgery 85(11):5831-5833. doi:10.1097/MS9.0000000000001320

Pearson, D. (2023). Sparks fly as genomic medicine gets better acquainted with AI. AI in Healthcare

Personalized Healthcare: The Role of AI in Precision Medicine

Personalized Healthcare: The Role of AI in Precision Medicine

AI Med Tech

Have you ever wondered how your unique genetic makeup, lifestyle, and environment influence your healthcare? 

Welcome to the world of AI in personalized medicine, also known as precision medicine, where AI is playing a pivotal role in tailoring treatments to individual patients. In this article, we’ll explore how AI is changing the way we approach individual patient care, from diagnosis to treatment and beyond.

Contents

What is Precision Medicine?

Precision medicine aims to provide tailored healthcare solutions based on an individual’s genetic, environmental, and lifestyle factors. 

Understanding AI in Precision Medicine

3 researchers in a lab smiling

AI enhances personalized healthcare approaches by analyzing vast amounts of data to identify patterns and make predictions. It’s like having a super-smart assistant that can process information much faster and more accurately than humans. 

Subsets of AI driving changes in healthcare

The key technologies driving AI in healthcare include:

  • Machine learning: Algorithms that learn from data and improve over time
  • Deep learning: A subset of machine learning that uses neural networks to mimic human brain function
  • Natural language processing: The ability of computers to understand and interpret human language

These technologies work together to process complex medical data, leading to more accurate diagnoses and personalized treatment plans.

AI-Powered Diagnostics and Disease Prediction

One of the most exciting applications of AI in precision medicine is its ability to improve diagnostics and predict diseases. Here’s how.

Early detection of diseases

AI algorithms can analyze patient data to find subtle signs of diseases before they become apparent to human doctors. For example, researchers have developed AI models that can detect early signs of Alzheimer’s disease up to six years before a clinical diagnosis (Grassi et al., 2018).

Medical imaging analysis

MRI machine with brain scans on the side

AI is particularly adept at analyzing medical images like X-rays, MRIs, and CT scans. In some cases, AI algorithms have shown higher accuracy than human radiologists in detecting certain conditions. A study published in Nature found that an AI system outperformed human experts in breast cancer detection, reducing both false positives and false negatives (McKinney et al., 2020).

Predictive models for disease risk assessment

By analyzing a patient’s genetic data, lifestyle factors, and medical history, AI can create predictive models to assess an individual’s risk for various diseases. This allows healthcare providers to implement preventive measures and early interventions.

Tailoring Treatment Plans with AI

AI isn’t just helping with diagnostics; it’s also revolutionizing how we approach treatment. 

AI-assisted drug discovery and development

AI is accelerating the drug discovery process by:

  • Analyzing molecular structures to predict potential drug candidates
  • Simulating drug interactions to identify potential side effects
  • Optimizing clinical trial designs for faster and more efficient testing

Personalized treatment recommendations

Female doctor showing her elderly female patient a tablet

AI algorithms can analyze a patient’s unique characteristics to recommend the most effective treatment options. This includes considering factors like:

  • Genetic profile
  • Medical history
  • Lifestyle factors
  • Environmental influences

Optimizing dosages and reducing adverse drug reactions

AI can help determine the optimal drug dosage for each patient, considering factors like age, weight, kidney function, and potential drug interactions. This personalized approach can significantly reduce the risk of adverse drug reactions.

Genomics and AI: A Powerful Combination

The integration of AI and genomics is opening up new frontiers in personalized medicine. Here’s how.

AI in genomic sequencing and analysis

AI algorithms can quickly analyze large amounts of genomic data, finding patterns and variations that might be missed by human researchers. This accelerates our understanding of genetic factors in disease development and treatment response.

Identifying genetic markers for personalized treatment

genetic markers

By analyzing genetic data, AI can identify specific markers associated with disease risk or treatment response. This information helps healthcare providers customize treatments to a patient’s genetic profile.

Predicting drug responses based on genetic profiles

AI models can predict how a patient might respond to specific medications based on their genetic makeup. This approach, known as pharmacogenomics, helps doctors choose the most effective drugs with the least potential for side effects.

AI in Patient Monitoring and Care Management

AI is also changing how we monitor and manage patient health.

glucose monitor on arm with phone app showing glucose level

Real-time health monitoring using wearable devices and AI

Wearable devices combined with AI algorithms can continuously monitor vital signs and alert healthcare providers to potential issues. For example, AI-powered smartwatches can detect irregular heart rhythms and notify users of potential heart problems (Perez et al., 2019).

Personalized lifestyle and wellness recommendations

AI can analyze data from wearables, along with other patient information, to provide personalized recommendations for diet, exercise, and other lifestyle factors that impact health.

AI virtual health assistants and chatbots

Virtual health assistants and chatbots can provide 24/7 support to patients, answering questions, reminding them to take medications, and even conducting initial symptom assessments.

Challenges and Ethical Considerations

While AI in precision medicine offers tremendous potential, it also presents several challenges

Equitable access to precision medicine

There’s a risk that AI-driven precision medicine can make healthcare disparities worse if it’s not accessible to all populations. Accessible healthcare should be a priority in health systems to ensure these technologies are available to everyone, regardless of socioeconomic status.

For example, a Google Health project tested an AI system for diabetic retinopathy screening in Thailand (Johnson et al., 2021). Despite high accuracy in lab tests, the system faced challenges in actual clinics, such as poor image quality, slow internet, and patient travel issues. This shows the importance of testing AI in real clinical environments and improving systems based on user feedback. However, getting this feedback in healthcare can be time-consuming and expensive. Researchers are exploring alternatives like creating fake data or using simulations to develop better AI systems for healthcare.

Bias in AI algorithms

AI algorithms can inadvertently perpetuate biases present in training data. It’s crucial to develop diverse datasets and implement checks to ensure AI systems provide fair and equitable recommendations across all patient populations.

Data privacy and security concerns

As AI relies on vast amounts of personal health data, ensuring the privacy and security of this information is paramount. Healthcare providers and technology companies must implement robust safeguards to protect patient data.

As AI continues to advance, expect to see more exciting changes we can personalize healthcare.

  • Integration of multi-omics data (genomics, proteomics, metabolomics) for more comprehensive patient profiles
  • Advanced natural language processing for better interpretation of medical literature and clinical notes
  • Quantum computing applications in drug discovery and genomic analysis

Integration of AI in medical education and practice

Hands turning a page in anatomy book

As AI becomes more prevalent in healthcare, medical education will need to evolve to ensure healthcare professionals are equipped to work with AI systems effectively. Healthcare professionals, technologists, and policymakers must collaborate to harness the full potential of AI in precision medicine, ensuring that AI advancements benefit all patients.

Potential impact on healthcare systems and patient outcomes

AI has the potential to:

  • Improve diagnostic accuracy and speed
  • Reduce healthcare costs through more efficient resource allocation of clinical staff
  • Enhance patient outcomes through personalized treatment plans

AI is reshaping precision medicine by providing data-driven insights and tailored treatment plans. While challenges remain, the potential benefits for patient outcomes are limitless. From more accurate diagnostics to custom treatment plans, AI is empowering healthcare providers to deliver truly individualized care that can dramatically improve our quality of life. 

As we continue to refine and expand the ways we use AI in healthcare, we move closer to a future where truly personalized medicine is the norm rather than the exception.

References

Grassi, M., Loewenstein, D. A., Caldirola, D., Schruers, K., Duara, R., & Perna, G. (2018). A clinically-translatable machine learning algorithm for the prediction of Alzheimer’s disease conversion: further evidence of its accuracy via a transfer learning approach. International Psychogeriatrics, 30(11), 1755-1763.

Johnson K.B., Wei W.Q., Weeraratne D., Frisse M.E., Misulis K., Rhee K., Zhao J., & Snowdon J.L. (2021). Precision Medicine, AI, and the Future of Personalized Health Care. Clinical and Translational Sciences; 14(1):86-93. doi: 10.1111/cts.12884

McKinney, S. M., Sieniek, M., Godbole, V., Godwin, J., Antropova, N., Ashrafian, H., … & Shetty, S. (2020). International evaluation of an AI system for breast cancer screening. Nature, 577(7788), 89-94.

Perez, M. V., Mahaffey, K. W., Hedlin, H., Rumsfeld, J. S., Garcia, A., Ferris, T., … & Turakhia, M. P. (2019). Large-scale assessment of a smartwatch to identify atrial fibrillation. New England Journal of Medicine, 381(20), 1909-1917.

Streamlined Medical Practice with Ambient Clinical Intelligence

Streamlined Medical Practice with Ambient Clinical Intelligence

AI Health Tech Med Tech

Since the onset of the pandemic, more healthcare workers and clinicians have experienced burnout, leading to dissatisfaction among both patients and clinicians. Overworked clinicians often make errors in their documentation, and their lack of time and stressed demeanor can erode the trust between physicians and patients. Dissatisfied and neglected patients are less likely to engage with their care, adhere to care plans, and follow preventive healthcare advice, increasing the likelihood of adverse outcomes (DeepScribe, 2023).

In Medscape’s 2021 physician survey, 42% of physicians reported feeling burned out, citing “too many bureaucratic tasks” and “spending too many hours at work” as the main causes. Providers often spend hours documenting patient care, and the administrative burden often stretches into their own time. The Association of American Medical Colleges projects a shortfall of nearly 122,000 physicians in the US by 2032 (Harper, 2022).

Ambient Clinical Intelligence (ACI) is a technology that can help alleviate the burden of medical documentation for clinicians, among many other benefits we’ll explore in this article. But first, let’s get a better understanding of ACI.

Contents

What is Ambient Clinical Intelligence?

Robot sitting in a patient room

ACI brings together several technologies that work together to improve healthcare:

  • Ambient intelligence
  • Artificial intelligence (AI)
  • Data analytics
  • Internet of Things (IoT)
  • Natural Language Processing (NLP)

ACI in healthcare includes IoT-based tools such as temperature and humidity sensors, blood pressure monitors, and other devices that autonomously collect data and continuously update doctors on the vital statistics of critical patients (Joshi, 2022).

“Imagine a hospital where every room, every corridor, every piece of equipment is interconnected, constantly gathering data, analyzing it, and providing insights,” says Jon Morgan, CEO and Editor-in-Chief of VentureSmarter. “It means doctors and nurses have access to a wealth of information right at their fingertips, allowing for quicker and more accurate diagnoses. This can significantly improve patient outcomes because decisions are based on a comprehensive analysis of real-time data rather than just a snapshot in time.” 

Let’s explore how ACI can make healthcare tasks more efficient in both healthcare settings and patients’ homes. 

infographic with statistics on different ACI use cases and RPM

ACI Use Cases for Clinical Spaces

ACI can improve the quality of health services by making many processes more efficient, such as:

  • Transcribing medical notes
  • Creating reports
  • Patient monitoring

This section describes some of ACI’s biggest benefits in healthcare settings.

Clinical documentation during patient care

Doctors looking at paperwork together

ACI technology can help alleviate the burden of medical documentation for clinicians, allowing them to give their full attention to patients during visits while ACI creates accurate clinical notes directly in the electronic health record (EHR) for review (Augnito, 2023). (This a concept included in the fancier term, “AI-powered medical documentation automation.”) ACI can also spot indicators of depression, anxiety, and social determinants of health (SDoH) during patient-physician conversations (Harper, 2022).

In one study, a deep learning (DL) model trained on 14,000 hours of outpatient audio from 90,000 conversations between patients and physicians. The transcription accuracy of the DL version was 80%, compared to 76% accuracy by medical scribes (Haque et al., 2020). 

In another example, a medical provider found that microphones attached to eyeglasses reduced documentation time from 2 hours to just 15 minutes. This huge time savings doubled the time spent with patients (Haque et al., 2020).

By automating routine tasks and documentation, ACI allows healthcare providers to spend more time focusing on direct patient care, leading to patient satisfaction.

Patient satisfaction

A nurse speaking to patient

The automation of ACI can help strengthen the patient-physician relationship and increase patient satisfaction, engagement, and retention. 

“Using systems that can automatically monitor patients’ vital signs, track medication administration, and even predict potential complications,” Morgan says.  “Healthcare professionals can focus more on direct patient care rather than spending time on administrative tasks. This improves the overall quality of care while also reducing the burden on healthcare workers in today’s overstretched healthcare systems.”

Tests and reports

With ACI tools, hospitals can conduct tests on patients and monitor them autonomously with wireless sensors and wearable devices

For example, an ambient intelligence sensor monitors a patient’s health by dynamically tracking their vitals. First, it collects and assesses vitals, body fat, blood sugar, cholesterol levels, and other details. Then it can create a report listing potential illnesses and recommendations on diagnoses, medical coding, diet, medications, and lifestyle (Joshi, 2022).

By enhancing data interoperability, ACI eliminates the need for redundant paperwork and testing. ACI can streamline care coordination by compiling data from various sources into consolidated dashboards, providing clinicians with a holistic view of each patient. Reviewing these dashboards can help them better understand their patients’ clinical history, medications, test results, and more (Augnito, 2023). 

Tracking infectious disease

IoT, thermal vision cameras, and AI can check infected zones, such as surfaces where infectious viruses are found, and ensure they are cleaned and decontaminated. Thermal vision cameras are also useful for monitoring crowded areas and tracking individuals who may carry a contagious disease (Joshi, 2022).

Surgical training

In the operating room (OR), ambient cameras can be used for endoscopic videos to improve surgical training. Ambient intelligence can also account for surgical objects in the OR, including those that could be left inside a patient during a procedure, to mitigate staff errors (Haque et al., 2020).

Continuous patient monitoring in the ICU

In one study, ambient sensors in hospital intensive care units (ICUs) monitored the movements of patients, clinicians, and visitors with over 85% accuracy.

In another study, sensors installed above hand sanitizer dispensers across a hospital unit were 75% accurate in measuring handwashing compliance within one hour, while a human observer was only 63% accurate (Haque et al., 2020).

Patient in ICU with monitor in foreground

Observing patients post-surgery

Ambient intelligence in recovery rooms post-op can continuously observe recovery-related behaviors, giving providers insight into movement and other activities. This can reduce recovery time and improve post-surgical outcomes (Joshi, 2022).

While ACI offers numerous benefits in clinical spaces, its potential extends beyond hospital walls.

ACI for Aging in Place: Enhancing Independent Living

By 2050, the world’s population aged 65 years or older will increase from 700 million to 1.5 billion (Haque et al., 2020). As people live longer, their independent living, chronic disease management, physical rehabilitation, and mental health become paramount. 

Promoting autonomy for patients with remote patient monitoring (RPM)

Activities of daily living (ADLs), such as bathing, dressing, and eating, are critical to the well-being and independence of aging adults. Aging and elderly patients living at home are at an increased risk for falls, accidents, and emergencies. Impairment in performing ADLs is associated with a twofold increased risk of falling, and up to a fivefold increase in the one-year mortality rate (Haque et al., 2020).

RPM through ACI can analyze their daily activities to detect significant changes that may need a closer look. It can also help identify changes in vital signs, movement patterns, sleep rhythms, behaviors, and emerging symptoms that may signal a decline in a patient’s quality of life. Ambient-assisted living using the ACI-RPM combo can also monitor patients for early signs of dementia and Alzheimer’s. 

“The constant monitoring and analysis of patient data in real-time can help in early detection of health issues,” says Collen Clark, Medical Malpractice Lawyer and Founder of Schmidt & Clark LLP. “This allows for quicker interventions and personalized treatment plans, while reducing the risk of medical errors, which can have legal implications related to negligence or malpractice.” 

Any concerning findings from RPM automatically trigger alerts to healthcare providers, allowing them to intervene early with quick, proactive outreach to patients in need. This can prevent avoidable ER visits, hospitalizations, and health emergencies (Augnito, 2023).

Wearable sensors for monitoring and fall detection in seniors

Two doctors chatting in a hallway

Wearable devices such as accelerometers or electrocardiogram sensors can track not only ADLs but also heart rate, glucose level, and respiration rate. They can even remind patients to take their medications (Haque et al., 2020), and detect falls.

As wearable devices and IoT ecosystems in healthcare continue to expand, integrating them with ACI systems can provide continuous personalized monitoring and truly ambient intelligent care. 

Patients can get proactive alerts about potential health issues before they become critical, and get customized recommendations. Streamlining the flow of data from personal sources like fitness trackers to electronic health records via ACI can massively enrich patient profiles for highly tailored care (Augnito, 2023).

Ambient sensors

In one study, researchers installed a depth and thermal sensor inside the bedroom of an older individual and observed 1,690 activities during one month, including 231 instances of caregiver assistance. A convolutional neural network was 86% accurate at detecting assistance. In a different study, researchers collected ten days of video from six individuals in an elderly home and achieved similar results (Haque et al., 2020).

Although the data from visual sensors are promising, they raise privacy concerns in some places like bathrooms, where grooming, bathing and toileting activities occur. To counter this, researchers also explored acoustic and radar sensors. One study used microphones to detect showering and toileting activities with accuracy rates of 93% and 91%, respectively (Haque et al., 2020). 

ACI has tremendous potential. However, it’s important to consider some challenges and limitations.

ACI Caveats and Considerations 

Flatlay of small medical items

The use cases and benefits of ACI are remarkable, but as with any technology, there are still considerations to gain its maximum benefit in the larger healthcare ecosystem.

Bias

ACI systems are dependent on the quality of data used to train algorithms. If that data reflects societal biases, the AI could make flawed judgments and recommendations. There’s also the risk of over-reliance on AI diagnostics versus human expertise. Careful oversight is required to audit algorithms and ensure AI transparency in clinical decision-making (Augnito, 2023).

Data privacy and security

There is a heightened risk of unauthorized access or breaches with ACI. Patients have a right to understand how their data is used with ACI tools during consultations and treatment. Health providers should disclose this information and request patient consent, which is optional. 

“With the continuous stream of patient data being collected, stored, and analyzed by ACI systems, there’s a heightened risk of unauthorized access or breaches,” Clark says. “I would advise hospitals to invest in robust data protection measures and ensure compliance with relevant regulations such as HIPAA. It’s essential to strike a balance between leveraging the benefits of ACI and safeguarding patient privacy to avoid legal repercussions.”

Computational methods to protect privacy include (Haque et al., 2020):

  • differential privacy (adds noise to the collected data)
  • face blurring
  • dimensionality reduction (pixelated images)
  • body masking (replaces people’s images with faceless avatars)
  • federated learning (gradient updates)
  • homomorphic encryption

There is a trade-off between the level of privacy protection provided by each method and the required computational resources. 

Strict regulations around data encryption, access controls, and auditing will be necessary to prevent breaches and protect patient rights. 

Medical decision making

Clark makes a final warning about implementing ACI systems to automate note-taking and other tasks in hospitals. She says shifting responsibility from the clinician to ACI “… could lead to legal discussions around liability in cases where decisions are influenced by AI. It’s crucial for hospitals and medical professionals to establish clear protocols and guidelines, and for legal frameworks to adapt to these changing dynamics, ensuring accountability without stifling technological advancements.”

By seamlessly integrating ACI into healthcare workflows, providers can streamline operations, enable continuous monitoring of patients, and leverage data-driven insights to inform diagnostic and treatment decisions. This integration can significantly improve patient outcomes and reduce the burden on healthcare workers, and ultimately enhance the quality of care they provide.

References

Augnito. How Ambient Clinical Intelligence is Advancing Real-Time Patient Care.

DeepScribe. Ambient Clinical Intelligence—What is it and how will it transform healthcare?

Harper, K. What is ambient clinical intelligence—and how is it transforming healthcare? Nuance. June 16, 2022.

Haque A., Milstein A., & Fei-Fei L. Illuminating the dark spaces of healthcare with ambient intelligence. Nature. 2020; 585(7824):194-198. doi:10.1038/s41586-020-2669-y 

Joshi, N. The Myriad of Applications of Ambient Intelligence in Healthcare. Forbes. January 9, 2022.

How Machine Learning and Deep Learning are Advancing Modern Healthcare

How Machine Learning and Deep Learning are Advancing Modern Healthcare

AI Health Tech Med Tech

The healthcare industry is undergoing profound changes, driven by the rapid advancements in artificial intelligence (AI). Machine learning (ML) and deep learning (DL) are reshaping how we approach patient care, diagnose illnesses, treatment, and drug discovery. According to a recent study by Accenture, the AI health market is expected to reach $6.6 billion by 2021, growing at a compound annual growth rate of 40%. 

This article explores the impact of ML and DL in healthcare, including their key applications, challenges, and the potential to improve patient outcomes and healthcare accessibility, and shape the future of medical research.

Contents

Understanding Machine Learning and Deep Learning in Healthcare

Flatlay of several small medical devices

ML and DL are two closely-related, yet distinct subfields of AI that have several uses in healthcare. To fully appreciate their impact, it’s crucial to understand their definitions, differences, and benefits in medical contexts.

ML in healthcare

ML develops algorithms and statistical models to help computers improve their performance on specific tasks (Rajkomar, Dean, & Kohane, 2019). In healthcare, ML algorithms can analyze huge amounts of medical data to identify patterns, make predictions, and generate insights that can aid in clinical decision-making.

Key characteristics of ML in healthcare include:

  • Ability to process large volumes of data
  • Continuous improvement through exposure to new data
  • Potential to automate routine tasks and improve efficiency

DL: a powerful subset of ML

DL is a type of ML that uses artificial neural networks with many layers to help computers understand and process complex patterns in data (LeCun, Bengio, & Hinton, 2015). These neural networks are inspired by the structure and function of the human brain, allowing them to learn hierarchical representations of data.

In healthcare, DL has shown remarkable success in:

  • Interpreting medical images (e.g., X-rays, MRIs, CT scans)
  • Analyzing genomic data for precision medicine (personalized medicine)
  • Natural language processing (NLP) of clinical notes and medical literature

Key differences between traditional analytics and ML/DL approaches

Traditional analytics and ML/DL approaches differ in several important ways, as shown in the following table.

ApplicationTraditional AnalyticsML/DL
Data handlingRelies on structured data and predefined rulesCan process both data and learning patterns autonomously
ScalabilityLimited by the human capacity to interpret resultsCan scale to analyze massive datasets and complex relationships
AdaptabilityRequires manual updates to models and rulesContinuously learns and adapts to new data
Feature extractionRequires manual feature engineering
Automatically learns relevant features from raw data
Comparison of traditional analytics and ML/DL in 4 applications

Benefits of using ML and DL in healthcare settings

Nurse's hands touching screen of medical equipment

The integration of ML and DL in healthcare has many benefits:

1. More accurate diagnostics: ML and DL algorithms can analyze medical images and patient data with high precision, often matching or exceeding human expert performance (Topol, 2019).

2. Early disease detection: By identifying subtle patterns in patient data, these technologies can flag potential health issues before they become severe.

3. Personalized treatment plans: ML algorithms can examine the unique traits of each patient and recommend tailored treatment strategies.

4. Efficient resource allocation: Predictive models can help healthcare providers optimize staffing, bed management, and equipment utilization.

5. Faster drug discovery: ML and DL can significantly speed up identifying potential drug candidates and predicting their effectiveness.

6. Better patient engagement: AI-powered chatbots and virtual assistants can provide 24/7 support and information to patients.

7. Lower healthcare costs: By improving efficiency and accuracy, ML and DL can help reduce unnecessary procedures and hospitalizations.

DL Breakthroughs in Medical Diagnostics

DL has made significant strides in medical diagnostics, offering new levels of accuracy and efficiency. This section covers some of the most notable breakthroughs that are pushing the boundaries of medical diagnostics.

Advanced image recognition in radiology and pathology

DL algorithms have demonstrated remarkable capabilities in analyzing medical images:

  • Radiology: Convolutional Neural Networks (CNNs) can detect and classify abnormalities in X-rays, CT scans, and MRIs with high accuracy. For example, a Stanford University model showed dermatologist-level performance in classifying skin lesions, including malignant melanomas (Miotto et al., 2017).
  • Pathology: DL models can analyze digital pathology slides to detect cancer cells and other abnormalities. A study by Nature Medicine showed that a DL algorithm can detect prostate cancer in biopsy samples with an accuracy comparable to that of expert pathologists (Campanella et al., 2019).

NLP for clinical documentation

Nurse standing in a recovery room

NLP, powered by DL, is changing the way health providers process clinical notes and medical literature (IMO Health, 2024):

  • Pulling relevant information from clinical notes automatically
  • Improving medical coding for billing and research purposes
  • Analyzing clinical conversations in real-time for documentation and decision support

For example, researchers at MIT and Beth Israel Deaconess Medical Center developed an NLP system that can analyze doctor-patient conversations to identify medically relevant information and help with clinical documentation (Finlayson et al., 2018).

Early detection of diseases through pattern recognition

DL models can identify subtle patterns in patient data that may indicate the early stages of diseases:

  • Detecting early signs of Alzheimer’s disease from brain scans and cognitive test results
  • Recognizing precancerous lesions in colonoscopy images
  • Predicting the onset of sepsis in intensive care unit (ICU) patients (Nemati et al., 2018)

A notable example is a DL algorithm developed by Google Health and DeepMind, that can detect signs of breast cancer in mammograms up to two years before it becomes clinically evident (McKinney, S.M. et al., 2020).

Wearable device data analysis for continuous patient monitoring

DL allows more advanced data analysis from wearable devices such as (Price, 2024):

  • Detecting atrial fibrillation and other cardiac arrhythmias from smartwatch data
  • Predicting flare-ups of chronic conditions like asthma or COPD
  • Tracking physical activity and sleep patterns to assess one’s general health 

For example, Cardiogram and the University of California, San Francisco developed a DL model that showed 97% accuracy in detecting atrial fibrillation using heart rate data from Apple Watches (Topol, 2019).

ML applications transforming healthcare practices

Nurse standing in a radiology room

The healthcare sector is using ML across the spectrum, transforming various aspects of patient care, medical research, and healthcare management. 

Predictive Analytics for Patient Risk Assessment

One of the most promising uses of ML in healthcare is its ability to predict patient risks and outcomes. ML can analyze large datasets of patient information, including electronic health records (EHRs), genetic data, and lifestyle, which can help healthcare providers do things like:

  • Identify patients at high risk of getting specific diseases
  • Predict the likelihood of a patient returning to the hospital 
  • Predict potential complications during medical procedures

For example, a study published by Nature Medicine showed a DL model can predict acute kidney injury up to 48 hours before its onset, allowing for early intervention and potentially saving lives (Tomašev, et al., 2019).

Drug discovery and development

ML is transforming the pharmaceutical industry by speeding up the drug discovery process and reducing costs. Key applications include:

  • Virtual screening of chemical compounds to identify potential drug candidates
  • Predicting drug-target interactions and side effects
  • Optimizing clinical trial design and patient selection

A notable success story is with Atomwise, who used ML to identify potential treatments for the Ebola virus, significantly reducing the time and resources required for initial drug screening (Ekins, S. et al., 2019).

Medical imaging analysis and interpretation

Illustration of patient with brain scans onscreen

ML and DL algorithms have shown remarkable accuracy when analyzing medical images, often matching or surpassing human experts. Use cases include:

  • Detecting and classifying tumors in radiology images
  • Identifying diabetic retinopathy in eye scans
  • Analyzing pathology slides for cancer diagnosis

For example, a DL algorithm developed by Google Health showed the ability to detect breast cancer in mammograms with greater accuracy than human radiologists, potentially reducing false negatives by 9.4% (McKinney, S.M. et al., 2020).

EHR management and analysis

ML is helping healthcare providers make better use of the vast amounts of data stored in EHRs by:

  • Automating medical coding and billing processes
  • Identifying patterns in patient data to improve care quality
  • Enhancing clinical decision support systems

A study published by JAMA Network Open showed that an ML model can predict the risk of sepsis in hospitalized patients up to 12 hours before clinical recognition, using only data from the EHR (Nemati, S. et al., 2018).

Personalized treatment plans and precision medicine

ML algorithms can analyze a patient’s unique traits, including genetic makeup, lifestyle factors, and treatment history, to recommend personalized treatment strategies by:

  • Predicting patient response to specific medications
  • Optimizing dosage and treatment schedules
  • Identifying potential adverse drug reactions

For example, IBM Watson for Oncology uses ML to analyze patients’ medical records and scientific literature to recommend evidence-based treatment plans for cancer patients (Somashekhar, S.P. et al., 2018).

Improving Patient Care with AI-powered Solutions

AI can not only revolutionize diagnostics and treatment, but also enhance patient care and engagement at the bedside. 

Robot reviewing scans on screen

Virtual health assistants and chatbots for patient engagement

AI virtual assistants and chatbots are transforming patient communication and support with (Healthcare Communications, 2024):

  • 24/7 availability to answer patient queries and provide health information
  • Triage of patient symptoms and guidance on appropriate care pathways
  • Medication reminders and support for medical adherence 

For example, Babylon Health’s AI chatbot can assess patient symptoms, provide health information, and even book appointments with healthcare providers when necessary.

Remote Patient Monitoring (RPM) and telehealth advancements

AI enhances RPM and telehealth capabilities in various ways such as (Health Resources and Services Administration, 2024):

  • Continuous analysis of patient-generated health data from wearables and home monitoring devices
  • Predictive analytics to identify patients at risk of deterioration
  • AI-assisted video consultations for more accurate remote diagnoses

A study published by npj Digital Medicine showed that an AI-powered remote monitoring system can reduce hospital readmissions for heart failure patients by 38% (Mittermaier et al., 2023).

Automated appointment scheduling and resource allocation

AI algorithms can optimize healthcare operations in various ways with:

  • Intelligent scheduling systems that consider patient preferences, urgency, and provider availability (Coursera, 2024) 
  • Predictive models for patient no-shows and overbooking strategies
  • Best use of hospital resources based on the anticipated patient inflow

For example, Boston Children’s Hospital implemented an AI-powered scheduling system that reduced wait times for MRI appointments by 25%, while increasing daily scan volume (NanoHealthSuite, 2024).

Personalized health recommendations based on individual data

AI makes it possible to provide highly personalized health recommendations:

  • Tailored lifestyle and dietary suggestions based on a patient’s genetic, health, and behavioral data
  • Personalized exercise plans based on individual progress and preferences
  • AI-driven health coaching to manage chronic illnesses

An example is the AI-powered health coach developed by Lark Health, which provides personalized guidance for diabetes prevention and management, and shows significant improvements in patient outcomes (Bounteous, 2024).

Navigating AI in Healthcare: Challenges and Ethical Considerations

While the potential benefits of ML and DL in healthcare are undeniable, their use also presents several challenges and ethical considerations to address.

Illustration of two levels in a hospital

Data privacy and security concerns

There are serious privacy concerns when using large-scale patient data for ML and DL, as noted by Esteva et al. (2019):

  • The risk of data breaches and unauthorized access to sensitive health information 
  • Challenges to maintain patient anonymity in large datasets
  • Finding a balance between data sharing for research and individual privacy rights

To address these issues, health providers must use robust data security strategies such as differential privacy techniques and secure multi-party computation.

Bias in AI algorithms and dataset representation

AI systems can perpetuate or amplify existing biases in healthcare:

  • Certain demographic groups are underrepresented in training data (Topol, 2019)
  • Algorithmic bias can lead to disparities in diagnosis or treatment recommendations
  • Potential to reinforce existing healthcare inequalities

Researchers and developers are working on methods to detect and mitigate bias in AI algorithms, such as the use of fairness-aware machine learning techniques (Vial, 2024).

Integration of AI systems with existing healthcare infrastructure

The use of AI solutions in healthcare settings presents technical and organizational challenges such as:

  • Interoperability issues between AI systems and legacy healthcare IT systems (Coursera, 2024)
  • Resistance to change among healthcare professionals
  • Need for extensive training and support for AI system users

Successful integration requires a collaborative approach involving healthcare providers, IT professionals, and AI developers to ensure seamless adoption and application of AI technologies (Flam, 2024).

Regulatory compliance and FDA approval processes

As with many other forms of technology, the rapid advancement of AI in healthcare has outpaced our current regulatory frameworks, including:

  • Uncertainty about the classification and approval process for AI-based medical devices
  • Challenges when validating continuously learning AI systems
  • Balancing innovation with patient safety concerns

The FDA has been working on developing new regulatory approaches for AI/ML-based software as a medical device (SaMD), including a proposed regulatory framework for modifications to AI/ML-based SaMD (Everson et al., 2024).

Charting the Course: A Roadmap for the Future of ML and DL in Healthcare

As ML and DL continue to evolve, their impact on healthcare is expected to grow exponentially. This section shares some key trends and potential developments.

Person holding a vial near a microscope in a lab

Federated learning: Allowing multiple institutions to train collaborative models together, without sharing raw patient data.

Explainable AI: Developing interpretable ML models to increase trust and adoption among healthcare professionals.

Edge computing: Bringing AI capabilities closer to the point of care for real-time analysis and guidance.

Potential for AI to address global health disparities

AI has the potential to improve healthcare access and quality in underserved regions:

  • AI-powered diagnostic tools for resource-limited settings
  • Telehealth solutions to connect remote areas with specialist care
  • Predictive models for disease outbreaks and public health planning

For example, a DL model developed by researchers at Stanford University showed promise in diagnosing pneumonia from chest X-rays in areas lacking expert radiologists (Price, 2024).

Collaboration between healthcare professionals and AI researchers

The future of healthcare AI will likely involve closer collaboration between clinicians and AI experts (Topol, 2019):

  • Interdisciplinary research teams to create AI solutions for clinical settings
  • Integration of AI education into medical curricula
  • Continuous feedback loops between AI developers and healthcare providers

Systems of continuous learning for flexible healthcare delivery

The development of AI systems that can learn and adapt in real-time to revolutionize healthcare delivery:

  • AI models that update based on new clinical data and patient outcomes
  • Personalized treatment plans that change with patient responses
  • Adaptive clinical decision support systems that improve over time

AI in Healthcare: Transforming Medicine and Shaping Our Future 

The integration of ML and DL in healthcare represents a paradigm shift in how we approach patient care, medical research, and health system management. While challenges remain, the potential benefits of these technologies in improving health outcomes, reducing costs, and enhancing the overall quality of care are limitless. 

As these technologies continue to evolve, healthcare providers, researchers, and policymakers must work together to address challenges and ensure responsible implementation. To fully realize the transformative potential of AI in medicine, it’s imperative to address ethical concerns, ensure equal access to AI-powered healthcare solutions, and foster collaboration between technology experts and healthcare professionals.

This article has explored the various applications of machine learning and DL in healthcare, from diagnostic tools to personalized treatment plans. We’ve discussed the challenges and ethical considerations that come with implementing these technologies, as well as the exciting possibilities for the future of healthcare. As AI continues to evolve, it will undoubtedly play an increasingly important role in shaping the future of medicine and improving patient outcomes worldwide.

References

Alkhaldi, Nadejda. (2024). Predictive analytics in healthcare: 7 ways to save time and money. ITRex Group.

Bounteous. (2024). AI Transforms Personalized Care for Better Health Outcomes.

Campanella, G. et al. (2019). Clinical-grade computational pathology using weakly supervised deep learning on whole slide images. Natural Medicine. 25, 1301-1309.

Coursera. What Is Machine Learning in Health Care?

Ekins, S., Puhl, A. C., Zorn, K. M., Lane, T. R., Russo, D. P., Klein, J. J., … & Freundlich, J. S. (2019). Exploiting machine learning for end-to-end drug discovery and development. Nature Reviews Drug Discovery, 18(6), 463-477.

Everson, J., Smith, J., Marchesini, K., & Tripathi, M. (2024). A Regulation to Promote Responsible AI in Health Care. Health Affairs.

Finlayson, S.G. et al. (2018) Conversational AI: The Science Behind the Alexa Prize. arXiv:1801.03604 

Flam, S. ForeSee Medical. Machine Learning in Healthcare.

Habehh, H., and Gohel, S. (2021). Machine Learning in Healthcare. Current Genomics. 16;22(4):291-300. doi:10.2174/1389202922666210705124359

Health Resources and Services Administration. Telehealth and Remote Patient Monitoring.

Healthcare Communications. Virtual Assistants and Chatbots in Healthcare.

IMO Health. Natural Language Processing 101: A Guide to NLP in Clinical Documentation.

LeCun, Y., Bengio, Y. & Hinton, G. (2015). Deep learning. Nature. 521, 436-444.

Li, M., Jiang, Y., Zhang, Y., & Zhu, H. (2023). Medical image analysis using deep learning algorithms. Frontiers in Public Health, 11, 1273253. doi:10.3389/fpub.2023.1273253

McKinney, S. M., Sieniek, M., Godbole, V., Godwin, J., Antropova, N., Ashrafian, H., … & Suleiman, A. (2020). International evaluation of an AI system for breast cancer screening. Nature. 577(7788), 89-94.

Mittermaier, M., Raza M.M., & Kvedar, J.C. Bias in AI-based models for medical applications: challenges and mitigation strategies.npj Digital Medicine. 6:113. doi:10.1038/s41746-023-00858-z

Miotto, R., Wang, F., Wang, S., Jiang, X., & Dudley, J. T. Deep learning for healthcare: review, opportunities and challenges. Briefings in bioinformatics vol. 19,6 (2018): 1236-1246. doi:10.1093/bib/bbx044

NanoHealthSuite. Predictive Analytics and Risk Assessment in Healthcare.

Nemati, S. et al. (2018). An Interpretable Machine Learning Model for Accurate Prediction of Sepsis in the ICU. Critical Care Medicine. 46, 547-553.

Price, Claude. (2024). Harnessing wearable technology for real-world data.

Rajkomar, A., Dean, J., & Kohane, I. (2019). Machine learning in medicine. New England Journal of Medicine, 380(14), 1347-1358.

Somashekhar, S.P. et al. (2018). Watson for Oncology and breast cancer treatment recommendations: agreement with an expert multidisciplinary tumor board. Annals of Oncology. 29, 418-423.

Tomašev, N. et al. (2019). A clinically applicable approach to continuous prediction of future acute kidney injury. Nature. 572, 116-119.

Topol, E. J. (2019). High-performance medicine: the convergence of human and artificial intelligence. Nature Medicine, 25(1), 44-56.

Vial. The Role of Machine Learning in Drug Design: Advancements and Challenges.

AI in Pharmaceutical Research: How Machine Learning Accelerates Drug Discovery and Development

AI in Pharmaceutical Research: How Machine Learning Accelerates Drug Discovery and Development

AI Health Tech Med Tech

AI in pharmaceutical research is booming. Artificial intelligence (AI) and machine learning (ML) analyze enormous volumes of clinical and biological data with amazing speed and accuracy, allowing them to generate and evaluate a wide range of medication formulation options. Let’s learn more about how they do it.

Contents

ML and AI-driven applications in pharma: from research to discovery

Generative AI can help address complex formulation challenges and develop personalized medicines (UsefulBI, 2024). Combined with ML, AI also brings new opportunities for disease diagnosis, medical imaging, treatment personalization, drug safety monitoring, drug repurposing, and big data analysis to make better decisions (Vamathevan, J., et al., 2019).

ML techniques like supervised learning, and reinforcement learning, and their applications can help facilitate pharmaceutical operations (Wadighare and Deshmukh, 2024). These applications include:

  • Drug discovery and design
  • Research and development (R&D)
  • Disease prevention and diagnosis
  • Epidemic prediction
  • Email detection
  • Speech recognition
  • Data mining

Large-scale data analysis is the foundation of these applications. Next, we’ll explore how big data analytics is transforming drug development.

Big data analytics in drug development turn information into insights

The explosion of biological and clinical data such as genomics, imaging, and the use of digital wearable devices has created both opportunities and challenges for drug developers. ML techniques are invaluable to glean meaningful insights from this deluge of information, informing decision-making at every stage of the drug development process (Topol, 2019).

Recursion is a company leveraging big data analytics in a way never seen before. Conducting over 2 million experiments per week, they generate and store 20 to 25 petabytes of data on their in-house supercomputer, Biohive-1. They’ve also partnered with NVIDIA to use its DGX Cloud supercomputing power, allowing them to predict the targets of 36 billion molecules (Brazil, 2024).

Such methods also offer benefits after market research with the use of “big data” from real-world data sources. These sources can enrich the understanding of a drug’s benefit-risk profile, better understand treatment sequence patterns, and identify subgroups of patients who may benefit more from one treatment compared with others, or precision medicine (Schneider, 2018).

Close up of shelves with medication

Smarter medicines: How AI can optimize drug formulations

AI can create more stable and effective medications with improved drug delivery systems. According to UsefulBI, Yang, and Topol, AI can also:

  • Predict drug properties.
  • Optimize dosage forms. 
  • Detect potential drug interactions, providing warnings to healthcare professionals to prevent harmful combinations of medications.
  • Suggest novel excipients, particularly useful in addressing complex formulation challenges and developing personalized medicines.

These capabilities are especially valuable in developing new formulations that optimize for specific characteristics such as stability, bioavailability, or controlled release profiles (UsefulBI, 2024). 

The integration of generative models in de novo drug design is of particular interest. These models can create entirely new molecular structures that are optimized for specific properties, potentially leading to the discovery of novel chemical entities with superior drug-like characteristics. 

Epidemic prediction

One significant application is in epidemic prediction. Pharmaceutical companies and healthcare industries are using ML and AI technologies to monitor and verify the spread of infections worldwide. These modern technologies consume data from various sources, analyzing environmental, biological, and geographical factors affecting population health in different geographical areas. This approach helps predict and even mitigate the impact of future epidemics (Bullock et al., 2020). 

Man and woman working in a lab with flasks

Pharmacovigilance (drug safety)

In the field of pharmacovigilance, AI and ML algorithms can help pharmaceutical companies and regulatory agencies identify potential safety issues with medications more quickly. This capability is crucial for ensuring patient safety and refining drug formulations (Bate et al., 2018). 

Moreover, AI is being used to optimize drug formulations, creating more stable and effective medications with improved drug delivery systems. It can also detect potential drug interactions, providing warnings to healthcare professionals to prevent harmful combinations of medications (Yang et al., 2019).

Supply chain and manufacturing optimization

Beyond research and development, ML is also making significant contributions to supply chain and manufacturing optimization in the pharmaceutical industry. It’s being used to predict demand, optimize inventory levels, and improve quality control in manufacturing processes. In drug marketing and sales, ML algorithms can analyze market trends, predict drug performance, and optimize marketing strategies (Ramanathan, 2023). 

One of the most crucial applications of AI in drug discovery is target identification.

Target identification powered by AI and ML 

Illustration of 3 people in a lab

One of the most crucial and time-consuming steps in drug discovery is identifying viable therapeutic targets. Traditionally, this process could take years of painstaking research. However, AI-powered target identification is dramatically accelerating this phase, allowing researchers to sift through enormous amounts of biological data with unprecedented speed and accuracy (Schneider, 2018). 

AI is widely used for multi-target drug innovation and biomarker identification, offering efficiency and accuracy that were previously unattainable. Pharmaceutical companies are using AI-powered tools and ML algorithms to streamline drug research, development, and innovation processes around the world (Wadighare and Deshmukh, 2024).

ML algorithms can analyze complex datasets like genomic, proteomic, and clinical data, to identify and study disease patterns, and determine which composite formulations are best suited for treating specific symptoms of particular diseases. These AI systems can detect patterns and relationships that might be overlooked by human researchers, to discover novel targets and pathways (Ching et al., 2018). 

ML is also being used to predict protein structures, design new molecules, and simulate drug-target interactions, significantly speeding up the drug discovery process (Ramanathan, 2023). These approaches not only accelerate the drug discovery process, but also have the potential to address rare diseases more effectively. 

Examples

Companies like Benevolent AI are at the forefront of this revolution. Their platform connects structured data from clinical and chemical databases with unstructured data from scientific literature, creating what they call “an enormous hairball of interconnected facts.” This approach allowed them to identify PDE10 as a novel target for ulcerative colitis, a connection not explicitly stated in existing literature (Brazil, 2024).

Another notable success story in AI-driven target identification comes from Insilico Medicine, whose AI platform helps them predict the best formulations, reducing the need for trial-and-error experimentation and accelerating the development process (UsefulBI, 2024). Insilico’s AI-generated anti-fibrotic drug became the first of its kind to reach Phase 2 clinical trials. This milestone demonstrates the potential of AI to not only identify targets but also to guide the entire drug discovery process from conception to clinical testing (Insilico Medicine, 2024).

While identifying targets is crucial, predicting the properties of potential drug candidates is equally important. That’s where deep learning comes into play.

Deep learning for molecular property prediction

AI image of a colorful molecular compound

Deep learning has revolutionized the field of molecular property prediction, enabling researchers to assess the potential of drug candidates with remarkable accuracy. This technology is particularly valuable in predicting Absorption, Distribution, Metabolism, and Excretion (ADME) properties and toxicity, crucial factors in determining a drug’s viability (Yang et al., 2019).

Compared to traditional Quantitative Structure-Activity Relationship (QSAR) methods, modern deep learning approaches offer several advantages. They can handle larger and more diverse datasets, capture non-linear relationships more effectively, and often require less manual feature engineering (Gao, et al., 2020). For instance, graph neural networks have shown exceptional performance in predicting molecular properties by directly learning from the structural representation of molecules (Wu et al., 2018).

Real-world applications of deep learning in property prediction are already yielding impressive results. Pharmaceutical companies are using these models to screen huge libraries of compounds, significantly reducing the time and cost associated with early-stage drug discovery (Zhavoronkov et al. 2019). For example, deep learning models have been successfully employed to predict drug-induced liver injury, a major cause of drug attrition in clinical trials (Xu et al., 2015)

However, it’s important to note that while deep learning models excel at pattern recognition, they may struggle with extrapolation to novel chemical spaces. Researchers are addressing this limitation by developing more robust models and incorporating techniques like transfer learning and multi-task learning to improve generalization (Goh et al., 2017).

Predictive modeling

Man and woman working in a lab wearing masks

In the pre-clinical space, natural language processing (NLP) is being used to extract scientific insights from biomedical literature, unstructured electronic medical records (EMR), and insurance claims to ultimately help identify novel targets. 

Predictive modeling is another area where ML is making significant strides in clinical trial design. Predictive modeling can predict protein structures and facilitate molecular compound design and optimization, enabling the selection of drug candidates with a higher probability of success (Ching et al., 2018). In addition, ML plays a crucial role in genomics and proteomics research, helping to identify genetic markers associated with diseases and potential drug targets (Ramanathan, 2023). 

By analyzing historical trial data and incorporating real-world evidence, these models can forecast potential outcomes and identify potential pitfalls before a trial begins. This foresight allows researchers to optimize trial protocols and resource allocation, potentially saving millions of dollars and years of development time (Gayvert, 2016).

Despite these promising applications, the use of AI in clinical trials raises important ethical considerations and regulatory challenges. Ensuring patient privacy, addressing potential biases in AI algorithms, and maintaining transparency in decision-making processes are crucial concerns that the industry must navigate. Regulatory bodies like the FDA are working on developing guidelines for the use of AI in drug discovery and clinical trials to address these issues (FDA, 2023).

With promising drug candidates identified, the next challenge lies in designing effective clinical trials to test these compounds.

Clinical trial design optimization

Group of researchers in a clinical trial

In the realm of clinical data assessments, AI and ML are revolutionizing how healthcare data is analyzed and utilized. These technologies are being applied in various areas, including disease diagnosis, medical imaging analysis, treatment personalization, and clinical trial optimization (Alam et al., 2023). 

The application of ML in clinical trial design is transforming how pharmaceutical companies approach this critical phase of drug development.

ML applications in clinical trial design

ML is transforming clinical trial optimization to improve patient recruitment, predict patient dropout rates, and optimize trial design. AI-driven patient selection and stratification are enabling more targeted and effective trials, potentially reducing the high failure rates that have long plagued the pharmaceutical industry.

Advanced techniques like Bayesian nonparametric learning are emerging as powerful tools in clinical trial design and analysis. These methods allow flexible shrinkage modeling for heterogeneity between individual subgroups and automatically capture additional clustering, requiring fewer assumptions than more traditional methods (Kolluri et al., 2022). 

ML algorithms can analyze patient data such as genetic information, medical history, and lifestyle factors, to identify the most suitable candidates for a trial. This precision approach not only increases the likelihood of trial success but also helps in developing more personalized treatments (Woo, 2019).

AI applications in clinical trial design

AI-driven patient selection and stratification enable more targeted and effective trials, potentially reducing the high failure rates that have long plagued the industry (Harrer et al., 2019).

Big pharmaceutical companies are leveraging AI for clinical trial design as well. For example, GSK developed its own in-house large language model (LLM) called Jules OS, capable of autonomously performing tasks and responding directly to staff questions. The company has used AI “right across the value chain” since 2019, including in clinical trial design for drugs like bepirovirsen, their investigational treatment for chronic hepatitis B (Bender & Cortés-Ciriano, 2021).

However, it’s crucial to strike a balance between computational predictions and experimental validation. While AI can significantly narrow down the search space and suggest promising drug candidates, the complexity of biological systems means that experimental testing remains essential. Researchers are developing iterative approaches that combine AI predictions with rapid experimental feedback to optimize this process. 

AI and ML are already making significant impacts across the pharmaceutical industry. But what does the future hold for these technologies?

The future of AI and ML in pharma

Pharmacists in lab smiling

AI is revolutionizing drug discovery from target identification to clinical trial design, offering unprecedented speed and efficiency. Companies like Benevolent AI, Insilico Medicine, Recursion, GSK, and Lantern Pharma are using AI to identify novel drug targets, design molecules, and optimize clinical trials

While AI shows great potential to reduce drug development time and costs, several challenges remain. The quality and diversity of input data significantly impact the accuracy of AI predictions. Validating AI-identified targets and formulations through experimental methods is crucial, as computational models may not capture all the complexities of biological systems (Vamathevan, 2019). Other challenges include: 

  • Data preparation and integration
  • Intellectual property concerns
  • Lack of skilled personnel with domain-specific knowledge
  • Quality and representativeness of training data
  • AI tool integration with existing pharmaceutical workflows
  • Regulatory considerations for AI-assisted formulation development

Researchers are working to address these limitations by improving data integration techniques and developing more sophisticated AI algorithms that can better handle the intricacies of biological networks (Schneider, 2018).

The integration of AI and ML in pharmaceutical research is not just about replicating human capabilities; it’s about identifying principles that allow agents to act intelligently and improve upon human capabilities. However, not every research question can be answered with AI and ML, particularly if there is high variability, limited data, poor quality of data collection, under-represented patient populations, or flawed trial design (Topol, 2019).

Despite the challenges, generative AI is poised to significantly impact pharmaceutical formulation, leading to more effective and tailored drug products. In the future, the combination of ML (particularly deep learning), with AI, human expertise and experience is likely the best approach to coordinate and analyze the huge and diverse data stores in pharmaceutical research and development (Alam et al., 2023). 

ML and AI are not just buzzwords for the pharmaceutical industry–they’re powerful tools reshaping the entire process of drug discovery and development. From identifying new targets to optimizing lead compounds, AI is accelerating research, which can bring life-saving treatments to patients faster than ever before. While challenges remain, the future of drug discovery looks bright with ML and AI at the helm. 

References

Alam, M. S., et al. (2023). Applications of Artificial Intelligence and Machine Learning in Pharmaceutical Research. GSC Biological and Pharmaceutical Sciences, 24(1), 001-009. 

Bate, A., et al. (2018). Artificial Intelligence in pharmacovigilance: Using machine learning to detect duplicate adverse event reports. Drug Safety, 41(6), 591-597.

Bender, A., & Cortés-Ciriano, I. (2021). Artificial intelligence in drug discovery: what is realistic, what are illusions? Part 1: Ways to make an impact, and why we are not there yet. Drug Discovery Today, 26(2), 511-524.

Brazil, Rachel (2024). How AI is transforming drug discovery. The Pharmaceutical Journal,  2024.313(7989) doi::10.1211/PJ.2024.1.322137 

Bullock, J., et al. (2020). Mapping the landscape of artificial intelligence applications against COVID-19. Journal of Artificial Intelligence Research, 69, 807-845.

Ching, T., et al. (2018). Opportunities and obstacles for deep learning in biology and medicine. Journal of The Royal Society Interface, 15(141), 20170387.

FDA. (2023). Artificial Intelligence and Machine Learning in Software as a Medical Device.

Gao, K., et al. (2020). Interpretable drug target prediction using deep neural representation. In Proceedings of the 26th ACM SIGKDD International Conference on Knowledge Discovery & Data Mining (pp. 1396-1405).

Gayvert, K. M., et al. (2016). A computational approach for identifying synergistic drug combinations. PLoS Computational Biology, 12(1), e1004756.

Goh, G. B., et al. (2017). Deep learning for computational chemistry. Journal of Computational Chemistry, 38(16), 1291-1307.

Harrer, S., et al. (2019). Artificial Intelligence for Clinical Trial Design. Trends in Pharmacological Sciences, 40(8), 577-591.

Insilico Medicine. (2024). Press Release: Insilico’s AI-generated drug enters Phase 2 clinical trials.

Kolluri, S., et al. (2022). Machine Learning and Artificial Intelligence in Pharmaceutical Research and Development: a Review. AAPS J 24(1), 19. doi:10.1208/s12248-021-00644-3.

Moraffah, B. (2024). Bayesian Nonparametrics: An Alternative to Deep Learning. ArXiv, https://arxiv.org/html/2404.00085v1 (accessed 8 July 2024).

Ramanathan, V. (2023). Machine Learning in the Pharma Industry. Linkedin Pulse, https://www.linkedin.com/pulse/machine-learning-pharma-industry-venugopal-ramanathan (accessed 7 July 2024). 

Schneider, G. (2018). Automating drug discovery. Nature Reviews Drug Discovery, 17(2), 97-113.

Topol, E. J. (2019). High-performance medicine: the convergence of human and artificial intelligence. Nature Medicine, 25(1), 44-56.

UsefulBI Corporation. (2024). Optimizing Drug Formulation: Generative AI’s Role in Enhancing Pharmaceutical Product Development. Linkedin Pulse, https://www.linkedin.com/pulse/optimizing-drug-formulation-generative-ais-role-enhancing-3js7c (accessed 7 July 2024). 

Vamathevan, J., et al. (2019). Applications of machine learning in drug discovery and development. Nature Reviews Drug Discovery, 18(6), 463-477.

Wadighare, U.A., & Deshmukh, S. P. (2024). A review on artificial intelligence and machine learning used in pharmaceutical research. GSC Biological and Pharmaceutical Sciences, 26(01), 191-198.

Woo, M. (2019). An AI boost for clinical trials. Nature, 573(7775), S100-S102.

Wu, Z., et al. (2018). MoleculeNet: a benchmark for molecular machine learning. Chemical Science, 9(2), 513-530.

Xu, Y., et al. (2015). Deep learning for drug-induced liver injury. Journal of Chemical Information and Modeling, 55(10), 2085-2093.

Yang, X., et al. (2019). Concepts of artificial intelligence for computer-assisted drug discovery. Chemical Reviews, 119(18), 10520-10594.

Zhavoronkov, A., et al. (2019). Deep learning enables rapid identification of potent DDR1 kinase inhibitors. Nature Biotechnology, 37(9), 1038-1040.

Zhu, H. (2020). Big data and artificial intelligence modeling for drug discovery. Annual Review of Pharmacology and Toxicology, 60, 573-589.

Working Remotely for Almost 20 Years: Why I’ll Never Go Back to the Office

career
Credit: Neo Latrica for CreateHerStock

What’s more important at work: being physically present, or being productive? I think it’s the latter, but thousands of corporations are now (in 2022) setting their mandates about returning to the office.

Since I’ve been working remotely since 2005, I’m a pro at it, and I love it—I have NO plans to ever work in a corporate office again. This article shares my thoughts about remote work, and findings in the latest HubSpot Hybrid Work Report as a Black woman working remotely in tech for my entire career, both as an employee and an entrepreneur.

Remote-Working OG? That’s me!

I started working from home (WFH) as a “virtual employee” in 2005–that’s how I was referred to within the company. Back then, it was widely referred to as telecommuting instead of remote work, but it’s the same thing. So when the whole world started working from home, I didn’t have to adjust. However, it DID help me leave a job I held for 22 years to move on to greener pastures.

I was the envy of everyone I knew, because not only did I get to work from my house, my employer at the time also allowed me to get reimbursed for my internet and phone expenses, since they were required for my home office. (They were already saving money by letting go of the real estate that held all of our cubicles.)

One of the reasons I stayed with that employer for so long was that I was 100% remote. Somehow, I survived multiple mergers and acquisitions in those 22 years. It’s a known fact that being visible, that is, physically present in an office (”presenteeism”), often weighs in on promotions and upward mobility, regardless of the individual’s contributions and productivity. But thankfully, I’ve never had that problem—one of my promotions happened during a time of layoffs, simply because I kept track of my accomplishments and was vocal about it.

Purchased from Styled Stock Society

WFH opened doors wider for freelancing and entrepreneurship

Over my 23-year writing career, I’ve also become a speaker, an author, a life coach, a podcaster, and a professional voice actor. I started all of my businesses while WFH. Sure, I could have done all of those things as a work-from-the-office employee, but not as fast or as effectively. This is especially true when it comes to voiceover work, where auditions come at any time of day, and recording sessions must be done during normal business hours.

Who should be forced to go back to the office?

Some types of work are obviously most suited to be in-person, face-to-face. But what about those who have successfully been WFH during the pandemic with no adverse affects to the quality of their work or productivity with their teams?

It depends on whether your leadership values presenteeism over productivity.

First, the phrase “return to work” should be called “return to office” instead — we’ve been working hard at home too. Sometimes harder than when we were at the office (for those who don’t have strong boundaries around their work schedules and personal lives).

Purchased from Styled Stock Society

The Great Resignation is still in full effect. A recent Inc. article says that over 50% of employees plan to look for new jobs unless leaders do specific things regarding recognizing workers’ contributions, diversity and inclusion, and work/life balance. (The findings in that article came from a Workhuman research report).

I’ve been looking at some other recent reports too. Findings from the HubSpot 2022 Hybrid Work Report released in January reveal several interesting findings in its concise 8 pages.

They surveyed 4K workers in 8 markets, and reviewed comments from 6K hybrid-only employees. 39% wanted to stay at home, 18% want to go back, and the rest, 43% wanted to keep their hybrid arrangement. The most interesting stat I found: 36% said they’d rather go to the dentist very month than commute to work every day!

WFH is not necessarily isolating

Many of the HubSpot respondents felt disconnected or isolated from their teams by working from home, and this seems like a no-brainer. However, I wonder what about whether these folks’ personality types are introvert, extrovert or ambivert?

I’m an ambivert, and while I get a lot of energy from others, I cherish my alone time too. While I’ve dealt with chronic loneliness, I rarely feel lonely WFH. I prefer to be alone (not being alone means you’re lonely—it doesn’t). To be most productive, I need to work in a calm, quiet environment to concentrate.

Regardless of your preference to work with people around or not, you may not feel isolated just because you WFH alone.

Productivity and boundaries

Purchased from Styled Stock Society

Speaking of productivity, 70% of respondents said that too many calls and meetings are disruptive to their concentration and 58% feel at least half the meetings they joined could have been emails instead. 68% prefer only email or video calls for workplace communication.

I would think that Slack would be included in that preference. Like many tech companies, I work in a place where Slack is used heavily throughout the company instead of email. There are several of my co-workers have explicitly stated that they check their email very infrequently, and prefer Slack.

50% of respondents said their productivity is the same when WFH as when they weren’t, while 39% say their productivity has improved. But 58% still struggle with boundaries between work and personal life. It’s so easy to work longer hours in your house, with so many conveniences right there.

So again I ask: what’s more important at work: being physically present, or being productive?

“Anonymous” surveys, transparency
and implementation

31% of respondents (especially Black workers) said that opportunities to provide feedback anonymously would help them feel more supported and included at work. This is not a surprise to me! I just wonder how many of those surveys are counted. Are surveys sent to employees only, or contractors and freelancers too?

Where I currently work, I’m a contractor and not eligible for these kinds of surveys, even though I’m doing the same work as employees in my department. To give you an idea, there are about 20 writers in my department, but only 5 are employees. The rest of us are contractors. Therefore, 5 people are speaking for all of us, and we as contractors don’t have a voice, even though many of us stick around for more than 6 months, which is long enough to comment on what the work environment is like, whether we’re WFH or not. Contractors do all the same work that the employees do, dealing with most of the same problems, if not more.

People need to be able to provide feedback anonymously so they can feel free to express their true feelings without consequences or retaliation. I talked to a family member about this, and she said that some leaders have access to filter the results by cost center or department. (This makes the results seem less anonymous, especially if you have a department like the one I described with only 5 employees.) When you consider the limited space for answers, and no nuances from voice and tone, the answers can be taken the wrong way and easily misinterpreted. Sentiments like hers make her feel like it’s easier to not be 100% transparent, because otherwise, there could be repercussions.

Another important thing to consider is, who is implementing the feedback? When a company gets free-form responses where workers are expressing their pain points, what does the leadership do about it? How do you know if they plan to address the issues?

Valuing freedom and autonomy over money

Purchased from Styled Stock Society

Everyone needs money to live, and it’s certainly a big factor when deciding where, and for whom to work. But it’s not everything.

If your workers and business are thriving while WFH, let them continue to do so if they want. If they want to maintain a hybrid schedule where they work for only part of their week in the office, let them do so.

Bottom line? We all have choices. Let people do their best work in the best way for them.

My Trip to Havana, Cuba (Part 3 of 3)

Travel

Parts 1 & 2

Monday (Day 4) – Miramar

Santeria

The day before, someone in our group noticed that many Cubans were walking around wearing all-white clothing, and asked Monica about it. She said people who were preparing to enter the Afro-Cuban religion of Santeria had rules to follow, including all-white dress for a year, among other things. Our first stop on Monday was to learn about Santeria. We saw shrines and artwork in this area. (I didn’t film or photograph the interior.)

Santa Cana Studio

Next, we drove through Miramar for a bonus stop not on the itinerary: a visit to an independent artist’s studio, called the Santa Cana, near Playa del Este (Eastern beach of Havana). The artist’s name is Beatriz Sala, and she converted this house into a studio! It was breathtaking and meticulously designed.

Sala’s Santa Cana Studio in Miramar, Havana
Sala’s business card

She was preparing to exhibit at shows in Tennessee, Key West, and one other U.S. location that I can’t recall. I can’t imagine what she has to go through for Customs when traveling outside of Cuba with her art, but she’s a pro!

Fusterlandia

The artwork of Jose Fuster moves throughout his neighborhood! We walked around freely for about 30 minutes or so, capturing what we could of his unique handiwork here, and within the neighborhood.

Lunch at Vistamar

For lunch, we went to Vistamar along the waterfront. We were served with generous portions of croquettes and other appetizers, a butternut squash soup or Seviches (I had the former). For my our meal, we chose pollo, cerdo or pes (fish).

We all sat at this table with this view

Angeles del Futuro

Our heartstrings didn’t stand a chance at the Cuban acrobatics school Angeles del Futuro, run by a man named Keeko. We watched 10 children aged 10 to 13 do amazing feats. These kids come from not-the-best of family environments and circumstances, so their performances were extra inspiring. Keeko said they practice for 3 hours a day after school.

(By the way, children in Cuba attend school for free throughout the island, including college, which they call University. Each afternoon, students get a break for 90 minutes at lunchtime to go home, and then they return for 2 more hours of school each afternoon.)

My sister and I shot video of each entire performance. Here are two from my sister on Instagram:

Most of their parents were in the audience and weren’t scared of their children getting harmed since they have been practicing for a long time, but we (on the tour) were in awe and somewhat nervous.

COVID Test & Status on the Island

There was conflicting information about the status of COVID in Cuba. Before we arrived, the STEP website said there was a travel advisory of Level 4 – Do Not Travel. (Almost every country had this status, actually.) However, Monica told us that the island is 90% vaccinated. Everywhere we went, we saw people with masks, even outside in the humid heat. The only time Cubans weren’t wearing masks is when they were talking to someone or eating, and even then, you could see their masks pulled down under their chins temporarily.

The trip paperwork explained that we had to have a PCR COVID tests 3 days before arrival and departure. But in actuality, we each went to the casa dining room, took a rapid antigen test, and tested negative.

I have 5 names, but the official mistakenly missed one of them when she filled out the certificate. To avoid any hassles, I asked her to correct it. She had to call someone to get permission, since each certificate has to be accounted for, and she had already listed a particular code number for me. But after a few minutes, she got the okay and filled out a new certificate. I’m called an “eagle-eye” for a reason!

Classic Car “Musical Chairs”

After a break, we all came back together for a final farewell dinner (except for the two who rode with us from the airport on day 1, because they go to bed early).

Me and my sister, about to take off from the casa!

We rode in style, all taking turns riding in 4 different classic taxis as we stopped in different points, including a parking lot near government buildings, and John Lennon park.

Final Farewell Dinner

Outside the restaurant

Our classic car ride ended in front of the restaurant for our fine farewell. Dinner started with a round of mojitos and a lesson about making cigars.

This woman is a professional cigar maker

Next, we ordered our food, and the owner, a very tall Olympian, greeted us with a little speech (he spoke English very well).

A group called La Tradicional provided entertainment with their music and dancing. I was summoned to dance once again, wearing flip flops! But I got hearty applause.

We rounded out the night with a lesson about how to smoke your cigar with various flavorings such as dark chocolate, and a friendly debate about which rum was better: Havana Club or the rum from Santiago, Cuba. (Most Cubans that were present liked both, but voted for the latter.)

This cigar got home safely & I gifted it

We got back around 11 pm, and I remembered to finally get a picture with Monica. She went above and beyond for each of our needs, and I can’t express enough how wonderful and knowledgeable she is!

Me & Monica at the end of the night –
best tour guide ever!

Tuesday (Day 5) – Departure

Prices were listed in pesos but they accepted Euros

This was our travel day back home. Friendly Planet booked the flights for me and my sister to leave at 5:45 pm, so we had most of the day to ourselves. I was able to say goodbye to some of the others from our group as they left. My sister wanted to rest, so besides lunch, we stayed in our room until the taxi came to pick us up.

We planned to have one last meal at Michifu, but they were closed. I noticed a sign directly across the street for a cafeteria. The man who greeted us knew English, so I was able to order our food without any miscommunication. I got the arroz amarillo (yellow rice), perritos (hot dogs) and ensalada (salad).

Airport and Customs

I won’t go into a lot of detail about the happenings at the airport, but a few things of note:

  • At Customs, neither of the people guarding the entryway knew English. Only when I showed my Cuban VISA did they allow us through.
  • We had TSA Precheck and Global Entry, but neither was recognized there, so we had to remove our shoes, etc. after passing Customs.
  • We were grateful to get 30 minutes of free, reliable WiFi after being without it all week. All I had to do was enter my passport number on the main airport website. We couldn’t wait to get to our next airport (in Miami) so we could use our phones’ data normally.
  • We were at the airport 3 hours early, and there were only 2 places that were open near our gate to get food. My sister wanted a drink, so I waited in a very long line (where the card machine wasn’t working properly) to get her a small box of juice.
  • The toilets throughout the airport had no seats. If you can’t squat, you’re falling in.

Takeaways/Summary

My trip to Havana was life-changing. It really made me reflect on the things we’re taught about other cultures, as well as my American privilege.

This 5-day trip is the shortest trip that Friendly Planet offers at the time of this writing, and that includes a weekend, which is why my sister could come. Friendly Planet’s guides and itinerary were excellent, and they were flexible since a few of their former partners were still not open due to the pandemic. Monica was flexible based on what was open and available, and consistently gave us different things to see throughout the city, whether it was on the itinerary or not.

Culture:

  • The spirit of the Cuban people is alive and well. Despite their continued oppression and struggle to survive, they are lovely and hospitable people.
  • They teach English in school (which is completely free, including college, aka “University”), but they love when you indulge them and speak Spanish, enjoy their food, cigars and rum, and dance with them (which I did for 3 of the 4 days we traveled as a group).

History:

  • Cuban people love and revere Fidel Castro to this day, which is the opposite of what I learned growing up.
  • The history books in Cuba, just like in the U.S., don’t accurately teach the truth about the slavery of Africans how it really went down, including Christopher Columbus “discovering” Cuba and America.

Technology:

WiFi access is limited in Cuba. Their technology is behind, and most compatible with phones using 3G or lower. I’m so glad that I brought two phones because I ran out of space and couldn’t back up to my cloud with no internet.

Would I Return to Cuba?

YES! I am interested in visiting Santiago when foreigners are allowed to travel there (and not because their rum is better, lol). Currently, only the Havana airport is open for foreigners. Although, I could come back to Cuba and take a bus there—we saw some!

And I will most definitely travel with Friendly Planet again. I have many places I want to visit worldwide, but I think my next Latin trip will be somewhere in South America.

Vlog

Don’t miss the vlog with all the video I captured during this trip.

Vlog Timestamps (the bolded items apply to this blog for Days 4 and 5):

  • Walking tour 00:41
  • Farmer’s market 1:31
  • Parade 2:13
  • Salsa dancing lesson 3:36
  • Ernest Hemingway monument 4:39
  • Muraleando and rumba dancing 5:25
  • La Hotel Nacionale 13:52
  • Taxi ride 14:50
  • Fusterlandia 17:57
  • Angeles del Futuro 18:39
  • Classic car rides 52:39
  • Farewell and salsa dancing 1:00:39

My Trip to Havana, Cuba (Part 2 of 3)

Travel

(Part 1 in case you missed it.)

Saturday (Day 2) – Old Havana

I woke up feeling refreshed, and had breakfast at the casa.

Farmer’s Market and Walking Tour

This was the hottest, sunniest day of the trip, easily in the 90’s with high humidity.

We started by visiting a Farmer’s Market.

From there, we took our bus to an area that had hotels and what I’d call something like a strip mall, and walked around. (Some of the crosswalks had this funny animation of a man dancing when it was okay to cross the street.)

We also came across a mini-parade during our walk. Check the link at the bottom of this post to watch.

Clandestina

Our last stop before lunch was to Clandestina, Cuba’s first online clothing retailer and renowned design shop. The co-owner said they wanted to design and provide fashionable clothing for young people in Cuba. They paved the way for making modern Cuban fashion available online.

Lunch

I didn’t catch the name of the place where we had lunch. Many of the buildings in Centro Habana, particularly the businesses, didn’t have the name of the establishment on the outside. I had a cafe latte, and a cerdo sandwich with yuca.

History of Cuba in Photographs

Next, we visited the Raul Corrales Galeria in Habana Vieja. Raul was a famed photographer who captured several iconic pictures of Fidel Castro, Eduardo Che Guevara and others.

Raul’s granddaughter is the owner. She showed us around the gallery and told us the stories behind those iconic photos for about an hour.

La Casa de Son

Salsa lessons! This was the highlight of my day, even though we were really hot and tired when we arrived. I love to dance, take dance classes and teach a group exercise class, so I knew this would be fun anyway.

Even though I’m a good dancer, I never dance with a partner, so even I had something to learn here. And it was so much fun! We learned basic steps, and then danced casino style.

Donde Lis

The itinerary didn’t include visit to the Donde Lis restaurant, but Monica likes to over-deliver, and wanted to treat us all to a drink.

We got there around 4 pm, and it was only then that Monica told us it was her birthday. (Yes, she was treating us on her birthday!) Most of the group enjoyed another mojito, Cuba Libre (rum and Coke) or cerveza (beer), but my sister and I opted for helados (milkshakes). They were amazing!

My sister and I decided to go back to Michifu again for dinner with the ladies that we first joined from the airport. I had a lobster dish this time, not knowing that I would learn how to make it the very next day.

Sunday (Day 3) – Cojimar and Lawton

Cojimar

Cojimar is a local fishing village that was the setting for Ernest Hemingway’s book, The Old Man and the Sea. We visited his monument as Monica told us about his life and affinity for Cuba. We did not go to his house, but a couple of people on the tour had done so before and shared pictures.

Neighborhood Garden

The bus took us to a restaurant called Cafe Ajiaco for a cooking class. Another tour group arrived at the same time, and we all walked a few blocks away, with our guide Roy, one of the chefs. We met two neighbors named Julio and Jesus. They tend a large garden at Julio’s house, and they freely share the food and herbs they grow with the community, including this restaurant.

Cuban Cooking Class

Once we returned to Cafe Ajiaco, Roy introduced all of the staff, and the head chef did a demonstration for us. He showed us how he prepares ingredients for a particular kind of soup, which they later served to us.

Soup

Next, we went into the kitchen as a group to make our lunch, while the other tour group stayed in the main area of the restaurant to learn how to make mojitos. Half of the group were at a stove to cook a lobster dish—the same one I had a Michifu the night before. The other half of our group made a lamb dish.

When we finished cooking, we went to the bar so Roy (pictured center) could teach us to make mojitos. They gave us the muddlers as souvenirs.

Once we finished, it was time to eat. (I didn’t repost the lobster dish, but it’s similar to the one I posted from the previous day.) Buen provecho!

Muraleando

Our next stop was at Muraleando, a very interesting and inspiring community project. The folks here took a gigantic mountain of trash in the neighborhood and completely transformed it into the beautiful art museum that it is today. They have free enrichment classes for the kids in the community.


When we got upstairs, we were greeted with a bartender and a band! They offered us stiff drinks and played a few songs. Since the secret was out about my dance skills (from La Casa de Son the day before), I was quickly summoned to dance with the owners at the front of the stage. We did salsa and rumba.

We had a few minutes at the end of our visit to buy things from them, so my sister and I got t-shirts and artwork. (You can see one of the t-shirts within my pictures from Fusterlandia in Part 3 of this recap.)

Artisans Market

Our next stop was a 45-minute shopping spree at a flea market in either Old Havana or Lawton. My sister and I weren’t ready to leave during that time period, because we wanted to buy everything. It was so cheap! But we pulled it together. She converted our money to Euros for the trip, so she handled all the payments. I think she slipped each vendor something a little extra.

La Hotel Nacional

Our last stop of the day was at this infamous hotel that I somehow had never heard of. We walked around for while and had mojitos, and took a group photo.

We also observed the super high waves crashing over the sea wall of Malecom.

Taxi Back to Donde Lis

At our request, Monica a made reservation for me and my sister to go back to Donde Lis. Our pink taxi arrived with driver Eduardo, who was probably in his early 30s (most of the drivers we saw were much older, but it was a car he had in the family).

Although Monica gave him the street address, it was a little off, but he figured out how to get there. Then he went to a couple that was in our group who had a later reservation, parked and waited while we dined.

I ordered the Ropa Vieja Habanero (beef) and my sister ordered a chicken cordon bleu dish. We both drank glasses of malta with sweetened condensed milk. Yum!

One of the things we learned on this day was that toilets aren’t strong in Cuba. We were instructed to place all toilet paper in the trash and not flush it, even though it was barely 1-ply. However, there was no sign in our private bathrooms at the casa stating this, so I had been (successfully) flushing toilet paper normally. (The bathroom at Donde Lis had a clear sign explaining this, and when we went the bathroom in the airport on our way home the next day, I took a picture that further illustrates this point.)

On the way back to the casa, it started raining, so I helped Eduardo pull up soft top. Then we talked to Eduardo about how life in Havana has been during the pandemic, with no tourists and tight government restrictions on almost everything. We had a really nice and honest chat with him about all of that. If you’re ever in Havana and need a taxi, call Eduardo—he’s a reliable and friendly driver!

Unbeknownst to us, we were going to get a few more taxi rides the next day.

Part 3

Vlog

Don’t miss the vlog with all the video I captured during this trip.

Vlog Timestamps (the bolded items apply this the blog you just read for Days 2 and 3):

  • Walking tour 00:41
  • Farmer’s market 1:31
  • Parade 2:13
  • Salsa dancing lesson 3:36
  • Ernest Hemingway monument 4:39
  • Muraleando and rumba dancing 5:25
  • La Hotel Nacionale 13:52
  • Taxi ride 14:50
  • Fusterlandia 17:57
  • Angeles del Futuro 18:39
  • Classic car rides 52:39
  • Farewell and salsa dancing 1:00:39