Artificial intelligence surgery: how do we get to autonomous actions in surgery?

Most surgeons are skeptical as to the feasibility of autonomous actions in surgery. Interestingly, many examples of autonomous actions already exist and have been around for years. Since the beginning of this millennium, the field of artificial intelligence (AI) has grown exponentially with the development of machine learning (ML), deep learning (DL), computer vision (CV) and natural language processing (NLP). All of these facets of AI will be fundamental to the development of more autonomous actions in surgery, unfortunately, only a limited number of surgeons have or seek expertise in this rapidly evolving field. As opposed to AI in medicine, AI surgery (AIS) involves autonomous movements. Fortuitously, as the field of robotics in surgery has improved, more surgeons are becoming interested in technology and the potential of autonomous actions in procedures such as interventional radiology, endoscopy and surgery. The lack of haptics, or the sensation of touch, has hindered the wider adoption of robotics by many surgeons; however, now that the true potential of robotics can be comprehended, the embracing of AI by the surgical community is more important than ever before. Although current complete surgical systems are mainly only examples of tele-manipulation, for surgeons to get to more autonomously functioning robots, haptics is perhaps not the most important aspect. If the goal is for robots to ultimately become more and more independent, perhaps research should not focus on the concept of haptics as it is perceived by humans, and the focus should be on haptics as it is perceived by robots/computers. This article will discuss aspects of ML, DL, CV and NLP as they pertain to the modern practice of surgery, with a focus on current AI issues and advances that will enable us to get to more autonomous actions in surgery. Ultimately, there may be a paradigm shift that needs to occur in the surgical community as more surgeons with expertise in AI may be needed to fully unlock the potential of AIS in a safe, efficacious and timely manner

Space exploration: The interstellar goal and Titan demonstration

Automated interstellar space exploration is reviewed. The Titan demonstration mission is discussed. Remote sensing and automated modeling are considered. Nuclear electric propulsion, main orbiting spacecraft, lander/rover, subsatellites, atmospheric probes, powered air vehicles, and a surface science network comprise mission component concepts. Machine, intelligence in space exploration is discussed

Arguing Machines: Human Supervision of Black Box AI Systems That Make Life-Critical Decisions

We consider the paradigm of a black box AI system that makes life-critical decisions. We propose an "arguing machines" framework that pairs the primary AI system with a secondary one that is independently trained to perform the same task. We show that disagreement between the two systems, without any knowledge of underlying system design or operation, is sufficient to arbitrarily improve the accuracy of the overall decision pipeline given human supervision over disagreements. We demonstrate this system in two applications: (1) an illustrative example of image classification and (2) on large-scale real-world semi-autonomous driving data. For the first application, we apply this framework to image classification achieving a reduction from 8.0% to 2.8% top-5 error on ImageNet. For the second application, we apply this framework to Tesla Autopilot and demonstrate the ability to predict 90.4% of system disengagements that were labeled by human annotators as challenging and needing human supervision