Applications of Machine Learning in Medical Prognosis Using Electronic Medical Records

Approximately 84 % of hospitals are adopting electronic medical records (EMR) In the United States. EMR is a vital resource to help clinicians diagnose the onset or predict the future condition of a specific disease. With machine learning advances, many research projects attempt to extract medically relevant and actionable data from massive EMR databases using machine learning algorithms. However, collecting patients\u27 prognosis factors from Electronic EMR is challenging due to privacy, sensitivity, and confidentiality. In this study, we developed medical generative adversarial networks (GANs) to generate synthetic EMR prognosis factors using minimal information collected during routine care in specialized healthcare facilities. The generated prognosis variables used in developing predictive models for (1) chronic wound healing in patients diagnosed with Venous Leg Ulcers (VLUs) and (2) antibiotic resistance in patients diagnosed with Skin and soft tissue infections (SSTIs). Our proposed medical GANs, EMR-TCWGAN and DermaGAN, can produce both continuous and categorical features from EMR. We utilized conditional training strategies to enhance training and generate classified data regarding healing vs. non-healing in EMR-TCWGAN and susceptibility vs. resistance in DermGAN. The ability of the proposed GAN models to generate realistic EMR data was evaluated by TSTR (test on the synthetic, train on the real), discriminative accuracy, and visualization. We analyzed the synthetic data augmentation technique\u27s practicality in improving the wound healing prognostic model and antibiotic resistance classifier. We achieved the area under the curve (AUC) of 0.875 in the wound healing prognosis model and an average AUC of 0.830 in the antibiotic resistance classifier by using the synthetic samples generated by GANs in the training process. These results suggest that GANs can be considered a data augmentation method to generate realistic EMR data

Exploiting the Vulnerability of Deep Learning-Based Artificial Intelligence Models in Medical Imaging: Adversarial Attacks

Due to rapid developments in the deep learning model, artificial intelligence (AI) models are expected to enhance clinical diagnostic ability and work efficiency by assisting physicians. Therefore, many hospitals and private companies are competing to develop AI-based automatic diagnostic systems using medical images. In the near future, many deep learning-based automatic diagnostic systems would be used clinically. However, the possibility of adversarial attacks exploiting certain vulnerabilities of the deep learning algorithm is a major obstacle to deploying deep learning-based systems in clinical practice. In this paper, we will examine in detail the kinds of principles and methods of adversarial attacks that can be made to deep learning models dealing with medical images, the problems that can arise, and the preventive measures that can be taken against them.ope

\u3cem\u3eTechnological Tethereds\u3c/em\u3e: Potential Impact of Untrustworthy Artificial Intelligence in Criminal Justice Risk Assessment Instruments

Issues of racial inequality and violence are front and center today, as are issues surrounding artificial intelligence (“AI”). This Article, written by a law professor who is also a computer scientist, takes a deep dive into understanding how and why hacked and rogue AI creates unlawful and unfair outcomes, particularly for persons of color. Black Americans are disproportionally featured in criminal justice, and their stories are obfuscated. The seemingly endless back-to-back murders of George Floyd, Breonna Taylor, Ahmaud Arbery, and heartbreakingly countless others have finally shaken the United States from its slumbering journey towards intentional criminal justice reform. Myths about Black crime and criminals are embedded in the data collected by AI and do not tell the truth about race and crime. However, the number of Black people harmed by hacked and rogue AI will dwarf all historical records, and the gravity of harm is incomprehensible. The lack of technical transparency and legal accountability leaves wrongfully convicted defendants without legal remedies if they are unlawfully detained based on a cyberattack, faulty or hacked data, or rogue AI. Scholars and engineers acknowledge that the artificial intelligence that is giving recommendations to law enforcement, prosecutors, judges, and parole boards lacks the common sense of an eighteen-month-old child. This Article reviews the ways AI is used in the legal system and the courts’ response to this use. It outlines the design schemes of proprietary risk assessment instruments used in the criminal justice system, outlines potential legal theories for victims, and provides recommendations for legal and technical remedies to victims of hacked data in criminal justice risk assessment instruments. It concludes that, with proper oversight, AI can increase fairness in the criminal justice system, but without this oversight, AI-based products will further exacerbate the extinguishment of liberty interests enshrined in the Constitution. According to anti-lynching advocate, Ida B. Wells-Barnett, “The way to right wrongs is to turn the light of truth upon them.” Thus, transparency is vital to safeguarding equity through AI design and must be the first step. The Article seeks ways to provide that transparency, for the benefit of all America, but particularly persons of color who are far more likely to be impacted by AI deficiencies. It also suggests legal reforms that will help plaintiffs recover when AI goes rogue