National Support For Use Of Artificial Intelligence Technologies In Providing Medical Assistance For Oncological Diseases: The US Experience

  • Oleksandr KARPENKO Kyiv National Economic University named after Vadym Hetman
  • Yuliia KARPENKO Kyiv National Economic University named after Vadym Hetman
  • Anton OSMAK Kyiv National Economic University named after Vadym Hetman
  • Yevhenii KACHMARSKYI V. M. Koretsky Institute of state and law of National Academy of Sciences of Ukraine
Keywords: national support, governance mechanisms, federal government programs, cial intelligence, machine learning, medical assistance, oncological diseases, healthcare sector, United States Department of Health and Human Services, United States Department of Energy

Abstract

The article is focused on the role and capacity of an AI in combating cancer. It describes achievements and programs of the US National Institute of Cancer in the sphere of machine learning. The article offers the analysis of positive experience of the US National Institute of Cancer in regulatory, organizational and technological cooperation with the United States Department of Health and Human Services and the US Department of Energy in the area of formation and analysis of special registers’medical data with the purpose of effective diagnostics and proper treatment of oncological diseases and development of efficient medicinal drugs. The article presents prospects of national support to the development of new algorithms of AI models in the area of medical assistance to oncological patients. The author describes achievements and challenges to utilization of AI technologies in the US health care system, as well as ethical and legal issues which emerge in this process. It has been proven that absence of a universal Code of regulatory and legal acts of the USA and EU which would regulate algorithms, methods, and machine learning of big data processing in the area of health care leads to the absence of regulated procedures of attributing responsibility in case of harm caused by AI technologies to patients. The author recommends US and EU regulatory authorities to cooperate more actively with international medical research and development institutions (communities) with the aim of drafting relevant legislation and standards. The emphasis is made on a need to provide information protection of rights and freedoms of patients by way of making impossible any capturing of personal medical data irrespective of the form in which it is kept. The conclusion is made that implementation of AI technologies into medical practices is an important factor of government interference aimed at proper management of interaction processes between machines and humans as well as delegation of responsibilities for clinical decisions and potential mistakes.

References

Cancer (03.02.2022). World Health Organization. URL: https://t.ly/1kzti.

Онкологія в Україні: стан проблеми, шляхи розвитку та профілактики. Дніпропетровський обласний інформаційно-аналітичний центр медичної статистики. Google Drive. URL: https://t.ly/WKZOk.

Artificial Intelligence and Machine Learning (AI/ML)-Enabled Medical Devices (19.10.2023). Food and Drug Administration. URL: https://t.ly/iUFtP.

Cancer Moonshot. National Cancer Institute at the National Institutes of Health. URL: https://t.ly/_gUtn.

Partnership For Accelerating Cancer Therapies (PACT). Foundation for the National Institutes of Health. URL: https://t.ly/vlUxY.

NCI Formulary: A Public-Private Partnership. National Cancer Institute. URL: https://t.ly/XRToN.

NCI Cancer Research Data Commons (CRDC) National Cancer Institute. URL: https://t.ly/CYW2S.

Artificial Intelligence Resource (AIR). National Cancer Institute. URL: https://t.ly/H101c.

Harmon S., Patel P. G., Sanford T. H. et al. High throughput assessment of biomarkers in tissue microarrays using artificial intelligence: PTEN loss as a proof-of-principle in multi-center prostate cancer cohorts. Modern Pathology. 2021. Vol. 34, Iss. 2. P. 478–489. https://doi.org/10.1038/s41379-020-00674-w.

Zhang L., Wang X., Yanget D. et al. Generalizing Deep Learning for Medical Image Segmentation to Unseen Domains via Deep Stacked Transformation. IEEE Transactions on Medical Imaging. 2020. Vol. 39, No. 7, Pp. 2531–2540. https://doi.org/10.1109/TMI.2020.2973595.

Luchini C., Pea A., Scarpa A. Artificial intelligence in oncology: Current applications and future perspectives. British Journal of Cancer. 2022. Vol. 126 (1). P. 4–9. https://doi.org/10.1038/s41416-021-01633-1.

Shreve J., Khanani S., Haddad T. Artificial intelligence in oncology: Current capabilities, future opportunities, and ethical considerations. ASCO educational book. 2022. Vol. 42. P. 842–851. https://doi.org/10.1200/EDBK_350652.

Shen Y., Shamout F., Oliver J. et al. Artificial intelligence system reduces false-positive findings in the interpretation of breast ultrasound exams. Nature Communications. 2021. Vol. 12(1). N. 5645. https://doi.org/10.1038/s41467-021-26023-2.

Carter S., Rogers W., Win K. et al. The ethical, legal and social implications of using artificial intelligence systems in breast cancer care. The Breast. 2019. Vol. 49. P. 25–32. https://doi.org/10.1016/j.breast.2019.10.001.

Richards S., Aziz N., Bale S et al. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Genetics in Medicine. 2015. Vol. 17, N. 5, P. 405–424. https://doi.org/10.1038/gim.2015.30.

Benjamens S., Dhunnoo P., Meskó B. The state of artificial intelligence-based FDA-approved medical devices and algorithms: an online database. NPJ Digital Medicine. 2020. Vol. 3. N. 118. https://doi.org/10.1038/s41746-020-00324-0.

Szlosek D., Ferrett J. Using machine learning and natural language processing algorithms to automate the evaluation of clinical decision support in electronic medical record systems. EGEMS (The Journal of Electronic Health Data and Methods). 2016. Vol. 4, Iss. 3. https://doi.org/10.13063/2327-9214.1222.

Wu E., Wu K., Daneshjou R. et al How medical AI devices are evaluated: limitations and recommendations from an analysis of FDA approvals. Nature Medicine. 2021. Vol. 27. P. 582–584. https://doi.org/10.1038/s41591-021-01312-x.

Published
2024-04-30
Section
Public Administration