7th Global Gastroenterology and Artificial Intelligence Summit (Live)

11- Thosani
Pdf Summary
This presentation by Dr. Nirav Thosani focuses on implementing Artificial Intelligence (AI), specifically generative AI, in healthcare with an emphasis on gastroenterology. It underscores that true power lies not in knowledge alone, but in its effective implementation.<br /><br />Dr. Thosani outlines an evolving institutional approach to AI governance, emphasizing alignment with ethical, regulatory, transparency, and privacy considerations. The AI Governance Council oversees AI product evaluations, policy development, compliance monitoring, communication strategies, and training initiatives through specialized workgroups dedicated to clinical, operational, and consumer experience reviews.<br /><br />Key steps for AI solution assessment include understanding the problem addressed, value addition, integration with electronic health records and workflows, data privacy, scalability, AI/ML methods used, and the training data sources. Pilots are recommended before scaling up, considering technical compatibility, licensing, cost, training, legal compliance, performance, and risk management.<br /><br />Use cases presented include colon cancer screening, endoscopic ultrasound (EUS), and cytopathology. Colon cancer screening AI showed modest benefits but faced challenges like inflated expectations, alert fatigue, and limited guideline support, highlighting the importance of managing realistic expectations. In cytopathology, the ROSE AId tool helps annotate pancreatic lesion cells, supporting gastroenterologist evaluations with AI-generated heatmaps.<br /><br />The presentation stresses the value of Explainable AI (XAI) to improve transparency and reduce automation bias by showing AI reasoning visually. Additionally, a human-in-the-loop (HITL) approach integrates clinician oversight to validate AI findings and foster interactive learning.<br /><br />In summary, successful AI implementation requires a governance framework, clear goals, understanding AI limitations, addressing bias and privacy, favoring explainability over black-box models, incorporating human oversight, piloting before full deployment, and thorough training and support. Dr. Thosani concludes that effective selection and implementation of AI, rather than knowledge alone, constitutes true power in advancing healthcare.
Keywords
Artificial Intelligence
Generative AI
Healthcare
Gastroenterology
AI Governance
Ethical AI
AI Implementation
Explainable AI
Human-in-the-loop
Colon Cancer Screening