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Artificial Intelligence in Health                                         AI in the battle against COVID-19



            including study design, methodology, results, and   neural networks and deep learning models has further
            conclusions.                                       refined the capabilities of AI, enabling the interpretation of
                                                               complex medical data with enhanced precision. 26,27
            4.3.2. Analytical framework

            The extracted data were synthesized to provide a   5.3. AI in genomics and drug discovery
            comprehensive overview  of the  current  state  of AI  in   A notable milestone in the evolution of AI in healthcare
            managing  the  COVID-19  pandemic.  This  synthesis   is its application in genomics. 28-31  and drug discovery. 32,33
            involved a qualitative assessment of the findings from the   The completion of the Human Genome Project in the
            included studies. Where applicable, a quantitative analysis   early 2000s opened new avenues for AI applications in
            was conducted to ascertain the effectiveness and impact of   understanding genetic diseases and developing targeted
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            AI applications. This process involved statistical techniques   therapies.  AI-driven platforms such as AtomNet  have
            to combine data from multiple studies, providing a more   since been utilized to identify potential drug candidates,
            robust understanding of AI’s role in the pandemic.  significantly reducing the time and cost associated with
                                                               traditional drug discovery processes.
            5. Evolution of AI in healthcare
                                                               5.4. AI-enabled medical devices and wearables
            The evolution of AI in health-care represents a significant
            shift in medical practice and research. From early rule-  The emergence of AI-enabled medical devices and wearables
            based expert systems to deep learning models that leverage   has significantly benefited patient monitoring and health
            vast healthcare data and advanced analytics techniques, AI   management. Devices such as smartwatches and fitness
            has found its application in multifaceted areas of healthcare   trackers, equipped with biomedical sensors and AI
            and medicine. 18,19  This section delineates some of the   algorithms, can now provide real-time insights into an
            early developments of AI in medical diagnosis, genomics,   individual’s health status, detecting anomalies that may
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            drug discovery, medical devices, and wearables. These   require medical attention.  These advancements have
            advancements  and  research  have  laid  a  foundation  on   not only enhanced preventive healthcare measures but
            which current technologies have been honed and adapted   have also empowered individuals to take an active role in
            in the fight against the COVID-19 pandemic.        managing their health.
            5.1. Rule-based expert systems                     5.5. The role of AI in pandemic response
            The inception of AI in health-care can be traced back to   There were no major pandemics before the COVID-19
            the early experiments with rule-based expert systems.   pandemic where AI was used extensively or prominently
            One such expert system is MYCIN from the 1970s,    in the response. This is primarily because the development
            designed to diagnose bacterial infections and recommend   and widespread adoption of advanced AI technologies,
            antibiotics. 20,21  Another significant system was  the   particularly in healthcare, coincided with or followed the
            Internist-I (later developed into CADUCEUS), created in   COVID-19 pandemic. Previous health crises, such as the
            the late 1970s.  This system focused on internal medicine   H1N1 influenza pandemic in 2009 or the Ebola outbreak
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            and could diagnose complex cases by comparing patient   in 2014 – 2016, occurred before AI had reached its current
            data against a large database of disease profiles. Internist-  level of sophistication and integration in health-care
            I’s comprehensive approach to diagnosis showcased   systems. During these earlier health crises, the use of AI
            the  potential  of AI  systems to  handle  a  wide  range of   was either very limited or not a significant component of
            medical  knowledge.  These  pioneering  efforts  established   the public health response.
            the early relationship between computational algorithms   However, it is noteworthy that before COVID-19,
            and medical expertise, paving the way for  advanced   research efforts were made to explore the potential use
            AI applications in modern healthcare, where machine   of technology and AI in disease outbreaks.  Predictive
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            learning and data-driven approaches are now integral.  modeling and data-driven techniques have been studied
                                                               to predict infectious disease epidemics. 38,39  Other studies
            5.2. Integration of machine learning
                                                               demonstrated  the  use  of  machine  learning  analysis  of
            The integration of machine learning algorithms marked a   social media and media sources for tracking public health
            significant evolution in AI’s application within healthcare.   trends and understanding public awareness during health
            The shift from rule-based systems to data-driven approaches   crises. 40,41  These studies collectively illustrate the evolving
            allowed for the analysis of large datasets, leading to more   role of AI, big data, and machine learning in monitoring
            accurate  diagnostic  tools,  personalized  treatment  plans,   and predicting disease outbreaks, offering valuable insights
            and predictive analytics. 23-25  Notably, the development of   for pandemic preparedness and response.


            Volume 1 Issue 2 (2024)                         5                                doi: 10.36922/aih.2401
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