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Artificial Intelligence in Health                            AI in medical diagnostics: A multi-disease approach



            errors and delays are leading causes of adverse patient   By addressing the technical, ethical, and regulatory
            outcomes, underscoring the urgent need for diagnostic   challenges associated with AI in healthcare, this research
            solutions that are more accurate, timely, and scalable.   aims to deliver a comprehensive perspective on how AI
            AI offers notable advancements in this area, enhancing   can enhance diagnostic processes and improve patient
            diagnostic precision, reducing human error, and enabling   outcomes across multiple disease domains.
            the early detection of diseases by analyzing vast amounts
            of complex data. 1-6                               2. Methods and experimental analysis

              This research aims to investigate AI’s role in medical   To evaluate the integration of AI in multi-disease
            diagnostics across multiple diseases, focusing on cancer,   diagnostics, this study compiled a diverse dataset drawn
            cardiovascular diseases, neurological disorders, and   from publicly available medical imaging repositories and
            infectious diseases. These conditions were selected due to   electronic health records (EHRs) across several healthcare
            their significant global health burden, diverse diagnostic   institutions. The dataset was constructed to represent four
            requirements, and considerable impact on medical health   primary disease areas: cancer, cardiovascular diseases,
            systems. Each of these diseases brings unique diagnostic   neurological disorders, and infectious diseases. Specifically,
            challenges, such as managing various data complexities,   cancer data were sourced from the Cancer Imaging Archive,
            requiring rapid diagnosis, and accurately interpreting   cardiovascular data from the UK Biobank, neurological
            medical images, clinical data, and patient histories.  AI   data from the Alzheimer’s Disease Neuroimaging Initiative
                                                      7-9
            algorithms, particularly those based on deep learning (DL)   and the Human Connectome Project, and infectious
            and machine learning (ML), have shown notable potential   disease data from the COVIDx dataset. Comprehensive
            in addressing these challenges. Recurrent neural networks   preprocessing steps were implemented to standardize
            (RNNs) with long short-term memory (LSTM) units, for   image sizes, resolutions, and formats, ensuring data
            instance,  excel  in  analyzing  time-series  data,  which  is   uniformity across the disease types. In addition, patient
            crucial for cardiovascular monitoring, while support vector   demographics, medical histories, and clinical parameters
            machines (SVMs) effectively handle smaller, structured   were anonymized to comply with data privacy standards
            datasets often encountered in disease diagnostics. Despite   such as the Health Insurance Portability and Accountability
            these advancements, incorporating AI into clinical   Act (HIPAA) and General Data Protection Regulation
            practice poses significant challenges. Issues surrounding   (GDPR), preserving patient confidentiality.
            data quality, model bias, and the availability of extensive   The analysis employed a combination of supervised and
            annotated datasets present hurdles to AI deployment in   unsupervised AI models tailored to the specific diagnostic
            healthcare. Further, regulatory and ethical frameworks   requirements of each disease category. For image-based
            are essential to govern AI’s role in diagnostics, ensuring   diagnostics, convolutional neural networks (CNNs)
            patient safety, data privacy, and the ethical use of AI tools.   were utilized due to their robust capabilities in medical
            The need for international guidelines, such as TRIPOD-AI   image classification and segmentation. Sequential time-
            and  CONSORT-AI,  highlights  the  importance  of   series data, particularly for cardiovascular applications,
            developing standardized reporting for AI in healthcare to   were processed with RNNs incorporating LSTM units,
            promote transparency and accountability. Bias within AI   which are adept at capturing temporal patterns in
            models, if left unaddressed, can contribute to disparities   physiological signals. SVMs were applied to smaller,
            in  diagnostic  outcomes, particularly  for minority  and   tabular datasets, particularly where linear separability
            low-resource settings, raising ethical concerns around   was beneficial for diagnostic accuracy. In addition,
            fairness and equity. 10-12  This study provides an in-depth   unsupervised learning methods, such as autoencoders
            examination of AI applications in diagnostics, presenting   and variational autoencoders (VAEs), were incorporated
            case studies of AI implementations and assessing the   to detect anomalies in unlabeled data, aiming to identify
            benefits and limitations of various models across disease   rare conditions that may otherwise elude traditional
            areas. In addition, emerging security considerations, such   diagnostics. Separate models were trained for each disease
            as fault detection and cryptography, will be discussed in   category using a cross-validation approach to enhance
            the context of secure AI-driven healthcare applications.   generalizability and mitigate overfitting. Hyperparameter
            The discussion will explore future directions for AI in   tuning was conducted through grid search to optimize
            diagnostics, including real-time patient monitoring,   model performance, focusing on parameters such as
            personalized medicine, and multispectral imaging,   learning rate, batch size, and layer architecture. The
            emphasizing the need for continued research to enhance   models were evaluated on several key metrics, including
            the robustness and applicability of AI in medical   classification accuracy, sensitivity (recall), specificity,
            diagnostics.                                       precision, F1-score, and the area under the curve (AUC)


            Volume 2 Issue 3 (2025)                         45                               doi: 10.36922/aih.5173
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