Page 138 - EJMO-9-1
P. 138

Eurasian Journal of Medicine and
            Oncology
                                                                             Oncology care with AI chatbots and assistants


            AI-powered ML models will integrate various types of data   6.6. Ethical AI and human-AI collaboration
            to predict patients’  responses  to specific  chemotherapy   As AI continues to integrate into oncology, it is essential
            agents or immunotherapies. In addition, AI can identify   to ensure that its deployment adheres to ethical principles,
            early biomarkers of adverse effects, such as organ damage,   including transparency, fairness, and bias mitigation.
            enabling timely interventions. A clinical example includes   These principles will guide the responsible development
            AI tools predicting the risk of cardiotoxicity from   and use of AI models to prevent unintended consequences
            chemotherapy by analyzing imaging markers, genomic   and ensure equitable outcomes for all patients.
            data, and EHRs, helping clinicians adjust treatment
            protocols or implement monitoring strategies to prevent   One of the key ethical challenges in AI deployment
            serious complications.                             is addressing bias in algorithms. Multi-modal AI models
                                                               must  be  trained  on  diverse  and  representative  datasets
            6.4. Integration with wearable health monitoring   to avoid discriminatory biases that could impact patient
            devices                                            care (e.g., underrepresented populations). Without this,
                                                               AI could perpetuate existing disparities or introduce new
            Wearable devices and mobile health tools  are rapidly   forms of bias, compromising the fairness of diagnostic and
            becoming essential data sources for AI-driven oncology   treatment decisions.
            care. These tools can track real-time physiological
            parameters such as heart rate, stress levels, physical activity,   Another critical ethical concern is patient data privacy.
            and biomarkers, including oxygen saturation. When   Ensuring compliance with regulations, such as HIPAA
            integrated with AI,  wearable devices  offer continuous   and other privacy laws while maintaining transparency in
            monitoring, alerting healthcare providers to any deviations   the usage of patient data is essential in building trust in
            in a patient’s health status and enabling timely interventions.   AI systems. Patients must feel assured that their personal
            In  the  next  decade,  AI-powered  health  monitoring  will   health information is being handled securely and ethically.
            play a crucial role in predicting early signs of relapse   Finally, the collaboration between humans and AI will be
            or treatment complications. ML models will analyze   crucial. Efforts will focus on developing hybrid AI-human
            the longitudinal data collected from wearable devices,   decision-making models that ensure transparency and
            providing early interventions before clinical symptoms   maintain clinicians’ trust in AI-generated insights. The goal
            become apparent. This approach has the potential to   is to empower clinicians to use AI as a tool for informed
            improve patient outcomes by enabling proactive care and   decision-making  while  retaining  the final authority to
            reducing the need for reactive treatments.         make clinical decisions based on their expertise. By
                                                               addressing these ethical challenges, AI in oncology can
            6.5. AI and robotics for enhanced treatment delivery  ensure its responsible and equitable deployment.
            In the next 5 – 10 years, the integration of AI with robotics
            in oncology is expected to advance significantly, enhancing   6.7. Summary of key projections over the next
            treatment precision and reducing complications in   decade
            surgical oncology. AI-powered robotic systems will be   Table 6 outlines key areas of AI evolution in oncology over
            important in optimizing surgical techniques, particularly   the next decade. AI-driven multi-modal data integration
            through minimally invasive procedures that allow for   will enhance precision medicine by synthesizing genomic,
            highly targeted tumor resections. These advancements   imaging, clinical, and environmental data. Predictive AI
            aim to improve patient outcomes by minimizing the risks   models will advance early detection and intervention for
            associated with traditional open surgeries, such as longer   chemotherapy resistance, relapse, and side effects. The
            recovery  times  and  increased  complications.  AI-driven   integration of AI with wearable health monitoring devices
            robotic  surgery  predictions focus  on the  use  of AI   will enable real-time tracking and proactive interventions.
            algorithms for real-time image-guided precision, helping   AI-driven robotic surgery is expected to improve precision
            surgical instruments align with imaging modalities, such   and reduce surgical trauma through enhanced imaging-
            as MRI or CT scans. In addition, predictive AI models   guided  techniques. In  addition,  ethical  AI governance
            will assist surgeons by identifying tumor boundaries or   will focus on transparency, bias mitigation, and ensuring
            predicting organ movement during dynamic procedures,   responsible use of AI in clinical settings.
            ensuring greater accuracy and reducing the likelihood of   The next 5 – 10  years represent an exciting horizon
            complications. This combination of AI and robotic systems   for AI in oncology, with multi-modal data integration,
            will enhance surgical precision, ultimately leading to better   AI-driven predictive modeling, robotic interventions, and
            clinical outcomes for patients.                    wearable health monitoring devices at the forefront of


            Volume 9 Issue 1 (2025)                        130                              doi: 10.36922/ejmo.6251
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