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ADVANCES IN TECHNOLOGY


                             Artificial Intelligence Could be ‘Game Changer’

                                 in Detecting, Managing Alzheimer’s Disease


          Worldwide, about 44 million people   and put their theory to the test.     ongoing utility of practical predictive   complex condition like Alzheimer’s dis-
        are living with Alzheimer’s disease (AD)   The researchers employed a novel   models,” said Taghi Khoshgoftaar, Ph.D.,   ease,” said Michael F. Bergeron, Ph.D.,
        or a related form of dementia. Although   application of supervised machine learn-  co-author and Motorola Professor in   senior author and senior vice president
        82 percent of seniors in the United States   ing and predictive modeling to demon-  FAU’s Department of Computer and   of development and applications, SIV-
        say it’s important to have their thinking   strate and validate the cross-sectional   Electrical Engineering and Computer   OTEC Analytics. “By analyzing a wide
        or memory checked, only 16 percent say   utility of MemTrax as a clinical decision   Science. “Seamless use and real-time   array of attributes across multiple
        they receive regular cognitive assess-  support screening tool for assessing cog-  interpretation will enhance case manage-  domains of the human system and func-
        ments.                               nitive impairment.                   ment and patient care through innova-  tional behaviors of brain health,
          Many traditional memory assessment   Results of the study, published in the   tive technology and practical and readily   informed and strategically directed
        tools are widely available to health pro-  Journal of Alzheimer’s Disease, introduce   usable integrated clinical applications   advanced data mining, supervised
        fessionals, though deficiencies in screen-  supervised machine learning as a modern   that could be developed into a hand-held   machine learning, and robust analytics
        ing and detection accuracy and reliability   approach and new value-added comple-  device and app.”            can be integral, and in fact necessary, for
        remain prevalent.                    mentary tool in cognitive brain health   For the study, the researchers used an   health care providers to detect and antic-
          But even with the increasingly favor-  assessment and related patient care and   existing  dataset  (18,395)  from  ipate further progression in this disease
        able instrument MemTrax, a very simple   management.                      HAPPYneuron. They examined answers   and myriad other aspects of cognitive
        online memory test using images recog-  Findings demonstrate the potential   to general health screening questions   impairment.”
        nition, the clinical efficacy of this new   valid clinical utility of MemTrax, admin-  (addressing memory, sleep quality, med-  AD is the sixth leading cause of death
        approach as a memory function screen-  istered as part of the online Continuous   ications, and medical conditions affect-  in the United States, affecting 5.8 million
        ing tool has not been sufficiently demon-  Recognition Tasks (M-CRT) test, in   ing thinking), demographic information,   Americans. According to the Alzheimer’s
        strated or validated. In practice, there are   screening for variations in cognitive   and test results from a sample of adults   Association, this number is projected to
        numerous integrated and complex fac-  brain health. Notably, a comparison of   who took the MemTrax (M-CRT) test for   rise to 14 million by 2050. In 2019, AD
        tors to consider in interpreting memory   MemTrax to the recognized and widely   episodic-memory screening. MemTrax   and other dementias will cost the nation
        evaluation test results, which presents a   utilized Montreal Cognitive Assessment   performance and participant features   $290 billion. By 2050, these costs could
        real challenge for clinicians. All these fac-  Estimation of mild cognitive impairment   were used as independent attributes: true   rise as high as $1.1 trillion.
        tors stand as a collective barrier to suit-  underscores the power and potential of   positive/negative, percent responses/cor-  “With its widespread prevalence and
        ably addressing the growing and wide-  this new online tool and approach in   rect, response time, age, sex, and recent   escalating incidence and public health
        spread prevalence of AD and those affect-  evaluating short-term memory in diag-  alcohol consumption. For predictive   burden, it is imperative to ensure that the
        ed by the disease.                   nostic support for cognitive screening   modeling, they used demographic infor-  tools clinicians use for testing and man-
          Could artificial intelligence be the   and assessment with a variety of clinical   mation and test scores to predict binary   aging Alzheimer’s disease and other relat-
        solution for testing and managing this   conditions and impairments including   classification of the health-related ques-  ed cognitive conditions are optimal,”
        complex human health condition? A    dementia.                            tions (yes/no) and general health status   said Stella Batalama, Ph.D., dean of FAU’s
        team of researchers at Florida Atlantic   “Machine learning has an inherent   (healthy/unhealthy), based on the   College of Engineering and Computer
        University’s College of Engineering and   capacity to reveal meaningful patterns   screening questions.        Science. “Results from this important
        Computer Science, SIVOTEC Analytics,   and insights from a large, complex inter-  “Findings from our study provide an   study provide new insights and discovery
        HAPPYneuron, MemTrax, and Stanford   dependent array of clinical determinants   important step in advancing the   that has set the stage for future impactful
        University School of Medicine, think so,   and the ability to continue to ‘learn’ from   approach for clinically managing a very   and significant research.”



        Cover Story:  The Future Is Closer Than You Think


        Continued from page 1                  Handheld devices, however, are just   able discharging patients after shorter
        treatment recommendations or as com-  the tip of the technology iceberg. Here’s   hospital stays.
        plex as a medical assistant making a   some of what is already here or can be   • Connected devices – Phones, tele-
        house call with the equipment to provide   expected in the not-too-distant future:    health carts, and suitcases packed with
        an in-depth, virtual clinical evaluation.   • Artificial Intelligence – AI will help   medical equipment will provide greater
        While any services delivered remotely   humans triage patients and use data to   interoperability, which simplifies and
        using electronic communications or soft-  predict what populations are at-risk for   connects platforms by sharing informa-
        ware fit under the technology umbrella,   specific conditions. It will ask questions   tion and increasing efficiencies.
        it’s my belief we’ll soon take another   and follow-up based on the patient’s   •  Asynchronous communications –
        quantum leap forward.                feedback.                            While much of telehealth is conducted in
          It’s estimated that nearly 80% of    • Chat bots –  Similar to AI with its   real time, we’ll also see more communi-
        Americans use smartphones on a daily   ability to ask a series of pertinent ques-  cation via secure portals in non-emer-
        basis. Applications found on nearly every   tions, chat bots will take over the regis-  gency situations. Medical teams may    Bill Manzie
        device can have powerful implications   tration process as new patients enter the   email a list of tasks they want done with   providers employing the latest telehealth
        when integrated strategically into tele-  system.                         patients replying as they are completed.    strategies remains an issue, it won’t stop
        health. If you were to have a stroke in   • Remote Patient Monitoring –     • 5G mobile technology – Just as cur-  progress. That’s because our focus is
        South Broward county, for example, it’s   Enabling patients to take a more active   rently-available Internet service is faster   more on cost savings and cost avoidance,
        likely your chances of recovery would be   role in their health program, RPM pro-  and more reliable than the dial-up tech-  for both patients and providers, and less
        significantly improved through a     vides real time clinical data, such as   nology of the past, 5G will provide a sim-  on revenue generation.
        FaceTime-like   connection.  That’s  measuring oxygen saturation or weight   ilar level of improvement.
        because EMTs responding to 911 calls   in cardiac patients, and also assigns tasks   •  Expanded broadband –  While not
        now visually connect stroke victims with   for individuals to accomplish, including   much of an issue in South Florida, rural   Bill Manzie is Administrative Director of
        neurointerventional surgeons, enabling   setting exercise goals and monitoring   communities throughout the U.S. will   Telehealth Strategy for Memorial
        the doctor to make accurate assessments   food intake.                    have greater access to cable-type Internet   Healthcare System and former member of
        of the situation, real-time recommenda-  • Hospital at home – Knowing they   (by mandate of the FCC), connecting   Florida Governor Rick Scott’s Telehealth
        tions, and preparations in the cath lab for   can reliably monitor patients in their   areas currently off-the-grid.    Advisory Council. He can be reached at
        the incoming patient.                homes, providers will be more comfort-  While reimbursement for healthcare   (954) 276-1425 or wmanzie@mhs.net.


                                                       Coming Next Month...

                                                              • Profiles in Leadership & Administration  • Healthcare Professionals Associations
                   • Education Update – New Programs in Healthcare Education • Outsourcing Update  • Revenue Cycle Software Trends

             For advertising information call Charles Felix at 561-368-6950 or email charles@southfloridahospitalnews.com



        South Florida Hospital News                                                              southfloridahospitalnews.com                                                                July 2019                          21
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