Guest Contributor – ArthurinCali – 14APR2023 – Scientific Dark Ages

AI medical imaging potential should not be stifled.

 

“Nothing in life is to be feared, it is only to be understood. Now is the time to understand more, so that we may fear less.”

-Marie Curie (1867-1934)

 

The de facto position concerning new medical discoveries cannot be that it will inevitably be used for sinister purposes. This anti-science viewpoint stifles innovation and progress for humanity, thus stunting potential breakthroughs in medicine. Tools available to researchers and health professionals are just that, tools. The usage and application are dependent on who wields these instruments. It is not hard to imagine the first Neanderthals who discovered fire might have been dubious about its utilization, once one of them tried to touch it.

Recently it was found that Artificial Intelligence (AI) used to screen medical images can detect with near-perfect accuracy the patient’s racial ethnicity without prior knowledge from outside inputs. This ability for AI covered a broad series of image types; from CT scans to chest X-Rays, and persisted over all anatomical regions. This finding was replicated even from images that were cropped, corrupted, or not ideally clear. Even more surprising is that human experts trained to analyze these scans cannot determine the patient’s race, yet AI trained with deep learning developed this ability by itself.

The AI utilizes ‘Deep Learning’ as the machine learning model that imitates the human learning process to a degree with predictive analytics, and complex learning algorithms.

A good analogy describes the process as:

“To understand deep learning, imagine a toddler whose first word is dog. The toddler learns what a dog is — and is not — by pointing to objects and saying the word dog. The parent says, “Yes, that is a dog,” or, “No, that is not a dog.” As the toddler continues to point to objects, he becomes more aware of the features that all dogs possess. What the toddler does, without knowing it, is clarify a complex abstraction — the concept of dog — by building a hierarchy in which each level of abstraction is created with knowledge that was gained from the preceding layer of the hierarchy.”

In this fashion, deep learning differs from traditional linear algorithms that are dictated by the computer programmer. A deep learning model will independently sift through massive data sets to create complex statistical models from large amounts of unstructured data. This represents a new frontier in AI technology. Prior to the 21st century, access to big data sets and cloud computing were out of reach for many computer programmers.

Not everyone in the medical field sees the potential in AI recognition. This article from MIT discounts any benefit to the computer model’s ability to detect race.

“The fact that algorithms ‘see’ race, as the authors convincingly document, can be dangerous. But an important and related fact is that, when used carefully, algorithms can also work to counter bias,” says Ziad Obermeyer, associate professor at the University of California at Berkeley, whose research focuses on AI applied to health.

This understandable caution for bias by AI is the prevailing theme for a significant part of the medical community. Numerous papers and articles sound the alarm for potential abuses of AI racial recognition. However, not one study or opinion piece expanded on the potential uses for AI’s talent to discern race in medical imaging. Remember, no human experts can do this, regardless of experience or training. What if this could unlock new, highly effective therapies tailored to different races depending on the disease? Maybe this leads to discovering distinct correlations that would allow for earlier detections of cancer and other diseases. AI using multivariate analysis would give all patients an edge in their treatment plans. An entirely new realm of possibilities could open up for science, but only if the courage is there to look for it.

This may be of no value in the field of medicine, and possibly even be a feature of AI that needs to be eliminated entirely. Yet to dismiss out of hand the ability for AI to detect racial identity in medical imaging without more research into potential uses would be folly and a discredit to the goal of furthering medical science and artificial intelligence.

Links:

AI recognition of patient race in medical imaging: a modelling study

https://www.thelancet.com/journals/landig/article/PIIS2589-7500(22)00063-2/fulltext

Artificial intelligence predicts patients’ race from their medical images

https://news.mit.edu/2022/artificial-intelligence-predicts-patients-race-from-medical-images-0520

AI systems can detect patient race, creating new opportunities to perpetuate health disparities

https://news.emory.edu/stories/2022/05/hs_ai_systems_detect_patient_race_27-05-2022/story.html

Risks of AI Race Detection in the Medical System

https://hai.stanford.edu/policy-brief-risks-ai-race-detection-medical-system

AI Can Detect Race When Clinicians Cannot, Increasing Risk of Bias

https://healthitanalytics.com/news/ai-can-detect-race-when-clinicians-cannot-increasing-risk-of-bias

AI programs can tell race from X-rays, but scientists don’t know how. Here’s why that’s bad.

https://www.boston.com/news/health/2022/05/18/scientists-create-ai-race-from-x-rays-dont-know-how-it-works-harvard-mit/

Hidden in Plain Sight: If AI Can Detect Race, What About Bias?

https://www.medscape.com/viewarticle/977619

Deep Learning

https://www.techtarget.com/searchenterpriseai/definition/deep-learning-deep-neural-network

ArthurinCali Has a Post on NeoCon Madness

Arthur has a post on what the endless NeoCon wars meant to him on the receiving side:

“If a young enlisted kid could recognize the futility of trying to establish the concept of liberal democracy amongst the former nomadic Bedouin tribes that now, playact as “nations”, surely the men and women at the highest positions of US political power and advisement knew this as well. To believe otherwise is a sure indication of their lack of sanity.”

ArthurinCali Has a Good Read on the Rise and Fall of Sears on his Substack

Probably everybody over a certain age has fond memories of looking through the Sears & Roebuck catalog or going to the hardware section of Sears for some Craftsman tools.  Now you can get a little background and clarification as to why that is no longer possible.

Nicely researched and written Arthur.

Guest Contributor – ArthurinCali – 14FEB2023 – Ukraine War Redux

Thank you for the polite words on my analysis of this story out of Ukraine. I didn’t notice until this morning that you had reposted it here, which I always appreciate.

A few more thoughts on this as I have had some time to ruminate on this subject:

While I dislike the overused phrase, “As a (fill-in-the-blank with race/religion/career/etc.)” it does have merit for expertise and review of situations when applied correctly. So, as a veteran of OEF/OIF with 20+ years of military and DOD experience, as well as a student of history, the circumstances and scenarios that occur during wartime are of great interest to me. I feel that I can bring unique perspectives to the table in these areas.

The application of labels to the Ukraine-Russia situation as if it is a stark good/evil dichotomy ignores the reality that conflicts between countries are never that simplistic. People who could not find Ukraine on a globe last year are now pontificating as ‘experts’ on foreign policy and geopolitical affairs. While most act as if history began around the time Myspace came online, the historical details around that region are complex and full of nuance to how we find ourselves where we are today. These are VERY tense times that require Realpolitik and deft hands skilled in diplomacy. The current administration has not shown evidence so far that they have these skills.

As I am certain you already know, one caveat to that is to be wary of the number of retired generals and such that are employed by the news networks. CNN, MSNBC, and Fox are notorious for trotting out these empty suits to give what is alleged to be insights that are at an Oracle level. Amazing how more often than not, their opinions aligned with either Administration goals, or the boards they sat on as paid advisers for defense companies.

ArthurinCali Has a Conundrum for Us to Ponder

It’s the story of a Ukrainian mayor who had the choice of handing over a downed Russian pilot to the Russian troops occupying his city or committing cold-blooded murder.  And it gets even more complicated.  If he decides to spare the man’s life then he will be branded a traitor and punished if the Ukrainians retake the territory.

As I commented on Arthur’s site, it seems to me that the Ukrainians who find themselves living permanently under the Russian authority are the biggest winners in this whole thing.  They’ll end up under a more stable and slightly less corrupt government.

The Ukrainian war is a taste of things to come.  Globalists are looking to eliminate nationality.  Russia and China are the thorniest problems.  They have nuclear weapons and they don’t like the rainbow coalition stuff that Washington and Brussels are so enamored with.  If Russia manages to have its way in the Ukraine it will be a powerful refutation of the inevitability of the New World Order.  And from my point of view that would be “a consummation devoutly to be wish’d.”  It would give hope to countries like Hungary that want to maintain their identity and ways of life in the face of globalism’s creepy anti-normal beliefs.  And it would give hope to us that the progressives have overreached in our own country.

Kudos to Arthur on his thought provoking post.

ArthurinCali’s Essay, “The Holy Ghost of Racism”

ArthurinCali has a very well-written article on his substack about the witch hunts that take place throughout our society to incriminate anyone who happens to have white skin.  Lebron James is the primary villain in this piece but you could replace him with any one of a huge number of dimwitted hypocrites that try to set themselves up as moral arbiters.

A good read.

Guest Contributor – ArthurinCali – 31JAN2023 – Check the Menu First

https://arthurincali.substack.com/

Adventures overseas.

Many a young man has had a yearning for adventure, and I was no different. Eager for travel and new experiences I jumped at the chance to be stationed overseas after joining the US Navy. That wish was granted when after boot camp when I was assigned to a helicopter squadron on the south pacific island of Guam. At 30 miles long and only 10 miles at her widest point, Guam was to become my home between deployments for the first 4 years of my naval career.

Guam has been continuously inhabited for over 4000 years starting with the migration of Austronesian people, known today as Chamorro Peoples. With the arrival of Ferdinand Magellan in 1521, this began a 300-year period of heavy Spanish influence which can still be seen on the island through the remains of forts, missions, and architecture. Language, food, and religion of local island culture still reflect the Spaniards traditions that were imprinted. After the Spanish-American war of 1898, Guam became a territory of the US, a status that remains to this day.

At the outbreak of WWII the Japanese occupied the island until being defeated by American forces in the Battle for Guam campaign of 1944. The war had lasting effects on the island, with many relicts still visible such as sunken ships, tanks, and airplane wrecks. One Japanese soldier, Shoichi Yokoi, fled to the jungle in 1944 during the battle for control of the island. He survived undetected for nearly 30 years until being found in 1972, still believing that the war was not over.

(This is only a quick overview for the fascinating history of Guam. I highly recommend furthering one’s knowledge through the links provided.)

How do I describe the feeling of arriving to a new country? It may as well have been a new planet. To go from the pine forests of East Texas-to a tropical island with endless blue stretching out to the horizon was almost visually unreal. I recall that the airline arrived late at night so the trip to the base did not give me much clue as to what the surroundings were like. Waking up and stepping outside of the barracks to the sight of palm trees and blue crystal water was a shock. The ocean depths surrounding Guam are some of the clearest in the world, attracting many divers to explore the pristine coral reef.

With over a century of American influence, many things on the island were similar to what one would find on the mainland, but with a twist. There are plenty of US restaurants as dining choices; from Outback Steakhouse, to McDonald’s. Major hotels line the shores of Tumon Bay, and tourism makes up a significant part of the economy. Yet it is the little differences that are interesting. One example is that you can order local dishes at major franchises like Spam & Eggs at McDonald’s. A popular local ice cream is literally packed with a vegetable medley including carrots, potato, and beans. Yes, beans. The story goes that this was invented to encourage island children to eat more veggies. The blend of culinary diversity gave one ample choices.

Not long after arriving I was able to purchase a ‘Boonie’ car. This description is for an old vehicle that has seen numerous owners, mostly due to military personnel transferring off-island. So, essentially a beater car. Mine was a well-loved 1980s something black Camaro that set its own schedule as to if and when the A/C would work, which was seldom. She also had semi-electronic windows that refused to roll up when it rained…which was every day. Great combo for an island that gets an average of 95 inches of rain a year. At one point I kept more towels in the car than in my bathroom for these occasions. Did I mention the roads? Can’t forget that. Having limited building materials, Guam incorporated ground-up coral reef into the asphalt road construction. Not too big of a deal…unless it rains. This forces the oils up to the surface of the roads making them slicker than an ice rink. Even with most posted speed limits at 35 MPH this doesn’t help when everyone ignores that speed limit. The major road, Guam Highway 1 ran north to south of the island and was menacingly nicknamed ‘Guam Autobahn.’

Even with these transportation challenges I enjoyed exploring different parts of the island. Most weekends were spent checking out the latest place of interest I had read about or heard from someone who had visited. Swimming in underground cave pools and visiting 17th century Spanish Forts were a highlight of my time spent in Guam.

The villages held festivals for saints and holidays throughout the year. It seemed that every weekend a different village held a fiesta so myself and a few guys from the base decided to check one out. The best comparison would be to a small town county fair atmosphere, with carnival games and attractions. The friendliness of the Chamorro people cannot be overstated and we soon found ourselves invited to get something to eat from one of the local villagers. He had an elaborate setup in his front yard with a large canopy that shaded a set of folding tables and chairs. The food was arranged on a couple of tables to one side that reminded me of Sunday dinners after church back in Texas. After getting a plate of ribs and vegetables, we found our seats and dug in. After a while, our host came over and inquired if we were enjoying the food. He was especially interested in what we thought of his ribs. When I told him they were good he asked, “Would you like to see my stock?” I replied sure and he motioned for us to follow him around to the back of the house. Now, being from Texas, I was expecting to see a pig pen, or possibly an enclosure with goats. Instead, we were greeted with a large kennel…of dogs. The realization of where the ribs had come from was interrupted by one of my companions saying, “So that’s why they were so tender?” Always check the menu became my new motto that day.

Guam is a special place to me, even after traveling to 20+ countries during my naval career. It was the start of my world travels and was the first experience of how vast this world truly is. But remember: Always check the menu.

 

Links: