Bridging the chasm between technology and clinicians

While the use of artificial intelligence (AI) for medical diagnosis is growing, new research by the University of Adelaide has found there are still major hurdles to cover when compared to a clinician. In a paper published in The Lancet Digital Health, Australian Institute for Machine Learning PhD student Lana Tikhomirov, Professor Carolyn Semmler and team from the University of Adelaide, have drawn on external research to investigate what’s known as the ‘AI chasm’.

Outcomes in developmental and epileptic encephalopathies: Managing more than seizures – Dr. Scott Demarest

Besides seizures, people with developmental and epileptic encephalopathies can experience a wide variety of symptoms, including sleep problems, vision problems, and behavioral issues. Dr. Scott Demarest discusses how neurologists may be able to address some of these issues, potentially improving outcomes and quality of life.

Video and Transcript Available – FDA Changes to Laboratory Developed Test Regulation: Livestreamed Expert Panel

Live from the annual conference of the Association for Diagnostics & Laboratory Medicine (ADLM, formerly AACC), experts will discuss how the new FDA rule on laboratory developed tests will hinder patient care. This rule will place these tests under duplicative FDA oversight, even though laboratory developed tests are already regulated by the Centers for Medicare & Medicaid Services. This will force many labs to stop performing these essential tests, which play a critical role in diagnosing rare disorders, such as inherited genetic conditions in newborns.

Yale surgeon available to discuss AI diagnosis of Marfan Syndrome from facial photographs

In a recent study, researchers at Yale School of Medicine showed that artificial intelligence can diagnose Marfan Syndrome from a simple facial photograph at 98.5% overall accuracy. The genetic disorder usually results in a tall, thin frame, and can also…

Epidemiology, symptomatology, diagnosis and clinical implications of cystic tumors of atrioventricular node (CTAVN): A systematic review

Background: Primary cardiac tumors have an incidence of 0.0017% to 0.03% of all autopsies. CTAVN is a rare tumor associated with sudden cardiac death, and its incidence cannot be accurately determined as the diagnosis has been historically made on incidental or…

Coping in the aftermath of a cancer diagnosis

Receiving a cancer diagnosis can be one of the most stressful, pivotal moments in an individual’s life. With May being Mental Health Awareness Month, Fred Hutch social psychologist and researcher Megan J. Shen, PhD, shares tips for coping with a cancer diagnosis and how patients and their caregivers can navigate appointments with their oncologists.

Residents of Rural ‘Glades’ Take a ‘Leap of Faith’ to Combat Dementia

Compared to urban dwellers, racially/ethnically diverse older adults face up to an 80 percent greater risk of cognitive impairment in older age, and 2.5 times potentially preventable Alzheimer’s-related (ADRD) hospitalizations.

New Online Tool Available to Help Health Care Providers Identify a Hard to Diagnose Breast Cancer

A new diagnostic scoring system, developed by renowned breast cancer experts, is now available as an easy-to-use online tool through Susan G. Komen®, the world’s leading breast cancer organization. This tool will help health care providers recognize and effectively diagnose a rare and aggressive breast cancer, inflammatory breast cancer.

UniSA health students ahead when it comes to autism

UniSA’s allied health students will be the first in Australia to learn how to implement the National Guideline for the Assessment and Diagnosis of Autism Spectrum Disorders, as the University becomes the first hosting partner of Autism CRC’s tailored undergraduate eLearning lecture and activity.

Improved Accuracy of Screening Tools for Fetal Alcohol Spectrum Disorder May Lead to Faster Diagnosis and More Timely Intervention

A new screening instrument has the potential to more accurately identify fetal alcohol spectrum disorder (FASD), reducing missed and erroneous diagnoses in affected children and facilitating treatment and support, a new study suggests. Prenatal alcohol exposure (PAE) is a known cause of birth and growth defects and neurobehavioral issues.

Point-of-Care Biosensor Rapidly Detects Oral Cancer

Since oral cancer occurs in one of the most accessible sites in the body, it can be easily treated if detected promptly. In Journal of Vacuum Science & Technology B, researchers report a breakthrough hand-held biosensor that enables quick and accurate detection of oral cancer. The group’s biosensor consists of a sensor strip, similar to a glucose strip, and a circuit board (a hand-held terminal like a glucometer) for detection.

Machine Learning Diagnoses Pneumonia by Listening to Coughs #ASA183

Researchers have developed a machine learning algorithm to identify cough sounds and determine whether the subject is suffering from pneumonia. Because every room and recording device is different, they augmented their recordings with room impulse responses, which measure how the acoustics of a space react to different sound frequencies. By combining this data with the recorded cough sounds, the algorithm can work in any environment.

New Low-cost Device Rapidly, Accurately Detects Hepatitis C Infection

The entire virus detection process is executed inside a uniquely designed, portable, inexpensive, disposable, and self-driven microfluidic chip. The fully automated sample-in–answer-out molecular diagnostic set-up rapidly detects Hepatitis C virus in about 45 minutes and uses relatively inexpensive and reusable equipment costing about $50 for sample processing and disease detection. The disposable microfluidic chip also offers shorter times for a reliable diagnosis and costs about $2.

Optical Techniques Offer Fast, Efficient COVID-19 Detection

Without the prospect of herd immunity on the immediate horizon, speedy detection for COVID-19 remains imperative for helping to curb the pandemic. Point-of-care testing that can provide immediate results is an urgent need. Researchers investigated the opportunities and challenges in developing rapid COVID-19 sensing techniques and discuss the prospects of optical biosensors for point-of-care COVID-19 testing in the journal Applied Physics Reviews.

Study Identifies Concerning Delays in TB Diagnoses in the United States

Most delays ranged between 10 and 45 days, with a median of 24 days, after a visit to a doctor, which exceeds current World Health Organization recommendations of diagnosing and treating TB within two to three weeks of symptom onset

Delays were linked to greater risk for disease complications, transmission of infection to household members

Older individuals and those with compromised immunity were at greater risk for delayed diagnoses

Use of diagnostic molecular testing, use of chest imaging and being seen by a specialist were all linked to more prompt identification of TB infection, suggesting delays may be preventable

Findings underscore the need to increase awareness of TB among frontline clinicians who may not suspect TB due to rarity of infection in this country

UCLA seeks volunteers for study of COVID-19’s impact on health to support “longhaul” survivors

UCLA researchers are seeking participants for an innovative study examining the impact of COVID-19 on survivors who continue battling health issues long after they were infected and thought to have recovered, known informally as “long COVID” and “longhaulers.”

Rethinking Race and Kidney Function

Removing race from clinical tools that calculate kidney function could have both advantages and disadvantages for Black patients.

Newly diagnosed patients and those whose kidney disease is reclassified as more severe would have greater access to kidney specialists, faster access to the kidney-transplant waitlist.

On the flipside, patients reclassified as having more severe kidney disease may become ineligible for heart, diabetes, pain control and cancer medications or may be given lower doses for these drugs.

A new kidney function score would also increase the number of Black individuals ineligible to donate a kidney, potentially exacerbating organ shortages for Black people.

Researchers caution that clinicians and policy makers must anticipate both the benefits and downsides of changes to the current formula to ensure that Black patients are not disadvantaged, and
health disparities are not exacerbated.

Scientists say the analysis should motivate researchers and cl

Ultrasound Technique Offers More Precise, Quantified Assessments of Lung Health

Researchers have developed a technique that uses ultrasound to provide non-invasive assessments of pulmonary fibrosis and pulmonary edema. The technique has been shown to both quantify lung scarring and detect lung fluid in rats. A study on pulmonary edema in humans is under way.

Clear Link Between Heart Disease and COVID-19, But Long-Term Implications Unknown, Researchers Find in Review of Published Studies

In a prospectus review published this week in the Journal of Molecular and Cellular Cardiology, Kirk U. Knowlton MD, from the Intermountain Healthcare Heart Institute in Salt Lake City, examined more than 100 published studies related to COVID-19 and its effects on the heart.

New Machine Learning Tool Predicts Devastating Intestinal Disease in Premature Infants

Researchers from Columbia Engineering and the University of Pittsburgh have developed a sensitive and specific early warning system for predicting necrotizing enterocolitis (NEC) in premature infants before the life-threatening intestinal disease occurs. The prototype predicts NEC accurately and early, using stool microbiome features combined with clinical and demographic information. “The lessons we’ve learned from our new technique could well translate to other genetic or proteomic datasets and inspire new machine learning algorithms for healthcare datasets.”

Doctors motivated by both health, malpractice concerns when ordering additional tests

A UCLA-led study has found that dermatopathologists, who specialize in diagnosing skin diseases at the microscopic level, are motivated both by patient safety concerns and by malpractice fears — often simultaneously — when ordering multiple tests and obtaining second opinions, with a higher proportion of these doctors reporting patient safety as a concern.
When ordering additional microscopic tests for patients, 90% of the dermatopathologists surveyed cited patient safety as a concern and 71% of them reported malpractice fears. Similarly, when obtaining second reviews from a consulting pathologist or recommending additional surgical sampling, 91% cited safety concerns and 78% malpractice concerns.

LLNL providing critical assistance in addressing national swab shortage for COVID-19 testing

To address the nationwide shortage of specialized nasal swabs used for COVID-19 diagnoses, Lawrence Livermore National Laboratory engineers formed an ad hoc, rapid response team that tested more than a dozen novel, 3D-printed swab designs from a grassroots coalition of commercial and academic partners. The mechanical tests performed at the Lab provided valuable feedback that improved the designs, enabling them to meet requirements for COVID-19 testing. The Lab’s work on swabs is continuing with funding from the U.S. Department of Energy (DOE) and expanding into other 3D-printed components for COVID-19 test kits.

Rutgers Launches Genetic Testing Service for New Coronavirus

Rutgers’ RUCDR Infinite Biologics has launched a test for the SARS-CoV-2 coronavirus and is using its automation experience and infrastructure to test as many as tens of thousands of samples daily. RUCDR has also submitted an emergency use authorization request for a saliva collection method that will allow for broader population screening.

Guidelines for Thyroid Surgery Published in Annals of Surgery

The first set of comprehensive, evidence-based clinical guidelines for surgical treatment of thyroid disease – developed by an expert panel assembled by the American Association of Endocrine Surgeons (AAES) – was published today by Annals of Surgery. The journal is published in the Lippincott portfolio by Wolters Kluwer.

Duchenne Muscular Dystrophy Diagnosis Improved by Simple Accelerometers

Testing for Duchenne muscular dystrophy can require specialized equipment, invasive procedures and high expense, but measuring changes in muscle function and identifying compensatory walking gait could lead to earlier detection. This week in Chaos, researchers present a relative coupling coefficient, which can be used to quantify the factors involved in the human gait and more accurately screen for the disorder. They measured movements of different parts of the body in test subjects, viewing the body as a kinematic chain.

Genetic Breakthrough Identifies Heart Failure Risk in African and Latino Americans

Findings may inform genetic screening test for patients at risk and medically under-served

Expanding Medicaid means chronic health problems get found & health improves, study finds

Nearly one in three low-income people who enrolled in Michigan’s expanded Medicaid program discovered they had a chronic illness that had never been diagnosed before, according to a new study.
And whether it was a newly found condition or one they’d known about before, half of Medicaid expansion enrollees with chronic conditions said their overall health improved after one year of coverage or more.