Artificial intelligence and machine learning: what are the implications for our practice in laboratory medicine?

11.30am – 1pm BST, 12 June 2024 ‐ 1 hour 30 mins

Parallel session

Chair:  Ed Wilkes

This parallel session will cover a variety of topics surrounding the practical applications and ethical implications of using AI/ML in our future practice.

11.30 - 12.00 - The complex pathway to AI implementation in the NHS - Kamaljit Chatha

There is real drive nationally to investigate and implement exciting developments that Artificial Intelligence (AI) has the potential to deliver.  At the same time there have been several parallel developments in setting out the governance and evidence required to ensure that the roll out of machine learning and AI software in the healthcare system is implemented in a safe manner and does not cause harm to patients.  This presentation will use an ongoing AI project being developed for Bowel Cancer Screening, ColonSys, to highlight the various legal, scientific stages and regulatory approvals needed to clinically validate and implement AI in the NHS setting.

12.00 - 12.30 - Can artificial intelligence replace biochemists?  - Chelsey Walsh

From grocery shopping to essay writing, artificial intelligence (AI) tools are becoming a staple part of modern life. Media publications focus heavily on the positive impact this technology, and in particular, chatbots can have in improving productivity and efficiency in a busy, technological world. So, with patients able to access their own laboratory results through the NHS app, and increasing wait times for GP appointments, the public may feel comfortable asking the internet for help in understanding their own test results. However, the safety and accuracy of responses given by chatbots is unknown compared to the standard of interpretation provided by a qualified, state-registered clinical scientist or chemical pathologist.

We therefore undertook a small-scale study that aimed to assess the accuracy and safety of two freely available AI tools providing interpretation of thyroid function test results as if posed by laboratory scientists or patients. A range of scenarios were generated to mimic a typical selection of cases and combination of blood test results seen when working in the laboratory, and presented to a group of practicing Biochemists and Chemical Pathologists as well as the two AI chatbots. The main aims were to see if AI in its current form could replace human clinical knowledge? Most importantly, are these widely used and freely available tools safe for use in this way? We looked into the appropriateness of the advice offered by these chatbots and tried to decide whether or not they could one day take our jobs!

12.30 - 1.00 - SPECTR: Automating the detection of monoclonal gammopathy using serum protein electrophoresis and deep learning - Xavier Dieu

Serum protein electrophoresis (SPEP) is a routine analysis in medical laboratories. Its main indication is screening, diagnosis, and follow-up of monoclonal gammopathies. Human interpretation is to this day still mandatory for highlighting relevant pathological patterns and avoiding pitfalls that may alter trace interpretation. This human step hinders throughput, harmonization, and security of results.