As artificial intelligence becomes deeply woven into daily life, medicine, and even national security, we are forced to ask a difficult question: are we still using AI, or are we beginning to depend on it? For doctors, including pathologists, this question is no longer abstract. It is already part of everyday work.
It has been reported that access to certain AI models in the United States has been restricted for reasons of national security.
I do not know the details, but some may see this as a sign that AI is gradually becoming something uncontrollable.
And now there is also a growing concern that the AI tools we have come to use so naturally might one day suddenly become unavailable. The issue has caused quite a stir.
My own use of AI has already become fairly extensive.
I run much of the writing I produce through AI for checking.
This ranges from something as simple as spell-checking when I write in English, to listing differential diagnoses in pathology.
At times, I even consult AI about my own personality, or about how I should understand and evaluate other people.
Some people may not even realize that they are using AI.
Online news articles are said to be written by AI, and even news narration is now being done by AI.
AI has already entered every corner of our lives.
In medicine, many doctors are also using AI.
Physicians in internal medicine probably use it to help with differential diagnosis, and in diagnostic imaging, it is likely used not only by radiologists but also by many other doctors.
In some areas of internal medicine, much of the work involves integrating symptoms, laboratory data, and lifestyle information.
In such fields, if symptoms, data, and daily habits were entered into an AI system, it might well produce better diagnoses and treatment plans than many ordinary doctors.
Pathology is no exception.
I sometimes consult AI about differential diagnoses.
It is not so much to avoid missing something, but rather to confirm that certain possibilities can reasonably be excluded.
In that sense, part of pathology diagnosis may already have reached a kind of singularity.
What still gives human pathologists an advantage over AI is the ability to describe gross findings and to select the appropriate lesion for sampling.
At present, AI can do none of this.
However, if the work were divided among a robot pathologist in charge of grossing, another in charge of microscopic examination, and another in charge of diagnostic report writing, the job might become much easier.
Or perhaps it might disappear altogether.
After all, AI is being trained on the excellent techniques and diagnostic patterns of excellent pathologists.
That outcome would hardly be surprising.
Still, the progress of AI is astonishingly fast.
How long will doctors be able to continue as checkers?
Perhaps the question is no longer whether doctors will use AI, but how long doctors will remain the ones checking it.
・・・
singularity
English Definition: A point at which artificial intelligence may surpass human intelligence or become difficult for humans to control.
日本語訳: シンギュラリティ。AIが人間の知能を超えたり、人間の制御を離れたりする転換点。
national security
English Definition: The protection of a country from threats, including military, technological, economic, and cyber risks.
日本語訳: 国家安全保障。軍事、技術、経済、サイバーなどの脅威から国家を守ること。
uncontrollable
English Definition: Impossible or very difficult to control.
日本語訳: 制御不能な。コントロールすることが難しい、または不可能な状態。
differential diagnosis
English Definition: The process of considering and comparing several possible diseases that could explain a patient’s findings.
日本語訳: 鑑別診断。患者の所見を説明しうる複数の疾患を比較検討すること。
pathology diagnosis
English Definition: A diagnosis made by examining tissues, cells, and other specimens under the microscope and by other methods.
日本語訳: 病理診断。組織や細胞などを顕微鏡などで調べて行う診断。
gross findings
English Definition: Findings observed by the naked eye before microscopic examination, especially in surgical specimens.
日本語訳: 肉眼所見。顕微鏡で見る前に、手術検体などを肉眼で観察して得られる所見。
sampling
English Definition: The act of selecting parts of a specimen for further examination, such as microscopic study.
日本語訳: 切り出し・標本採取。検体の中から顕微鏡で調べる部分を選ぶ作業。
diagnostic report writing
English Definition: The process of writing a formal medical report that describes findings and gives a diagnosis.
日本語訳: 診断報告書作成。所見と診断を正式な医療文書として記載すること。
checker
English Definition: A person or system that reviews something to confirm whether it is correct or acceptable.
日本語訳: チェックする人、確認役。内容が正しいかどうかを確認する役割。
to cause quite a stir
English Definition: To attract a lot of attention, concern, or discussion.
日本語訳: 波紋を呼ぶ。大きな関心や議論、不安を引き起こすこと。
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