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Simple Summary: Breast cancer is a significant cause of female cancer-related deaths in the US. Checking how severe the cancer is helps in planning treatment. Modern AI methods are good at grading cancer, but they are not used much in hospitals yet. We developed and utilized ensemble deep learning algorithms for addressing the tasks of classifying (1) breast cancer subtype and (2) breast cancer invasiveness from whole slide image (WSI) histopathology slides. The ensemble models used were based on convolutional neural networks (CNNs) known for extracting distinctive features crucial for accurate classification. In this paper, we provide a comprehensive analysis of these models and the used methodology for breast cancer diagnosis tasks. Cancer diagnosis and classification are pivotal for effective patient management and treatment planning. In this study, a comprehensive approach is presented utilizing ensemble deep learning techniques to analyze breast cancer histopathology images. Our datasets were based on two widely employed datasets from different centers for two different tasks: BACH and BreakHis. Within the BACH dataset, a proposed ensemble strategy was employed, incorporating VGG16 and ResNet50 architectures to achieve precise classification of breast cancer histopathology images. Introducing a novel image patching technique to preprocess a high-resolution image facilitated a focused analysis of localized regions of interest. The annotated BACH dataset encompassed 400 WSIs across four distinct classes: Normal, Benign, In Situ Carcinoma, and Invasive Carcinoma. In addition, the proposed ensemble was used on the BreakHis dataset, utilizing VGG16, ResNet34, and ResNet50 models to classify microscopic images into eight distinct categories (four benign and four malignant). For both datasets, a five-fold cross-validation approach was employed for rigorous training and testing. Preliminary experimental results indicated a patch classification accuracy of 95.31% (for the BACH dataset) and WSI image classification accuracy of 98.43% (BreakHis). This research significantly contributes to ongoing endeavors in harnessing artificial intelligence to advance breast cancer diagnosis, potentially fostering improved patient outcomes and alleviating healthcare burdens. [ABSTRACT FROM AUTHOR]

Artificial intelligence models represented in machine learning algorithms are promising tools for risk assessment used to guide clinical and other health care decisions. Machine learning algorithms, however, may house biases that propagate stereotypes, inequities, and discrimination that contribute to socioeconomic health care disparities. The biases include those related to some sociodemographic characteristics such as race, ethnicity, gender, age, insurance, and socioeconomic status from the use of erroneous electronic health record data. Additionally, there is concern that training data and algorithmic biases in large language models pose potential drawbacks. These biases affect the lives and livelihoods of a significant percentage of the population in the United States and globally. The social and economic consequences of the associated backlash cannot be underestimated. Here, we outline some of the sociodemographic, training data, and algorithmic biases that undermine sound health care risk assessment and medical decision-making that should be addressed in the health care system. We present a perspective and overview of these biases by gender, race, ethnicity, age, historically marginalized communities, algorithmic bias, biased evaluations, implicit bias, selection/sampling bias, socioeconomic status biases, biased data distributions, cultural biases and insurance status bias, conformation bias, information bias and anchoring biases and make recommendations to improve large language model training data, including de-biasing techniques such as counterfactual role-reversed sentences during knowledge distillation, fine-tuning, prefix attachment at training time, the use of toxicity classifiers, retrieval augmented generation and algorithmic modification to mitigate the biases moving forward. [ABSTRACT FROM AUTHOR]

MortalityMinder enables healthcare researchers, providers, payers, and policy makers to gain actionable insights into where and why premature mortality rates due to all causes, cancer, cardiovascular disease, and deaths of despair rose between 2000 and 2017 for adults aged 25–64. MortalityMinder is designed as an open-source web-based visualization tool that enables interactive analysis and exploration of social, economic, and geographic factors associated with mortality at the county level. We provide case studies to illustrate how MortalityMinder finds interesting relationships between health determinants and deaths of despair. We also demonstrate how GPT-4 can help translate statistical results from MortalityMinder into actionable insights to improve population health. When combined with MortalityMinder results, GPT-4 provides hypotheses on why socio-economic risk factors are associated with mortality, how they might be causal, and what actions could be taken related to the risk factors to improve outcomes with supporting citations. We find that GPT-4 provided plausible and insightful answers about the relationship between social determinants and mortality. Our work is a first step towards enabling public health stakeholders to automatically discover and visualize relationships between social determinants of health and mortality based on available data and explain and transform these into meaningful results using artificial intelligence. [ABSTRACT FROM AUTHOR]

The rising severity and frequency of wildfires in recent years in the United States have raised numerous concerns regarding the improvement in wildfire emergency response management and decision-making systems, which require operational high temporal and spatial resolution monitoring capabilities. Satellites are one of the tools that can be used for wildfire monitoring. However, none of the currently available satellite systems provide both high temporal and spatial resolution. For example, GOES-17 geostationary satellite fire products have high temporal (1–5 min) but low spatial resolution (≥2 km), and VIIRS polar orbiter satellite fire products have low temporal (~12 h) but high spatial resolution (375 m). This work aims to leverage currently available satellite data sources, such as GOES and VIIRS, along with deep learning (DL) advances to achieve an operational high-resolution, both spatially and temporarily, wildfire monitoring tool. Specifically, this study considers the problem of increasing the spatial resolution of high temporal but low spatial resolution GOES-17 data products using low temporal but high spatial resolution VIIRS data products. The main idea is using an Autoencoder DL model to learn how to map GOES-17 geostationary low spatial resolution satellite images to VIIRS polar orbiter high spatial resolution satellite images. In this context, several loss functions and DL architectures are implemented and tested to predict both the fire area and the corresponding brightness temperature. These models are trained and tested on wildfire sites from 2019 to 2021 in the western U.S. The results indicate that DL models can improve the spatial resolution of GOES-17 images, leading to images that mimic the spatial resolution of VIIRS images. Combined with GOES-17 higher temporal resolution, the DL model can provide high-resolution near-real-time wildfire monitoring capability as well as semi-continuous wildfire progression maps. [ABSTRACT FROM AUTHOR]