Local Doctors Weigh in on AI in Medicine

Orthopedic Surgery

“AI offers the potential to transform orthopedic care. It can improve diagnostics, treatment planning, and surgical outcomes. For instance, I can utilize a patient’s CT scan in conjunction with AI to accurately verify the amount of bone to be removed during a hip preservation procedure. Another application includes determining the size and location of shoulder replacement implants — specific to each patient. We apply evidence-based research to find the best fit for every individual. It’s also exciting how educated my patients are when they present for an appointment. … AI has enabled patients to type complex questions into a search engine and obtain a research-backed response.”

— Diana R. Silas , D.O., Ascension Michigan

Oncology

“It is now integrated into diagnostic testing and treatment pathways in GU [genitourinary] oncology. For instance, AI can assist in determining treatment decisions for prostate cancer by analyzing complex datasets. The primary benefit is that it enhances efficiency and accuracy in patient care. However, a significant challenge is the necessity for proper utilization; like any tool, incorrect use can lead to adverse outcomes.”

— Elisabeth Heath , M.D., Detroit Medical Center , Karmanos Cancer Institute , McLaren Health Care

Cardiac Surgery

“Do not worry — an AI-powered robot is not about to do your heart surgery anytime soon! I am very excited about the future of AI to help the patient and surgeon make informed decisions about the best path forward. One of the most difficult parts of my job is to figure out who would benefit from an operation and when the best time is to offer surgery. I envision a (near) future where AI will be able to look at a patient’s whole medical history and in real time compare it with the data of a large population as well as thousands of clinical trials that have already been performed. Then, we can take that information and determine if surgery or a nonsurgical approach will yield the best outcomes in the long term for the patient.”

— Kyle G. Miletic , M.D., Henry Ford Health

Colon and Rectal Surgery

“Though still in its infancy, AI is a promising new tool in colorectal surgery. By analyzing CT scans, MRIs, and colonoscopies, AI might one day help doctors better understand a patient’s condition. This technology could lead to more-personalized treatment plans and improved decision-making about potential surgical risks and outcomes. Additionally, AI has the potential to enhance the capabilities of the robotic surgery systems we use in the operating room. Finally, by helping us optimize recovery plans, AI might one day contribute to better patient outcomes, building on our experience with enhanced recovery pathways.”

— Robert K. Cleary , M.D., Trinity Health Michigan

Bariatric Surgery

“AI is increasingly being integrated into bariatric and general surgery to improve outcomes, enhance precision, and streamline processes. AI algorithms analyze patient data to predict surgical outcomes, identify risks, and tailor pre-op plans. For bariatric surgery patients, we can predict weight loss outcomes and their individual surgical risk based on their specific characteristics. For robotic surgery, AI-driven systems assist by providing enhanced visualization, precision, and control. This technology can help with suturing, tissue manipulation, and navigation, leading to reduced complication rates and improved efficiency for surgeons. The newer robotic-systems AI technology provides objective indicators based on how the surgeon operates and can provide suggestions based on movements, energy use, and timing. Basically, it can tell the surgeon what they are doing well and how they can improve. AI technology also analyzes large datasets to identify trends, outcomes, and best practices in bariatric surgery, which helps in advancing research, developing new techniques, and improving overall patient care. We are always trying to improve the care we provide, and AI is helping us do so.”

— Amy Somerset, M.D. , Detroit Medical Center

This article originally appeared alongside Hour Detroit’s 2024 Top Docs List. Click here to read the full list .

T his story originally appeared in the October 2024 issue of Hour Detroit magazine . To read more, pick up a copy of Hour Detroit at a local retail outlet. Our digital edition will be available on Oct. 7.

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