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- From Sledgehammer to Scalpel: DeepSeek's Precision Revolution in AI
From Sledgehammer to Scalpel: DeepSeek's Precision Revolution in AI
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Fellow Healthcare Champions,
Are you overwhelmed by all the fluff and hype around AI and not sure how to identify meaningful information? We get it. As busy clinicians ourselves, our newsletter, "AI Grand Rounds," is here to provide clinically relevant AI information.
No matter who you are—a healthcare provider, inventor, investor, or curious reader—we PROMISE one thing: you will always find information that is relevant, meaningful, and balanced.
Let’s join our journey to share clinically meaningful and relevant knowledge on healthcare AI.
Your fellow Physicians,
Table of Contents
🚨 Pulse of Innovation 🚨
Breaking news in the healthcare AI
The Efficiency Revolution: How DeepSeek Made AI Work Smarter, Not Harder
The DeepSeek Revolution: A Healthcare Perspective
Think of traditional AI models like a hospital where every patient, regardless of their condition, must be seen by every specialist in the building. Imagine a more efficient system where a skilled triage nurse directs patients to the right specialist. This is essentially what DeepSeek has achieved in the AI world.
The Technical Innovation
The Traditional Approach
Traditional AI models like ChatGPT operate like a large teaching hospital running at full capacity for every case1:
Every department is activated for each patient
All resources are used regardless of the complexity
Highly reliable but extremely resource-intensive
DeepSeek's "Specialist Network" Approach
DeepSeek's innovation mirrors an efficient medical center structure:
An innovative triage system directs cases to appropriate specialists
Only relevant departments are activated
Uses just 5% of resources for each task
Maintains high accuracy while significantly reducing resource usage
Four Major Breakthroughs
1. The Workload Distribution Solution
Previous Problem: Like having a few renowned surgeons handling all cases while other qualified doctors remain underutilized.
DeepSeek's Solution: Implemented a "smart scheduling system" that:
Distributes cases evenly among specialists
Prevents burnout and bottlenecks
Maximizes efficiency while maintaining quality of care
2. The Communication Efficiency Solution
Previous Problem: Similar to having every medical consultation broadcast to the entire hospital
DeepSeek's Solution: Created targeted communication channels:
Direct specialist-to-specialist communication
Reduced unnecessary information sharing
Streamlined consultation process
3. The Hardware Optimization Solution
Previous Problem: Like requiring state-of-the-art medical equipment but having access to only standard tools
DeepSeek's Innovation:
Split available resources into specialized teams
Dedicated units for data movement
Optimized resource allocation
Achieved superior results with limited resources
4. The Specialization Solution
Previous Problem: Similar to having generalist physicians handling specialized cases.
DeepSeek's Approach:
Developed highly specialized expert units
Enhanced expertise in specific domains
Improved accuracy and efficiency
Issues Surrounding It
Data Privacy: Like patient data in healthcare, there are concerns about the privacy and data sources used to train the LLM.
Accuracy and Reliability: Just as medical professionals need to ensure the accuracy of diagnostic tools, there are questions about the reliability of DeepSeek's LLM outputs.
Ethical Considerations: Similar to debates around genetic engineering in medicine, there are ethical discussions about developing and using powerful AI models.
Transparency: As with clinical trials, there are calls for more transparency in how the model was developed and trained
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Picture Credit: Sumit Arora
🧑🏼🔬 Bench to Bedside👨🏽🔬
Developments in healthcare AI research and innovations
Diabetic retinopathy in young and Autonomous Artificial Intelligence
Timely, appropriate, adequate and early screening can significantly decrease the rate of Diabetic Retinopathy as well as its complication i.e. Diabetic Eye Disease (DED) and blindness and helps in early detection of disease. In a racially and ethnically diverse youth population, use of Autonomous artificial intelligence (AI) diabetic eye exams at the point-of-care may increase the efficiency of diabetic eye exam completion rates. This randomized controlled trial focuses on the importance of early, appropriate and timely detection of Diabetic Retinopathies among youths (age 8-21) with T1DM and T2DM.
Use of diagnostic autonomous AI systems for diagnosing DED and screening has been a new paradigm in modern ophthalmology.
Key Findings of the study: 81 were in the intervention and received AI eye exam screening and 83 to the control arm. Participants without prior eye examinations were more likely to be Black (p = <0.001), Hispanic (p = 0.02), have household income of less than $50,000 (p = 0.005), Medicaid insurance (p < 0.001), parental education of up to high school completion (p= 0.02), and a shorter duration of diabetes (p < 0.001).The intervention group had higher primary exam completion rate (100% v. 32%) and higher rate of followup exam completions (63% v. 21%). This shows higher rate of initial and follow-up exam completions for the patients who received their initial AI screening.
Autonomous AI provides a real time, point of care diagnosis and can be integrated in diabetic care workflow as well as closes the diabetic eye exam care gap and increases the follow up as compared to traditional eye care providers (ECP).
Advantage of Autonomous AI Point of care procedure. Immediate results Does not require additional clinical experts, ophthalmic oversight, or highly skilled operators. Pharmacological dilatation is not necessary in young which is contrary as compared to adults.
Limitations of this study: The autonomous AI use is not FDA-cleared for use in ages 21 and under, Participants bias for this procedure as some have pre-exposure to the Autonomous AI diabetes eye examination.
Conclusion: If the ACCESS trial is used appropriately and timely screening of Diabetic retinopathies can be done & the rate of and DED could be minimized and blindness could be prevented. Further the DED screening care gap could be minimized which is the major concern while screening the Diabetic Retinopathies.
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🧑🏽⚕️ AI in Clinic 🏥 |
Developments in healthcare AI research and innovations |
SCANLY® Home OCT: Transforming Retinal Disease Management
SCANLY® Home OCT, developed by Notal Vision, is revolutionizing the management of wet age-related macular degeneration (AMD) with AI-powered remote monitoring. By enabling at-home spectral-domain OCT scans, it helps bridge gaps between clinic visits, improving early detection and intervention.
Evolution & Background
Notal Vision has been pioneering remote ophthalmic care for over a decade. SCANLY builds upon this foundation, integrating AI with home-based monitoring to provide real-time insights into disease progression. Its development stems from the growing need for patient-driven, technology-assisted healthcare solutions.
Advanced Features
AI-Driven Analysis: The Notal OCT Analyzer (NOA) detects hypo-reflective spaces (HRS), crucial biomarkers for AMD progression.
Cloud-Based Data Sharing: Scans are securely transmitted to the Notal Health Cloud, ensuring immediate access for physicians.
User-Friendly Design: Requires minimal training, with a high success rate in elderly users.
Automated Physician Alerts: Clinicians receive notifications when disease activity crosses predefined thresholds.
Benefits & Clinical Impact
Timely Intervention: Enhances early detection, preventing vision deterioration.
Convenience & Accessibility: Reduces the burden of frequent hospital visits.
Reimbursement Potential: Utilizes existing CPT codes for insurance billing.
Patient Autonomy: Empowers patients to take an active role in their eye health.
Challenges & Limitations
Limited Market Reach: Still in early adoption stages.
Insurance Uncertainty: Coverage policies are evolving.
Patient Adaptation: Some may require assistance with initial setup.
Research & Clinical Validation
Multiple U.S.-based trials have validated SCANLY effectiveness, showing a 97% success rate in self-imaging among elderly patients. Ongoing studies are assessing its long-term impact on AMD management, aiming to refine AI algorithms for even greater accuracy.
Future Directions
With growing adoption, SCANLY may become a standard in remote ophthalmology, potentially expanding into diabetic retinopathy and other retinal diseases. Future enhancements could include deeper AI integration, personalized treatment recommendations, and seamless EHR connectivity.
Conclusion
SCANLY® Home OCT represents a significant leap in patient-centric ophthalmic care. By merging AI with home-based monitoring, it holds the potential to transform AMD management, reduce vision loss, and improve overall quality of life for millions.
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🤖 Patient First, AI Second🤖 |
Ethical and Regulatory Landscape of Healthcare AI |
The U.S. AI Diffusion Framework - A Boon or Barrier for Healthcare?
The U.S. AI Diffusion Framework (2025) is a groundbreaking export control policy designed to regulate global access to advanced AI chips and model weights. By categorizing countries into three tiers, the framework aims to maintain U.S. leadership in AI, safeguard national security, and manage global AI proliferation. However, its impact on healthcare—particularly AI-driven diagnostics, research, and global accessibility—is complex.
Key Features
Tighter Controls on AI Chips & Model Weights
Regulates AI hardware exports and introduces restrictions on AI model parameters, particularly for frontier AI models.
Three-Tiered Country Classification
Tier 1 (U.S. & 18 allies): Unrestricted AI access.
Tier 2 (Most nations): Controlled access via licensing.
Tier 3 (China, Russia, etc.): Strict AI technology restrictions.
Compute Caps & Licensing Programs
Companies must maintain 75% of AI compute power within Tier 1 nations.
AI chip deployments in Tier 2 countries are capped to control diffusion.
Cloud & Data Center Governance
Encourages secure AI compute infrastructure while restricting unauthorized model training.
Emphasis on Security & Compliance
Cybersecurity standards, physical security, and personnel vetting are mandatory for AI technology recipients.
Potential Benefits for Healthcare
Faster AI Innovation in Medicine
With Tier 1 nations retaining unrestricted access, AI-driven drug discovery, radiology, and personalized medicine can accelerate.
Stronger AI Governance for Medical Safety
Prevents misuse of AI-assisted bioengineering and genomic editing for unethical purposes.
Predictable AI Access via Licensing
Healthcare institutions in Tier 2 nations can still access AI tools under a regulated framework, preventing arbitrary denials.
Challenges & Limitations
Global Health Disparities
Tier 2 and developing nations may struggle with AI adoption delays, affecting telemedicine, predictive analytics, and AI-powered diagnosis.
Barriers to Cross-Border AI Research
AI collaborations in oncology, pathology, and genomics could face new hurdles due to licensing requirements and compute caps.
Increased Compliance Burden
Hospitals and AI-driven biotech firms must navigate complex security requirements to ensure access to AI-powered medical systems.
Long-Term Implications on Global Healthcare
AI Hubs Will Shift
U.S. and allies will solidify their lead in medical AI applications, while developing nations may become dependent on external AI solutions.
Healthcare Inequality May Widen
AI-driven predictive medicine and robotic surgery will be more accessible in Tier 1 nations, potentially leaving others behind.
Regulatory Precedent for AI in Medicine
The framework could set a blueprint for future AI regulations in robotics, drug development, and patient data privacy.
Disclaimer: This newsletter contains opinions and speculations and is based solely on public information. It should not be considered medical, business, or investment advice. This newsletter's banner and other images are created for illustrative purposes only. All brand names, logos, and trademarks are the property of their respective owners. At the time of publication of this newsletter, the author has no business relationships, affiliations, or conflicts of interest with any of the companies mentioned except as noted. ** OPINIONS ARE PERSONAL AND NOT THOSE OF ANY AFFILIATED ORGANIZATIONS!
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