Doctor Qs Flashcards

1
Q

Do you charge patients to use it?

A

No, our platform is free for users with skin issues.

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2
Q

Are you a corporation? Why should I trust you?

A

We are a business, and our mission and goals is the same as yours - to help patients get from sick to healthy faster, and find the right medical resources.

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3
Q

How do you make money?

A

We make money by providing patients with information about relevant medical resources, and are paid for advertising those services.

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4
Q

Who are your competitors?

A

Google Image Search and WebMD, as these sites provide resources to people with skin issues. They do not do visual analysis and search, so the information they provide to patients is very limited. The word “rash” is used to describe hundreds of diseases.

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5
Q

Have you heard of/talked to Visual Dx?

A

Yes, very familiar. We’ve spoken with Art before and appreciate what he has been building.

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6
Q

How are you different than Visual Dx?

A

VisualDx it’s basically a textbook and visual atlas in your phone where you can do text-based searching by symptoms and description. We do the visual analysis based on the image, which replicates how a dermatologist evaluates a skin issue in the office.

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7
Q

How do patients use your app?

A

Patients can access the app in their phone browser at home, quickly and privately. It is completely anonymous, and points them toward medical resources.

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8
Q

What is your accuracy?

A

The algorithm is 80% top 5 accurate, which means in 4 of 5 cases we identify the right disease in the top 5 visual matches. This is between the accuracy of a primary care physician and the accuracy of an expert dermatologist. We’re working to improve this through gathering more data. Any suggestions for diagnosed image resources?

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9
Q

Why isn’t the accuracy better?

A

The accuracy relies on diagnosed images that we train the AI on, just like a dermatology resident needs to see a lot of cases before they can differentiate different diseases with high accuracy. Getting more images to improve this is our top priority.

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10
Q

How do you determine the top 5 diseases?

A

Our computer is first trained on regular images like cats, birds, and squirrels and learns how to recognize different things. Then, we train it specifically on skin diseases, showing it hundreds to thousands of examples of each disease. The computer generates millions of guesses of what differentiates each condition, and wipes out all of the guesses that aren’t good enough, leaving the final model.

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11
Q

What is your sensitivity and specificity?

A

We have 80% Top 5 accuracy, which is a measure of sensitivity, as we’re evaluating if we identified it in the top 5 matches. In the future we’re adding in two measures of success, making sure the other 4 of 5 make sense on the differential (specificity), and evaluating high accuracy for the most critical (infectious and precancerous or cancerous) conditions.

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12
Q

What if your algorithm is wrong?

A

We help direct patients to medical resources so they get the care that they need no matter what the results are.

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13
Q

Who is liable if you are wrong?

A

Legal issues are really about your labeling and claims that ou make. We have clear labeling about how our tool is not intended for primary diagnosis, but is a visual search tool to enable patients to make more informed choices. We’re not trying to replace the doctor evaluation experience, but rather point patients in the right direction, so they see it’s easy to get the care that they need.

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14
Q

Does likely occurance matter? Why is something very unlikely showing up?

A

We provide patients with the most visually similar skin conditions, whether or not they are likely, and provide them information on likelihood of the disease so they can have this information. We want to make sure people who actually do have rare diseases are informed of this possibility.

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15
Q

How do you validate the images uploaded to the webapp and make sure they are identified correctly?

A

We have dermatologists helping us to identify them, and multiple strategies for validating those identities. In the future, we plan to do a study of the accuracy comparing our platform to doctors prospectively.

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16
Q

How do you ensure patient privacy?

A

We don’t collect the patient name or other identifiable information in the first place.

17
Q

What about HIPAA?

A

We do not need to be HIPAA-compliant, because our tool does not have physicians on the platform, so there is no doctor-patient relationship formed. Because privacy of users is very important to us, we do have significant security measures in place to make sure people’s information is kept private.

18
Q

How do you ensure diversity and reduce bias?

A

We’re collecting images to train the AI from diverse populations right now, including the South and internationally. We would love connections to anyone you know with possible data from diverse ranges of skin colors.

19
Q

What will you be doing with the data?

A

The image xdata is used to train our AI, so it is seen only by the computer and people ensuring the AI is working well. We will not display your images directly to users.

20
Q

Will I be attributed if I give you my data? How do I get credit?

A

Not planning to currently…what would you feel most comfortable with?

21
Q

Will my patients privacy be protected?

A

Yes, we do not access identifiable information at all. For physical slides we send them to a HIPAA-compliant slide scanning company in Florida who removes information on the slide and within the image, if it’s identifiable. With digital copies we have someone trusted remove any identifiable information before we access it.

22
Q

My goals are to further teaching and research - how do you help with that?

A

Our goal is to help educate people and doctors alike by giving them helpful information about skin issues right when it’s useful to them with our visual search tool. For research, we can offer opportunities for potential publications or studies in the future.

23
Q

Have you done patient studies or clinical trials?

A

We are currently reviewing the images uploaded from users at home to identify accuracy of our AI model prospectively. In the future we plan to do clinical studies as need to verify the AI.

24
Q

Do you collect data retrospectively or prospectively?

A

We primarily are looking for data retrospectively as we train our AI, and then are setting up prospective data gathering with a few centers now.

25
Q

At what % accuracy will you be satisfied?

A

We’re aiming for 95% Top-5 accuracy, meaning we identify the right disease in the Top-5 matches 95% of the time.

26
Q

Why are you doing this?

A

Susan has had melanoma 3 times and understands the patient problem and concern firsthand. It’s also a huge problem that computer vision and AI can help with today, with the right data.

27
Q

Do you have a medical background?

A

No, but we are working closely with many experts, including Dr. Joseph Kvedar, VP of Connected Health at Partners, and other dermatologists and infecious disease doctors around the US.

28
Q

Do you have dermatologists on your team?

A

Dr. K is an investor and advisor, we have a role of a derm directly on our team, we are forming our clinical advisory board, and we have dermatologists identifying images uploaded to our webapp from users at home.

29
Q

Will you pay me for this data or compensate me for my time?

A

We are not paying for the images, but if it takes a significant time to organize and prepare your iamges we are happy to discuss further how we could help support that. This is standard in the industry for other medical AI companies as well.

30
Q

(for physical slides) Can I have the digital copies of the slides?

A

Yes, as long as you are willing to sign this agreement that allows us to train on the digitized images.

31
Q

Why do I have to sign something? I have no reason to

A

It is important to us on our end that we document appropriately that you willingly gave us the data. It’s our way of getting your consent to use these images in our AI model.

32
Q

Can I still give this data out to others?

A

For academic teaching and research purposes, absolutely.

33
Q

(for physical slides) When will you give it back to me?

A

In about 3 months.