Pr Alexandre MIGNON
Port-Royal Cochin AP-HP
Université Sorbonne Paris Cité
alexandre.mignon@ilumens.org
Intelligence	Artificielle	
Vue	de	l’anesthésie	réanimation	
Alexandre	Mignon		
@iLumens	
@ampcmignon
Improving	Healthcare	through	Global	Education	
	
A	Global	education	experience	aimed	at	developing	numeric	and	simulation	programs	
for	the	next	5	years	to	make	sure	that	medical	knowledge	is	used	appropriately,	and	
associated	with	expert	skills	and	optimal	team	communication	to	save	lives	and	money.		
		
Mission	and	Vision
Intelligence Artificielle vue de l'anesthésie réanimation
Why	Simulation	?	
Changing	Education	Paradigm	for	the	Y	Generation
MOOC
(Massive Open-Online
Courses)
OER
(Open Educational
Resources)
…
1
LMS
(Learning Managing System)
Platforms, SCORM
Networks, Communities
3
Blended Learning
PBLD
(Problem Based Learning Discussion)
OSCE
(Objective Structured Clinical Examination)
Simulation
2
Flipped	Classroom
AI	in	Medicine	grows	rapidly	
Pubmed cites to "Artificial Intelligence"
0
500
1000
1500
2000
2500
3000
3500
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
Year
NumberofCitations
≥	1995	
Algorithms;		
Reproducibility	of	Results;		
Sensitivity	and	Specificity;		
Computer	Simulation;		
Pattern	Recognition,	Automated;		
Image	Interpretation,	Computer-Assisted;		
Neural	Networks	(Computer);		
Signal	Processing,	Computer-Assisted;		
Cluster	Analysis;		
Image	Enhancement;		
Models,	Biological;		
User-Computer	Interface;
Escalating amount of information that doctors have to deal with everyday
Physician shortage, Costs, Search for “Humanism”
Perform diagnosis
Make therapy recommendations
Critical care is the permanent and thorough care
provided to the critical patients in intensive care
units, with constant monitoring
Early Warning Scores
DATA
JAMA	26	oct	2017	
Rapid decisions
Large and disparate array of information
AI : simultaneously gather and display multiple physiological signals,
derive clinically important parameters, and generate alerts	
JAMA	Dec	2016
•  Making	Health	Information	Systems	Smarter	and	More	Usable	
Clinical	Data	are	Mostly	Text	
•  Need	Text	Understanding	
–  Discharge	summaries	
–  Clinical	notes	(admitting,	doctors’,	nurses’,	…)	
–  Reports	(radiology,	pathology,	…)	
–  Letters	
•  Exceptions	:	
–  Lab	data	
–  Pharmacy	orders	
–  Billing	codes	
–  Images	(but,	need	image	understanding)
Text	is	critical,	even	in	ICU	and	in	the	OR	
•  Data	not	otherwise	captured:	
– Procedures	
– Patient	state	
– Medications	
– Episodic	measurements	
– …

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