Journal Home > Volume 1 , Issue 4

The current state of oncology medical services is not encouraging and is unable to fully meet the needs of patients with cancer. In recent years, rapidly developing artificial intelligence technology and gradual advancements in mobile phones, sensors, and wearable devices, which have made these more compact, affordable, and popular, have greatly expanded the development of digital medicine. Digital medicine refers to clinical evidence‐based technology and products with a direct impact on disease management and research. Integrating digital medicine into clinical practice has the advantages of broader applicability, greater cost‐effectiveness, better accessibility, and improved diagnostic and therapeutic performance. Digital medicine has emerged in different clinical application scenarios, including cancer prevention, screening, diagnosis, and treatment, as well as clinical trials. Additionally, big data generated from digital medicine can be used to improve levels of clinical diagnosis and treatment. However, digital medicine also faces many challenges, including security regulation and privacy protection, product usability, data management, and optimization of algorithms. In summary, the application and development of digital medicine in the field of cancer face numerous opportunities and challenges.


menu
Abstract
Full text
Outline
About this article

Applications of digital Medicine in oncology: Prospects and challenges

Show Author's information Hewei Ge1Lixi Li1Di Zhang1Fei Ma1 ( )
Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China

Abstract

The current state of oncology medical services is not encouraging and is unable to fully meet the needs of patients with cancer. In recent years, rapidly developing artificial intelligence technology and gradual advancements in mobile phones, sensors, and wearable devices, which have made these more compact, affordable, and popular, have greatly expanded the development of digital medicine. Digital medicine refers to clinical evidence‐based technology and products with a direct impact on disease management and research. Integrating digital medicine into clinical practice has the advantages of broader applicability, greater cost‐effectiveness, better accessibility, and improved diagnostic and therapeutic performance. Digital medicine has emerged in different clinical application scenarios, including cancer prevention, screening, diagnosis, and treatment, as well as clinical trials. Additionally, big data generated from digital medicine can be used to improve levels of clinical diagnosis and treatment. However, digital medicine also faces many challenges, including security regulation and privacy protection, product usability, data management, and optimization of algorithms. In summary, the application and development of digital medicine in the field of cancer face numerous opportunities and challenges.

Keywords: artificial intelligence, oncology, digital medicine

References(43)

Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021;71(3):209–49.
Coravos A, Goldsack JC, Karlin DR, Nebeker C, Perakslis E, Zimmerman N, et al. Digital medicine: a primer on measurement. Digi Biomark. 2019;3(2):31–71.
Fogel AL, Kvedar JC. Artificial intelligence powers digital medicine. npj Digi Med. 2018;1(1):5.
Dang A, Arora D, Rane P. Role of digital therapeutics and the changing future of healthcare. J Family Med Prim Care. 2020;9(5):2207–13.
Elenko E, Underwood L, Zohar D. Defining digital medicine. Nature Biotechnol. 2015;33(5):456–61.
Plaza Roncero A, Marques G, Sainz‐De‐Abajo B, Martín‐Rodríguez F, Pozo Vegas C del, Garcia‐Zapirain B, et al. Mobile health apps for medical emergencies: systematic review. JMIR mHealth uHealth. 2020;8(12):e18513.
Anto A, Sousa‐Pinto B, Bousquet J. Anaphylaxis and digital medicine. Curr Opin Allergy Clin Immunol. 2021;21(5):448–54.
Hanlon P, Daines L, Campbell C, McKinstry B, Weller D, Pinnock H. Telehealth interventions to support self‐management of long‐term conditions: a systematic metareview of diabetes, heart failure, asthma, chronic obstructive pulmonary disease, and cancer. J Med Internet Res. 2017;19(5):e172.
Digital Health: Transforming and Extending the Delivery of Health Services. 2020. https://www.who.int/europe/news/item/09-09-2020-digital-health-transforming-and-extending-the-delivery-of-health-services
Miotto R, Danieletto M, Scelza JR, Kidd BA, Dudley JT. Reflecting health: smart mirrors for personalized medicine. npj Digi Med. 2018;1:62.
Hussain‐Shamsy N, Shah A, Vigod SN, Zaheer J, Seto E. Mobile health for perinatal depression and anxiety: scoping review. J Med Internet Res. 2020;22(4):e17011.
Rinaldi G, Hijazi A, Haghparast‐Bidgoli H. Cost and cost‐effectiveness of mHealth interventions for the prevention and control of type 2 diabetes mellitus: a systematic review. Diabetes Res Clin Pract. 2020;162:108084.
Ben‐Zeev D, Razzano LA, Pashka NJ, Levin CE. Cost of mHealth versus clinic‐based care for serious mental illness: same effects, half the price tag. Psychiatr Serv. 2021;72(4):448–51.
Jiang X, Ming WK, You JH. The cost‐effectiveness of digital health interventions on the management of cardiovascular diseases: systematic review. J Med Internet Res. 2019;21(6):e13166.
Snoswell CL, Caffery LJ, Whitty JA, Soyer HP, Gordon LG. Cost‐effectiveness of skin cancer referral and consultation using teledermoscopy in Australia. JAMA Dermatology. 2018;154(6):694–700.
Hesse BW, Ahern D, Ellison M, Aronoff‐Spencer E, Vanderpool RC, Onyeije K, et al. Barn‐raising on the digital frontier: the L.A.U.N.C.H. collaborative. J Appal Health. 2020;2(1):6–20.
Hesse BW, Kwasnicka D, Ahern DK. Emerging digital technologies in cancer treatment, prevention, and control. Transl Behav Med. 2021;11(11):2009–17.
Laktabai J, Platt A, Menya D, Turner EL, Aswa D, Kinoti S, et al. A mobile health technology platform for quality assurance and quality improvement of malaria diagnosis by community health workers. PLoS One. 2018;13(2):e0191968.
Lim YY, Maruff P, Pietrzak RH, Ellis KA, Darby D, Ames D, et al. Aβ and cognitive change: examining the preclinical and prodromal stages of Alzheimer's disease. Alzheimer's Dement. 2014;10(6):743–51.
Baumel A, Kane JM. Examining predictors of real‐world user engagement with self‐guided ehealth interventions: analysis of mobile apps and websites using a novel dataset. J Med Internet Res. 2018;20(12):e11491.
Berg CJ, Harutyunyan A, Paichadze N, Hyder AA, Petrosyan V. Addressing cancer prevention and control in Armenia: tobacco control and mHealth as key strategies. Int J Equity Health. 2021;20(1):4.
Islam MM, Poly TN, Walther BA, (Jack) Li YC. Use of mobile phone app interventions to promote weight loss: meta‐analysis. JMIR mHealth uHealth. 2020;8(7):e17039.
Parsons BG, Nagelhout ES, Wankier AP, Hu N, Lensink R, Zhu A, et al. Reactivity to UV radiation exposure monitoring using personal exposure devices for skin cancer prevention: longitudinal observational study. JMIR mHealth uHealth. 2021;9(9):e29694.
Ruco A, Dossa F, Tinmouth J, Llovet D, Jacobson J, Kishibe T, et al. Social media and mhealth technology for cancer screening: systematic review and meta‐analysis. J Med Internet Res. 2021;23(7):e26759.
Nazareth S, Hayward L, Simmons E, Snir M, Hatchell KE, Rojahn S, et al. Hereditary cancer risk using a genetic chatbot before routine care visits. Obstet Gynecol. 2021;138(6):860–70.
Chigurupati R, Bajaj S, Patrick S, Kuriakose MA, Birur NP, Raghavan S, et al. A novel mobile health approach to early diagnosis of oral cancer. J Contemp Dent Pract. 2018;19(9):1122–28.
Markun S, Scherz N, Rosemann T, Tandjung R, Braun RP. Mobile teledermatology for skin cancer screening: a diagnostic accuracy study. Medicine. 2017;96(10):e6278.
Pangti R, Mathur J, Chouhan V, Kumar S, Rajput L, Shah S, et al. A machine learning‐based, decision support, mobile phone application for diagnosis of common dermatological diseases. J Eur Acad Dermatol Venereol. 2021;35(2):536–45.
Kim HJ, Kim SM, Shin H, Jang JS, Kim YI, Han DH. A mobile game for patients with breast cancer for chemotherapy self‐management and quality‐of‐life improvement: randomized controlled trial. J Med Internet Res. 2018;20(10):e273.
Triberti S, Savioni L, Sebri V, Pravettoni G. eHealth for improving quality of life in breast cancer patients: a systematic review. Cancer Treat Rev. 2019;74:1–14.
Hout A van der, Uden‐Kraan CF van, Holtmaat K, Jansen F, Lissenberg‐Witte BI, Nieuwenhuijzen GAP, et al. Role of eHealth application oncokompas in supporting self‐management of symptoms and health‐related quality of life in cancer survivors: a randomised, controlled trial. Lancet Oncol. 2020;21(1):80–94.
Itzstein MS von, Hullings M, Mayo H, Beg MS, Williams EL, Gerber DE. Application of information technology to clinical trial evaluation and enrollment: a review. JAMA Oncol. 2021;7(10):1559–66.
Banks MA. In the wake of COVID‐19, decentralized clinical trials move to center stage. Proc Natl Acad Sci. 2021;118(47):e2119097118.
Fu S, Gerber DE, Beg MS. Decentralized clinical trials in oncology: are we ready for a virtual‐first paradigm?J Clin Oncol. 2022:Jco2200358.
Yang YC, Islam SU, Noor A, Khan S, Afsar W, Nazir S. Influential usage of big data and artificial intelligence in healthcare. Comput Math Methods Med. 2021;2021:1–13.
Arigo D, Jake‐Schoffman DE, Wolin K, Beckjord E, Hekler EB, Pagoto SL. The history and future of digital health in the field of behavioral medicine. J Behav Med. 2019;42(1):67–83.
Rodriguez JA, Clark CR, Bates DW. Digital health equity as a necessity in the 21st century cures act era. JAMA. 2020;323(23):2381–82.
Ardila D, Kiraly AP, Bharadwaj S, Choi B, Reicher JJ, Peng L, et al. End‐to‐end lung cancer screening with three‐dimensional deep learning on low‐dose chest computed tomography. Nature Med. 2019;25(6):954–61.
Coudray N, Ocampo PS, Sakellaropoulos T, Narula N, Snuderl M, Fenyö D, et al. Classification and mutation prediction from non‐small cell lung cancer histopathology images using deep learning. Nature Med. 2018;24(10):1559–67.
Xu J, Yang P, Xue S, Sharma B, Sanchez‐Martin M, Wang F, et al. Translating cancer genomics into precision medicine with artificial intelligence: applications, challenges and future perspectives. Hum Genet. 2019;138(2):109–24.
Berisha V, Krantsevich C, Hahn PR, Hahn S, Dasarathy G, Turaga P, et al. Digital medicine and the curse of dimensionality. npj Digi Med. 2021;4(1):153.
Publication history
Copyright
Acknowledgements
Rights and permissions

Publication history

Received: 13 October 2022
Accepted: 09 November 2022
Published: 04 December 2022
Issue date: December 2022

Copyright

© 2022 The Authors.

Acknowledgements

None.

Rights and permissions

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

Return