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"AI will not solve medicine"

written by Eric J. Ma on 2019-10-29 | tags: data science drug development artificial intelligence medicine

Those who think "AI will solve medicine" are delusional. I say this as a practitioner of machine learning in drug discovery and development.

First things first, "AI" is an overused term. We should stop using it, especially in medicinal research.

Now, my thoughts are more sanguine. The real value proposition of machine learning models in drug development is to navigate chemical, sequence, pathway, and knowledge space faster and smarter than we might otherwise do so without machine learning methods. It’s a modeling tool, and nothing more than that. It’s a tool for helping the human collective make better decisions than without it, but it’s also a double-edged sword. We can use the tool and then constrain our thinking because we have that tool, because we want to continue using that tool. Or we can use the tool to our advantage and liberate our mind to think of other things.

This thought was sparked off by an email that I was on at work. A molecule was approved for continued investigation (not even "go for safety trials"!), and 63 people were on that email. Imagine the number of people who are involved in getting a molecule past all research-phase checkpoints and all 3 clinical trial checkpoints. Hint: Many people are involved.

As I combed through the names on that email, the number of machine learners was vastly outnumbered by the number of colleagues who toiled daily at the bench, wrangling with even more uncertainty than that we have at our computers. We machine learners work in service of them, delivering insights and prioritized directions, just as they toil to generate the data that our data-hungry models need. It’s a symbiotic relationship.

What do all of those 63 people work on?

Some make the molecules. Others design the assays to test the molecules in. Yet others design the assays to find the target to then develop the assay for. It’s many layers of human creativity in the loop. I can’t automate the entirety of their work with my software tools, but I can augment them. I mean, yeah, I can find a new potential target, but ultimately it's a molecular biologist who develops the assay, especially if that assay has never existed before.

There are others who professionally manage the progress of the project. There’s sufficient complexity at the bench and in the silicon chips that we can’t each keep track of the big picture. Someone has to do that, and keep everybody focused.

And then there’s the handful of us who deal with numbers and mainly just numbers. Yes, it’s a handful. I counted them on my fingers. We do have an outsized impact compared to our numbers, but that’s because we can get computers to do our repetitive work for us. At the bench, robots are harder to work with. Having been at the bench before and failing badly at it, I can very much empathize with how tedious the work is. It’s expensive to collect that data, so the onus is on us computation types to get help navigate "data space" more smartly.

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