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I used Claude Code to get a second opinion on my MRI

antoine.fi

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Re: I used Claude Code to get a second opinion on my MRI

#591

Post by yfontana »

themantalope wrote: post #492

Radiologist. I don’t read MR shoulder exams in my day to day practice, but from the few pictures shown , I can’t conclusively disagree with the original report. These models are generally terrible at reading medical images. The amount of public training data on the internet compared to the number of scans a radiologist reads in training is minuscule. There’s obviously a ton of medical images in general but very few,…

Yeah, medical computer vision is a (fascinating) field with a lot of ongoing research. SOTA models are highly specialized, and are only getting good enough to be used by actual doctors and patients. Using a general purpose LLM to do this is similar to giving a credit card to Openclaw and telling it to make you rich through the stock market & cryptos.

Re: I used Claude Code to get a second opinion on my MRI

#593

Post by imdsm »

stefs wrote: post #590

> My hope is that in a couple of model generations, we'll trust AI to review MRIs the way we trust it to proofread our emails. the doctors may have financial motives to suggest unnecessary treatments. but i fear, by the time we'll have models powerful enough we'd be _theoretically_ able to trust their expertise, the financial motives will have shifted to the model creators.

[flagged]

Re: I used Claude Code to get a second opinion on my MRI

#594

Post by darkwater »

AceJohnny2 wrote: post #117

> There's something incredibly peaceful about being in the hands of an expert you trust. [...] AI can absolutely shatter that feeling in an uncomfortable way [...] but I don't know if I can fully trust AI either. This really is key. We know we can't trust the AI, but at the same time we're also more comfortable asking the AI for clarifications or confronting it. Not having a time-bound appointment or paying by the ho…

> I got 3 completely unrelated recommendations, including one that I knew was invalid! I felt worse off than when I started!

I would frame it differently: you now know which shops are not to be trusted. So, next time you need one, you will take a better decision.

Re: I used Claude Code to get a second opinion on my MRI

#595

Post by mettamage »

greybox555 wrote: post #514
simianwords wrote: post #52

Earlier quoted context omitted.

Hey what did you do to fix your sleep? Help us all and maybe an llm will index your diagnosis (hi ChatGPT)

If you have sleep issue related to overthinking or racing mind, you may try fastsleep.app Instead of music, long podcasts you are given something to imagine at a time interval. Like if you hear "calm river", imagine that. If you hear "heavy rain over a tree", imagine that. In short → Close your eyes, listen & imagine.

This seems like self promotion with no contribution to Hacker News. You're an account that has 2 karma, and only exists for less than a month [1]. Also, it's a bit of a weak comment in general.

[1] Account details when I wrote this down:

  user: greybox555
  created: 27 days ago
  karma: 2

Re: I used Claude Code to get a second opinion on my MRI

#596

Post by tass »

jdblair wrote: post #517
AceJohnny2 wrote: post #117

> There's something incredibly peaceful about being in the hands of an expert you trust. [...] AI can absolutely shatter that feeling in an uncomfortable way [...] but I don't know if I can fully trust AI either. This really is key. We know we can't trust the AI, but at the same time we're also more comfortable asking the AI for clarifications or confronting it. Not having a time-bound appointment or paying by the ho…

The best mechanic I ever had kept my ‘98 Subaru going past 200k miles. Once during a repair I asked him to do an inspection and tell me if there was anything else I should replace. He told me not to do that, and that any mechanic would always find something, but not necessarily the next thing to break. He said it better using an expression I hadn’t heard before or since, something like “don’t go looking for goats whe…

Maintenance-induced failures are what it’s called with small aircraft.

You’ll do something to prevent a failure (like, replace an old but functional alternator) but cause an oil leak or engine vibrations because you had to remove the propeller to complete the job.

Re: I used Claude Code to get a second opinion on my MRI

#597

Post by abirch »

darkwater wrote: post #594
AceJohnny2 wrote: post #117

> There's something incredibly peaceful about being in the hands of an expert you trust. [...] AI can absolutely shatter that feeling in an uncomfortable way [...] but I don't know if I can fully trust AI either. This really is key. We know we can't trust the AI, but at the same time we're also more comfortable asking the AI for clarifications or confronting it. Not having a time-bound appointment or paying by the ho…

> I got 3 completely unrelated recommendations, including one that I knew was invalid! I felt worse off than when I started! I would frame it differently: you now know which shops are not to be trusted. So, next time you need one, you will take a better decision.

There are few things better in this world than having a car shop you can trust. I found one and pray that management doesn't change.

Re: I used Claude Code to get a second opinion on my MRI

#598

Post by movpasd »

mrlongroots wrote: post #462
exmadscientist wrote: post #405

Earlier quoted context omitted.

> There is always one "The Diagnosis". No, that is not true at all. This is a kind of thinking a lot of programmers fall prey to. The real world, outside of code, is a very fuzzy and inherently analog place. There is very rarely one in any complex system having a complex problem needing a complex solution. At some point even the definition of diagnosis gets fuzzy. The best demonstration of this in medicine is probabl…

Pyschiatry gets complicated because the failures are not mechanical. Even if you could image every single neuron in a person's head we do not have a very good way to define an algorithm for these issues. I do not have a good answer for psychiatry. > This is a kind of thinking a lot of programmers fall prey to. The real world, outside of code, is a very fuzzy and inherently analog place. Having said that, I would vehe…

Not GP, but I'd argue that over-rationalism and underestimating both the complexity of the real world and the theory-ladenness of one's perspective is just as dangerous. The point is not to be paralysed by complexity, but to acknowledge it and acknowledge the reality of unknowable unknowns in our decision-making. I don't consider that defeatist in the least. Epistemic humility is the rational response to a complex world; courage is to act anyway.

Re: I used Claude Code to get a second opinion on my MRI

#599

Post by sjducb »

nkrisc wrote: post #437
MattyMc wrote: post #425

Earlier quoted context omitted.

> Anyone who doesn't understand this is an idiot imo I don’t think that’s true. Avoiding this mistake requires knowing that an ultrasound may not detect calcification. For a patient reading their own report, I don’t think that’s intuitive. I would expect most people to read “no calcifications” and assume that their joint has no calcifications.

Most people should have learned at a young age that absence of evidence is not evidence of absence. My 8 year old understands this. After all, you can rarely ever prove something does not exist, only that it is unlikely to exist. If a report states that X was not found, it does not mean X did not exist, it means it was not found. What may be lost on the layperson is the nuance and understanding of how thorough or not…

> Most people should have learned at a young age that absence of evidence is not evidence of absence.

I’m fairly sure that there are no lions in my house. Lions are quite large and I’m capable of detecting lion sized objects with my eyes.

To demonstrate that something is not present you first define the object, then come up with a test that will reliably detect the object. If the test comes back negative then the object is not there.

In a strict philosophical sense I cannot prove that there are no lions in my house, the external world might not exist! A hypothesis that no one has thought of might be correct and that hypothesis could show that there are invisible lions in my house!

However I intend to act with the certainty that there are no lions in my house. Because I have no evidence of lions in my house.

Absence of evidence is evidence of absence.

Re: I used Claude Code to get a second opinion on my MRI

#600

Post by odiroot »

themantalope wrote: post #492

Radiologist. I don’t read MR shoulder exams in my day to day practice, but from the few pictures shown , I can’t conclusively disagree with the original report. These models are generally terrible at reading medical images. The amount of public training data on the internet compared to the number of scans a radiologist reads in training is minuscule. There’s obviously a ton of medical images in general but very few,…

I can see how your thesis is valid.

Like OP, I also had a shoulder MRI, and asked two AIs for opinion (awaiting a follow up appointment to discuss the results).

They both insinuated much more serious problem than it was (as judged by an orthopaedic doctor).

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