Impact of AI Health IEEE Access
Impact of AI Health IEEE Access
ABSTRACT This review paper examines the transformative role of artificial intelligence (AI) and dynamic
ensemble techniques in enhancing healthcare services. By systematically reviewing literature and case
studies from the past decade, we explore how these advanced computational methods improve diagnostic
accuracy, personalize treatment plans, and optimize patient monitoring. Dynamic ensemble techniques,
which leverage multiple predictive models to improve outcome accuracy, offer significant promise in
addressing the complexities of patient data and disease manifestations. This paper delves into applications
spanning AI-driven diagnostics, personalized medicine, and remote patient monitoring, highlighting both
the advancements and challenges faced in integrating these technologies into healthcare. We also address
the ethical and computational challenges inherent in deploying dynamic ensemble methods and propose
directions for future research. Our findings suggest that while significant progress has been made, multidis-
ciplinary collaboration and continued innovation are crucial for overcoming current limitations and realizing
the full potential of AI in healthcare.
INDEX TERMS Robustness, artificial intelligence, ensemble learning, healthcare analytics, dynamic
ensemble techniques, predictive analytics, computational challenges, data privacy, algorithmic adaptability.
In the realm of diagnostics, AI algorithms now analyze AI algorithms that analyze patterns, detect anomalies, and
medical imaging, such as X-rays, MRIs, and CT scans, with provide actionable insights. For instance, AI-powered anal-
a level of detail and accuracy that matches or even surpasses ysis can identify irregular heart rhythms indicative of atrial
human experts. These AI systems can identify subtle patterns fibrillation or predict potential episodes of hypoglycemia
and anomalies that may be overlooked by the human eye, in diabetic patients by monitoring glucose levels in real-
leading to earlier and more accurate diagnoses of condi- time [12].
tions ranging from cancers to neurological disorders [5]. The Remote monitoring devices have extended the capabili-
impact of AI extends well beyond diagnostics. In treatment ties of wearable technology by providing more specialized
planning and management, AI-driven predictive analytics are and detailed health monitoring [13]. These devices, which
being utilized to forecast disease progression and response to can range from portable ECG monitors to Bluetooth-enabled
various treatment modalities. This capability enables health- blood pressure cuffs, allow for the monitoring of patients
care providers to tailor treatments to the individual patient, with chronic conditions from the comfort of their homes [14].
optimizing outcomes while minimizing side effects. Further- AI algorithms play a critical role in interpreting the data
more, AI systems are being developed to monitor patient collected, enabling healthcare providers to remotely mon-
responses to treatment in real-time, allowing for adjustments itor patients’ health status, adjust medications, and make
to be made swiftly, ensuring that the care provided is both treatment decisions without the need for physical office
effective and efficient [6]. visits. This approach not only maximizes the efficiency of
As AI technology has matured, its applications within healthcare delivery but also significantly enhances patient
healthcare have expanded exponentially. Predictive analytics, convenience and comfort [15].
a cornerstone of AI, now plays a pivotal role in forecast- Figure 1 illustrates the varied applications of artificial intel-
ing epidemic outbreaks, predicting patient admissions, and ligence (AI) across common daily environments as well as in
even anticipating future medical conditions in individuals. the healthcare sector. It illustrates how AI is integrated into
Personalized medicine, once a concept of the future, is now our daily lives, improving predictive analytics for informed
a reality, with AI enabling the customization of healthcare decision-making and offering lifestyle management tools that
to the individual’s genetic makeup, lifestyle, and environ- guide individuals towards healthier habits [16]. AI-driven
mental factors [7]. Robotic surgery, augmented by AI, offers healthcare bots provide accessible health-related assistance,
another illustration of AI’s profound impact. These systems and the advancement in smart health records indicates a shift
enhance the surgeon’s capabilities, offering greater preci- toward more efficient, AI-powered data management. In the
sion and control, leading to minimally invasive procedures, healthcare sector, AI’s impact is profound, from enabling
reduced patient recovery times, and improved surgical out- precision medicine for customized patient care to enhancing
comes. Moreover, AI’s role in patient care and monitoring has medical imaging for accurate diagnoses [17]. The develop-
been revolutionized with the advent of wearable technology ment of new drugs is expedited by AI, and clinical trials
and remote monitoring devices [8]. These tools, powered by are becoming more sophisticated through AI integration.
AI algorithms, provide continuous health monitoring, early Surgical robotics represents a leap in operative procedures,
warning for potential health issues, and personalized health providing precision and assistance previously unattainable by
insights directly to the user, bridging the gap between tradi- human hands alone [18].
tional healthcare settings and daily life [9]. One of the most groundbreaking aspects of AI in patient
The integration of Artificial Intelligence (AI) into patient care and monitoring is the development of early warn-
care and monitoring represents a seismic shift in the health- ing systems. By leveraging machine learning models to
care industry, redefining the boundaries between clinical analyze trends in health data collected by wearable and
settings and the patient’s everyday life [10]. This revolution remote monitoring devices, these systems can predict poten-
has been significantly propelled by the advent of wear- tial health issues before they become critical [19]. For
able technology and remote monitoring devices, which are example, AI can forecast asthma attacks by analyzing envi-
now at the forefront of delivering personalized healthcare ronmental factors in conjunction with patient-specific data
directly to the user. These innovations harness the power of on respiratory function, allowing for preemptive interven-
AI algorithms to analyze health data in real-time, offering tion. Similarly, predictive analytics can identify patients at
unprecedented opportunities for proactive health manage- risk of heart failure exacerbations, enabling timely adjust-
ment. Wearable devices, ranging from fitness trackers to ments in treatment to prevent hospitalization [20]. Beyond the
smartwatches and health-monitoring bands, have become immediate benefits of health monitoring and early interven-
ubiquitous, serving as conduits for collecting a wide array tion, AI-driven wearable and remote monitoring technologies
of health-related data. These devices continuously track vital empower patients with personalized health insights [21].
signs such as heart rate, blood pressure, and oxygen saturation These tools provide individuals with a detailed understand-
levels, along with activity metrics like steps taken, calories ing of their health status, lifestyle impact, and potential risk
burned, and sleep patterns [11]. The raw data collected, factors, fostering a sense of ownership and control over their
however, is made truly meaningful through sophisticated health. Personalized feedback and recommendations, based
on AI analysis of individual health data, motivate lifestyle where patient data is not only voluminous but also highly
changes and adherence to treatment plans, further enhancing dynamic—evolving with new clinical findings, treatment
the effectiveness of healthcare interventions [22]. responses, and patient conditions—static models may quickly
The symbiotic relationship between wearable technology, become outdated or less accurate [26]. Dynamic ensembles
remote monitoring devices, and AI algorithms is bridging address this challenge head-on by continuously adjusting
the gap between traditional healthcare settings and daily life, which models are considered in the ensemble or how their
ushering in an era of seamless, continuous, and personal- outputs are weighted, based on real-time data. This dynamic
ized healthcare [23]. Looking ahead, the potential for these adjustment means that the ensemble can maintain high accu-
technologies to integrate more deeply with healthcare sys- racy and relevance, even as the underlying data patterns
tems, providing real-time data to healthcare providers and change [27].
enabling more dynamic, responsive care strategies, is vast. The capacity of dynamic ensemble techniques to integrate
As AI models become more sophisticated and wearable and adapt makes them particularly valuable in healthcare
technology more advanced, the future of patient care and settings [28] for several reasons:
monitoring is poised to become more predictive, person-
alized, and patient-centered than ever before [24]. Amidst 1. Enhanced Diagnostic Precision: By leveraging mul-
these developments, dynamic ensemble techniques have tiple models, dynamic ensembles can reduce the like-
emerged as a crucial innovation. Unlike traditional static lihood of diagnostic errors. For instance, in cancer
models, dynamic ensemble methods leverage the collective diagnostics, where early and accurate detection is cru-
intelligence of multiple algorithms to make predictions or cial, dynamic ensembles can analyze imaging data,
decisions. This approach not only enhances the robustness patient history, and biomarkers collectively, offering a
and accuracy of predictions but also enables the models to more nuanced and accurate diagnosis than any single
adapt to new data dynamically [25]. This adaptability is model could provide.
particularly vital in healthcare, where patient data continu- 2. Personalized Treatment Plans: The adaptability of
ously evolve, and the ability to adjust to these changes can dynamic ensembles allows for the development of
significantly impact treatment outcomes. Dynamic ensemble highly personalized treatment plans. As new patient
techniques, therefore, represent a critical frontier in the quest data becomes available—whether from ongoing treat-
for more advanced, responsive, and personalized healthcare ment responses, changes in health status, or new clinical
services. research—these techniques can recalibrate, ensuring
One of the most compelling attributes of dynamic ensem- that treatment recommendations are always tailored to
ble techniques is their inherent adaptability. In healthcare, the current, most accurate patient profile.
3. Predictive Health Monitoring: Dynamic ensembles privacy models can help mitigate privacy concerns while still
can also play a pivotal role in predictive health monitor- allowing for the valuable analysis of healthcare data.
ing. By analyzing data trends over time from wearable The use of AI and dynamic ensemble techniques in
devices and other health monitors, these systems can healthcare also raises ethical questions related to algorithmic
predict potential health issues before they manifest, transparency, accountability, and bias. Developing ethical
allowing for preventive measures to be taken. frameworks and guidelines that govern the design, develop-
ment, and deployment of these technologies is essential [36].
While dynamic ensemble techniques offer significant This includes ensuring that ensemble models do not perpet-
advantages, they also present challenges, primarily related to uate existing biases in healthcare data, which could lead to
computational complexity and data management. The need disparities in patient care. Engaging multidisciplinary teams
for processing large datasets in real-time, integrating diverse in the development process, including ethicists, clinicians,
models, and ensuring data privacy and security are non-trivial and patients, can help in identifying and addressing potential
concerns that require ongoing attention and innovation [29]. ethical issues [37]. The complex nature of healthcare chal-
Furthermore, as the field of AI and machine learning lenges necessitates collaboration across disciplines. Bringing
continues to evolve, the development of more sophisticated together expertise from computer science, biomedical engi-
dynamic ensemble models that can efficiently handle the neering, clinical medicine, and public health can drive the
ever-increasing complexity and volume of healthcare data is a development of dynamic ensemble techniques that are not
critical area for future research [30]. This includes exploring only technologically advanced but also clinically relevant and
new algorithms that can better model the uncertainties and patient-centred. Encouraging open innovation and facilitat-
variabilities inherent in health data, as well as developing ing partnerships between academia, industry, and healthcare
more efficient ways to train and deploy these models in organizations can accelerate the translation of research find-
real-world healthcare settings. As we look to the horizon, the ings into practical applications [38].
integration of these advanced methodologies into healthcare This review aims to explore the role of AI and dynamic
systems poses a multifaceted challenge that spans technical, ensemble techniques in enhancing healthcare services com-
ethical, and practical dimensions [31]. prehensively. To ensure a comprehensive and rigorous review,
The computational intensity of dynamic ensemble tech- we conducted an extensive search of relevant literature
niques, especially when processing and analyzing large-scale spanning the last decade (2010-2024). Our search method-
health data, necessitates the development of more efficient ology included querying several academic databases such as
computing architectures and algorithms [32]. The advent of PubMed, IEEE Xplore, and Google Scholar. We employed
quantum computing and advancements in parallel processing specific keywords and phrases including ‘‘Artificial Intelli-
offer promising avenues to significantly reduce computa- gence in healthcare,’’ ‘‘dynamic ensemble techniques,’’ ‘‘AI
tion times, enabling real-time data analysis even in complex diagnostics,’’ ‘‘personalized medicine,’’ and ‘‘remote patient
scenarios. Additionally, edge computing technologies, which monitoring.’’ The inclusion criteria were focused on peer-
process data closer to the location where it is generated, can reviewed articles, conference papers, and significant case
alleviate bandwidth demands on central systems, improving studies that provided insights into the advancements, applica-
the speed and efficiency of data analysis in remote monitoring tions, and ethical considerations of AI and dynamic ensemble
and wearable devices [33]. techniques in healthcare services.
The heterogeneity of healthcare data, including structured This review paper meticulously explores and articulates the
data from electronic health records (EHRs), unstructured data following crucial elements:
from clinical notes, and continuous streams of data from
wearable and IoT devices, presents significant challenges
in data management and integration [34]. Developing stan- I. Innovation and Scope: This paper organizes and
dardized data formats and interoperable systems that can examines the latest and most impactful applications
seamlessly integrate and synthesize diverse data types is of AI and dynamic ensemble techniques across a
crucial for the effective application of dynamic ensemble wide array of healthcare services. Unlike studies con-
techniques [35]. Moreover, leveraging advancements in data fined to singular healthcare aspects, this review spans
federation and virtualization can provide a unified view of multiple facets, providing a holistic view of AI’s trans-
patient data across different sources, enhancing the quality of formative role in healthcare.
insights derived from ensemble models. As dynamic ensem- II. Detailed Examination: It offers an in-depth analysis
ble techniques rely on diverse and often sensitive patient of various healthcare domains, showcasing the suc-
data, ensuring privacy and security is paramount. Innovations cessful implementation of AI and dynamic ensemble
in homomorphic encryption, which allows data to be pro- methods. These methodologies are demonstrated to
cessed in encrypted form, and the application of blockchain tackle challenges and resolve critical issues within
technology for secure, tamper-proof data sharing, are crit- numerous healthcare sectors, especially in enhancing
ical to safeguarding patient information [22]. Additionally, diagnostic accuracy, personalizing treatment plans,
developing robust anonymization techniques and differential and optimizing patient monitoring systems.
III. Assessment of Merits and Drawbacks: The study analytics for patient admissions and automates repetitive
critically evaluates the strengths and weaknesses tasks, thus allowing healthcare professionals to focus more
associated with the application of AI and dynamic on patient care [42].
ensemble techniques in healthcare. It underscores the Ensemble learning is a machine learning paradigm where
advancements these technologies bring to the field, multiple models (often called ‘‘learners’’ or ‘‘base models’’)
as well as the limitations and challenges they present. are strategically combined to solve a particular problem more
Recommendations for future research directions and effectively than could be done by any single model. The
potential improvements are also provided. premise of ensemble learning is rooted in the idea that a group
of weak learners can come together to form a strong learner,
The structure of the study is organized as follows:
thereby improving the robustness and accuracy of predic-
Section II presents a foundational overview of AI tech-
tions. There are several methods to combine these models,
niques, setting the stage for their application in healthcare.
including but not limited to, Bagging (Bootstrap Aggregat-
Section III aggregates recent scholarly articles pertinent to
ing), Boosting, and Stacking. Bagging reduces variance and
the use of AI and dynamic ensemble methods in healthcare,
helps to avoid overfitting by training multiple models on
highlighting key advancements and innovations. Section IV
different subsets of the training data and then averaging their
delves into the practical applications of these technologies
predictions. Boosting, on the other hand, focuses on convert-
in improving healthcare services, from diagnostics to treat-
ing weak models into strong ones by iteratively learning from
ment personalization. Section V examines recent findings
the mistakes of previous models. Stacking involves training
and developments in AI for patient monitoring and care,
models on the same data and then training a meta-model
illustrating the efficacy and potential of these technologies.
to make a final prediction based on the predictions of the
Additionally, Section V evaluates the benefits and constraints
previous models [43].
of employing AI and dynamic ensemble techniques in health-
Dynamic ensemble techniques take the concept of ensem-
care, while also casting a vision for future research avenues.
ble learning a step further by adapting the ensemble com-
Section VI encapsulates the conclusions drawn from this
position based on the data being processed. Unlike static
comprehensive review, underscoring the significant impact
ensemble methods, which rely on a fixed set of models
of AI and dynamic ensemble techniques in revolutionizing
throughout their operation, dynamic ensembles evaluate and
healthcare services.
adjust their constituent models in response to new data.
This adaptability allows dynamic ensembles to better handle
II. FOUNDATIONS OF ARTIFICIAL INTELLIGENCE AND varying patterns in data, making them particularly suited for
ENSEMBLE LEARNING IN HEALTHCARE environments where data distributions change over time, such
The intersection of Artificial Intelligence (AI) and healthcare as in healthcare applications [44]. Operational mechanisms of
signifies a transformative phase in medical science, offering dynamic ensembles involve methods such as weighted aver-
unparalleled opportunities for improving patient care and aging, where models are assigned, different weights based
operational efficiency [39]. This section delves into the core on their performance on current or recent tasks, and model
principles of AI and ensemble learning, setting the stage for selection, where the best-performing model or models for the
understanding their pivotal role in healthcare advancements. current context are chosen for making predictions. The bene-
AI in healthcare represents a broad array of technolo- fits of dynamic ensemble techniques over static ensemble or
gies designed to emulate human cognition in the analysis, singular models are multifold, including improved prediction
interpretation, and comprehension of complex medical and accuracy, enhanced adaptability to evolving data patterns, and
healthcare data. The applications of AI span across various the ability to efficiently manage diverse types of data and
domains within healthcare, including diagnostics, treatment tasks common in healthcare settings [45].
recommendations, patient engagement and adherence, and However, the integration of AI and dynamic ensemble
administrative activities [40]. Diagnostic applications, for learning techniques in healthcare is not just enhancing the
example, leverage AI for more accurate and faster analysis of ability to diagnose and treat diseases but also significantly
medical images, such as X-rays and MRIs, through computer improving the quality of care provided to patients. As these
vision techniques. AI algorithms are also instrumental in pre- technologies continue to evolve, their potential to revolu-
dicting patient outcomes, personalizing treatment plans based tionize healthcare services is immense, promising a future
on historical health data, and managing chronic diseases where medical care is more personalized, accessible, and
by monitoring patient data in real-time [41]. In treatment, efficient.
AI models support clinical decision-making by offering The recent advancements in healthcare analytics have
evidence-based treatment options, considering individual been significantly bolstered by the incorporation of ensem-
patient profiles. AI-driven virtual health assistants and chat- ble learning techniques alongside artificial intelligence (AI).
bots enhance patient engagement by providing personalized These methodologies, when applied together, form a potent
advice, reminders for medication and appointments, and combination that addresses complex challenges within the
answering general health-related queries. On the administra- healthcare sector, ranging from diagnosis to treatment opti-
tive front, AI optimizes hospital operations through predictive mization. This integrative approach leverages the strengths
of both AI and ensemble learning to enhance the quality and identified gaps within existing works, proposing solutions
accuracy of healthcare services. and guiding future research towards real-time remote moni-
One of the primary limitations observed is the scope of toring for early disease detection. Their study underscores the
literature reviewed in many studies, such as the one by necessity for an integrated approach combining deep learning
Mahajan et al. [46], which confines its research span to and natural language processing to overcome the barriers
2016–2023, focusing primarily on major chronic diseases. in current healthcare monitoring systems. This suggests an
This limitation could potentially exclude vital insights and area ripe for future exploration, where integrating various
methodologies developed in the earlier years or emerging AI techniques can enhance the precision and timeliness of
research areas, thus narrowing the study’s comprehensive disease prediction and patient monitoring.
understanding and application of ensemble learning tech- Additionally, the challenges of implementing AI in health-
niques in healthcare. Furthermore, Shastry et al. [47] have care, as discussed by Petersson et al. [48], reveal a broader
issue of adaptation within health systems worldwide. These richer, more accurate analysis, mitigating the risks of over-
challenges include technical barriers, ethical considerations, sight that single-model systems might encounter [51]. The
and the need for tailored AI solutions to fit specific healthcare collaborative power of AI systems offers a promising avenue
contexts. It becomes evident that future research must not for addressing the inherent complexities of pathological data,
only focus on technological advancements but also consider setting a new standard for diagnostic accuracy. A particularly
the integration and acceptance of these technologies within remarkable advancement facilitated by AI-driven diagnos-
existing healthcare frameworks. tics is the substantial reduction in misdiagnosis rates. The
The concept of patchwork learning introduced by Rajen- integration of diverse AI models provides a holistic view
dran et al. [49] offers an innovative paradigm towards of patient data, incorporating nuanced details that might be
integrative machine learning applications in healthcare. This overlooked by traditional diagnostic methods. This com-
concept emphasizes the potential of combining various learn- prehensive approach is crucial for ensuring accuracy in
ing models to address the complex and multifaceted nature of diagnostics, particularly in complex cases where the margin
healthcare data. Future implementations could explore this for error is minimal. The capacity of dynamic ensemble
integrative approach further, enhancing the adaptability and methods to adapt and learn from a broad spectrum of data
efficiency of AI systems in healthcare settings. further enhances their reliability, making them indispensable
However, these recent studies have significantly advanced tools in modern pathology [52].
the application of ensemble learning and AI in healthcare, Early disease detection stands out as one of the most pivotal
limitations such as the scope of literature review, integration benefits of AI in healthcare. The ability of AI-driven systems
challenges, and the need for comprehensive approaches in to sift through extensive datasets and identify early mark-
AI applications persist. Addressing these limitations through ers of diseases such as Alzheimer’s, cancer, and diabetes is
expanded research, innovative methodologies, and a focus revolutionizing preventive medicine. This proactive approach
on integrative and adaptable AI solutions will be crucial for enables healthcare providers to intervene at the earliest pos-
the future development of effective and efficient healthcare sible stages, significantly improving patient outcomes and
technologies. potentially saving lives [53]. The precision and efficiency
of AI in detecting early signs of disease underscore the
III. ENHANCING HEALTHCARE SERVICES THROUGH AI transformative impact of technology on healthcare. Dynamic
AND DYNAMIC ENSEMBLE TECHNIQUES ensemble techniques are also paving the way for personalized
The integration of Artificial Intelligence (AI) and dynamic medicine, allowing for treatments that are tailored to the
ensemble techniques into healthcare has marked a trans- individual needs of patients. By analyzing specific health
formative phase, significantly enhancing the quality and data against extensive databases, AI models can forecast
efficiency of healthcare services. This integration leverages disease risk and suggest customized preventive strategies.
the computational power of AI and the robustness of ensem- This personalized approach not only enhances the efficacy of
ble methods to improve diagnostics, personalize treatment treatments but also minimizes the risk of adverse reactions,
plans, and monitor patients remotely with unprecedented marking a significant leap forward in patient care [54].
accuracy and efficiency. Dynamic ensemble applications leverage the strengths of
multiple AI models to improve diagnostic accuracy, particu-
A. AI-DRIVEN DIAGNOSTICS larly in image analysis and pathology. By integrating outputs
AI-driven diagnostics have revolutionized the way diseases from various AI models through techniques such as weighted
are detected and diagnosed. Utilizing dynamic ensemble averaging, voting mechanisms, or stacking, dynamic ensem-
applications, particularly in image analysis and pathology, bles provide a more comprehensive and precise analysis. For
has led to substantial improvements in diagnostic accuracy. instance, in radiology, they can combine models trained to
By combining the strengths of multiple AI models, dynamic detect specific anomalies like tumors or fractures, offering
ensembles can analyze medical images and pathological data a more accurate diagnosis [55]. In histopathology, dynamic
with greater precision, reducing the likelihood of misdiagno- ensembles can assess tissue samples for cancerous cells by
sis and allowing for early disease detection. Such techniques aggregating insights from different models specializing in
are adept at identifying intricate patterns in medical imagery various cancer markers. This multi-model approach signifi-
that may be indiscernible to the human eye, thereby enhanc- cantly reduces the likelihood of misdiagnosis and enhances
ing the reliability of diagnostics across various medical early disease detection by identifying subtle patterns indica-
fields [50]. tive of conditions like Alzheimer’s, cancer, and diabetes [56].
The integration of AI in pathology has significantly trans- Additionally, dynamic ensemble techniques are pivotal in
formed diagnostic practices, enhancing the precision and personalized medicine, predicting disease risks and recom-
depth of analyses in ways that were previously unimaginable. mending tailored preventive strategies based on individual
Through the utilization of dynamic ensemble methods, which health data, thus improving treatment efficacy and patient
pool insights from a variety of algorithmic models, there’s care. However, the path to fully integrating AI into health-
been a notable improvement in identifying and interpreting care is fraught with challenges, including concerns over data
disease indicators. This multi-model approach allows for a privacy, potential algorithmic bias, and the extensive data
required for training AI systems. Addressing these challenges Future advancements in AI and machine learning promise
requires a concerted effort to develop ethical guidelines to further refine personalized medicine. Integrating newer
and transparent algorithms that safeguard patient privacy technologies and more sophisticated algorithms could unlock
and ensure fairness in AI-driven diagnostics. By continu- even deeper insights into patient data, enabling treatments
ously enhancing the capabilities of AI systems and exploring that are not just personalized but predictive, preempting dis-
innovative applications, the potential for AI to further revolu- eases before they manifest. In essence, the integration of
tionize diagnostics and patient care is boundless. dynamic ensembles in personalized medicine is transforming
patient care, making it more precise, effective, and tailored to
individual needs. As these technologies continue to evolve,
B. PERSONALIZED MEDICINE the potential for even more personalized and proactive health-
In the realm of personalized medicine, dynamic ensembles care becomes increasingly apparent [61].
play a crucial role in tailoring treatment plans to indi-
vidual patient needs. By processing complex patient data,
these advanced algorithms can predict the most effective C. REMOTE PATIENT MONITORING
treatment strategies for individual patients, considering their Remote patient monitoring has also seen significant advance-
unique genetic makeup, lifestyle, and health history. This ments through the application of dynamic ensembles. Espe-
approach not only maximizes the efficacy of treatments but cially crucial for managing chronic diseases, these tech-
also minimizes potential side effects, leading to better patient nologies enable continuous monitoring of patients’ health
outcomes and a more efficient healthcare system [57]. status in real-time, allowing healthcare providers to make
The role of dynamic ensembles in personalized medicine timely interventions when necessary [62]. Dynamic ensem-
represents a significant leap forward in the customization bles can process and analyze data from wearable devices
of healthcare. In personalized medicine, dynamic ensembles and other remote monitoring tools, predicting potential health
play a crucial role in tailoring treatment plans to individual issues before they become critical. This proactive approach to
patient needs by analyzing complex patient data, including patient care ensures that individuals receive timely medical
genetic makeup, lifestyle, and health history [58]. These attention, potentially reducing the need for hospital visits and
advanced algorithms predict the most effective treatment the associated healthcare costs [63].
strategies, optimizing therapeutic interventions and minimiz- Remote patient monitoring (RPM) has been significantly
ing potential side effects. By aggregating predictions from advanced through the integration of dynamic ensembles and
multiple machine learning models, dynamic ensembles can artificial intelligence (AI), particularly in managing chronic
identify patterns and correlations not apparent to human diseases. These technologies enable continuous, real-time
clinicians or single-model systems, ensuring treatments align monitoring of a patient’s health status, allowing healthcare
perfectly with a patient’s unique biological and environ- providers to intervene proactively. By processing data from
mental factors [59]. This approach significantly reduces wearable devices and other remote monitoring tools, dynamic
adverse reactions and enhances patient safety, particularly ensembles can predict potential health issues before they
in fields like oncology, where chemotherapy effectiveness become critical [64]. This proactive approach shifts health-
varies based on genetic profiles. The implementation of care management from reactive to preventive,
personalized medicine powered by dynamic ensembles also ensuring timely medical attention, potentially reducing
leads to a more efficient healthcare system by targeting the hospital visits and associated healthcare costs. Moreover, the
underlying causes of diseases more accurately and avoiding personalized nature of RPM, powered by dynamic ensem-
ineffective treatments, thereby reducing the overall burden on bles, tailors health monitoring to individual patients’ specific
healthcare resources [60]. health parameters and patterns. This is especially beneficial
Moreover, this personalized approach significantly reduces for chronic condition management, enhancing patient qual-
the risk of adverse reactions. By considering a patient’s spe- ity of life and healthcare efficiency. As technology evolves,
cific genetic predispositions and health conditions, treatments future developments in RPM are expected to introduce
can be fine-tuned to avoid unwanted side effects, making even more sophisticated dynamic ensemble models, refining
medical care safer and more patient-centric. This is cru- health predictions and interventions, and further reducing
cial in fields such as oncology, where the effectiveness of healthcare costs while improving patient outcomes [47].
chemotherapy regimens can vary dramatically based on the Moreover, the personalized aspect of RPM, powered
patient’s genetic profile. The implementation of personalized by dynamic ensembles, tailors health monitoring to the
medicine, powered by dynamic ensembles, also heralds a individual’s specific health parameters and patterns. This
more efficient healthcare system. By targeting the underlying personalized monitoring is particularly beneficial for patients
causes of diseases more accurately and avoiding ineffec- with chronic conditions, where management of the disease
tive treatments, it reduces the overall burden on healthcare often requires close and continuous observation. The ability
resources. Patients receive more effective care quicker, poten- to remotely monitor and manage these conditions not only
tially shortening hospital stays and reducing the need for improves the quality of life for patients but also enhances
multiple interventions. the efficiency of healthcare delivery [65]. As the technology
evolves, future developments in RPM are expected to intro- analysis. The presence of Autoencoders (5.0%) and Dynamic
duce even more sophisticated models of dynamic ensembles, Ensemble Models (10.0%) underscores the growing trend
further refining the accuracy of health predictions and inter- towards advanced, adaptive techniques in anomaly detection
ventions. This will likely include enhanced integration with and real-time monitoring. Overall, this distribution reflects
mobile health applications and electronic health records, the diverse and strategic use of these methods in advancing
offering a more holistic view of the patient’s health status. healthcare research, improving diagnostic accuracy, and opti-
The continued innovation in this field promises to further mizing patient outcomes.
reduce healthcare costs while significantly improving patient Moreover, the synergy between AI and dynamic ensemble
outcomes and quality of care [66]. techniques has brought transformative changes to healthcare
However, the synergy between AI and dynamic ensem- services. These advancements enhance diagnostic accuracy,
ble techniques has brought about transformative changes offer personalized treatment plans, and improve remote
in healthcare services. From enhancing diagnostic accu- patient monitoring, underscoring AI-driven solutions’ poten-
racy and offering personalized treatment plans to improving tial in creating a more effective and patient-centric healthcare
remote patient monitoring, these advancements underscore ecosystem [68]. The continued innovation in this field
the potential of AI-driven solutions in creating a more promises further reductions in healthcare costs and sig-
effective and patient-centric healthcare ecosystem [67]. This nificant improvements in patient care quality. As these
analysis is conducted in table 2 that summarizes the com- technologies evolve, they will likely integrate more closely
plicated roles of Artificial Intelligence (AI) and dynamic with mobile health applications and electronic health records,
ensemble techniques across various domains within health- providing a holistic view of patient health. This comprehen-
care. It provides a detailed analysis of different AI models, sive overview illustrates the transformative potential of AI
their specific application areas, and the techniques they uti- and dynamic ensemble techniques in enhancing the qual-
lize, alongside the improvements in accuracy they offer, the ity, efficiency, and personalization of healthcare services,
types of data they process, their capabilities for predictive marking a significant stride towards a more advanced and
analytics, and their suitability for real-time monitoring. patient-centric healthcare ecosystem [69].
Overall, this comprehensive overview illustrates the trans-
formative potential of AI and dynamic ensemble techniques
in enhancing the quality, efficiency, and personalization of
healthcare services, marking a significant stride towards a
more advanced and patient-centric healthcare ecosystem.
TABLE 2. A comprehensive overview with the integration and impact of Artificial Intelligence and dynamic ensemble techniques in healthcare.
storage solutions, and strict access control. These technolog- and data security ethical issues. A primary concern in this
ical defenses help protect sensitive patient data from being context is the confidentiality of sensitive health informa-
exposed to unauthorized entities, whether through cyberat- tion [74]. AI systems often require large datasets to train
tacks or accidental disclosures [73]. algorithms and improve their accuracy, making the confiden-
The deployment of Artificial Intelligence (AI) in health- tiality of such information a critical issue. Healthcare orga-
care necessitates a nuanced understanding of patient privacy nizations must adhere to stringent data protection regulations
to prevent unauthorized access or breaches, which could lead related to AI-derived insights [79]. Continuous monitoring
to severe privacy violations and loss of trust. Ensuring confi- and updating of privacy policies and data handling practices
dentiality involves establishing robust safeguards, including are essential as technology and regulations evolve. Engaging
advanced security measures like encryption, secure data stor- patients through advocacy groups, educational seminars, and
age solutions, and strict access control [75]. consultations can foster greater understanding and accep-
Ensuring confidentiality involves establishing robust safe- tance. Establishing a culture of privacy and security within
guards, including advanced security measures like encryp- healthcare organizations protects patients and builds the trust
tion, secure data storage solutions, and strict access con- necessary for AI’s successful integration into healthcare prac-
trol. These technological defenses are crucial in protecting tices. By prioritizing the ethical considerations like patient
sensitive patient data from cyberattacks or accidental dis- privacy and data security, healthcare providers can harness
closures [76]. Figure 3 illustrates the development trend of AI’s benefits while minimizing risks and upholding patient
AI and dynamic ensemble techniques in healthcare services, dignity and rights [80].
highlighting the increasing number of references over the Furthermore, continuous monitoring and updating of pri-
years. This upward trend underscores the growing research vacy policies and data handling practices are essential as
and implementation efforts aimed at enhancing data secu- technology and regulations evolve. Healthcare organizations
rity and patient care through advanced AI methodologies. and AI practitioners must remain vigilant to changes in
As Figure 3 demonstrates, there has been a significant rise legal requirements and technological advancements to ensure
in academic interest and application of these technologies, ongoing compliance and protection of patient information.
further emphasizing the importance of continued innovation Engaging patients in discussions about AI, its benefits, and
in this field [77]. its implications for privacy and data security can also foster
greater understanding and acceptance [81]. This engagement
can be facilitated through patient advocacy groups, educa-
tional seminars, and consultations during healthcare visits.
Finally, it is vital for healthcare providers to establish a
culture of privacy and security that permeates every level of
the organization. This culture not only protects patients but
also helps in building and maintaining the trust necessary for
the successful integration of AI technologies into healthcare
practices. By prioritizing ethical considerations like patient
privacy and data security, healthcare providers can harness
the benefits of AI while minimizing risks and upholding the
dignity and rights of their patients [82].
certain groups of patients. This not only undermines the ers is essential to address the dual challenges of bias and
integrity of healthcare services but also perpetuates existing access. Stakeholders must work together to develop guide-
inequalities. Therefore, addressing algorithmic bias is not just lines and regulations that ensure AI systems are both fair
a technical necessity but a moral imperative to ensure fairness and widely available. This includes setting standards for the
in healthcare delivery [84]. ethical development and deployment of AI in healthcare that
Auditing algorithms for bias is a fundamental approach mandate inclusivity and fairness as core objectives [89].
to tackling this issue. This process involves systematically Public awareness and advocacy also play vital roles. Edu-
reviewing the algorithms to identify and understand any cating the public about the potential benefits and risks of
instances of bias, which can be challenging due to the com- healthcare AI can lead to more informed discussions about
plex and often opaque nature of machine learning models, how these technologies should be developed and imple-
especially those involving deep learning. Developing meth- mented. Advocacy groups can push for legislation and
ods to make these models interpretable and their decisions policies that promote fairness and access, ensuring that the
explainable is crucial for transparency and fairness. Once benefits of AI in healthcare are shared equitably across soci-
biases are identified, the next step is to correct them, which ety [90]. Moreover, continuous monitoring and evaluation are
may involve retraining the AI system with more diverse crucial. As AI technologies evolve, ongoing assessment is
datasets that accurately reflect the broader population. Tech- needed to ensure they continue to operate fairly and effec-
niques in machine learning that aim to minimize bias, such as tively across all populations. This involves not only technical
fairness-aware modeling, adjust the algorithm’s function to evaluations but also gathering feedback from patients and
ensure it does not unfairly favor one group over another [85]. healthcare providers who interact with AI systems. To sum
Auditing algorithms for bias is a fundamental approach up, addressing bias and ensuring equitable access in health-
to tackling this issue. This process involves systematically care AI are not merely technical challenges but are deeply
reviewing the algorithms to identify and understand any intertwined with ethical and social considerations. Achiev-
instances of bias. Auditing can be challenging due to the ing fairness in AI requires a comprehensive and sustained
complex and often opaque nature of machine learning mod- effort involving multiple stakeholders, including technolo-
els, especially those involving deep learning [86]. However, gists, ethicists, healthcare professionals, and the communities
developing and employing methods to make these models they serve. By committing to these principles, the deployment
interpretable and their decisions explainable is a critical step of AI in healthcare can truly enhance the well-being of all
toward transparency and fairness. Developing methods to individuals, regardless of their background [91].
make these models interpretable and their decisions explain-
able is crucial for transparency and fairness. Once biases
are identified, the next step is to correct them, which may C. CLINICIAN-PATIENT RELATIONSHIP
involve retraining the AI system with more diverse datasets The integration of Artificial Intelligence (AI) in healthcare
that accurately reflect the broader population. Techniques in has transformative potential, but it also presents significant
machine learning that aim to minimize bias, such as fairness- challenges to the clinician-patient relationship. AI’s role
aware modeling, adjust the algorithm’s function to ensure it should be that of a supportive entity that enhances clini-
does not unfairly favor one group over another [87]. cal decision-making through its capacity to analyze large
Equitable access to AI technologies in healthcare is also datasets, identify patterns, and offer insights that may not be
crucial. AI has the potential to transform healthcare delivery, immediately obvious to human observers. However, AI lacks
making it more efficient and effective, but this potential can the human elements of empathy, understanding, and moral
only be realized if these technologies are accessible to all pop- judgment, which are crucial in healthcare. The ethical deploy-
ulation segments, including underserved and marginalized ment of AI requires that these technologies support but do
communities. Ensuring broad access prevents the exacerba- not undermine the human element [92]. AI should assist
tion of existing healthcare disparities caused by economic healthcare professionals in making better decisions rather
barriers, geographical disparities, and technological divides. than making those decisions for them, thus preserving the
Advanced healthcare AI systems might be available only clinician’s role in interpreting and communicating the find-
in well-funded urban hospitals, leaving rural or economi- ings in a way that respects patient autonomy and context.
cally disadvantaged areas without these innovations’ benefits. Managing patient expectations is crucial, as patients may
Addressing these disparities requires deliberate policy and have varied understandings and expectations about what AI
investment decisions to deploy AI technologies more inclu- can do. Clear communication about AI’s capabilities and
sively [88]. For instance, advanced healthcare AI systems limitations is essential to manage these expectations, build
might be available only in well-funded urban hospitals, leav- trust, and ensure that AI tools enhance the quality of care
ing rural or economically disadvantaged areas without the without depersonalizing it [93].
benefits of these innovations. Addressing these disparities In addition to understanding and managing patient expec-
requires deliberate policy and investment decisions to deploy tations, healthcare providers need to be adequately trained
AI technologies more broadly and inclusively. Collaboration in both the technical use of AI and how to communicate
between AI developers, healthcare providers, and policymak- AI-driven information effectively. This training should focus
on the interpretive skills necessary to explain AI findings to based on empirical evidence and ethical considerations will
patients in an accessible and reassuring manner. Healthcare help ensure that AI serves as a beneficial adjunct in health-
providers must remain vigilant to the ethical implications care, supporting both clinicians and patients [99].
of using AI in clinical settings, continually assessing how
these technologies affect patient care and the clinician-patient D. AUTONOMY AND INFORMED DECISION-MAKING
dynamic [94]. This involves monitoring patient outcomes, In the realm of healthcare, the deployment of Artificial
soliciting feedback, and being prepared to adjust the use Intelligence (AI) brings with it the promise of enhanced
of AI tools as necessary. Patient consent is another vital decision-making capabilities. However, it is paramount that
component; patients should have the right to opt-in or opt- the use of such technology does not compromise the auton-
out of AI-assisted care after fully understanding what it omy of patients in making informed decisions about their own
entails. Respecting patient autonomy is a cornerstone of ethi- health. AI, when used ethically, should serve as a tool that
cal medical practice, particularly with emerging technologies empowers patients by providing them with deeper insights
like AI. Healthcare institutions must support clinicians by and more accurate information, thereby facilitating a more
providing necessary resources, including training and expert informed decision-making process. Supporting patient auton-
consultations, to ensure AI tools are used appropriately and omy in the context of AI means ensuring that patients retain
effectively. Continuous evaluation and improvement based control over their healthcare decisions [100]. It’s crucial that
on empirical evidence and ethical considerations ensure AI AI does not become a substitute for patient choice but rather
serves as a beneficial adjunct in healthcare, supporting both a facilitator of more informed choices. Clear communication
clinicians and patients [95]. plays a critical role in supporting patient autonomy. Health-
In addition, healthcare providers need to be adequately care providers must ensure that they effectively convey the
trained not only in the technical use of AI but also in how to capabilities and limitations of AI tools. This includes explain-
communicate AI-driven information effectively. This training ing how AI contributes to the decision-making process and
should focus on the interpretive skills necessary to explain what the outcomes imply in the context of the patient’s health.
AI findings to patients in a way that is both accessible and Patients should feel informed, not overwhelmed or confused
reassuring. Such skills are essential in ensuring that the use of by the information provided by AI [101].
AI supports the therapeutic goals of healthcare and enhances AI, when used ethically, should serve as a tool that empow-
patient engagement and satisfaction [96]. It is also important ers patients by providing them with deeper insights and more
for healthcare providers to discuss the potential errors or accurate information, thereby facilitating a more informed
uncertainties associated with AI. No technology is perfect, decision-making process. Supporting patient autonomy in the
and AI systems can make mistakes, often based on limita- context of AI means ensuring that patients retain control
tions in the data they have been trained on. Discussing these over their healthcare decisions [102]. AI systems should be
limitations openly can help prevent misunderstandings and designed and utilized in a way that respects the patient’s right
misplaced expectations about the accuracy and capabilities to make their own choices. This involves not only the provi-
of AI technologies [97]. sion of information but also ensuring that the information is
Moreover, healthcare providers must remain vigilant to the presented in a manner that is understandableand actionable
ethical implications of using AI in clinical settings. They for patients. It’s crucial that AI does not become a substitute
should continually assess how the use of these technologies for patient choice but rather a facilitator of more informed
affects patient care and the clinician-patient dynamic. This choices. This includes explaining how AI contributes to the
involves monitoring patient outcomes, soliciting feedback decision-making process and what the outcomes imply in the
from patients and colleagues, and being prepared to adjust the context of the patient’s health. Patients should feel informed,
use of AI tools as necessary to maintain the integrity of care. not overwhelmed or confused by the information provided by
Patient consent is another vital component. Patients should AI [103].
have the right to opt-in or opt-out of AI-assisted care after Moreover, the conveyance of risks and uncertainties should
fully understanding what it entails. This respect for patient not be a one-time process but a continuous part of the health-
autonomy is a cornerstone of ethical medical practice and is care delivery. As AI systems learn and adapt, new information
particularly pertinent in the context of emerging technolo- might come to light that could alter the understanding of these
gies like AI [98]. Healthcare institutions also have a role risks and uncertainties. Keeping the patient updated about
to play in supporting clinicians in this transitional phase. these changes is crucial for maintaining informed consent
Institutions should provide the necessary resources, including throughout their care journey [104]. Healthcare providers
training and access to expert consultations, to facilitate the must be trained not only to understand. AI tools but also to
smooth integration of AI into clinical practice. This support communicate effectively about them. They should be able
is crucial in ensuring that AI tools are used appropriately to explain complex AI processes in simple terms and help
and effectively, enhancing rather than hindering the delivery patients understand the practical implications of these tech-
of care. Lastly, the ongoing evaluation of AI applications in nologies on their health and treatment options. This training
healthcare is crucial. As AI technologies evolve, so too should is essential for bridging the gap between AI technology and
the strategies for their integration. Continuous improvement patient-centered care [99].
TABLE 3. Ethical framework for AI deployment in healthcare: Key considerations and proposed solutions.
Patient-centered care also involves considering the E. SUSTAINABLE AND RESPONSIBLE AI DEPLOYMENT
patient’s values and preferences in the context of AI recom- The deployment of Artificial Intelligence (AI) in healthcare
mendations. AI should support a holistic approach to care that raises significant ethical considerations that extend beyond
considers these factors, ensuring that technology supports, immediate clinical outcomes to encompass broader impacts
rather than overrides, the values held by the patient. This on society and the environment. One of the primary con-
alignment is crucial for maintaining the dignity and respect siderations is the long-term impact of AI on healthcare
of the patient within the care process. The design of AI systems [107].
systems should also reflect a commitment to patient auton- Sustainability in the context of AI also pertains to the
omy [105]. This means developing AI tools that enhance ongoing ability of healthcare systems to incorporate and
the ability of patients to understand their health conditions benefit from AI technologies without causing unintended
and the potential outcomes of different treatment options. consequences. This includes ensuring that AI systems do
AI designers can work closely with healthcare professionals not become obsolete quickly, necessitating frequent costly
and patients to ensure that these tools are aligned with the updates or replacements. It also means designing AI sys-
needs and preferences of those they are meant to serve. tems that are robust enough to handle evolving healthcare
In conclusion, the ethical use of AI in healthcare hinges challenges and patient needs, thus providing lasting ben-
on its ability to support patient autonomy and informed efits. A sustainable AI deployment strategy also needs to
decision-making. By effectively communicating the capabil- consider the scalability of AI solutions [108]. As health-
ities, limitations, risks, and uncertainties associated with AI, care demands grow and change, AI systems should be
healthcare providers can ensure that AI serves as a valuable capable of adapting to these changes without requiring com-
tool in empowering patients to make the best possible deci- plete redesigns. This adaptability ensures that investments
sions for their health [106]. in AI technology continue to provide value and support
improved health outcomes across different settings and V. OVERCOMING CHALLENGES WITH DYNAMIC
populations [109]. ENSEMBLE TECHNIQUES
Another crucial aspect of sustainable AI deployment is The integration of dynamic ensemble techniques and artificial
the training and integration of healthcare professionals. For intelligence (AI) into healthcare represents a significant leap
AI to be a truly sustainable part of the healthcare system, forward in the capability to diagnose, treat, and monitor
medical staff need to be trained not only on how to use AI patient health. However, this advancement comes with its set
tools but also on how to interpret and integrate AI-generated of challenges that need to be addressed to fully harness its
insights into clinical decision-making. This training must be potential [114].
updated regularly to keep pace with technological advance-
ments and to ensure that the benefits of AI are fully realized. A. COMPUTATIONAL DEMANDS
Furthermore, the environmental impact of AI is a significant The application of dynamic ensemble techniques in health-
concern [110]. The process of training and running com- care is highly computational due to the complex nature
plex AI models requires substantial computational power, of healthcare data and the sophistication of the algorithms
which in turn can consume large amounts of energy. As the involved. These systems process extensive datasets and merge
healthcare sector increasingly adopts AI, the cumulative envi- insights from numerous algorithms to boost accuracy and
ronmental footprint could become substantial. Addressing dependability [115]. To manage these computational chal-
this requires a concerted effort to use energy-efficient tech- lenges, healthcare IT systems are increasingly turning to opti-
nologies and to source energy from renewable resources mization of algorithms for greater efficiency, utilizing cloud
wherever possible. The carbon footprint of developing and computing for scalable processing capabilities, and leverag-
maintaining AI solutions must be considered as part of the ing high-performance computing resources like GPUs [116].
ethical deployment of these technologies. This includes not Additionally, streamlining complex models without sacri-
only direct emissions from data centers but also indirect ficing their effectiveness helps in reducing computational
impacts such as the energy used in the manufacture and demands, making these advanced analytical methods more
disposal of hardware. Healthcare organizations employing practicable and sustainable for widespread use in healthcare
AI should strive for carbon neutrality by investing in green settings [117].
technologies and supporting sustainable practices across their The integration of dynamic ensemble techniques in health-
operations [111]. care signifies a significant leap forward in predictive analytics
Ethical AI deployment also involves the responsible use and patient care optimization. However, the computational
of resources. This includes minimizing waste in AI devel- intensity of these techniques necessitates a nuanced approach
opment processes, such as through the optimization of data to their deployment and management. The processing of
storage and processing and the reuse or recycling of compu- vast amounts of healthcare data—ranging from electronic
tational hardware. By adopting principles of sustainability in health records to real-time biometric monitoring—requires
resource management, healthcare systems can mitigate some an infrastructure capable of handling complex computational
of the environmental impacts associated with AI technolo- tasks efficiently [118]. Cloud computing emerges as a pivotal
gies. Moreover, the ethical implications of AI deployment technology in this landscape, offering scalable and flexible
extend to societal impacts, particularly regarding how AI computing resources [119]. Cloud platforms enable health-
technologies might affect healthcare access and equity. Sus- care organizations to analyze large datasets without the need
tainable AI deployment should enhance, not hinder, equitable for extensive on-premises hardware, thus reducing opera-
access to healthcare services. This means deploying AI in a tional costs and enhancing computational efficiency. This
way that addresses rather than exacerbates existing disparities scalability is crucial for dynamic ensemble methods, which
in healthcare access and outcomes [112]. thrive on the ability to process and analyze data across decen-
To ensure responsible deployment, continuous monitor- tralized sources seamlessly [120].
ing and evaluation of AI systems are necessary. This High-performance computing (HPC) resources, including
should involve assessing both the clinical efficacy and GPUs, play a crucial role in accelerating the computa-
the environmental and societal impacts of AI. By main- tional processes inherent in dynamic ensemble techniques.
taining vigilant oversight, healthcare providers can make GPUs, known for their parallel processing capabilities, are
informed decisions about when and how to update or phase particularly adept at handling the multiple layers of cal-
out AI systems to align with ethical and environmental culations required by these sophisticated algorithms. This
standards. In conclusion, the sustainable and responsible makes them an invaluable resource in the rapid analysis
deployment of AI in healthcare demands a multifaceted of complex healthcare datasets, thereby reducing the time
approach that considers long-term impacts, environmental required for data processing and analysis. Streamlining com-
sustainability, and equitable health outcomes. By address- plex models is another strategy that healthcare IT systems are
ing these dimensions, healthcare systems can harness the employing to mitigate computational demands. Simplifica-
benefits of AI in a way that upholds ethical standards and tion of algorithms, while maintaining their predictive power,
promotes the well-being of both individuals and the broader allows for more efficient data processing. This not only opti-
community [113]. mizes computational resources but also facilitates the wider
adoption of these advanced analytical methods in healthcare data privacy and security. The handling of sensitive patient
settings, where real-time data analysis can be crucial for information by AI systems necessitates robust mechanisms
patient care [121]. to ensure data protection and maintain patient trust. One of
Moreover, the advent of edge computing in healthcare the paramount strategies to address these concerns is the
offers a complementary approach to managing computational implementation of stringent encryption protocols. Encryption
demands. By processing data closer to its source, edge com- serves as the first line of defense, ensuring that patient data
puting reduces latency, decreases the burden on centralized remains secure, whether at rest or in transit. This method
computing systems, and enhances the real-time analysis capa- effectively shields information from unauthorized access,
bilities of healthcare applications. This is particularly relevant thereby preserving the confidentiality and integrity of health-
for dynamic ensemble techniques used in remote patient care data [128].
monitoring and real-time diagnostic tools [122]. Future con- In conjunction with encryption, stringent access control
siderations in the field of healthcare IT must also focus on the mechanisms play a crucial role. These systems ensure that
development of more energy-efficient computational tech- only authorized personnel have access to sensitive patient
nologies. As the environmental impact of digital healthcare data, minimizing the risk of data breaches. Access controls
becomes more pronounced, optimizing the energy consump- can be further enhanced with the use of multi-factor authen-
tion of computational processes will be essential. Innovations tication and regular audits, which monitor and log access
in algorithm design that reduce energy requirements without to sensitive information, providing an additional layer of
compromising computational power could pave the way for security [129]. Compliance with regulatory standards, such
more sustainable healthcare IT systems [123]. as the Health Insurance Portability and Accountability Act
Additionally, the potential of quantum computing offers (HIPAA) in the United States, is another critical aspect
an exciting horizon for tackling computational demands in of safeguarding patient data. These regulations provide a
healthcare. Quantum computers, with their ability to per- framework for the protection of personal health information,
form complex calculations at unprecedented speeds, could mandating healthcare providers and technology companies
dramatically reduce the computational time required for data to adhere to specific privacy and security measures. The
analysis in dynamic ensemble techniques. While still in its adoption of federated learning models represents a ground-
nascent stages, the exploration of quantum computing in breaking approach to maintaining data privacy in the age of
healthcare data analysis could revolutionize the speed and AI-driven healthcare. By allowing AI algorithms to be trained
accuracy of diagnostic and predictive models [124]. directly on devices that hold local data samples, federated
However, managing the computational demands of learning circumvents the need to centralize sensitive patient
dynamic ensemble techniques in healthcare requires a information. This decentralized approach not only reduces
multifaceted approach, leveraging cloud computing, HPC the risks associated with data transfer but also enhances pri-
resources, algorithm optimization, and emerging technolo- vacy by keeping patient data localized [130].
gies like edge and quantum computing. As healthcare Moreover, federated learning enables collaborative AI
continues to evolve towards more data-driven models, these model training without compromising the privacy of indi-
technological advancements will be crucial in ensuring that vidual data contributors. This collaborative model, which
computational challenges do not hinder the progress and leverages insights from diverse data sources, has the poten-
potential benefits of AI in improving patient outcomes [125]. tial to significantly improve the accuracy and reliability of
AI predictions in healthcare, all while maintaining strict
B. DATA PRIVACY AND SECURITY data privacy standards [131]. However, the implementation
The deployment of AI and dynamic ensembles in healthcare of federated learning and other privacy-preserving tech-
necessitates the processing of sensitive patient information, niques requires careful consideration of the computational
raising substantial concerns regarding data privacy and secu- demands [132]. These advanced models often necessitate sig-
rity [126]. To safeguard patient data, stringent encryption nificant processing power, highlighting the need for efficient
protocols for data storage and transfer are essential, alongside algorithm design and the use of scalable computing resources.
strict access control mechanisms and adherence to regula- To further enhance data privacy and security, healthcare
tory compliance standards such as HIPAA. An innovative organizations are exploring innovative technologies such as
approach to preserving data privacy is the adoption of fed- blockchain. Blockchain’s decentralized and tamper-evident
erated learning models. This method allows AI algorithms to ledger offers a promising solution for secure and transparent
be trained across several decentralized devices, each holding handling of patient data, ensuring traceability and account-
local data samples, thus minimizing the necessity to transfer ability across all transactions [133].
sensitive data and reducing privacy risks [127]. Despite these advancements, the healthcare industry must
In the rapidly evolving landscape of healthcare, the inte- remain vigilant against emerging threats to data privacy and
gration of Artificial Intelligence (AI) and dynamic ensemble security. Continuous monitoring, regular updates to security
techniques heralds a new era of precision medicine and protocols, and ongoing education for healthcare professionals
enhanced patient care. However, this technological advance- are essential to stay ahead of potential vulnerabilities. How-
ment brings to the forefront significant challenges related to ever, the integration of AI and dynamic ensemble techniques
VOLUME 12, 2024 141079
H. Javed et al.: Impact of AI and Dynamic Ensemble Techniques in Enhancing Healthcare Services
in healthcare presents both opportunities and challenges in cess complex healthcare data at unprecedented speeds.
the realm of data privacy and security [122]. Quantum algorithms could enable the analysis of entire
Through the adoption of robust encryption protocols, strict genomic sequences in minutes, revolutionizing person-
access controls, adherence to regulatory standards, and inno- alized medicine.
vative approaches like federated learning, the healthcare 2. AI and the Internet of Medical Things (IoMT): The
sector can navigate these challenges. By doing so, it can expansion of IoMT devices will lead to more connected
harness the full potential of AI to transform patient care while healthcare ecosystems. AI can integrate data from
ensuring the utmost protection of sensitive patient informa- numerous devices to provide comprehensive patient
tion [134]. insights, enhancing telehealth and remote monitoring
Another significant challenge is the potential for algorith- capabilities.
mic bias, which could result in unequal healthcare solutions. 3. Augmented and Virtual Reality (AR/VR) for Med-
Biases may arise from datasets that do not adequately rep- ical Training: AR and VR technologies, powered by
resent all patient demographics or from errors in algorithm AI, could provide highly immersive training for medical
design, leading to skewed outcomes. To combat this, it’s professionals, enabling them to simulate and practice
essential to employ diverse and inclusive datasets that mirror procedures with high accuracy before assisting real
the diversity of the patient population accurately. Conducting patients.
thorough testing and validation across various demographic 4. Autonomous Robotic Surgery: AI-driven robotic sys-
groups is crucial for identifying and addressing biases. Fur- tems will advance to perform certain types of surgeries
thermore, involving a multidisciplinary team comprising autonomously, with surgeons overseeing the process,
clinicians, ethicists, and patients in the AI development pro- thus increasing precision and reducing human error.
cess can offer varied perspectives, aiding in the development 5. Advanced Predictive Analytics for Public Health: AI
of fair and effective AI-driven healthcare solutions [124]. will further develop in predicting public health trends,
Tackling the issue of algorithmic bias in healthcare AI allowing for proactive measures in epidemic prevention
is crucial for ensuring equitable and effective patient care. and healthcare resource allocation, potentially averting
Biases in AI can lead to disparities in diagnosis, treatment crises before they occur.
recommendations, and patient outcomes, disproportionately
affecting certain demographic groups. The incorporation of
diverse and inclusive datasets is a fundamental step towards B. OVERCOMING LIMITATIONS
mitigating this bias, as it ensures that AI algorithms have 1. Enhancing Data Representativity: To address algo-
exposure to a wide range of patient data, reflecting the true rithmic bias, future research must focus on enhancing
diversity of the population they serve. This diversity in data the diversity and representativeness of datasets. AI mod-
helps to prevent the algorithms from developing skewed per- els trained on comprehensive datasets can provide more
spectives that favor one demographic over another. In-depth accurate and equitable healthcare outcomes.
testing and validation processes across various demographic 2. Explainable AI (XAI): As AI systems become more
groups are indispensable. complex, there is a growing need for explainability.
These processes not only help in identifying existing biases XAI will allow healthcare professionals and patients
but also in understanding their impact on healthcare delivery. to understand AI decision-making processes, fostering
Rigorous testing protocols can uncover subtle biases that trust and transparency.
might not be evident at first glance, allowing developers to 3. AI-Enabled Precision Drug Development: AI can
adjust algorithms accordingly [135]. streamline the drug development process by predicting
molecule interactions more accurately. This will lead
VI. FUTURE DIRECTIONS AND POTENTIAL INNOVATIONS to faster development times for new medications and
As the healthcare landscape evolves, so does the integration personalized drug regimens.
of Artificial Intelligence (AI) and dynamic ensemble tech- 4. Federated Learning for Privacy Preservation: To
niques, which are pivotal in enhancing healthcare services. combat data privacy concerns, federated learning can be
These technologies have already made significant strides utilized where AI models are trained locally on disparate
in improving diagnostics, personalizing treatments, and ele- data sources and only share model improvements rather
vating patient care. Yet, the horizon of innovation in AI than sensitive data.
for healthcare is vast and full of potential. This section 5. Cross-Disciplinary AI Ethics Frameworks: Devel-
explores the speculative future innovations that could trans- oping robust ethical frameworks in collaboration with
form healthcare and discusses the paths to overcome current ethicists, clinicians, and AI technologists will be essen-
limitations. tial in guiding the ethical development and application
of AI in healthcare.
A. NEXT-GENERATION AI TECHNOLOGIES 6. Scalability through Cloud and Edge Computing:
1. Quantum Computing in Healthcare AI: The advent Leveraging cloud and edge computing can address the
of quantum computing offers the potential to pro- computational demands of AI, allowing for the scalable
TABLE 4. (Continued.) From computational demand to ethical considerations: AI’s impact on healthcare.
deployment of AI applications in healthcare settings decade has explained the substantial advancements made by
around the world. AI in refining diagnostic processes, individualizing treatment
regimens, and enhancing patient health monitoring. By inte-
C. POTENTIAL INNOVATIONS grating multiple predictive models, dynamic ensembles have
1. AI for Longevity Research: AI has the potential to exhibited considerable potential in deciphering the complex-
accelerate research into the aging process, identifying ity inherent in patient data and the multifaceted nature of
interventions that can extend healthy lifespan and reduce diseases, thereby achieving heightened accuracy in clinical
age-related diseases. outcomes.
2. Personal Health Assistants: The emergence of The principal contributions of this review are complicated.
AI-powered personal health assistants that understand Firstly, it underscores the profound impact of AI-driven
and process natural language could provide personal- diagnostics, illustrating how AI excels in recognizing com-
ized health guidance and reminders, enhancing patient plexed patterns within medical imaging to facilitate early and
adherence to treatment regimens. precise diagnoses. Secondly, it highlights the dynamic capa-
3. Blockchain for Health Data Integrity: Blockchain bilities of AI in predictive analytics, which are instrumental
technology, combined with AI, could ensure the in tailoring treatments to the nuanced needs of individual
integrity and security of health data by creating patients, thereby optimizing therapeutic effectiveness. Lastly,
immutable records for patient data and AI decision the review illuminates the influence of AI in patient monitor-
trails. ing, particularly through wearable technology, which ensures
4. Synthetic Biology and AI: AI’s role in synthetic biol- continuous, real-time health management integrated into
ogy could lead to the creation of new biological systems patients’ daily lives. Despite these remarkable advancements,
and organisms designed to address specific healthcare we have also identified several challenges and limitations
needs, such as targeted drug delivery mechanisms. associated with the deployment of AI and dynamic ensembles
5. Neurotechnology and AI Interfaces: Advances in in healthcare, including ethical implications related to data
neurotechnology, supported by AI, may enable direct privacy, the need for algorithmic transparency, and the imper-
brain-computer interfaces, offering new ways to restore ative to eliminate bias to ensure equitable healthcare delivery.
and enhance cognitive or sensory-motor functions. Furthermore, the computational intensity required for these
However, the future of AI in healthcare is not just a lin- sophisticated systems and the necessity for robust infrastruc-
ear extension of current capabilities but a multidimensional ture present additional hurdles that must be surmounted.
expansion into new realms of possibility. Each innovation Looking ahead, there remains valuable support for research
will bring its own set of challenges and ethical consider- and development in AI and healthcare. This review not only
ations, requiring continuous dialogue, policy development, serves as a testament to the progress achieved but also as a
and research to ensure that the benefits of AI in healthcare beacon for future explorations. It emphasizes the importance
can be realized fully and equitably. of multidisciplinary collaborations in advancing the fron-
tiers of AI applications in healthcare. Continuous innovation,
VII. CONCLUSION driven by the collective expertise of technologists, clinicians,
In this comprehensive review, we have thoroughly examined and ethicists, is paramount to navigating ethical complexities
the role of Artificial Intelligence (AI) and dynamic ensemble and enhancing the deployment of AI technologies. We advo-
techniques in revolutionizing healthcare services. Our rig- cate for a reinvigorated research agenda focused on advancing
orous analysis of literature and case studies from the past AI methodologies, deepening our understanding of AI appli-
cations in clinical settings, and developing new frameworks [10] Y. Wu and X. M. Liu, ‘‘Navigating the ethical landscape of AI in health-
to address emerging ethical concerns. The potential of AI in care: Insights from a content analysis,’’ IEEE Technol. Soc. Mag., vol. 42,
no. 3, pp. 76–87, Sep. 2023.
healthcare is immense, yet realizing this potential will require [11] F. Marulli, S. Marrone, and L. Verde, ‘‘Sensitivity of machine learn-
a concerted effort to overcome current computational and ing approaches to fake and untrusted data in healthcare domain,’’
ethical challenges. J. Sensor Actuator Netw., vol. 11, no. 2, p. 21, Mar. 2022, doi:
10.3390/jsan11020021.
In conclusion, while substantial progress has been done,
[12] D. Saraswat, P. Bhattacharya, A. Verma, V. K. Prasad, S. Tanwar,
the journey ahead for AI in healthcare is both promising G. Sharma, P. N. Bokoro, and R. Sharma, ‘‘Explainable AI for
and demanding. It necessitates an unwavering commitment healthcare 5.0: Opportunities and challenges,’’ IEEE Access, vol. 10,
to research excellence, ethical vigilance, and a collaborative pp. 84486–84517, 2022, doi: 10.1109/ACCESS.2022.3197671.
[13] H. Liu, S. Zhang, H. Gamboa, T. Xue, C. Zhou, and T. Schultz, ‘‘Taxon-
spirit that embodies the essence of healthcare innovation. omy and real-time classification of artifacts during biosignal acquisition:
Through such concerted efforts, we can aspire towards a A starter study and dataset of ECG,’’ IEEE Sensors J., vol. 24, no. 6,
future where AI not only complements but significantly pp. 9162–9171, Mar. 2024, doi: 10.1109/JSEN.2024.3356651.
enhances the delivery of healthcare services, with a profound [14] K. Fritchman, K. Saminathan, R. Dowsley, T. Hughes, M. De Cock,
A. Nascimento, and A. Teredesai, ‘‘Privacy-preserving scoring of tree
and positive impact on patient care globally. ensembles: A novel framework for AI in healthcare,’’ in Proc. IEEE
Int. Conf. Big Data (Big Data), Dec. 2018, pp. 2413–2422.
ACKNOWLEDGMENT [15] S. S. Band, A. Yarahmadi, C.-C. Hsu, M. Biyari, M. Sookhak, R. Ameri,
Open Access funding provided by the Qatar National Library. I. Dehzangi, A. T. Chronopoulos, and H.-W. Liang, ‘‘Application
of explainable artificial intelligence in medical health: A systematic
Authors would like to thank Qatar National Library for review of interpretability methods,’’ Informat. Med. Unlocked, vol. 40,
supporting the publication charges of this manuscript. This May 2023, Art. no. 101286, doi: 10.1016/j.imu.2023.101286.
work was supported in part by National Priorities Research [16] S. M. Carter, W. Rogers, K. T. Win, H. Frazer, B. Richards, and N. Hous-
sami, ‘‘The ethical, legal and social implications of using artificial
Program (NPRP) under Grant NPRP13S-0212-200345 from
intelligence systems in breast cancer care,’’ Breast, vol. 49, pp. 25–32,
the Qatar National Research Fund (a member of Qatar Foun- Feb. 2020, doi: 10.1016/j.breast.2019.10.001.
dation). The findings herein reflect the work and are solely [17] S. Prakash, J. N. Balaji, A. Joshi, and K. M. Surapaneni, ‘‘Ethi-
the responsibility of the authors. cal conundrums in the application of artificial intelligence (AI) in
healthcare—A scoping review of reviews,’’ J. Personalized Med., vol. 12,
no. 11, p. 1914, Nov. 2022, doi: 10.3390/jpm12111914.
REFERENCES
[18] S. Graham, C. Depp, E. E. Lee, C. Nebeker, X. Tu, H.-C. Kim, and
[1] D. Cagliero, N. Deuitch, N. Shah, C. Feudtner, and D. Char, ‘‘A frame- D. V. Jeste, ‘‘Artificial intelligence for mental health and mental ill-
work to identify ethical concerns with ML-guided care workflows: nesses: An overview,’’ Current Psychiatry Rep., vol. 21, no. 11, pp. 1–18,
A case study of mortality prediction to guide advance care planning,’’ Nov. 2019, doi: 10.1007/s11920-019-1094-0.
J. Amer. Med. Inform. Assoc., vol. 30, no. 5, pp. 819–827, Apr. 2023, doi: [19] A. Rajkomar, M. Hardt, M. D. Howell, G. Corrado, and M. H. Chin,
10.1093/jamia/ocad022. ‘‘Ensuring fairness in machine learning to advance health equity,’’
[2] M.-T. Cao, N.-D. Hoang, V. H. Nhu, and D. T. Bui, ‘‘An advanced meta- Ann. Internal Med., vol. 169, no. 12, p. 866, Dec. 2018, doi:
learner based on artificial electric field algorithm optimized stacking 10.7326/m18-1990.
ensemble techniques for enhancing prediction accuracy of soil shear [20] G. A. Kaissis, M. R. Makowski, D. Rückert, and R. F. Braren, ‘‘Secure,
strength,’’ Eng. with Comput., vol. 38, no. 3, pp. 2185–2207, Jun. 2022, privacy-preserving and federated machine learning in medical imag-
doi: 10.1007/s00366-020-01116-6. ing,’’ Nature Mach. Intell., vol. 2, no. 6, pp. 305–311, Jun. 2020, doi:
[3] K. V. Priya and P. J. Dinesh, ‘‘A detailed study on adversarial 10.1038/s42256-020-0186-1.
attacks and defense mechanisms on various deep learning models,’’ in
[21] M. Javaid, A. Haleem, R. P. Singh, and R. Suman, ‘‘Towards insight-
Proc. Adv. Comput. Commun. Technol. High Perform. Appl. (ACCTHPA),
ing cybersecurity for healthcare domains: A comprehensive review of
Jan. 2023, pp. 1–6, doi: 10.1109/ACCTHPA57160.2023.10083378.
recent practices and trends,’’ Cyber Secur. Appl., vol. 1, Dec. 2023,
[4] D. B. Olawade, O. J. Wada, A. C. David-Olawade, E. Kunonga,
Art. no. 100016, doi: 10.1016/j.csa.2023.100016.
O. Abaire, and J. Ling, ‘‘Using artificial intelligence to improve public
health: A narrative review,’’ Frontiers Public Health, vol. 11, Oct. 2023, [22] S. Jahan, K. Abu Taher, M. S. Kaiser, M. Mahmud, M. S. Rahman,
Art. no. 1196397, doi: 10.3389/fpubh.2023.1196397. A. S. M. S. Hosen, and I.-H. Ra, ‘‘Explainable AI-based Alzheimer’s
[5] C. J. Ejiyi, Z. Qin, J. Amos, M. B. Ejiyi, A. Nnani, T. U. Ejiyi, prediction and management using multimodal data,’’ PLoS ONE,
V. K. Agbesi, C. Diokpo, and C. Okpara, ‘‘A robust predictive diagnosis vol. 18, no. 11, Nov. 2023, Art. no. e0294253, doi: 10.1371/jour-
model for diabetes mellitus using Shapley-incorporated machine learning nal.pone.0294253.
algorithms,’’ Healthcare Anal., vol. 3, Nov. 2023, Art. no. 100166, doi: [23] J. Morley, C. C. V. Machado, C. Burr, J. Cowls, I. Joshi, M. Taddeo,
10.1016/j.health.2023.100166. and L. Floridi, ‘‘The ethics of AI in health care: A mapping
[6] M. MohanaKrishnan, A. V. S. Kumar, V. Talukdar, O. S. Saleh, review,’’ Social Sci. Med., vol. 260, Sep. 2020, Art. no. 113172, doi:
I. D. Irawati, R. Latip, and G. Kaur, ‘‘Artificial intelligence in cyber 10.1016/j.socscimed.2020.113172.
security,’’ in Handbook of Research on Deep Learning Techniques for [24] S. Debnath, D. P. Barnaby, K. Coppa, A. Makhnevich, E. J. Kim,
Cloud-Based Industrial IoT. Hershey, PA, USA: IGI Global, 2023, S. Chatterjee, V. Tóth, T. J. Levy, M. D. Paradis, S. L. Cohen,
pp. 366–385, doi: 10.4018/978-1-6684-8098-4.ch022. J. S. Hirsch, T. P. Zanos, L. B. Becker, J. Cookingham, K. W. David-
[7] A. Čartolovni, A. Tomičić, and E. L. Mosler, ‘‘Ethical, legal, and social son, A. J. Dominello, L. Falzon, T. McGinn, J. N. Mogavero, and
considerations of AI-based medical decision-support tools: A scoping G. A. Osorio, ‘‘Machine learning to assist clinical decision-making during
review,’’ Int. J. Med. Informat., vol. 161, May 2022, Art. no. 104738, doi: the COVID-19 pandemic,’’ Bioelectron. Med., vol. 6, no. 1, pp. 1–8,
10.1016/j.ijmedinf.2022.104738. Dec. 2020, doi: 10.1186/s42234-020-00050-8.
[8] T. Jarvis, D. Thornburg, A. M. Rebecca, and C. M. Teven, ‘‘Artificial [25] P. Natsiavas, A. Malousi, C. Bousquet, M.-C. Jaulent, and V. Koutkias,
intelligence in plastic surgery: Current applications, future directions, and ‘‘Computational advances in drug safety: Systematic and mapping review
ethical implications,’’ Plastic Reconstructive Surg.-Global Open, vol. 8, of knowledge engineering based approaches,’’ Frontiers Pharmacol.,
no. 10, p. e3200, Oct. 2020, doi: 10.1097/gox.0000000000003200. vol. 10, p. 415, May 2019, doi: 10.3389/fphar.2019.00415.
[9] M. A. Ahmad, A. Patel, C. Eckert, V. Kumar, and A. Teredesai, ‘‘Fair- [26] C. Bhardwaj, S. Jain, and M. Sood, ‘‘Transfer learning based robust
ness in machine learning for healthcare,’’ in Proc. 26th ACM SIGKDD automatic detection system for diabetic retinopathy grading,’’ Neu-
Int. Conf. Knowl. Discovery Data Mining, Aug. 2020, pp. 3529–3530, ral Comput. Appl., vol. 33, no. 20, pp. 13999–14019, Oct. 2021, doi:
doi: 10.1145/3394486.3406461. 10.1007/s00521-021-06042-2.
[27] J. Huang, J. Zhang, X. Li, Y. Qiao, R. Zhang, and G. S. Kumar, ‘‘Inves- [44] C. Guo, M. Liu, and M. Lu, ‘‘A dynamic ensemble learning algorithm
tigating the effects of ensemble and weight optimization approaches on based on K-means for ICU mortality prediction,’’ Appl. Soft Comput.,
neural networks’ performance to estimate the dynamic modulus of asphalt vol. 103, May 2021, Art. no. 107166, doi: 10.1016/j.asoc.2021.107166.
concrete,’’ Road Mater. Pavement Design, vol. 24, no. 8, pp. 1939–1959, [45] C. Ballard and W. Wang, ‘‘Dynamic ensemble selection meth-
Aug. 2023, doi: 10.1080/14680629.2022.2112061. ods for heterogeneous data mining,’’ in Proc. 12th World Congr.
[28] P. Deepa and R. Khilar, ‘‘Detecting Parkinson’s disease Intell. Control Autom. (WCICA), Jun. 2016, pp. 1021–1026, doi:
from speech signals using boosting ensemble techniques,’’ in 10.1109/WCICA.2016.7578244.
Proc. Int. Conf. Artif. Intell. Knowl. Discovery Concurrent [46] P. Mahajan, S. Uddin, F. Hajati, and M. A. Moni, ‘‘Ensemble learning for
Eng. (ICECONF), Jan. 2023, pp. 1–7, doi: 10.1109/ICE- disease prediction: A review,’’ Healthcare, vol. 11, no. 12, p. 1808, 2023,
CONF57129.2023.10083634. doi: 10.3390/healthcare11121808.
[29] G. Coletta, G. Miraglia, R. Ceravolo, and C. Surace, ‘‘Ensemble tech- [47] K. A. Shastry and A. Shastry, ‘‘An integrated deep learning and natural
nique for machine learning with application to monitoring of heritage language processing approach for continuous remote monitoring in digi-
structures,’’ in Proc. 13th Int. Conf. Damage Assessment Struct., in tal health,’’ Decis. Anal. J., vol. 8, Sep. 2023, Art. no. 100301.
Lecture Notes in Mechanical Engineering. Cham, Switzerland: Springer, [48] L. Petersson, I. Larsson, J. M. Nygren, P. Nilsen, M. Neher, J. E. Reed,
2020, pp. 333–349, doi: 10.1007/978-981-13-8331-1_23. D. Tyskbo, and P. Svedberg, ‘‘Challenges to implementing artificial
[30] L. Rosa, F. Silva, and C. Analide, ‘‘Explainable artificial intelli- intelligence in healthcare: A qualitative interview study with healthcare
gence on smart human mobility: A comparative study approach,’’ in leaders in Sweden,’’ BMC Health Services Res., vol. 22, no. 1, p. 850,
Proc. Int. Symp. Distrib. Comput. Artif. Intell., in Lecture Notes in Net- Dec. 2022.
works and Systems. Cham, Switzerland: Springer, 2023, pp. 93–103, doi: [49] S. Rajendran, W. Pan, M. R. Sabuncu, Y. Chen, J. Zhou, and F. Wang,
10.1007/978-3-031-23210-7_9. ‘‘Patchwork learning: A paradigm towards integrative analysis across
[31] F. Juraev, S. El-Sappagh, E. Abdukhamidov, F. Ali, and T. Abuhmed, diverse biomedical data sources,’’ 2023, arXiv:2305.06217.
‘‘Multilayer dynamic ensemble model for intensive care unit mortality
[50] R. Najjar, ‘‘Redefining radiology: A review of artificial intelligence
prediction of neonate patients,’’ J. Biomed. Informat., vol. 135, Nov. 2022,
integration in medical imaging,’’ Diagnostics, vol. 13, no. 17, p. 2760,
Art. no. 104216.
Aug. 2023, doi: 10.3390/diagnostics13172760.
[32] A. Vellido, ‘‘Societal issues concerning the application of artificial intelli-
gence in medicine,’’ Kidney Diseases, vol. 5, no. 1, pp. 11–17, 2019, doi: [51] B. K. Chigilipalli, T. Karri, S. N. Chetti, G. Bhiogade, R. K. Kottala, and
10.1159/000492428. M. Cheepu, ‘‘A review on recent trends and applications of IoT in additive
[33] M. Beil, I. Proft, D. van Heerden, S. Sviri, and P. V. van Heerden, ‘‘Ethical manufacturing,’’ Appl. Syst. Innov., vol. 6, no. 2, p. 50, Apr. 2023, doi:
considerations about artificial intelligence for prognostication in intensive 10.3390/asi6020050.
care,’’ Intensive Care Med. Experim., vol. 7, no. 1, pp. 1–13, Dec. 2019, [52] B. Sheehan, L. E. Nigrovic, P. S. Dayan, N. Kuppermann, D. W. Ballard,
doi: 10.1186/s40635-019-0286-6. E. Alessandrini, L. Bajaj, H. Goldberg, J. Hoffman, S. R. Offerman,
[34] E. Chikhaoui, A. Alajmi, and S. Larabi-Marie-Sainte, ‘‘Artificial intel- D. G. Mark, M. Swietlik, E. Tham, L. Tzimenatos, D. R. Vinson,
ligence applications in healthcare sector: Ethical and legal challenges,’’ G. S. Jones, and S. Bakken, ‘‘Informing the design of clinical deci-
Emerg. Sci. J., vol. 6, no. 4, pp. 717–738, May 2022, doi: 10.28991/esj- sion support services for evaluation of children with minor blunt
2022-06-04-05. head trauma in the emergency department: A sociotechnical analy-
[35] H. Patel, S. Guttula, N. Gupta, S. Hans, R. S. Mittal, and L. N, ‘‘A data- sis,’’ J. Biomed. Informat., vol. 46, no. 5, pp. 905–913, Oct. 2013, doi:
centric AI framework for automating exploratory data analysis and data 10.1016/j.jbi.2013.07.005.
quality tasks,’’ J. Data Inf. Quality, vol. 15, no. 4, pp. 1–26, Dec. 2023, [53] A. López Pineda, Y. Ye, S. Visweswaran, G. F. Cooper, M. M. Wagner,
doi: 10.1145/3603709. and F. R. Tsui, ‘‘Comparison of machine learning classifiers
[36] P. Galetsi, K. Katsaliaki, and S. Kumar, ‘‘Exploring benefits and eth- for influenza detection from emergency department free-text
ical challenges in the rise of mHealth (mobile healthcare) technology reports,’’ J. Biomed. Informat., vol. 58, pp. 60–69, Dec. 2015, doi:
for the common good: An analysis of mobile applications for health 10.1016/j.jbi.2015.08.019.
specialists,’’ Technovation, vol. 121, Mar. 2023, Art. no. 102598, doi: [54] M. K. Abd-Ellah, A. A. M. Khalaf, R. R. Gharieb, and D. A. Hassanin,
10.1016/j.technovation.2022.102598. ‘‘Automatic diagnosis of common carotid artery disease using different
[37] R. K. E. Bellamy, K. Dey, M. Hind, S. C. Hoffman, S. Houde, K. Kannan, machine learning techniques,’’ J. Ambient Intell. Humanized Comput.,
P. Lohia, J. Martino, S. Mehta, A. Mojsilovic, S. Nagar, K. N. Rama- vol. 14, no. 1, pp. 113–129, Jan. 2023, doi: 10.1007/s12652-021-03295-6.
murthy, J. Richards, D. Saha, P. Sattigeri, M. Singh, K. R. Varshney, [55] M. R. Khan, ‘‘Artificial intelligence in radiology,’’ in Robotics in Physical
and Y. Zhang, ‘‘AI fairness 360: An extensible toolkit for detecting Medicine and Rehabilitation. Amsterdam, The Netherlands: Elsevier,
and mitigating algorithmic bias,’’ IBM J. Res. Develop., vol. 63, no. 4, 2023, pp. 149–177, doi: 10.1016/B978-0-323-87865-4.00011-X.
pp. 4:1–4:15, Jul. 2019, doi: 10.1147/JRD.2019.2942287. [56] R. Karthik, R. Menaka, and M. V. Siddharth, ‘‘Classification of breast
[38] R. Hamon, H. Junklewitz, and I. Sanchez, ‘‘Robustness and cancer from histopathology images using an ensemble of deep multi-
explainability of artificial intelligence,’’ Jt. Res. Cent., Eur. Commun., scale networks,’’ Biocybern. Biomed. Eng., vol. 42, no. 3, pp. 963–976,
vol. 207, p. 40, Apr. 2020. [Online]. Available: https://publications. Jul. 2022.
jrc.ec.europa.eu/repository/bitstream/JRC119336/dpad_report.pdf?ref= [57] S. Roy, T. Meena, and S.-J. Lim, ‘‘Demystifying supervised learning
https://githubhelp.com in healthcare 4.0: A new reality of transforming diagnostic medicine,’’
[39] J. Praful Bharadiya, ‘‘Artificial intelligence and the future of web 3.0: Diagnostics, vol. 12, no. 10, p. 2549, Oct. 2022, doi: 10.3390/diagnos-
Opportunities and challenges ahead,’’ Amer. J. Comput. Sci. Technol., tics12102549.
vol. 6, no. 2, pp. 91–96, 2023, doi: 10.11648/j.ajcst.20230602.14. [58] R. Wang, Y. Weng, Z. Zhou, L. Chen, H. Hao, and J. Wang, ‘‘Multi-
[40] S. Kaushik, A. Choudhury, P. K. Sheron, N. Dasgupta, S. Natarajan, objective ensemble deep learning using electronic health records to
L. A. Pickett, and V. Dutt, ‘‘AI in healthcare: Time-series forecasting predict outcomes after lung cancer radiotherapy,’’ Phys. Med. Biol.,
using statistical, neural, and ensemble architectures,’’ Frontiers Big Data, vol. 64, no. 24, Dec. 2019, Art. no. 245005, doi: 10.1088/1361-
vol. 3, p. 4, Mar. 2020, doi: 10.3389/fdata.2020.00004. 6560/ab555e.
[41] M. Bhandari, T. B. Shahi, and A. Neupane, ‘‘Evaluating retinal dis- [59] B. Jiao, Y. Guo, D. Gong, and Q. Chen, ‘‘Dynamic ensemble selection
ease diagnosis with an interpretable lightweight CNN model resistant for imbalanced data streams with concept drift,’’ IEEE Trans. Neu-
to adversarial attacks,’’ J. Imag., vol. 9, no. 10, p. 219, Oct. 2023, doi: ral Netw. Learn. Syst., vol. 35, no. 1, pp. 1278–1291, Nov. 2024, doi:
10.3390/jimaging9100219. 10.1109/TNNLS.2022.3183120.
[42] A. Holzinger, M. Dehmer, F. Emmert-Streib, R. Cucchiara, I. Augenstein, [60] S. Chan, V. Reddy, B. Myers, Q. Thibodeaux, N. Brownstone, and
J. D. Ser, W. Samek, I. Jurisica, and N. Díaz-Rodríguez, ‘‘Information W. Liao, ‘‘Machine learning in dermatology: Current applications,
fusion as an integrative cross-cutting enabler to achieve robust, explain- opportunities, and limitations,’’ Dermatology Therapy, vol. 10, no. 3,
able, and trustworthy medical artificial intelligence,’’ Inf. Fusion, vol. 79, pp. 365–386, Jun. 2020, doi: 10.1007/s13555-020-00372-0.
pp. 263–278, Mar. 2022, doi: 10.1016/j.inffus.2021.10.007. [61] Z. Zhang, L. Zhang, Q. Li, K. Wang, N. He, and T. Gao, ‘‘Privacy-
[43] Z.-H. Zhou, J. Wu, and W. Tang, ‘‘Ensembling neural networks: Many enhanced momentum federated learning via differential privacy and
could be better than all,’’ Artif. Intell., vol. 137, nos. 1–2, pp. 239–263, chaotic system in industrial cyber–physical systems,’’ ISA Trans.,
May 2002, doi: 10.1016/s0004-3702(02)00190-x. vol. 128, pp. 17–31, Sep. 2022, doi: 10.1016/j.isatra.2021.09.007.
[62] M. J. Hossain Faruk, H. Shahriar, M. Valero, S. Sneha, S. I. Ahamed, [80] A. Z. Huriye, ‘‘The ethics of artificial intelligence: Examining
and M. Rahman, ‘‘Towards blockchain-based secure data management the ethical considerations surrounding the development and use of
for remote patient monitoring,’’ in Proc. IEEE Int. Conf. Digit. Health AI,’’ Amer. J. Technol., vol. 2, no. 1, pp. 37–45, Apr. 2023, doi:
(ICDH), Sep. 2021, pp. 299–308, doi: 10.1109/ICDH52753.2021.00054. 10.58425/ajt.v2i1.142.
[63] A. Harry, ‘‘The future of medicine: Harnessing the power of AI for [81] F. Li, N. Ruijs, and Y. Lu, ‘‘Ethics & AI: A systematic review on ethical
revolutionizing healthcare,’’ Int. J. Multidisciplinary Sci. Arts, vol. 2, concerns and related strategies for designing with AI in healthcare,’’ AI,
no. 1, pp. 36–47, Jun. 2023, doi: 10.47709/ijmdsa.v2i1.2395. vol. 4, no. 1, pp. 28–53, Dec. 2022, doi: 10.3390/ai4010003.
[64] Z. Lian, Q. Yang, W. Wang, Q. Zeng, M. Alazab, H. Zhao, and [82] J. W. Collins et al., ‘‘Ethical implications of AI in robotic surgical
C. Su, ‘‘DEEP-FEL: Decentralized, efficient and privacy-enhanced fed- training: A delphi consensus statement,’’ Eur. Urology Focus, vol. 8, no. 2,
erated edge learning for healthcare cyber physical systems,’’ IEEE pp. 613–622, Mar. 2022, doi: 10.1016/j.euf.2021.04.006.
Trans. Netw. Sci. Eng., vol. 9, no. 5, pp. 3558–3569, Sep. 2022, doi: [83] R. Nowrozy, K. Ahmed, H. Wang, and T. Mcintosh, ‘‘Towards a universal
10.1109/TNSE.2022.3175945. privacy model for electronic health record systems: An ontology and
[65] R. Ch, P. Sudheer, and P. D. Kumar, ‘‘An overview of remote patient machine learning approach,’’ Informatics, vol. 10, no. 3, p. 60, Jul. 2023,
monitoring for improved patient care and cost reduction: The IoT rev- doi: 10.3390/informatics10030060.
olutionizing health care,’’ Int. J. Educ. Manage. Eng., vol. 13, no. 6, [84] P. Solanki, J. Grundy, and W. Hussain, ‘‘Operationalising ethics in arti-
pp. 33–40, Dec. 2023, doi: 10.5815/ijeme.2023.06.04. ficial intelligence for healthcare: A framework for AI developers,’’ AI
[66] S. Iranpak, A. Shahbahrami, and H. Shakeri, ‘‘Remote patient monitoring Ethics, vol. 3, no. 1, pp. 223–240, Feb. 2023, doi: 10.1007/s43681-022-
and classifying using the Internet of Things platform combined with 00195-z.
cloud computing,’’ J. Big Data, vol. 8, no. 1, p. 120, Dec. 2021, doi: [85] D. Banik, R. Paul, R. S. Rathore, and R. H. Jhaveri, ‘‘Improved regression
10.1186/s40537-021-00507-w. analysis with ensemble pipeline approach for applications across multiple
[67] G. J. Lakshmi, M. Ghonge, and A. J. Obaid, ‘‘Cloud based IoT domains,’’ ACM Trans. Asian Low-Resource Lang. Inf. Process., vol. 23,
smart healthcare system for remote patient monitoring,’’ EAI Endorsed no. 3, pp. 1–13, Mar. 2024, doi: 10.1145/3645110.
Trans. Pervasive Heal. Technol., vol. 7, no. 28, p. e4, 2021, doi: [86] J. Antikainen, M. Agbese, H.-K. Alanen, E. Halme, H. Isomäki,
10.4108/eai.15-7-2021.170296. M. Jantunen, K.-K. Kemell, R. Rousi, H. Vainio-Pekka, and V. Vakkuri,
[68] X. Si, H. He, J. Yu, and D. Ming, ‘‘Cross-subject emotion recog- ‘‘A deployment model to extend ethically aligned AI implementation
nition brain–computer interface based on fNIRS and DBJNet,’’ method ECCOLA,’’ in Proc. IEEE 29th Int. Requirements
Cyborg Bionic Syst., vol. 4, pp. 1–9, Jan. 2023, doi: 10.34133/ Eng. Conf. Workshops (REW), Sep. 2021, pp. 230–235, doi:
cbsystems.0045. 10.1109/REW53955.2021.00043.
[69] P. Priore, B. Ponte, J. Puente, and A. Gómez, ‘‘Learning-based [87] S. Aminizadeh, A. Heidari, S. Toumaj, M. Darbandi, N. J. Navimipour,
scheduling of flexible manufacturing systems using ensemble meth- M. Rezaei, S. Talebi, P. Azad, and M. Unal, ‘‘The applications of machine
ods,’’ Comput. Ind. Eng., vol. 126, pp. 282–291, Dec. 2018, doi: learning techniques in medical data processing based on distributed
10.1016/j.cie.2018.09.034. computing and the Internet of Things,’’ Comput. Methods Programs
[70] H. Javed, H. A. Muqeet, T. Javed, A. U. Rehman, and R. Sadiq, Biomed., vol. 241, Nov. 2023, Art. no. 107745, doi: 10.1016/j.cmpb.
‘‘Ethical frameworks for machine learning in sensitive healthcare 2023.107745.
applications,’’ IEEE Access, vol. 12, pp. 16233–16254, 2024, doi: [88] J. Morley, C. Machado, C. Burr, J. Cowls, M. Taddeo, and L. Floridi,
10.1109/ACCESS.2023.3340884. ‘‘The debate on the ethics of AI in health care: A reconstruction and
[71] H. Jiang, M. Wang, P. Zhao, Z. Xiao, and S. Dustdar, ‘‘A utility-aware critical review,’’ SSRN Electron. J., vol. 1, no. 1, pp. 1–35, Nov 2019,
general framework with quantifiable privacy preservation for destina- doi: 10.2139/ssrn.3486518.
tion prediction in LBSs,’’ IEEE/ACM Trans. Netw., vol. 29, no. 5, [89] L. M. Amugongo, A. Kriebitz, A. Boch, and C. Lütge, ‘‘Operationalising
pp. 2228–2241, Oct. 2021, doi: 10.1109/TNET.2021.3084251. AI ethics through the agile software development lifecycle: A case study
[72] K. Oroy and D. Jhonson, ‘‘Ethical considerations in AI and machine of AI-enabled mobile health applications,’’ AI Ethics, vol. 3, no. 3,
learning: Towards responsible AI deployment,’’ EasyChair, Manchester, pp. 1–18, Aug. 2023, doi: 10.1007/s43681-023-00331-3.
U.K., Tech. Rep. 12238, 2024. [90] M. Senbekov, T. Saliev, Z. Bukeyeva, A. Almabayeva, M. Zhanaliyeva,
[73] S. R. Konda, ‘‘Ethical considerations in the development and deployment N. Aitenova, Y. Toishibekov, and I. Fakhradiyev, ‘‘The recent
of AI-driven software systems,’’ Int. J. Comput. Sci. Technol., vol. 6, no. 3, progress and applications of digital technologies in healthcare:
pp. 86–101, 2022. A review,’’ Int. J. Telemed. Appl., vol. 2020, pp. 1–18, Dec. 2020,
[74] L. Lévesque, V. Ozdemir, B. Gremmen, and B. Godard, ‘‘Integrating doi: 10.1155/2020/8830200.
anticipated nutrigenomics bioscience applications with ethical aspects,’’ [91] H. Mamiya, A. Shaban-Nejad, and D. L. Buckeridge, ‘‘Online public
OMICS, J. Integrative Biol., vol. 12, no. 1, pp. 1–16, Mar. 2008, doi: health intelligence: Ethical considerations at the big data era,’’ in Public
10.1089/omi.2007.0042. Health Intelligence and the Internet. Berlin, Germany: Springer, 2017,
[75] A. Zemplényi, K. Tachkov, L. Balkanyi, B. Németh, Z. I. Petykó, pp. 129–148, doi: 10.1007/978-3-319-68604-2_8.
G. Petrova, M. Czech, D. Dawoud, W. Goettsch, I. Gutierrez Ibarluzea, [92] H. Lindroth, K. Nalaie, R. Raghu, I. N. Ayala, C. Busch,
R. Hren, S. Knies, L. Lorenzovici, Z. Maravic, O. Piniazhko, A. Savova, A. Bhattacharyya, P. M. Franco, D. A. Diedrich, B. W. Pickering,
M. Manova, T. Tesar, S. Zerovnik, and Z. Kaló, ‘‘Recommen- and V. Herasevich, ‘‘Applied artificial intelligence in healthcare:
dations to overcome barriers to the use of artificial intelligence- A review of computer vision technology application in hospital settings,’’
driven evidence in health technology assessment,’’ Frontiers Public J. Imag., vol. 10, no. 4, p. 81, Mar. 2024.
Health, vol. 11, Apr. 2023, Art. no. 1088121, doi: 10.3389/fpubh.2023. [93] F. D. Davis, M. S. Williams, and R. A. Stametz, ‘‘Geisinger’s effort
1088121. to realize its potential as a learning health system: A progress report,’’
[76] M. W. M. C. Six Dijkstra, E. Siebrand, S. Dorrestijn, E. L. Salomons, Learn. Health Syst., vol. 5, no. 2, Apr. 2021, Art. no. e10221, doi:
M. F. Reneman, F. G. J. Oosterveld, R. Soer, D. P. Gross, and 10.1002/lrh2.10221.
H. J. Bieleman, ‘‘Ethical considerations of using machine learning for [94] M. N. Alam, S. Kabir, M. Kaur, and A. Professor, ‘‘Explain-
decision support in occupational health: An example involving periodic able AI in healthcare: Enhancing transparency and trust upon legal
Workers’ health assessments,’’ J. Occupational Rehabil., vol. 30, no. 3, and ethical consideration,’’ Int. Res. J. Eng. Technol., vol. 10,
pp. 343–353, Sep. 2020, doi: 10.1007/s10926-020-09895-x. no. 6, pp. 1–9, 2023. [Online]. Available: https://www.researchgate.
[77] C. Wang, S. Liu, H. Yang, J. Guo, Y. Wu, and J. Liu, ‘‘Ethical consider- net/publication/371811539
ations of using ChatGPT in health care,’’ J. Med. Internet Res., vol. 25, [95] B. L. Green, A. Murphy, and E. Robinson, ‘‘Accelerating health dispari-
Aug. 2023, Art. no. e48009, doi: 10.2196/48009. ties research with artificial intelligence,’’ Frontiers Digit. Health, vol. 6,
[78] R. Eitel-Porter, ‘‘Beyond the promise: Implementing ethical AI,’’ AI Jan. 2024, Art. no. 1330160, doi: 10.3389/fdgth.2024.1330160.
Ethics, vol. 1, no. 1, pp. 73–80, Feb. 2021, doi: 10.1007/s43681-020- [96] B. Murray and S. McCrone, ‘‘An integrative review of promoting trust in
00011-6. the patient–primary care provider relationship,’’ J. Adv. Nursing, vol. 71,
[79] F. Zanca, C. Brusasco, F. Pesapane, Z. Kwade, R. Beckers, no. 1, pp. 3–23, Jan. 2015, doi: 10.1111/jan.12502.
and M. Avanzo, ‘‘Regulatory aspects of the use of artificial [97] E. Bignami, V. Bellini, and E. P. R. Carnà, ‘‘Artificial intelligence in
intelligence medical software,’’ in Seminars in Radiation the management of difficult decisions in surgery and operating room
Oncology. Amsterdam, The Netherlands: Elsevier, 2022, pp. 432–441, optimization,’’ in The High-Risk Surgical Patient. Cham, Switzerland:
doi: 10.1016/j.semradonc.2022.06.012. Springer, 2023, pp. 669–675, doi: 10.1007/978-3-031-17273-1_59.
[98] C. Hine, R. Nilforooshan, and P. Barnaghi, ‘‘Ethical considerations [115] R. Ahmed, V. Sreeram, R. Togneri, A. Datta, and M. D. Arif, ‘‘Compu-
in design and implementation of home-based smart care for demen- tationally expedient photovoltaic power forecasting: A LSTM ensemble
tia,’’ Nursing Ethics, vol. 29, no. 4, pp. 1035–1046, Jun. 2022, doi: method augmented with adaptive weighting and data segmentation tech-
10.1177/09697330211062980. nique,’’ Energy Convers. Manage., vol. 258, Apr. 2022, Art. no. 115563,
[99] B. Aldosari, ‘‘Information technology and value-based healthcare sys- doi: 10.1016/j.enconman.2022.115563.
tems: A strategy and framework,’’ Cureus, vol. 16, no. 2, Feb. 2024, [116] Y. Ban, Y. Liu, Z. Yin, X. Liu, M. Liu, L. Yin, X. Li, and
Art. no. e53760, doi: 10.7759/cureus.53760. W. Zheng, ‘‘Micro-directional propagation method based on user clus-
[100] S. Santoshi and D. Sengupta, ‘‘Artificial intelligence in precision tering,’’ Comput. Informat., vol. 42, no. 6, pp. 1445–1470, 2023, doi:
medicine: A perspective in biomarker and drug discovery,’’ in Artificial 10.31577/cai_2023_6_1445.
Intelligence and Machine Learning in Healthcare. Berlin, Germany: [117] D.-K. Nguyen, C.-H. Lan, and C.-L. Chan, ‘‘Deep ensemble learning
Springer, 2021, pp. 71–88, doi: 10.1007/978-981-16-0811-7_4. approaches in healthcare to enhance the prediction and diagnosing per-
[101] J. Qi, P. Yang, G. Min, O. Amft, F. Dong, and L. Xu, ‘‘Advanced formance: The workflows, deployments, and surveys on the statistical,
Internet of Things for personalised healthcare systems: A survey,’’ image-based, and sequential datasets,’’ Int. J. Environ. Res. Public Health,
Pervas. Mobile Comput., vol. 41, pp. 132–149, Oct. 2017, doi: vol. 18, no. 20, p. 10811, Oct. 2021, doi: 10.3390/ijerph182010811.
10.1016/j.pmcj.2017.06.018. [118] G. P. Zhang, ‘‘A neural network ensemble method with jittered train-
[102] W. H. Weng, ‘‘Machine learning for clinical predictive analytics,’’ in ing data for time series forecasting,’’ Inf. Sci., vol. 177, no. 23,
Leveraging Data Science for Global Health. Berlin, Germany: Springer, pp. 5329–5346, Dec. 2007, doi: 10.1016/j.ins.2007.06.015.
2020, pp. 199–217, doi: 10.1007/978-3-030-47994-7_12. [119] J. Li, J. Li, C. Wang, F. J. Verbeek, T. Schultz, and H. Liu, ‘‘Outlier
[103] G. Walsh, N. Stogiannos, R. van de Venter, C. Rainey, W. Tam, detection using iterative adaptive mini-minimum spanning tree generation
S. McFadden, J. P. McNulty, N. Mekis, S. Lewis, T. O’Regan, A. Kumar, with applications on medical data,’’ Frontiers Physiol., vol. 14, pp. 1–12,
M. Huisman, S. Bisdas, E. Kotter, D. P. dos Santos, C. Sá dos Reis, Oct. 2023, doi: 10.3389/fphys.2023.1233341.
P. van Ooijen, A. P. Brady, and C. Malamateniou, ‘‘Responsible AI [120] D. Ndirangu, W. Mwangi, and L. Nderu, ‘‘An ensemble outlier detec-
practice and AI education are central to AI implementation: A rapid tion method for multiclass classification problem in data mining,’’ in
review for all medical imaging professionals in Europe,’’ BJR|Open, Proc. Int. Conf. Data Sci. Inf. Technol., Jul. 2018, pp. 38–42, doi:
vol. 5, no. 1, Aug. 2023, Art. no. 20230033, doi: 10.1259/bjro. 10.1145/3239283.3239303.
20230033. [121] P. Sobhani and H. Beigy, ‘‘New ensemble method for classification of
[104] Z. Amiri, A. Heidari, M. Darbandi, Y. Yazdani, N. J. Navimipour, data streams,’’ in Proc. 1st Int. eConf. Comput. Knowl. Eng. (ICCKE),
M. Esmaeilpour, F. Sheykhi, and M. Unal, ‘‘The personal health Oct. 2011, pp. 264–269, doi: 10.1109/ICCKE.2011.6413362.
applications of machine learning techniques in the Internet of Behav- [122] B. O. Akinsehinde, C. Shang, and Q. Shen, ‘‘Towards accurate rainfall
iors,’’ Sustainability, vol. 15, no. 16, p. 12406, Aug. 2023, doi: volume prediction: An initial approach with deep learning, advanced
10.3390/su151612406. feature selection, parameter optimisation, and ensemble techniques
[105] A. Khakzar, S. Albarqouni, and N. Navab, ‘‘Learning interpretable fea- for time-series forecasting,’’ in Proc. U.K. Workshop Comput. Intell.
tures via adversarially robust optimization,’’ in Medical Image Computing Cham, Switzerland: Springer, 2024, pp. 114–132, doi: 10.1007/978-3-
and Computer Assisted Intervention—MICCAI 2019 (Lecture Notes 031-47508-5_10.
in Computer Science: Including Subseries Lecture Notes in Artificial [123] C. Yaiprasert and A. N. Hidayanto, ‘‘AI-powered in the digital
Intelligence and Lecture Notes in Bioinformatics). Cham, Switzerland: age: Ensemble innovation personalizes the food recommendations,’’
Springer, 2019, pp. 793–800, doi: 10.1007/978-3-030-32226-7_88. J. Open Innov., Technol., Market, Complex., vol. 10, no. 2, Jun. 2024,
[106] B. Ghoshal and A. Tucker, ‘‘On cost-sensitive calibrated uncer- Art. no. 100261.
tainty in deep learning: An application on COVID-19 detection,’’ [124] F. Abdel-Fattah, F. AlTamimi, and K. A. Farhan, ‘‘Machine learning and
in Proc. IEEE 34th Int. Symp. Comput.-Based Med. Syst. (CBMS), data mining in cybersecurty,’’ in Proc. Int. Conf. Inf. Technol. (ICIT),
Jun. 2021, pp. 503–509, doi: 10.1109/CBMS52027.2021.00100. Jul. 2021, pp. 952–956, doi: 10.1109/ICIT52682.2021.9491749.
[107] B. Goankar, K. Cook, and L. Macyszyn, ‘‘Ethical issues arising due [125] E. Baghirov, ‘‘Comprehensive framework for malware detection: Lever-
to bias in training A.I. Algorithms in healthcare and data sharing as a aging ensemble methods, feature selection and hyperparameter optimiza-
potential solution,’’ AI Ethics J., vol. 1, no. 2, pp. 1–9, Sep. 2020, doi: tion,’’ in Proc. IEEE 17th Int. Conf. Appl. Inf. Commun. Technol. (AICT),
10.47289/aiej20200916. vol. 130, Oct. 2023, pp. 1–5, doi: 10.1109/aict59525.2023.10313179.
[108] S. Iram, H. Al-Aqrabi, H. M. Shakeel, H. M. A. Farid, M. Riaz, [126] J. Li, J. Li, C. Wang, F. J. Verbeek, T. Schultz, and H. Liu, ‘‘MS2OD:
R. Hill, P. Vethathir, and T. Alsboui, ‘‘An innovative machine learn- Outlier detection using minimum spanning tree and medoid selection,’’
ing technique for the prediction of weather based smart home energy Mach. Learn., Sci. Technol., vol. 5, no. 1, Mar. 2024, Art. no. 015025.
consumption,’’ IEEE Access, vol. 11, pp. 76300–76320, 2023, doi: [127] K. Abouelmehdi, A. Beni-Hssane, H. Khaloufi, and M. Saadi, ‘‘Big
10.1109/ACCESS.2023.3287145. data security and privacy in healthcare: A review,’’ Proc. Comput. Sci.,
[109] A. Osipov, E. Pleshakova, S. Gataullin, S. Korchagin, M. Ivanov, vol. 113, pp. 73–80, Jan. 2017, doi: 10.1016/j.procs.2017.08.292.
A. Finogeev, and V. Yadav, ‘‘Deep learning method for recognition [128] M. Haghi Kashani, M. Madanipour, M. Nikravan, P. Asghari, and
and classification of images from video recorders in difficult weather E. Mahdipour, ‘‘A systematic review of IoT in healthcare: Applications,
conditions,’’ Sustainability, vol. 14, no. 4, p. 2420, Feb. 2022, doi: techniques, and trends,’’ J. Netw. Comput. Appl., vol. 192, Oct. 2021,
10.3390/su14042420. Art. no. 103164, doi: 10.1016/j.jnca.2021.103164.
[110] A. Putri and M. Q. Tran, ‘‘Artificial intelligence and the quest for sus- [129] M. Favaretto, D. Shaw, E. De Clercq, T. Joda, and B. S. Elger, ‘‘Big data
tainable innovation: Ethical implications, cultural considerations, and and digitalization in dentistry: A systematic review of the ethical issues,’’
operational excellence in the deployment of AI across diverse sec- Int. J. Environ. Res. Public Health, vol. 17, no. 7, p. 2495, Apr. 2020, doi:
tors,’’ AI, IoT Fourth Ind. Revolut. Rev., vol. 13, no. 10, pp. 12–17, 10.3390/ijerph17072495.
2023. [130] A. Qayyum, J. Qadir, M. Bilal, and A. Al-Fuqaha, ‘‘Secure and robust
[111] K. Ahmad, M. Maabreh, M. Ghaly, K. Khan, J. Qadir, and A. Al-Fuqaha, machine learning for healthcare: A survey,’’ IEEE Rev. Biomed. Eng.,
‘‘Developing future human-centered smart cities: Critical analysis vol. 14, pp. 156–180, 2021, doi: 10.1109/RBME.2020.3013489.
of smart city security, data management, and ethical challenges,’’ [131] W. Dang, L. Cai, M. Liu, X. Li, Z. Yin, X. Liu, L. Yin, and
Comput. Sci. Rev., vol. 43, Feb. 2022, Art. no. 100452, doi: W. Zheng, ‘‘Increasing text filtering accuracy with improved
10.1016/j.cosrev.2021.100452. LSTM,’’ Comput. Informat., vol. 42, no. 6, pp. 1491–1517, 2023,
[112] W. A. Adah, N. A. Ikumapayi, and H. B. Muhammed, ‘‘The ethical doi: 10.31577/cai_2023_6_1491.
implications of advanced artificial general intelligence: Ensuring respon- [132] E. Khodabandehloo, D. Riboni, and A. Alimohammadi, ‘‘HealthXAI:
sible AI development and deployment,’’ SSRN Electron. J., vol. 1, no. 1, Collaborative and explainable AI for supporting early diagnosis of cog-
pp. 1–13, May 2023, doi: 10.2139/ssrn.4457301. nitive decline,’’ Future Gener. Comput. Syst., vol. 116, pp. 168–189,
[113] B. Y. Kasula, ‘‘Ethical and regulatory considerations in AI-driven health- Mar. 2021, doi: 10.1016/j.future.2020.10.030.
care solutions,’’ Int. Meridian J., vol. 3, no. 3, pp. 1–8, 2021. [133] E. A. Satish V. Kakade, ‘‘Blockchain-based medical record sharing in
[114] I. D. Mienye and Y. Sun, ‘‘A survey of ensemble learning: Con- healthcare IoT: Building trust and transparency through secure prove-
cepts, algorithms, applications, and prospects,’’ IEEE Access, vol. 10, nance tracking,’’ J. Electr. Syst., vol. 19, no. 3, pp. 43–52, Jan. 2024, doi:
pp. 99129–99149, 2022, doi: 10.1109/ACCESS.2022.3207287. 10.52783/jes.650.
[134] E. Bandara, X. Liang, P. Foytik, S. Shetty, C. Hall, D. Bowden, ATIQ UR REHMAN received the master’s degree
N. Ranasinghe, and K. De Zoysa, ‘‘A blockchain empowered in computer engineering from the National Uni-
and privacy preserving digital contact tracing platform,’’ versity of Sciences and Technology (NUST),
Inf. Process. Manage., vol. 58, no. 4, Jul. 2021, Art. no. 102572, Islamabad, Pakistan, in 2013, and the Ph.D. degree
doi: 10.1016/j.ipm.2021.102572. in computer science and engineering from Hamad
[135] P. Xi, X. Zhang, L. Wang, W. Liu, and S. Peng, ‘‘A review of blockchain- Bin Khalifa University, Qatar, in 2019.
based secure sharing of healthcare data,’’ Appl. Sci., vol. 12, no. 15,
He worked as a Post-Doctoral Researcher with
p. 7912, Aug. 2022, doi: 10.3390/app12157912.
the College of Science and Engineering, Hamad
Bin Khalifa University from 2019 to 2022. Later
HASEEB JAVED (Member, IEEE) received the he served as an Assistant Professor at the Depart-
B.Sc. degree in electrical engineering from the ment of Electrical and Computer Engineering, Pak- Austria Fachhochschule
University of Engineering and Technology, Taxila, Institute of Applied Sciences and Technology, Haripur, Pakistan. He also
in 2019. He is currently pursuing the M.Sc. degree worked as a Postdoc Researcher at the Artificial Intelligence and Intelligent
with the Muhammad Nawaz Sharif University of Systems Research Group, School of Innovation, Design and Engineering,
Engineering and Technology, Multan, Pakistan. Mälardalen University, Västerås, Sweden. He is currently working as a Soft-
He is also a Research Scholar with the Ph.D. ware Engineer at Hamad Bin Khalifa University, Qatar. His research interests
Research Centre, Electrical Engineering Depart- include the development of evolutionary computation, pattern recognition,
ment, Muhammad Nawaz Sharif University of and machine learning algorithms.
Engineering and Technology. His research inter-
ests include energy management in microgrids, prosumer markets, and
energy storage systems. He is also deeply involved in applying machine TAHIR JAVED received the M.Sc. degree in com-
learning and natural language processing (NLP). His work focuses on lever- puter science from the National University of
aging AI to enhance the interaction between energy producers and consumers Computer and Emerging Sciences. In 2021, he was
and develop more efficient, sustainable energy distribution systems. He is a recognized for his extensive expertise and experi-
member of several national and international organizations, such as IEEEP ence in the information technology and services
and the Pakistan Engineering Council (PEC). industry. As an accomplished Engineer, his skill
set encompasses a broad range of modern tech-
nological areas. He is particularly proficient in
HAFIZ ABDUL MUQEET received the B.Sc.
multi-cloud environments and illustrating a deep
degree in electrical engineering from B. Z. U. Mul-
understanding of various cloud platforms and their
tan, in 2011, the M.Sc. degree in electrical engi-
integration. His expertise extends into the realms of DevOps and DevSecOps,
neering from the University of Engineering and
highlighting his ability to streamline development processes while ensuring
Technology, Lahore, in 2015, and the Ph.D. degree
robust security measures are integrated throughout. His professional journey
in electrical engineering from the University of
reflects a commitment to staying at the forefront of technology and a dedi-
Engineering and Technology, Taxila, in 2021.
cation to implementing efficient, secure, and scalable solutions in complex
He was a Faculty Member with the Institute of
IT environments.
Southern Punjab, Multan, from 2013 to 2017.
He is with the Electrical Engineering Technology
Department, Punjab Tianjin University of Technology, Lahore. He is the
AMINE BERMAK (Fellow, IEEE) received the
author of many research articles in reputed journals. His research interests
master’s and Ph.D. degrees in electrical and elec-
include energy management in microgrids, prosumer markets, and energy
tronic engineering from Paul Sabatier University,
storage systems. He is a member of several national and international
France, in 1994 and 1998, respectively. He has
organizations, such as IEEEP and the Pakistan Engineering Council. He is
held various positions in academia and industry
a Reviewer of several international journals, i.e., IEEE ACCESS, Elsevier,
in France, U.K., Australia, and Hong Kong. He is
Springer Nature, MDPI, and conference proceedings.
currently a Professor and the Associate Dean with
the College of Science and Engineering, Hamad
AMIRHOSSEIN DANESH received the bache- Bin Khalifa University. He has published over
lor’s degree in advanced electronics engineering 400 articles, designed over 50 chips, and gradu-
from Sogang University, Seoul, South Korea. ated 25 Ph.D. and 20 M.Phil. students. For his excellence and outstanding
After completing the undergraduate studies, contribution to teaching, he was nominated for the 2013 Hong Kong UGC
he immersed himself in various research and Best Teacher Award (for all HK Universities). He was a recipient of
development roles, focusing on integrating arti- the 2011 University Michael G. Gale Medal for distinguished teaching.
ficial intelligence and machine learning into He was also a recipient of the Engineering Teaching Excellence Award from
practical applications. His academic and pro- HKUST, in 2004 and 2009. He received six distinguished awards, including
fessional journey has been marked by a deep the Best University Design Contest Award at ASP-DAC 2016, the Best Paper
commitment to advancing the field of digital Award at IEEE ISCAS 2010, the 2004 IEEE Chester Sall Award, and the
technologies, specifically within AI, ML, data science, and digital twins. Best Paper Award at the 2005 International Workshop on SOC for Real-
He is currently pursuing further research opportunities that align with his Time Applications. He has served on many editorial boards and an Editor
broad interests, which also include robotics, smart systems, and the IoT. of IEEE TRANSACTIONS ON VERY LARGE-SCALE INTEGRATION (VLSI) SYSTEMS,
His work aims to bridge the gap between theoretical research and real- IEEE TRANSACTIONS ON ELECTRON DEVICES, and Scientific Reports (Nature).
world applications, making significant contributions to the field of digital He is an IEEE Distinguished Lecturer.
technology.
Open Access funding provided by ‘Qatar National Library’ within the CRUI CARE Agreement