Publications by authors named "T E C Nijsten"

Purpose: Skin cancer, a significant global health problem, imposes financial and workload burdens on the Dutch healthcare system. Artificial intelligence (AI) for diagnostic augmentation has gained momentum in dermatology, but despite significant research on adoption, acceptance, and implementation, we lack a holistic understanding of why technologies (do not) become embedded in the healthcare system. This study utilizes the concept of legitimacy, omnipresent but underexplored in health technology studies, to examine assumptions guiding the integration of an AI mHealth app for skin lesion cancer risk assessment in the Dutch healthcare system.

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Article Synopsis
  • This study assessed how well Large Language Models (LLMs) like ChatGPT and Gemini answered melanoma-related patient questions compared to established Dutch patient information resources (PIRs).
  • ChatGPT-3.5 had the highest accuracy, while Gemini excelled in completeness, personalization, and readability; however, the best LLMs still lagged behind PIRs in accuracy overall.
  • Despite LLMs showing promise for personalized responses, the study highlights the need for improvement in their accuracy and reproducibility before they can fully replace traditional PIRs.
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Background: Perceived age (PA) has been associated with mortality, genetic variants linked to ageing and several age-related morbidities. However, estimating PA in large datasets is laborious and costly to generate, limiting its practical applicability.

Objectives: To determine if estimating PA using deep learning-based algorithms results in the same associations with morbidities and genetic variants as human-estimated perceived age.

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Article Synopsis
  • The study focuses on stage I and II melanoma survivors to understand their experiences and survivorship care needs after treatment, highlighting the lack of research in this area despite the rising incidence of localized melanoma.
  • The qualitative research involved 18 survivors divided into focus groups, revealing that they experienced significant emotional and physical challenges after treatment, alongside a mix of relief and fear as they navigated life post-diagnosis.
  • Survivors emphasized the need for tailored information, accessible resources, and ongoing, patient-centered support to help them adjust and improve their quality of life after melanoma treatment.
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