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  • Thanks to Brilliant for supporting this episode of SciShow.

  • Go to Brilliant.org/SciShow if you're interested in investing in your STEM skills this year.

  • [ ♪INTRO ]

  • If you've ever ended up with a nasty rash from using skincare products, especially oily

  • or heavily scented ones, you're not the only one.

  • A lot of people react to certain compounds found in these products.

  • Around 50% of people who use these products will experience this allergic reaction, known as contact dermatitis.

  • But researchers may have finally figured out why these pesky rashes happenand how

  • to prevent them.

  • Right now, the main way to treat contact dermatitis it is to just avoid products containing certain

  • chemicals.

  • But if you've ever had this problem, you know that's a long list.

  • And before now, scientists simply didn't understand how these rashes happen.

  • See, allergic reactions are often triggered by specific molecules called peptides.

  • Those peptides trigger immune cells known as T cells.

  • But skincare products don't typically have those kinds of peptides in them.

  • What's more, the molecules they do have are thought to be too small to be seen by T cells.

  • But last week in a paper published in the journal Science Immunology, researchers showed

  • that a molecule found in our skin called CD1a binds to certain skincare chemicals, making

  • them visible to T cells.

  • It basically rats them out to our immune system.

  • The researchers identified several common skincare substances that were able to cause

  • a T cell response by binding with CD1a.

  • Two molecules found in a commonly used vanilla-scented oil, benzyl benzoate and benzyl cinnamate,

  • got T-cells fired up when they were bound with CD1a.

  • The researchers looked even more closely at another allergen known as farnesol.

  • They found that rather than just sitting on the surface of CD1a, it actually binds deep

  • inside it , displacing natural skin oils that would normally be there.

  • That meant T cells weren't simply recognizing the chemical structure of farnesol on CD1a,

  • but instead changes to the shape of CD1a itself.

  • The researchers believe they might be able to identify other compounds that can compete

  • with farnesol for a spot binding to CD1a without causing an immune response, offering some

  • hope for preventing contact dermatitis.

  • Another idea getting a lot of attention this month comes from a pair of papers that claim

  • to show how artificial intelligence can be trained to detect cancer more efficiently than doctors.

  • The first study, published last week in the journal Nature, outlined an algorithm for

  • detecting breast cancer from mammograms, which are essentially x-rays of breast tissue.

  • Researchers first trained the AI to recognize cancer by showing it tens of thousands of

  • mammograms from women in the US and UK with a confirmed diagnosis.

  • They then tested the AI on different datasets of around 26,000 UK women and 3,000 US women

  • and compared its results with the initial diagnosis made by expert radiologists.

  • The algorithm caught cancer on images where it had been missed by the doctors who initially

  • examined those mammograms.

  • That will be a false negative,when we are saying it isn't there, but actually is.

  • And it reduced false negatives by 9.4% for the US dataset and 2.7% for the UK dataset.

  • UK doctors always get a second opinion, which might help explain the difference.

  • Which is great, because doctors can miss up to one in every five cases of breast cancer.

  • So even a few percentage points could be helpful.

  • The AI also lowered the rate of false positiveswhere it looks like cancer is there but

  • it actually isn't — by around five percent for the US group and one percent for the UK group.

  • The second study, published this week in Nature Medicine, used a similar method to train an

  • AI to detect brain cancer.

  • Researchers trained their AI on a dataset of 2.5 million images of brain tissue from

  • several hundred patients.

  • But when it came to testing the AI, these researchers did it in real time.

  • They took two samples of brain tissue from 278 patients during surgery and gave one to

  • their AI and one to a team of pathologists.

  • The computer would first create detailed images of the brain tissue and then analyze them

  • using an algorithm.

  • The humans would go off to the lab and look at the samples the old-fashioned way, using a microscope.

  • The AI did slightly better than the experts here too, getting the diagnosis right 94.6%

  • of the time compared to 93.9% of the time for the humans.

  • But what was really amazing about this technique was its speed.

  • The AI could predict brain cancer right there in the operating room in around two and a

  • half minutes, instead of roughly 30 minutes it would take humans to do it.

  • Which is great, because when doctors are operating on your brain, they want to be really sure

  • about their diagnosis.

  • Now these studies don't mean cancer diagnosis is solved forever.

  • One concern about algorithms in general is that they're only as good as the dataset

  • they're trained on.

  • So if the dataset doesn't include people of different races or sexes, then the AI might

  • not work as well for those groups of peoplelike if the disease manifests itself differently

  • in, say, men with breast cancer.

  • They also wouldn't work for diagnosing rare tumors because there isn't enough data to

  • use for training the algorithms.

  • Plus, it's currently unclear exactly how to use AIs in real-life hospital scenarios.

  • Doctors could use them alongside their own expertise to help them diagnose disease.

  • However, a 2015 study suggested that other computer-aided methods of detecting breast

  • cancer didn't improve accuracy, and may even have made things worse.

  • In addition, some physicians have raised questions about these studies, suggesting that we should

  • be identifying patients with dangerous but curable cancers, not teaching AIs to find

  • as many as possible.

  • Especially when those lesions could be harmless, leading to unnecessary treatment.

  • In other words, the question no longer seems to be whether we can train AIs to help us

  • find cancer, but how they should be used to do that.

  • If you're interested in understanding more about how the AIs we talked about today can

  • detect cancer, you might like the computer science courses over on Brilliant.org.

  • They even have a machine learning course, which will show you how computers learn, and

  • why training them is so important.

  • In addition to computer science, Brilliant offers courses related to science, engineering, and math.

  • They're a great way to understand the world better in the new year.

  • They're designed by talented educators and lifelong learners from top institutions, so

  • you know they know how to make things stick.

  • And courses are even available offline via Brilliant's iOS and Android apps.

  • The first 200 people to sign up at Brilliant.org/SciShow will get 20% off an annual Premium subscription.

  • And by checking them out, you're also supporting SciShowso thanks!

  • [ ♪OUTRO ]

Thanks to Brilliant for supporting this episode of SciShow.

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