Healthcare breakthroughs change the world and bring hope to humanity through scientific rigor, human insight, and compassion. We believe AI can contribute to this, with thoughtful collaboration between researchers, healthcare organizations and the broader ecosystem. 

Today, we’re sharing exciting progress on these initiatives, with the announcement of limited access to Google’s medical large language model, or LLM, called Med-PaLM 2. It will be available in coming weeks to a select group of Google Cloud customers for limited testing, to explore use cases and share feedback as we investigate safe, responsible, and meaningful ways to use this technology. 

Med-PaLM 2 harnesses the power of Google’s LLMs, aligned to the medical domain to more accurately and safely answer medical questions. As a result, Med-PaLM 2 was the first LLM to perform at an “expert” test-taker level performance on the MedQA dataset of US Medical Licensing Examination (USMLE)-style questions, reaching 85%+ accuracy, and it was the first AI system to reach a passing score on the MedMCQA dataset comprising Indian AIIMS and NEET medical examination questions, scoring 72.3%.

Industry-tailored LLMs like Med-PaLM 2 are part of a burgeoning family of generative AI technologies that have the potential to significantly enhance healthcare experiences. We’re looking forward to working with our customers to understand how Med-PaLM 2 might be used to facilitate rich, informative discussions, answer complex medical questions, and find insights in complicated and unstructured medical texts. They might also explore its utility to help draft short- and long-form responses and summarize documentation and insights from internal data sets and bodies of scientific knowledge.

Innovating responsibly with AI

Since last year, we’ve been researching and evaluating Med-PaLM and Med-PaLM 2, assessing it against multiple criteria — including scientific consensus, medical reasoning, knowledge recall, bias, and likelihood of possible harm — which were evaluated by clinicians and non-clinicians from a range of backgrounds and countries. 

Med-PaLM 2’s impressive performance on medical exam-style questions is a promising development, but we need to learn how this can be harnessed to benefit healthcare workers, researchers, administrators, and patients. In building Med-PaLM 2, we’ve been focused on safety, equity, and evaluations of unfair bias. Our limited access for select Google Cloud customers will be an important step in furthering these efforts, bringing in additional expertise across the healthcare and life sciences ecosystem. 

What’s more, when Google Cloud brings new AI advances to our products, our commitment is two-fold: to not only deliver transformative capabilities, but also ensure our technologies include proper protections for our organizations, their users, and society. To this end, our AI Principles, established in 2017, form a living constitution that guides our approach to building advanced technologies, conducting research, and drafting our product development policies. 

From AI to generative AI 

Google’s deep history in AI informs our work in generative AI technologies, which can find complex relationships in large sets of training data, then generalize from what they learn to create new data. Breakthroughs such as the Transformer have enabled LLMs and other large models to scale to billions of parameters, letting generative AI move beyond the limited pattern-spotting of earlier AIs and into the creation of novel expressions of content, from speech to scientific modeling. 

Google Cloud is committed to bringing to market products that are informed by our research efforts across Alphabet. In 2022, we introduced a deep integration between Google Cloud and Alphabet’s AI research organizations, which allows Vertex AI to run DeepMind’s groundbreaking protein structure prediction system, AlphaFold.

Much more is on the way. In one sense, generative AI is revolutionary. In another, it’s the familiar technology story of more and better computing creating new industries, from desktop publishing to the internet, social networks, mobile apps, and now, generative AI.

Building on AI leadership

Additionally, today we’re announcing a new AI-enabled Claims Acceleration Suite, designed to streamline processes for health insurance prior authorization and claims processing. The Claims Acceleration Suite helps both providers of insurance plans and healthcare to create operational efficiencies and reduce administrative burdens and costs by converting unstructured data into structured data that help experts make faster decisions and improve access to timely patient care. 

On the clinical side, last year we announced Medical Imaging Suite, an AI-assisted diagnosis technology being used by Hologic to improve cervical cancer diagnoses and Hackensack Meridian Health to predict metastasis in patients with prostate cancer. Elsewhere, Mayo Clinic and Google have collaborated on an AI algorithm to improve the care of head and neck cancers, and Google Health recently partnered with iCAD to improve breast cancer screening with AI.

From these examples and more, it’s clear that the healthcare industry has moved from testing AI to deploying it to improve workflows, solve business problems, and speed healing. With this in mind, we expect rapid interest in and uptake of generative AI technologies. Healthcare organizations are eager to learn about generative AI and how they can use it to make a real difference.

Looking ahead

The power of AI has reinforced Google Cloud’s commitment to privacy, security, and transparency. Our platforms are designed to be flexible, including data and model lineage capabilities, integrated security and identity management services, support for third-party models, choice and transparency on models and costs, integrated billing and entitlement support, and support across many languages. 

While we’ll have some innovations like Med-PaLM 2 that are tuned for healthcare, we also have products that are relevant across industries. Last month, we announced several generative AI capabilities coming to Google Cloud, including Generative AI support in Vertex AI and Generative AI App Builder, which are already being tested by a number of customers. Developers and businesses already use Vertex AI to build and deploy machine learning models and AI applications at scale, and we recently added Generative AI support in Vertex AI. This gives customers foundation models they can fine-tune with their own data, and the ability to deploy applications with this powerful new technology. We also launched Generative AI App Builder to help organizations build their own AI-powered chat interfaces and digital assistants in minutes or hours by connecting conversational AI flows with out-of-the-box search experiences and foundation models.

As AI proves its value, it’s likely there will be increased focus on high-quality data collection and curation in healthcare and life sciences. Improving the flow and unification of data across health care systems, referred to as data interoperability, is one of the most important building blocks to leveraging AI, and it helps organizations run more effectively, improve patient care, and helps people live healthier lives. We expect to continue our investments in technology, infrastructure, and data governance.

We’re committed to realizing the potential of this technology in healthcare. By working with a handful of trusted healthcare organizations early on, we’ll learn more about what can be achieved, and how this technology can safely advance. For all of us, the prospects are inspiring, humbling, and exciting. 

If you’re interested in exploring generative AI on Cloud, you can sign-up for our Trusted Tester program or reach out to your Google Cloud sales representative.

Notified is a leading communications cloud for events, public relations, and investor relations to drive meaningful insights and outcomes. They provide communications solutions to effectively reach and engage customers, investors, employees, and the media.

One of Notified’s Public Relations solutions is the ‘Media Contact Database’ that allows customers to discover media and influencers in a unique media database powered by AI and human-curated research. 

The goal of the initiative is to expand the scope of the AI driven, dynamically discovered influencers, and analyze online news articles using AI/ML technologies to extract entities and classify content. The prior process to extract insights from news articles provided only 30-40% of the desired results, and there were accuracy and stability issues that resulted in a lot of manual intervention.

Journalist Beat

A key outcome of the AI driven process is to identify the ‘Journalist Beat’. A Journalist Beat essentially summarizes the individual’s area of focus such as a sports writer, financial journalist etc. 

Three options were evaluated for the AI/ML process to generate the Journalist Beats :

Option 1:  Topic ML

Unsupervised ML approach to determine the commonly used terms.

• Pro: Common approach to grouping documents and determine similar text
• Con: Unbounded list of text

Option 2: ML Classification

Build classification models (supervised) to map reference articles to ‘Beats’ 

• Pro: Aligns to ‘Research Analytics’ existing processes
• Con: Time to build and maintain ML models for hundreds of beats.

Option 3: GCP Context Classification

Leverage GCP’s Natural Language API for initial classification and as input to Notified single model

• Pro: Aligns to ‘Research Analytics’ without building ML models.

Ultimately the GCP Natural Language API solution was chosen because of the speed of execution and a high level of accuracy with the pretrained models. The Notified team was able to launch the product feature within a few weeks, without ever needing to do extensive data collection and train the models. 

Here is the high level process that was implemented for Journalist Beats.

Since Notified supports curated media contacts globally, news articles were instantly translated to English using GCP Translation API. GCP Natural Language API’s solution to classify text was used to analyze the translated text and generate the list of content categories.

Solution Architecture

Here is a sample solution architecture for the ‘Discovered Journalist’ process.

Three core principles guided the above architecture – Serverless & Fully Managed, Scalability & Elasticity for flexibility and to optimize costs, API led real-time processing.

In addition to the GCP Natural Language API and Translation API below are a few serverless GCP products that were part of the automated solution:

• BigQuery is Google Cloud’s fully managed, petabyte-scale, and cost-effective analytics data warehouse that lets you run analytics over vast amounts of data in near real time.
• Cloud Run is a fully managed serverless platform that can be used to develop and deploy highly scalable containerized applications.
• Cloud Tasks is a fully managed service that allows you to manage the execution, dispatch, and delivery of a large number of distributed tasks.

The powerful pre-trained models of the Natural Language API provide a comprehensive set of features to apply natural language understanding to applications such as sentiment analysis, entity analysis, entity sentiment analysis, content classification, and syntax analysis. 

Notified looks ahead to super-scaling

In an effort to even further improve its best in class ‘Media Contact Database’, Notified looks to super scale the above AI driven Influencer Discovery process to the order of 100+ million news articles per month. It plans to expand the scope of entities extracted from the news articles and provide a news exploration service for its customers by performing intelligent entity-based searches.To watch your markets evolve, see how competitors add AI insights. To actually stay in the market, make AI the main driver of your product road maps. GCP Natural Language API accelerated our ability to adopt AI at scale.Thomas Squeo, CTO, Notified

Acknowledgments

We’d like to thank our collaborators at Google and Notified for making this blog post possible. Thanks to Arpit Agrawal at MediaAgility for contributing to this blog post.

To learn more about how Google Cloud Natural Language AI can help your enterprise, try out an interactive demo and take the next step, visit the product overview page here.

Access to the cloud has advanced the distribution and consumption of financial information on a global scale. In parallel, the global financial data landscape has been transformed by an influx of alternative data sources, including social media, meteorological data, satellite imagery, and other data. Exchanges and market data providers now find they need to include these new datasets to enrich their products and compete, which has meant they now must consider cloud-based models to keep up with the demands of their customers who expect easy, quick, flexible and cost-efficient ways to consume market data.

To address these needs, today we’re announcing the general availability of Datashare for financial services, a new Google Cloud solution that brings together the entire capital markets ecosystem—data publishers, and data consumers—to exchange market data securely and easily.

Datashare helps organize third-party financial information, making it accessible and useful to market data publishers and data consumers. We open-sourced the entire Datashare solution so market data publishers can now onboard their licensed datasets to Google Cloud securely, quickly and easily, while data consumers can consume that data as a service in tools of their preference, such as BigQuery.

Three ways to distribute and consume your data

Batch data delivery

Datashare provides a batch data delivery mechanism for data publishers to deliver their reference data, historical tick data, alternative market data sources and more via BigQuery, reducing the administrative burden on data consumers to extract insights from data. 

Real-time data streaming delivery

By using this event-based data delivery channel for rapidly changing instrument prices, tick data, orders, news and others via Pub/Sub, data consumers can reliably process individual messages or rewind to a point in time to replay a prior market scenario and test model changes.

Monetizing licensed datasets

Market data publishers can onboard their licensed datasets to Google Cloud and make them available via a one-stop-shop on Google Cloud Marketplace, enabling a new sales channel to expand market reach.

Reference architecture

Check out the diagram below to see how you can share your batch and real-time data directly to your Google Cloud customers with BigQuery and Pub/Sub.

As you can see in the above reference architecture, both publishers and consumers can derive several benefits from the solution:

Benefits for data publishers

• You no longer have to maintain your own delivery and licensing infrastructure.
• You can easily package and deliver granular data products and experiments with SQL.
• You can have a solution that scales with your business as data volumes and number of customers grow.

Benefits for data consumers

• Your data is ready for analysis and machine learning (ML)— you no longer have to maintain extract, transform, and load (ETL) pipelines to load files and transform data.
• You can avoid the expense and burden of maintaining multiple copies of large data files.
• You can be more targeted with consumption of data using BigQuery queries, improving performance, and compliance, and reducing cost.

Accessing the datasets

Google Cloud has been working with multiple industry firms on innovating in the market data space. By using Datashare for publishing, data publishers can make their entire datasets available on Google Cloud. Early adopters of Datashare include firms such as OneTick and Accern. OneTick’s datasets include reference and historical futures data (that can be accessed in our console with your login). Accern’s datasets include alternative data such as market sentiment and credit analysis data (that can be accessed in our console with your login).

To make it more helpful, we partnered with Accern to create a hypothetical scenario to describe the data acquisition and analytics process step-by-step.

Accern use case 

As a sustainability analyst, you require an economic, social and governance (ESG) dataset to determine which sector is the most widely covered ESG sector by analysts, and to also identify the sector with the lowest ESG sentiment score. Now, you can discover and acquire an ESG dataset in Google Cloud.

Step 1. Navigate to the Financial Services solutions page in the Google Cloud console:

Step 2. Click a dataset, for example Accern AI-Generated ESG Insights, then review the overview details, plans and pricing, documentation and support information. To view the available pricing tiers, click ‘View All Plans’. Once you’ve decided on a tier that you would like to subscribe to, click ‘Select’, choose a billing account and review and accept the terms of service to complete the subscription. Once the steps are complete, click ‘Subscribe’ at the bottom. An overlay window will appear, click ‘Register with Accern’ to activate and complete the subscription.

Step 3. Once activation is complete, you’ll be directed to the Datashare ‘My Products’ screen. Voila! You are now subscribed to Accern’s ESG Scores dataset and can access it in your Google Cloud instance using BigQuery. To access the data, click the hour glass icon on the corresponding ‘My Products’ record that you just purchased. An overlay will present you with the details on the dataset and/or table. Click the ‘Navigate to Table’ button to navigate through to the BigQuery console.

Step 4. Now that you have access and are in the BigQuery console, it’s time to generate data insights.

^{For this example, we’ve eliminated the company identifying information that is included as part of the subscription and aggregated company ESG in a view where each row represents a day, an industry sector, a specific identified ‘ESG Issues’ (event_group and event) and the respective ‘ESG Sentiment’ per issue.}

For example, row 1 indicates that within the ‘Healthcare’ sector, there was a ‘Social – Civil Society’ issue identified and it had a negative ESG sentiment score of -15.35.

Step 5. Generate a report by exporting it to Data Studio to build visualizations and conduct additional analysis on the ESG data.

Select ‘Export’ and ‘Explore with Data Studio’.

Step 6. Build a simple/basic report.

Now that the ESG data appears in Data Studio, you can start by building a simple chart to help you understand which industry sectors have the highest volume of discussions around ESG and the overall ESG Sentiment per industry sector.

To build the chart:

• Select the chart type ‘Table’.

• Include Entity_Sector as your dimension to aggregate results by ‘Industry Sector.’
• Include Signal_ID as a measure to count the number of ESG passages identified per ‘Industry Sector.’
• Include AVG(Event_Sentiment) as a measure to display the overall ESG Sentiment per ‘Industry Sector’ across ESG Issues.

You can see sectors that are  most discussed when it comes to ESG related topics and their corresponding ‘ESG Sentiment’ scores.

Step 7. Build your final report in Data Studio.

As a next step you can further drill into the data to understand ESG data specific to each ‘Industry Sector’ and identify positive and negative ESG practices. 

Accern has built a more complex sample dashboard and made it available publicly here. You can interact with this report and play around with the data. The dashboard can help to identify material ESG insights for each sector to inform your investment and risk processes. If you have additional questions, you can reach out to Accern directly.

Discovering, accessing and analyzing licensed datasets is quick and easy. Stay tuned for more updates on new licensed datasets.

Publishing your data via Datashare

If you are a publisher of market data, alternative, or exotic data, you can use Datashare to get it published on Google Cloud Marketplace.

Start by joining the Partner Advantage program by registering for the Partner Advantage Portal and applying for the Partner Advantage Build Model engagement. Visit our getting started guide for information to get started on publishing licensed datasets in the Marketplace. Stay tuned for a future blog post about using Datashare to publish datasets in the Marketplace.

More solutions for capital markets

Check out other Google Cloud solutions for capital markets.

Powered by Vertex AI (Google Cloud’s platform for accelerating development and deployment of machine learning models into production), SAVI (Semi Automated Vision Inspection)1 is transforming surgical instrument identification and cataloging, leading to fewer canceled surgeries and easing pressure on surgery waitlists.

Max Kelsen, an analytics and software agency that specializes in machine learning, has worked closely with Google Cloud and Johnson & Johnson MedTech to create a system that can manage tens of thousands of individual devices, their characteristics, and how they apply to each set or tray used by a surgeon. SAVI does this while delivering a one in 10,000 real-world error rate, much faster and more accurately than manual processes currently in use across the industry. Implementing SAVI can also unlock end-to-end visibility and traceability across the surgical set supply chain and provide advanced analytics and insights.

Eliminating time-consuming manual processes

Surgeons need a large number of specialist instruments and devices to complete complex, delicate procedures. Because each tray of these instruments can typically cost more than $350,000, and having every type of set on shelf at every surgical facility is not feasible, manufacturers generally loan them to hospitals for procedures, such as inserting one of the manufacturers’ implants into a patient’s knee. Once a procedure is complete, the hospital returns the instrument tray to the manufacturer for storage and re-distribution to other hospitals as needed.

Each time a hospital returns a tray, the manufacturer needs to check that each instrument is there, correctly placed, cleaned, and fit for the purpose of the next procedure. As each set may hold more than 400 instruments, completing this process manually is complex and time-consuming. While each tray is checked before and after surgery at the hospital, and again when it arrives and leaves the manufacturer’s facility, Max Kelsen finds that 5% of surgeries can still be affected by missing, broken or bent instruments. This has a severe downstream impact on private hospitals in particular, directly affecting patient safety and outcomes; in Australia, for example, around 60% of surgeries are performed in private hospitals.

Johnson & Johnson MedTech has 60,000 surgical trays across the Asia-Pacific, and loans these trays out about 100,000 times per month. The manufacturer approached Max Kelsen to help design and develop a solution to make the supply chain more efficient, and to give more visibility into asset movement. As a Google Cloud Partner specializing in applying machine learning at scale in healthcare contexts, Max Kelsen had the expertise and track record to meet Johnson & Johnson MedTech’s need for a globally scalable solution that was engineered for quality and performance.

The first step was to establish a baseline for the project by determining how long the manufacturer’s team took to process each tray, and to set an efficiency number. We then spent six months determining and evaluating how to deliver a robust, accurate solution that outperformed current manual and labor-intensive methods in processing instruments and trays, globally. Our work included extensive technical feasibility research involving a representative sample for the variety and complexity of sets, trays, and devices needed for different types of surgery, including orthopedics, spinal trauma, and maxillofacial groups.

Working with Google Cloud to accelerate and de-risk the project

This is a familiar problem that is industry-wide. The issue has been widely explored and tried with a number of technologies over several years without producing the scalability and performance results required to make this an appropriate and feasible solution. Google Cloud partnered with Max Kelsen to accelerate and de-risk this large and strategic project for a mutual customer.

Technical feasibility took four months, prior to a year-long production pilot of SAVl in a distribution center in Queensland that services over 100 hospitals. After obtaining enough real-world data and experience to validate that the solution was as scalable and as accurate as needed, an Asia-Pacific rollout of the system commenced. SAVI is now live across Johnson & Johnson MedTech’s operations in Australia, New Zealand, and Japan, garnering recognition with a JAISA excellence award.

Google Cloud machine learning is integral to SAVI. Google Cloud’s technologies were a big differentiator for Max Kelsen’s engineering team in delivering the breakthroughs needed at scale, and in production, to meet Johnson & Johnson MedTech’s needs.

Reducing checking and documentation time

Running SAVI in Google Cloud has reduced the time Johnson & Johnson MedTech needs to check and document inspections of these surgical instrument sets by over 40%. The application also delivers consistent measurable quality that is often hard to measure at scale when using manual processes. During the pandemic, the application enabled Johnson & Johnson MedTech to operate with a lower headcount for the same volume output, enabling the organization to quickly service a backlog of waiting list surgeries.

In addition, the automation delivered with SAVI has reduced the time required to bring technicians up to speed on quality control processes, from eight to 12 months down to just three months, enhancing productivity and performance while delivering a more robust workforce.

So how does SAVI work in a real-world context? SAVI is deployed via a tablet and a web-based application incorporates an API to photograph the medical device trays, as shown below. Max Kelsen captures the photograph and sends it to a range of different services, via an API endpoint hosted on Google Cloud:

• Image information is stored in Cloud Storage
• Data relating to the trays is stored in Cloud SQL for PostgreSQL
• APIs and web UI components run in CloudRun
• Analytics data is stored within BigQuery

Once this tray and device onboarding stage is completed, the next step is to perform inferences from the images and data. By hosting online models with Kubeflow model serving on GKE, we enable a model to identify all the instruments in a tray at low latency.

Vertex AI Workbench notebooks are used for data exploration and modeling. Kubeflow training pipelines hosted on GKE are executed to produce machine learning models for specific surgical instrument sets. Several hundred machine learning models are then hosted with Kubeflow model serving on GKE, with state and analytics managed using Firebase. Using machine learning to infer from images whether any devices are incorrectly placed, dirty, or otherwise not fit for purpose, the data is then returned to the tablet for the user to respond accordingly.

Based on our success to date with SAVI, it is now available on Google Cloud Marketplace to help healthcare organizations achieve machine learning-powered efficiencies across a range of use cases, and ultimately improve patient safety and outcomes.

Not to be confused with the usage of Visual Inspection Model (Assembly) available in Vertex AI Vision