My overarching goal is to expand medical reasoning beyond the limits of human faculties. I focus on:

  1. How to represent knowledge from unstructured data in a computable format. Think of unstructured data as prose or poetry and structured data as an IRS form.
  2. How to represent reasoning in a computable format to get machines to transparently reason with a combination of prior knowledge and that inferrred from unstructured data. Think of how a physician interviews and examines a patient and then weighs his findings against prior knowledge to identify a diagnosis and treatment plan.

I use natural language processing, machine learning, and artificial intelligence to create computational versions of medical and scientific knowledge to allow computers to reason about medicine as experienced clinicians do. I use social media as sandbox in which I develop tools to extract health information from unstructured data.

Current questions of interest include:

  • What are the usage patterns of use of novel psychoactive substances?
  • Can we infer nover signal transduction pathways or even therapeutics from online discussions about novel psychoactive substance use?
  • What representations of knowledge to we need to do (i) and (ii) at scale?

Syndromic Surveillance of Social Media

Novel psychoactive substances include synthetic opioids such as fentanyl or carfentanil, substituted phenethylamines, such as ‘‘bath salts’’, and synthetic cannabinoid receptor agonists (‘‘synthetic marijuana’’). The rate of emergence of these substances has outstripped the ability of traditional means of public health surveillance to identify the substances and presentations or toxicities of each substance. The central finding of my work is that patterns of use of novel psychoactive substances can be estimated from social media (YouTube, Twitter, online discussion fora. I demonstrated that this information was corroborated by accepted sources of information on substance use (National Survey on Drug Usage & Health) for opioids and dextromethorphan (an ingredient in cough syrup that in large amounts has euphoric and dissociative effects). These studies opened the door to using social media to discover new methods of abuse (e.g. abusing Immodium (loperamide) to prevent opioid withdrawal) and better understand the structure-function relationship in derivatives of MDMA (Ecstasy) using user reports submitted online.

  1. Chary, M., Genes, N., Mckenzie, A. & Manini, A. F. Leveraging Social Networks For Toxicovigilance. Journal Of Medical Toxicology 9, 184–191 (2013).
  2. Chary, M. et al. Signs & Symptoms Of Dextromethorphan Exposure From Youtube. PLoS One 9, (2014).
  3. Chary, M. et al. Epidemiology From Tweets: Estimating Misuse Of Prescription Opioids In The Usa From Social Media. journal Of Medical Toxicology 1–9 (2017).
  4. Chary, M., Yi, D. & Manini, A. F. Candyflipping And Other Combinations: Identifying Drug–Drug Combinations From An Online Forum. Frontiers In Psychiatry 9, 135 (2018).
  5. Chary, M. A. & Chai, P. R. Tweetchats, Disseminating Information, And Sparking Further Scientific Discussion With Social Media. (2020).
  6. Whitehill, J. M. et al. Incidence Of Pediatric Cannabis Exposure Among Children And Teenagers Aged 0 To 19 Years Before And After Medical Marijuana Legalization In Massachusetts. JAMA Network Open 2, e199456–e199456 (2019).

Explainable Artificial Intelligence for Medical Toxicology

The volume of knowledge about drugs of abuse, including novel psychoactive substances, outstrips human processing capability. The acumen of experience clinicians, nevertheless, identifies patterns and infers knowledge from data in ways that current approaches to artificial intelligence cannot replicate. A digital representation of medical decision-making could allow computers to reason at the scale of Big Data with the acumen of an experienced clinician. The central finding of my work in this area is that ontologies can create a digital representation of medical reasoning about opioid use disorders.

  1. (missing reference)
  2. Chary, M. & Manini, A. Creating SUDO, The Substance Use Disorder Ontology, To Automatically Synthesize And Disseminate Substance Use Disorder Research. Annals Of Emergency Medicine 72, s129–s130 (2018).
  3. Chary, M. A., Manini, A. F., Boyer, E. W. & Burns, M. The Role And Promise Of Artificial Intelligence In Medical Toxicology. Journal Of Medical Toxicology 1–7 (2020).

Social Media & Drug Development

Social Media can also provide a starting point for identifying compounds that lead to new therapeutics and help us better understand how the brain functions.