Can AI Outperform Doctors in Diagnosing Infectious Diseases?

AI Capabilities and Limitations 
Comparison with Human Doctors 
Case Studies: Notable examples and recent studies 
Ethical and Practical Considerations  
Conclusion: Balanced Evaluation and Future Potential 


Artificial Intelligence (AI) is revolutionizing medicine by enhancing diagnosis, treatment, drug development, and healthcare management. In diagnostics, AI-powered tools improve accuracy in radiology, pathology, and endoscopy, enabling faster and more precise disease detection.

AI-assisted surgical systems enhance precision and minimally invasive procedures. In drug discovery, AI accelerates development by analyzing large datasets, predicting molecular interactions, and optimizing drug design.

Additionally, AI-driven virtual reality (VR) and augmented reality (AR) are transforming medical education and surgical training. During the coronavirus disease 2019 (COVID-19) pandemic, AI contributed to early diagnosis, vaccine development, and drug repurposing.

While AI enhances efficiency and decision-making, it complements rather than replaces human expertise. As AI advances, its integration with medicine promises improved patient care, personalized treatments, and innovative healthcare solutions.1​​​​​​​

This study explores AI's capabilities and limitations in medical diagnostics, comparing AI-driven tools with human doctors. It highlights AI's strengths in speed, accuracy, and pattern recognition while addressing challenges like data bias, ethical concerns, and interoperability.

Artificial Intelligence. doctor using technology smart robot AI.Image Credit: CHIEW/Shutterstock.com

AI Capabilities and Limitations

AI is revolutionizing medical diagnostics by enhancing accuracy, efficiency, and speed in disease detection and analysis. AI-powered systems can process and interpret vast amounts of complex medical data, including medical imaging scans such as X-rays, Magnetic Resonance Imaging (MRI), and Computed Tomography (CT) scans, as well as biosignals like Electrocardiogram (ECG), Electroencephalogram (EEG), and Electromyography (EMG).

Additionally, AI can analyze patient records, including Electronic Health Records (EHRs), aiding healthcare professionals in early disease detection and treatment planning.1,2

A major advantage of AI in diagnostics is its capability to handle multimodal medical data, integrating text, images, and physiological signals to provide a comprehensive view of a patient’s health. Explainable Artificial Intelligence (XAI) plays a crucial role in making AI-driven diagnoses transparent and interpretable, enabling medical professionals to validate AI-generated predictions.

AI-driven Clinical Decision Support Systems (CDSSs) further assist in real-time decision-making, improving patient management and reducing diagnostic errors.1,2

Despite its advancements, AI in medical diagnostics faces several limitations. The quality and availability of medical data remain a significant challenge, as AI algorithms require large, high-quality, and well-labeled datasets for training. Data bias can lead to inaccurate or unfair diagnoses, especially when models are trained on non-representative populations.

Ethical concerns surrounding data privacy, transparency, and accountability also pose hurdles to widespread AI adoption. Additionally, interoperability issues between AI-based diagnostic tools developed by different organizations hinder seamless integration into existing healthcare systems.1,2

Further, emerging technologies such as Quantum Artificial Intelligence (QAI) and General Artificial Intelligence (GAI) are expected to enhance diagnostic accuracy and speed. Quantum computing has the potential to accelerate data processing, enabling real-time analysis of vast medical datasets, while GAI aims to replicate human-like cognitive abilities in diagnosis.

However, for AI to reach its full potential in clinical practice, regulatory frameworks, ethical considerations, and data standardization must be addressed to ensure trust, reliability, and fairness in AI-driven medical diagnostics.1,2

Comparison with Human Doctors

AI-powered virtual assistants are revolutionizing healthcare by providing triage and diagnostic support. Compared to human doctors, AI systems demonstrate notable strengths and limitations across three key dimensions:

Accuracy

Studies indicate that AI-driven symptom checkers achieve diagnostic precision and recall rates comparable to human doctors. AI models, such as Bayesian networks, effectively match symptoms with diseases by leveraging vast datasets. However, human doctors possess contextual understanding, intuition, and the ability to interpret non-verbal cues, which AI lacks.2,3

Speed

AI systems provide instant responses, significantly reducing wait times for initial assessments. Unlike human doctors, who require consultations and physical examinations, AI-powered tools analyze symptoms and generate probable diagnoses within seconds, improving healthcare accessibility.2,3

Diagnostic Outcomes

AI tools exhibit high safety levels in triage decisions, often going wrong on the side of caution. While AI ensures consistency and scalability, human doctors offer personalized care and adaptability in complex cases. AI systems excel in recognizing patterns across large datasets, but doctors remain superior in handling rare conditions and ambiguous cases.2,3

Case Studies: Notable examples and recent studies

Machine learning models, such as extreme gradient boosting (XGBoost), have been successfully used to predict antimicrobial resistance (AMR) in nontyphoidal Salmonella, demonstrating high accuracy in forecasting minimum inhibitory concentration (MIC) values.

Deep learning models, including recurrent neural networks (RNNs) and convolutional neural networks (CNNs), are utilized for rapid blood culture diagnostics in intensive care units (ICUs). A long short-term memory (LSTM) model accurately predicted bloodstream infections based on ICU patient parameters.4

A decision-support algorithm was developed to optimize outpatient antibiotic prescriptions for uncomplicated urinary tract infections (UTIs). The model, trained on electronic health records, reduced second-line antibiotic use by 67%. AI-driven molecular screening identified novel antimicrobial peptides (AMPs) from microbial genomes.

Researchers used generative AI models to discover over a million new antibiotic molecules, many of which exhibited strong efficacy in preclinical trials. AI models trained on mass spectrometry data efficiently detected antimicrobial resistance in bacterial strains. CNNs were also applied to classify Gram-stain morphologies with 95% accuracy.4

Similarly, oncological imaging applies AI to detect and classify tumors, predict treatment responses, and track patient outcomes across multiple cancer types. In cardiology, AI improves detection, segmentation, and diagnosis of coronary artery disease, heart failure, and vascular anomalies.

Abdominal imaging uses AI to optimize liver, pancreatic, and renal lesion identification. Radiomics-driven analytics integrate imaging features, clinical data, and outcomes to predict disease risk, survival, and therapeutic efficacy.

Across these diverse studies, AI consistently enhances diagnostic accuracy and workflow efficiency, indicating profound potential for personalized medicine and better patient management overall.5

Using AI To Detect The World's Most Infectious Disease-Tuberculosis | Prashant Warier | TEDxGateway

Ethical and Practical Considerations

The integration of AI in healthcare presents significant ethical and practical challenges, particularly in clinical decision-making, patient care, and data security. While AI enhances diagnostic accuracy, predictive analytics, and personalized treatments, its reliance on large volumes of sensitive health data raises concerns regarding patient privacy, data protection, and informed consent.

The risk of algorithmic bias, often due to the underrepresentation of marginalized populations in training datasets, can exacerbate disparities in healthcare access and treatment outcomes.6,7

To address these concerns, regulatory frameworks such as the General Data Protection Regulation (GDPR), Medical Device Regulation (MDR), and AI Act have been established to ensure transparency, accountability, and fairness.

These laws mandate data protection, ethical AI deployment, and patient safety. Compliance prevents biases, safeguards privacy, and ensures AI complements doctors rather than replacing them, maintaining ethical and practical medical standards.6,7

The European Union (EU) AI Act categorizes AI-based medical technologies as high-risk, requiring stringent compliance measures to guarantee reliability and patient safety. Liability issues also arise, particularly in determining whether responsibility for AI-related errors should fall on physicians, developers, or healthcare institutions. The Artificial Intelligence Liability Directive (AILD) seeks to provide legal clarity on this matter.6,7

Moreover, AI’s impact on the doctor-patient relationship is crucial. Automation should support, not replace, human decision-making to preserve trust, empathy, and ethical medical practice. Future governance should prioritize human oversight, inclusivity, and equity to ensure AI-driven healthcare remains patient-centered and ethically sound.6,7

Conclusion: Balanced Evaluation and Future Potential

AI is transforming medical diagnostics, offering greater accuracy, efficiency, and speed in disease detection. AI-driven tools enhance imaging interpretation, biosignal analysis, and decision support, improving patient outcomes. Its strengths include rapid diagnosis, scalability, and consistency, but human doctors remain essential for contextual understanding, intuition, and complex case management.

Despite AI's advancements, challenges such as data bias, ethical concerns, and interoperability issues hinder full integration. Regulatory frameworks like GDPR, MDR, and the EU AI Act aim to ensure transparency, accountability, and fairness.

Future developments, including Quantum AI and General AI, hold promise for enhanced diagnostics but require robust ethical and legal guidelines.

Ultimately, AI complements rather than replaces medical professionals. A balanced approach that leverages AI for efficiency while maintaining human oversight is key to maximizing its potential in healthcare. Future research should focus on improving AI’s reliability, inclusivity, and integration into clinical practice.

References

  1. Liu, P. R., Lu, L., Zhang, J. Y., Huo, T. T., Liu, S. X., & Ye, Z. W. (2021). Application of artificial intelligence in medicine: an overview. Current Medical Science41(6), 1105-1115. https://doi.org/10.1007/s11596-021-2474-3
  2. Al-Antari, M. A. (2023). Artificial intelligence for medical diagnostics—existing and future aI technology!. Diagnostics13(4), 688. https://doi.org/10.3390/diagnostics13040688
  3. Baker, A., Perov, Y., Middleton, K., Baxter, J., Mullarkey, D., Sangar, D., ... & Johri, S. (2020). A comparison of artificial intelligence and human doctors for the purpose of triage and diagnosis. Frontiers in artificial intelligence3, 543405.
  4. Cesaro, A., Hoffman, S. C., Das, P., & de la Fuente-Nunez, C. (2025). Challenges and applications of artificial intelligence in infectious diseases and antimicrobial resistance. npj Antimicrobials and Resistance, 3(1), 2.
  5. Najjar, R. (2023). Redefining radiology: a review of artificial intelligence integration in medical imaging. Diagnostics, 13(17), 2760.
  6. Sarantopoulos, A., Mastori Kourmpani, C., Yokarasa, A. L., Makamanzi, C., Antoniou, P., Spernovasilis, N., & Tsioutis, C. (2024). Artificial intelligence in infectious disease clinical practice: an overview of gaps, opportunities, and limitations. Tropical Medicine and Infectious Disease9(10), 228.
  7. Mennella, C., Maniscalco, U., De Pietro, G., & Esposito, M. (2024). Ethical and regulatory challenges of AI technologies in healthcare: A narrative review. Heliyon10(4). https://doi.org/10.1016/j.heliyon.2024.e26297

Further Reading

Last Updated: Mar 3, 2025

Vijay Kumar Malesu

Written by

Vijay Kumar Malesu

Vijay holds a Ph.D. in Biotechnology and possesses a deep passion for microbiology. His academic journey has allowed him to delve deeper into understanding the intricate world of microorganisms. Through his research and studies, he has gained expertise in various aspects of microbiology, which includes microbial genetics, microbial physiology, and microbial ecology. Vijay has six years of scientific research experience at renowned research institutes such as the Indian Council for Agricultural Research and KIIT University. He has worked on diverse projects in microbiology, biopolymers, and drug delivery. His contributions to these areas have provided him with a comprehensive understanding of the subject matter and the ability to tackle complex research challenges.    

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