Postphenomenology,Phronesis,and the Physician: Cancer Care in Radiogenomic Artificial Intelligence Theranostics

Abstract

Postphenomenology examines the cultural dimension of human–technology relations whereby innovations, such as artificial intelligence (AI), re/shape our behavior and relation to reality. Generative AI is amoral and uncaring, but it is mediating evolutionary changes in human cognitive function, consciousness, and behavior. The role of phronesis, in the preservation of human values in the face of ChatGPT challenges, is explored here through the lens of theranostic nuclear oncology practice. Phronesis involves moral grounding, epistemic humility, and the integration of cognitive, affective, and contextual social expertise. Empathic, efficient care of the individual patient requires judicious symbiosis between the formidable epistemic capabilities of large language models, particularly in radiogenomics, radiomolecular biology, and tumor radiation dosimetry, and compassionate, responsible, accountable personal care by the doctor. Being cognizant of the strengths and limitations of AI, and the critical role of phronesis in personalized patient care, the physician can ensure optimal theranostic clinical oncology outcomes of human–AI collaboration.