Understanding How International Students in the U.S. Are Using Conversational AI to Support Cross-Cultural Adaptation

Moving to a new culture and adapting to a new life, as an international student, can be a stressful experience. In the US, international students face unique overlapping challenges, yet the current support ecosystem, including university support systems and informal social networks, remains largely fragmented. While conversational AI has emerged as a tool used by many (e.g., generative AI chatbots like ChatGPT and Google Gemini), we do not have a clear understanding of how international students adopt and perceive these technologies as support tools. We conducted a survey study (n=60) to map the relationship between international students' challenges and AI adoption patterns, followed by an interview study with 14 participants to identify the underlying motivations and boundaries of use. Our findings show that AI is perceived as a first-aid tool for immediate challenges, however, there is an interest in transforming AI from a tool for short-term help into a long-term support companion. By identifying where and how AI can provide long-term support, and where it is insufficient, we contribute recommendations for creating AI-powered support tailored to the unique needs of international students.

Enhancing Early Lung Cancer Detection on Chest Radiographs with AI-assistance: A Multi-Reader Study

Objectives: The present study evaluated the impact of a commercially available explainable AI algorithm in augmenting the ability of clinicians to identify lung cancer on chest X-rays (CXR). Design: This retrospective study evaluated the performance of 11 clinicians for detecting lung cancer from chest radiographs, with and without assistance from a commercially available AI algorithm (red dot, Behold.ai) that predicts suspected lung cancer from CXRs. Clinician performance was evaluated against clinically confirmed diagnoses. Setting: The study analysed anonymised patient data from an NHS hospital; the dataset consisted of 400 chest radiographs from adult patients (18 years and above) who had a CXR performed in 2020, with corresponding clinical text reports. Participants: A panel of readers consisting of 11 clinicians (consultant radiologists, radiologist trainees and reporting radiographers) participated in this study. Main outcome measures: Overall accuracy, sensitivity, specificity and precision for detecting lung cancer on CXRs by clinicians, with and without AI input. Agreement rates between clinicians and performance standard deviation were also evaluated, with and without AI input. Results: The use of the AI algorithm by clinicians led to an improved overall performance for lung tumour detection, achieving an overall increase of 17.4% of lung cancers being identified on CXRs which would have otherwise been missed, an overall increase in detection of smaller tumours, a 24% and 13% increased detection of stage 1 and stage 2 lung cancers respectively, and standardisation of clinician performance. Conclusions: This study showed great promise in the clinical utility of AI algorithms in improving early lung cancer diagnosis and promoting health equity through overall improvement in reader performances, without impacting downstream imaging resources.