AI, Actually ExplainedLesson 18 of 92

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AI, Actually Explained

Lesson 18 of 92. Sign in to keep your place.

Module 2 · Where it already is, without a label

The uses that are not on a screen

9 min read

Away from the office

Almost all writing about AI assumes a desk. Most of the world does not work at one, and some of the most established machine learning is running in places with no keyboard in sight.

Visual inspection on production lines. A camera above a conveyor, a model trained on thousands of good and defective parts, and a rejection arm. This has been in service since well before the current wave and is one of the most reliably profitable uses there is, because the task is narrow, the lighting is controlled, and the right answer is unambiguous.

Predictive maintenance. Vibration, temperature and current sensors on a motor, and a model that learns what the healthy signature sounds like and flags departures from it. It replaces both fixed-schedule servicing and waiting for failure.

Agriculture. Phone apps that identify crop disease from a photograph of a leaf (Plantix is used widely across India) plus satellite-based yield estimation, irrigation scheduling from soil and weather data, and camera-guided sprayers that target individual weeds and cut herbicide use substantially.

Livestock and fisheries. Cameras and collars that detect lameness, oestrus or reduced feeding days before a stockman would.

Clinics. Two deployments matter here because they are endorsed rather than merely trialled. Chest X-ray software for tuberculosis triage was recommended by the WHO in 2021 for adults in certain settings, which matters enormously where there are more X-rays than radiologists. And screening for diabetic retinopathy (a photograph of the retina, checked by a model) has regulatory approval in several countries and is deployed in India and Thailand.

The lesson these deployments taught

The most useful thing to know about clinical AI comes from a field study Google published in 2020 on its diabetic retinopathy system in Thailand.

In the lab, the model matched specialists. In eleven real clinics it hit problems no accuracy figure had predicted. More than a fifth of images were rejected by the system for insufficient quality, because clinic lighting was poor and nurses were photographing quickly in a queue. Rejected images meant a patient had to return another day, or travel to a hospital. Internet connections were slow, so uploads stalled. Nurses developed workarounds. In some sites the system slowed the clinic down while being, technically, extremely accurate.

That study is quoted often, and it should be, because it names the single most common reason AI projects fail in the field: the conditions of deployment are not the conditions of the test set. Dust, glare, a cracked lens, a hurried operator, a two-megabit connection and a power cut are not in the validation data.

Why these uses work when others do not

The successful cases share a shape:

  • The task is narrow and repeated. One kind of defect, one crop disease, one screening question.
  • The right answer is unambiguous and cheap to obtain for training. A part either failed or it did not.
  • The environment is controllable, or the system is designed for the environment it will actually meet.
  • The model triages rather than decides. TB software marks films for a clinician to read; it does not diagnose. This one design choice is why it was endorsed.

When a proposed use fails several of these, be sceptical regardless of the demonstration.

The free path here too

Small industrial and agricultural uses do not require a vendor platform. A vision model for defect detection can be trained on a few hundred photographs using free tools: Python with PyTorch or scikit-learn, OpenCV for the camera handling, Label Studio or CVAT for annotating your examples, and a second-hand machine or a free Google Colab session for the training. Pre-trained models from Hugging Face mean you are adjusting an existing model rather than starting from nothing, which is what makes a few hundred photographs enough.

The expensive part of such a project is almost never the model. It is collecting and labelling the examples, and mounting the camera so the lighting does not change. Anyone who tells you otherwise has not deployed one.

Check your understanding

A retinal screening model matching specialist accuracy in the lab slowed clinics down when deployed. What was the main mechanism?

Pick the one you would defend. Your answer stays private.

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How to cite: Addaly (2026) ‘The uses that are not on a screen’, in AI, Actually Explained. Edited by M. Mun. Addaly. Available at: https://addaly.com/learn/ai-actually-explained/factories-fields-and-clinics (Accessed: 13 October 2026).