Journal of Medical Internet Research,
Journal Year:
2022,
Volume and Issue:
24(11), P. e39748 - e39748
Published: Aug. 25, 2022
Background
The
field
of
oncology
is
at
the
forefront
advances
in
artificial
intelligence
(AI)
health
care,
providing
an
opportunity
to
examine
early
integration
these
technologies
clinical
research
and
patient
care.
Hope
that
AI
will
revolutionize
care
delivery
improve
outcomes
has
been
accompanied
by
concerns
about
impact
on
equity.
Objective
We
aimed
conduct
a
scoping
review
literature
address
question,
“What
are
current
potential
impacts
equity
oncology?”
Methods
Following
PRISMA-ScR
(Preferred
Reporting
Items
for
Systematic
Reviews
Meta-Analyses
extension
Scoping
Reviews)
guidelines
reviews,
we
systematically
searched
MEDLINE
Embase
electronic
databases
from
January
2000
August
2021
records
engaging
with
key
concepts
AI,
equity,
oncology.
included
all
English-language
articles
engaged
3
concepts.
Articles
were
analyzed
qualitatively
themes
pertaining
influence
Results
Of
14,011
records,
133
(0.95%)
identified
our
included.
general
literature:
use
reduce
disparities
(58/133,
43.6%),
surrounding
bias
(16/133,
12.1%),
biological
social
determinants
(55/133,
41.4%).
A
total
3%
(4/133)
focused
many
themes.
Conclusions
Our
revealed
main
oncology,
which
relate
AI’s
ability
help
disparities,
its
mitigate
or
exacerbate
bias,
capability
elucidate
health.
Gaps
lack
discussion
ethical
challenges
application
low-
middle-income
countries,
problems
algorithms,
justification
over
traditional
statistical
methods
specific
questions
highlights
need
gaps
ensure
more
equitable
cancer
practice.
limitations
study
include
exploratory
nature,
focus
as
opposed
sectors,
analysis
solely
articles.
BMC Medicine,
Journal Year:
2019,
Volume and Issue:
17(1)
Published: Oct. 29, 2019
Abstract
Background
Artificial
intelligence
(AI)
research
in
healthcare
is
accelerating
rapidly,
with
potential
applications
being
demonstrated
across
various
domains
of
medicine.
However,
there
are
currently
limited
examples
such
techniques
successfully
deployed
into
clinical
practice.
This
article
explores
the
main
challenges
and
limitations
AI
healthcare,
considers
steps
required
to
translate
these
potentially
transformative
technologies
from
Main
body
Key
for
translation
systems
include
those
intrinsic
science
machine
learning,
logistical
difficulties
implementation,
consideration
barriers
adoption
as
well
necessary
sociocultural
or
pathway
changes.
Robust
peer-reviewed
evaluation
part
randomised
controlled
trials
should
be
viewed
gold
standard
evidence
generation,
but
conducting
practice
may
not
always
appropriate
feasible.
Performance
metrics
aim
capture
real
applicability
understandable
intended
users.
Regulation
that
balances
pace
innovation
harm,
alongside
thoughtful
post-market
surveillance,
ensure
patients
exposed
dangerous
interventions
nor
deprived
access
beneficial
innovations.
Mechanisms
enable
direct
comparisons
must
developed,
including
use
independent,
local
representative
test
sets.
Developers
algorithms
vigilant
dangers,
dataset
shift,
accidental
fitting
confounders,
unintended
discriminatory
bias,
generalisation
new
populations,
negative
consequences
on
health
outcomes.
Conclusion
The
safe
timely
clinically
validated
appropriately
regulated
can
benefit
everyone
challenging.
evaluation,
using
intuitive
clinicians
ideally
go
beyond
measures
technical
accuracy
quality
care
patient
outcomes,
essential.
Further
work
(1)
identify
themes
algorithmic
bias
unfairness
while
developing
mitigations
address
these,
(2)
reduce
brittleness
improve
generalisability,
(3)
develop
methods
improved
interpretability
learning
predictions.
If
goals
achieved,
benefits
likely
transformational.
arXiv (Cornell University),
Journal Year:
2021,
Volume and Issue:
unknown
Published: Jan. 1, 2021
AI
is
undergoing
a
paradigm
shift
with
the
rise
of
models
(e.g.,
BERT,
DALL-E,
GPT-3)
that
are
trained
on
broad
data
at
scale
and
adaptable
to
wide
range
downstream
tasks.
We
call
these
foundation
underscore
their
critically
central
yet
incomplete
character.
This
report
provides
thorough
account
opportunities
risks
models,
ranging
from
capabilities
language,
vision,
robotics,
reasoning,
human
interaction)
technical
principles(e.g.,
model
architectures,
training
procedures,
data,
systems,
security,
evaluation,
theory)
applications
law,
healthcare,
education)
societal
impact
inequity,
misuse,
economic
environmental
impact,
legal
ethical
considerations).
Though
based
standard
deep
learning
transfer
learning,
results
in
new
emergent
capabilities,and
effectiveness
across
so
many
tasks
incentivizes
homogenization.
Homogenization
powerful
leverage
but
demands
caution,
as
defects
inherited
by
all
adapted
downstream.
Despite
impending
widespread
deployment
we
currently
lack
clear
understanding
how
they
work,
when
fail,
what
even
capable
due
properties.
To
tackle
questions,
believe
much
critical
research
will
require
interdisciplinary
collaboration
commensurate
fundamentally
sociotechnical
nature.
BMC Medical Informatics and Decision Making,
Journal Year:
2020,
Volume and Issue:
20(1)
Published: July 22, 2020
Abstract
Background
Several
studies
highlight
the
effects
of
artificial
intelligence
(AI)
systems
on
healthcare
delivery.
AI-based
tools
may
improve
prognosis,
diagnostics,
and
care
planning.
It
is
believed
that
AI
will
be
an
integral
part
services
in
near
future
incorporated
into
several
aspects
clinical
care.
Thus,
many
technology
companies
governmental
projects
have
invested
producing
medical
applications.
Patients
can
one
most
important
beneficiaries
users
applications
whose
perceptions
affect
widespread
use
tools.
should
ensured
they
not
harmed
by
devices,
instead,
benefited
using
for
purposes.
Although
enhance
outcomes,
possible
dimensions
concerns
risks
addressed
before
its
integration
with
routine
Methods
We
develop
a
model
mainly
based
value
due
to
specificity
field.
This
study
aims
at
examining
perceived
benefits
devices
decision
support
(CDS)
features
from
consumers’
perspectives.
online
survey
collect
data
307
individuals
United
States.
Results
The
proposed
identifies
sources
motivation
pressure
patients
development
devices.
results
show
technological,
ethical
(trust
factors),
regulatory
significantly
contribute
healthcare.
Of
three
categories,
technological
(i.e.,
performance
communication
feature)
are
found
significant
predictors
risk
beliefs.
Conclusions
sheds
more
light
factors
affecting
proposes
some
recommendations
how
practically
reduce
these
concerns.
findings
this
provide
implications
research
practice
area
CDS.
Regulatory
agencies,
cooperation
institutions,
establish
normative
standard
evaluation
guidelines
implementation
Regular
audits
ongoing
monitoring
reporting
used
continuously
evaluate
safety,
quality,
transparency,
services.
Computational and Structural Biotechnology Journal,
Journal Year:
2020,
Volume and Issue:
18, P. 2300 - 2311
Published: Jan. 1, 2020
Artificial
intelligence
(AI)
and
machine
learning
have
significantly
influenced
many
facets
of
the
healthcare
sector.
Advancement
in
technology
has
paved
way
for
analysis
big
datasets
a
cost-
time-effective
manner.
Clinical
oncology
research
are
reaping
benefits
AI.
The
burden
cancer
is
global
phenomenon.
Efforts
to
reduce
mortality
rates
requires
early
diagnosis
effective
therapeutic
interventions.
However,
metastatic
recurrent
cancers
evolve
acquire
drug
resistance.
It
imperative
detect
novel
biomarkers
that
induce
resistance
identify
targets
enhance
treatment
regimes.
introduction
next
generation
sequencing
(NGS)
platforms
address
these
demands,
revolutionised
future
precision
oncology.
NGS
offers
several
clinical
applications
important
risk
predictor,
detection
disease,
by
medical
imaging,
accurate
prognosis,
biomarker
identification
discovery.
generates
large
demand
specialised
bioinformatics
resources
analyse
data
relevant
clinically
significant.
Through
AI,
diagnostics
prognostic
prediction
enhanced
with
imaging
delivers
high
resolution
images.
Regardless
improvements
technology,
AI
some
challenges
limitations,
application
remains
be
validated.
By
continuing
progression
innovation
show
great
promise.
The Breast,
Journal Year:
2019,
Volume and Issue:
49, P. 25 - 32
Published: Oct. 11, 2019
Breast
cancer
care
is
a
leading
area
for
development
of
artificial
intelligence
(AI),
with
applications
including
screening
and
diagnosis,
risk
calculation,
prognostication
clinical
decision-support,
management
planning,
precision
medicine.
We
review
the
ethical,
legal
social
implications
these
developments.
consider
values
encoded
in
algorithms,
need
to
evaluate
outcomes,
issues
bias
transferability,
data
ownership,
confidentiality
consent,
legal,
moral
professional
responsibility.
potential
effects
patients,
on
trust
healthcare,
provide
some
science
explanations
apparent
rush
implement
AI
solutions.
conclude
by
anticipating
future
directions
breast
care.
Stakeholders
healthcare
should
acknowledge
that
their
enterprise
an
challenge,
not
just
technical
challenge.
Taking
challenges
seriously
will
require
broad
engagement,
imposition
conditions
implementation,
pre-emptive
systems
oversight
ensure
does
run
ahead
evaluation
deliberation.
Once
becomes
institutionalised,
it
may
be
difficult
reverse:
proactive
role
government,
regulators
groups
help
introduction
robust
research
contexts,
sound
evidence
base
regarding
real-world
effectiveness.
Detailed
public
discussion
required
what
kind
acceptable
rather
than
simply
accepting
offered,
thus
optimising
outcomes
health
systems,
professionals,
society
those
receiving
Journal of Medical Internet Research,
Journal Year:
2021,
Volume and Issue:
23(11), P. e25856 - e25856
Published: Nov. 25, 2021
It
is
believed
that
artificial
intelligence
(AI)
will
be
an
integral
part
of
health
care
services
in
the
near
future
and
incorporated
into
several
aspects
clinical
such
as
prognosis,
diagnostics,
planning.
Thus,
many
technology
companies
have
invested
producing
AI
applications.
Patients
are
one
most
important
beneficiaries
who
potentially
interact
with
these
technologies
applications;
thus,
patients'
perceptions
may
affect
widespread
use
AI.
should
ensured
applications
not
harm
them,
they
instead
benefit
from
using
for
purposes.
Although
human-AI
interaction
can
enhance
outcomes,
possible
dimensions
concerns
risks
addressed
before
its
integration
routine
care.The
main
objective
this
study
was
to
examine
how
potential
users
(patients)
perceive
benefits,
risks,
their
purposes
different
if
faced
three
service
encounter
scenarios.We
designed
a
2×3
experiment
crossed
type
condition
(ie,
acute
or
chronic)
types
encounters
between
patients
physicians
substituting
technology,
augmenting
no
traditional
in-person
visit).
We
used
online
survey
collect
data
634
individuals
United
States.The
interactions
conditions
significantly
influenced
individuals'
privacy
concerns,
trust
issues,
communication
barriers,
about
transparency
regulatory
standards,
liability
intention
across
six
scenarios.
found
significant
differences
among
scenarios
regarding
performance
risk
social
biases.The
results
imply
incompatibility
instrumental,
technical,
ethical,
values
reason
rejecting
care.
there
still
various
associated
implementing
diagnostics
treatment
recommendations
both
chronic
illnesses.
The
also
evident
recommendation
system
under
physician
experience,
wisdom,
control.
Prior
rollout
AI,
more
studies
needed
identify
challenges
raise
This
could
provide
researchers
managers
critical
insights
determinants
Regulatory
agencies
establish
normative
standards
evaluation
guidelines
cooperation
institutions.
Regular
audits
ongoing
monitoring
reporting
systems
continuously
evaluate
safety,
quality,
transparency,
ethical
factors