Radiology AI Deployment and Assessment Rubric (RADAR) to bring value-based AI into radiological practice DOI Creative Commons
Bart-Jan Boverhof, Ken Redekop, Daniël Bos

et al.

Insights into Imaging, Journal Year: 2024, Volume and Issue: 15(1)

Published: Feb. 5, 2024

Abstract Objective To provide a comprehensive framework for value assessment of artificial intelligence (AI) in radiology. Methods This paper presents the RADAR framework, which has been adapted from Fryback and Thornbury’s imaging efficacy to facilitate valuation radiology AI conception local implementation. Local newly introduced underscore importance appraising an technology within its environment. Furthermore, is illustrated through myriad study designs that help assess value. Results seven-level hierarchy, providing radiologists, researchers, policymakers with structured approach AI. designed be dynamic meet different needs throughout AI’s lifecycle. Initial phases like technical diagnostic (RADAR-1 RADAR-2) are assessed pre-clinical deployment via silico clinical trials cross-sectional studies. Subsequent stages, spanning thinking patient outcome (RADAR-3 RADAR-5), require integration explored randomized controlled cohort Cost-effectiveness (RADAR-6) takes societal perspective on financial feasibility, addressed health-economic evaluations. The final level, RADAR-7, determines how prior valuations translate locally, evaluated budget impact analysis, multi-criteria decision analyses, prospective monitoring. Conclusion offers valuing Its layered, hierarchical structure, combined focus relevance, aligns seamlessly principles value-based Critical relevance statement advances by delineating much-needed valuation. Keypoints • Radiology lacks assessment. provides dynamic, method thorough bridging implementation gap.

Language: Английский

The Current and Future State of AI Interpretation of Medical Images DOI
Pranav Rajpurkar, Matthew P. Lungren

New England Journal of Medicine, Journal Year: 2023, Volume and Issue: 388(21), P. 1981 - 1990

Published: May 24, 2023

The authors examine the advantages and limitations of current clinical radiologic AI systems, new workflows, potential effect generative large multimodal foundation models.

Language: Английский

Citations

238

Fairness of artificial intelligence in healthcare: review and recommendations DOI Creative Commons
Daiju Ueda,

Taichi Kakinuma,

Shohei Fujita

et al.

Japanese Journal of Radiology, Journal Year: 2023, Volume and Issue: 42(1), P. 3 - 15

Published: Aug. 4, 2023

Abstract In this review, we address the issue of fairness in clinical integration artificial intelligence (AI) medical field. As adoption deep learning algorithms, a subfield AI, progresses, concerns have arisen regarding impact AI biases and discrimination on patient health. This review aims to provide comprehensive overview associated with fairness; discuss strategies mitigate biases; emphasize need for cooperation among physicians, researchers, developers, policymakers, patients ensure equitable integration. First, define introduce concept applications healthcare radiology, emphasizing benefits challenges incorporating into practice. Next, delve healthcare, addressing various causes potential such as misdiagnosis, unequal access treatment, ethical considerations. We then outline fairness, importance diverse representative data algorithm audits. Additionally, legal considerations privacy, responsibility, accountability, transparency, explainability AI. Finally, present Fairness Artificial Intelligence Recommendations (FAIR) statement offer best practices. Through these efforts, aim foundation discussing responsible implementation deployment healthcare.

Language: Английский

Citations

233

The Role of AI in Hospitals and Clinics: Transforming Healthcare in the 21st Century DOI Creative Commons
Shiva Maleki Varnosfaderani, Mohamad Forouzanfar

Bioengineering, Journal Year: 2024, Volume and Issue: 11(4), P. 337 - 337

Published: March 29, 2024

As healthcare systems around the world face challenges such as escalating costs, limited access, and growing demand for personalized care, artificial intelligence (AI) is emerging a key force transformation. This review motivated by urgent need to harness AI’s potential mitigate these issues aims critically assess integration in different domains. We explore how AI empowers clinical decision-making, optimizes hospital operation management, refines medical image analysis, revolutionizes patient care monitoring through AI-powered wearables. Through several case studies, we has transformed specific domains discuss remaining possible solutions. Additionally, will methodologies assessing solutions, ethical of deployment, importance data privacy bias mitigation responsible technology use. By presenting critical assessment transformative potential, this equips researchers with deeper understanding current future impact on healthcare. It encourages an interdisciplinary dialogue between researchers, clinicians, technologists navigate complexities implementation, fostering development AI-driven solutions that prioritize standards, equity, patient-centered approach.

Language: Английский

Citations

218

Developing a Data and Analytics Platform to Enable a Breast Cancer Learning Health System at a Regional Cancer Center DOI Creative Commons
Jeremy Petch,

Joel Kempainnen,

Christopher Pettengell

et al.

JCO Clinical Cancer Informatics, Journal Year: 2023, Volume and Issue: 7

Published: March 1, 2023

PURPOSE This study documents the creation of automated, longitudinal, and prospective data analytics platform for breast cancer at a regional center. combines principles warehousing with natural language processing (NLP) to provide integrated, timely, meaningful, high-quality, actionable required establish learning health system. METHODS Data from six hospital information systems one external source were integrated on nightly basis by automated extract/transform/load jobs. Free-text clinical documentation was processed using commercial NLP engine. RESULTS The contains 141 elements 7,019 patients newly diagnosed who received care our center January 1, 2014, June 3, 2022. Daily updating database takes an average 56 minutes. Evaluation tuning jobs found overall high performance, F1 1.0 19 variables, further 16 variables > 0.95. CONCLUSION describes how combined can be used create enable Although upfront time investment considerable, now that it has been developed, daily is completed automatically in less than hour.

Language: Английский

Citations

135

Ethical and regulatory challenges of large language models in medicine DOI Creative Commons
Jasmine Chiat Ling Ong, Yin‐Hsi Chang, William Wasswa

et al.

The Lancet Digital Health, Journal Year: 2024, Volume and Issue: 6(6), P. e428 - e432

Published: April 23, 2024

With the rapid growth of interest in and use large language models (LLMs) across various industries, we are facing some crucial profound ethical concerns, especially medical field. The unique technical architecture purported emergent abilities LLMs differentiate them substantially from other artificial intelligence (AI) natural processing techniques used, necessitating a nuanced understanding LLM ethics. In this Viewpoint, highlight concerns stemming perspectives users, developers, regulators, notably focusing on data privacy rights use, provenance, intellectual property contamination, broad applications plasticity LLMs. A comprehensive framework mitigating strategies will be imperative for responsible integration into practice, ensuring alignment with principles safeguarding against potential societal risks.

Language: Английский

Citations

82

Artificial intelligence innovation in healthcare: Literature review, exploratory analysis, and future research DOI
Ahmed Zahlan, Ravi Prakash Ranjan, David Hayes

et al.

Technology in Society, Journal Year: 2023, Volume and Issue: 74, P. 102321 - 102321

Published: July 5, 2023

Language: Английский

Citations

71

Data drift in medical machine learning: implications and potential remedies DOI
Berkman Sahiner, Weijie Chen, Ravi K. Samala

et al.

British Journal of Radiology, Journal Year: 2023, Volume and Issue: 96(1150)

Published: March 27, 2023

Data drift refers to differences between the data used in training a machine learning (ML) model and that applied real-world operation. Medical ML systems can be exposed various forms of drift, including sampled for clinical operation, medical practices or context use use, time-related changes patient populations, disease patterns, acquisition, name few. In this article, we first review terminology literature related define distinct types discuss detail potential causes within applications with an emphasis on imaging. We then recent regarding effects systems, which overwhelmingly show major cause performance deterioration. methods monitoring mitigating its pre- post-deployment techniques. Some detection issues around retraining when is detected are included. Based our review, find concern deployment more research needed so models identify early, incorporate effective mitigation strategies resist decay.

Language: Английский

Citations

69

Guiding principles for the responsible development of artificial intelligence tools for healthcare DOI Creative Commons
Kimberly Badal, Carmen M. Lee, Laura J. Esserman

et al.

Communications Medicine, Journal Year: 2023, Volume and Issue: 3(1)

Published: April 1, 2023

Several principles have been proposed to improve use of artificial intelligence (AI) in healthcare, but the need for AI longstanding healthcare challenges has not sufficiently emphasized. We propose that should be designed alleviate health disparities, report clinically meaningful outcomes, reduce overdiagnosis and overtreatment, high value, consider biographical drivers health, easily tailored local population, promote a learning system, facilitate shared decision-making. These are illustrated by examples from breast cancer research we provide questions can used developers when applying each principle their work.

Language: Английский

Citations

45

Shaping the future of AI in healthcare through ethics and governance DOI Creative Commons
Rabaï Bouderhem

Humanities and Social Sciences Communications, Journal Year: 2024, Volume and Issue: 11(1)

Published: March 15, 2024

Abstract The purpose of this research is to identify and evaluate the technical, ethical regulatory challenges related use Artificial Intelligence (AI) in healthcare. potential applications AI healthcare seem limitless vary their nature scope, ranging from privacy, research, informed consent, patient autonomy, accountability, health equity, fairness, AI-based diagnostic algorithms care management through automation for specific manual activities reduce paperwork human error. main faced by states regulating were identified, especially legal voids complexities adequate regulation better transparency. A few recommendations made protect data, mitigate risks regulate more efficiently international cooperation adoption harmonized standards under World Health Organization (WHO) line with its constitutional mandate digital public health. European Union (EU) law can serve as a model guidance WHO reform International Regulations (IHR).

Language: Английский

Citations

33

Transparent medical image AI via an image–text foundation model grounded in medical literature DOI
Chanwoo Kim, Soham Gadgil, Alex J. DeGrave

et al.

Nature Medicine, Journal Year: 2024, Volume and Issue: 30(4), P. 1154 - 1165

Published: April 1, 2024

Language: Английский

Citations

31