Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
J Am Coll Radiol. 2018 Mar;15(3 Pt B):504-508. doi: 10.1016/j.jacr.2017.12.026. Epub 2018 Feb 4.
Worldwide interest in artificial intelligence (AI) applications, including imaging, is high and growing rapidly, fueled by availability of large datasets ("big data"), substantial advances in computing power, and new deep-learning algorithms. Apart from developing new AI methods per se, there are many opportunities and challenges for the imaging community, including the development of a common nomenclature, better ways to share image data, and standards for validating AI program use across different imaging platforms and patient populations. AI surveillance programs may help radiologists prioritize work lists by identifying suspicious or positive cases for early review. AI programs can be used to extract "radiomic" information from images not discernible by visual inspection, potentially increasing the diagnostic and prognostic value derived from image datasets. Predictions have been made that suggest AI will put radiologists out of business. This issue has been overstated, and it is much more likely that radiologists will beneficially incorporate AI methods into their practices. Current limitations in availability of technical expertise and even computing power will be resolved over time and can also be addressed by remote access solutions. Success for AI in imaging will be measured by value created: increased diagnostic certainty, faster turnaround, better outcomes for patients, and better quality of work life for radiologists. AI offers a new and promising set of methods for analyzing image data. Radiologists will explore these new pathways and are likely to play a leading role in medical applications of AI.
全球范围内对人工智能 (AI) 应用(包括成像)的兴趣很高且正在迅速增长,这得益于大型数据集(“大数据”)的可用性、计算能力的大幅提高和新的深度学习算法。除了开发新的 AI 方法本身,成像界还面临着许多机遇和挑战,包括开发通用术语、更好地共享图像数据的方法以及在不同成像平台和患者群体中验证 AI 程序使用的标准。人工智能监测计划可以通过识别可疑或阳性病例以进行早期审查来帮助放射科医生优先处理工作清单。人工智能程序可以用于从视觉检查无法识别的图像中提取“放射组学”信息,从而有可能增加从图像数据集得出的诊断和预后价值。有人预测 AI 将使放射科医生失业。这种说法有些夸大,更有可能的是,放射科医生将有益地将 AI 方法纳入其实践。随着时间的推移,技术专业知识甚至计算能力的可用性限制将得到解决,并且还可以通过远程访问解决方案来解决。成像人工智能的成功将通过创造的价值来衡量:提高诊断的确定性、更快的周转时间、为患者带来更好的结果以及提高放射科医生的工作生活质量。人工智能为分析图像数据提供了一套新的、有前途的方法。放射科医生将探索这些新途径,并可能在人工智能的医学应用中发挥主导作用。
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