Blum A, Bosch S, Haenssle H A, Fink C, Hofmann-Wellenhof R, Zalaudek I, Kittler H, Tschandl P
Hautarzt- und Lehrpraxis, Augustinerplatz 7, 78462, Konstanz, Deutschland.
Hautarztpraxis, Ludwigsburg, Deutschland.
Hautarzt. 2020 Sep;71(9):691-698. doi: 10.1007/s00105-020-04658-4.
ADVANTAGES OF ARTIFICIAL INTELLIGENCE (AI): With responsible, safe and successful use of artificial intelligence (AI), possible advantages in the field of dermato-oncology include the following: (1) medical work can focus on skin cancer patients, (2) patients can be more quickly and effectively treated despite the increasing incidence of skin cancer and the decreasing number of actively working dermatologists and (3) users can learn from the AI results. POTENTIAL DISADVANTAGES AND RISKS OF AI USE: (1) Lack of mutual trust can develop due to the decreased patient-physician contact, (2) additional time effort will be necessary to promptly evaluate the AI-classified benign lesions, (3) lack of adequate medical experience to recognize misclassified AI decisions and (4) recontacting a patient in due time in the case of incorrect AI classifications. Still problematic in the use of AI are the medicolegal situation and remuneration. Apps using AI currently cannot provide sufficient assistance based on clinical images of skin cancer.
Smartphone program applications (apps) can be implemented responsibly when the image quality is good, the patient's history can be entered easily, transmission of the image and results are assured and medicolegal aspects as well as remuneration are clarified. Apps can be used for disease-specific information material and can optimize patient care by using teledermatology.
人工智能(AI)的优势:在负责任、安全且成功地使用人工智能的情况下,皮肤肿瘤学领域可能具有以下优势:(1)医疗工作可以专注于皮肤癌患者;(2)尽管皮肤癌发病率不断上升且皮肤科医生在职人数不断减少,但患者仍能得到更快、更有效的治疗;(3)使用者可以从人工智能的结果中学习。使用人工智能的潜在劣势和风险:(1)由于医患接触减少,可能会产生缺乏相互信任的问题;(2)需要额外的时间来及时评估人工智能分类的良性病变;(3)缺乏足够的医学经验来识别人工智能错误分类的结果;(4)在人工智能分类错误的情况下,需要及时再次联系患者。人工智能使用中仍然存在问题的是法医学情况和报酬。目前,基于皮肤癌临床图像的人工智能应用程序无法提供足够的帮助。
当图像质量良好、患者病史易于输入、图像和结果的传输有保障且法医学方面以及报酬问题得到澄清时,可以负责任地实施智能手机程序应用(应用程序)。应用程序可用于特定疾病的信息材料,并可通过远程皮肤病学优化患者护理。