Kapoor Neena, Lacson Ronilda, Khorasani Ramin
Director of Diversity, Inclusion, and Equity, Department of Radiology, Brigham and Women's Hospital; Quality and Patient Safety Officer, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Director of Education, Center for Evidence-Based Imaging, Brigham and Women's Hospital; Director of Clinical Informatics, Harvard Medical School Library of Evidence, Boston, Massachusetts.
J Am Coll Radiol. 2020 Nov;17(11):1363-1370. doi: 10.1016/j.jacr.2020.08.016.
In the past decade, there has been tremendous interest in applying artificial intelligence (AI) to improve the field of radiology. Currently, numerous AI applications are in development, with potential benefits spanning all steps of the imaging chain from test ordering to report communication. AI has been proposed as a means to optimize patient scheduling, improve worklist management, enhance image acquisition, and help radiologists interpret diagnostic studies. Although the potential for AI in radiology appears almost endless, the field is still in the early stages, with many uses still theoretical, in development, or limited to single institutions. Moreover, although the current use of AI in radiology has emphasized its clinical applications, some of which are in the distant future, it is increasingly clear that AI algorithms could also be used in the more immediate future for a variety of noninterpretive and quality improvement uses. Such uses include the integration of AI into electronic health record systems to reduce unwarranted variation in radiologists' follow-up recommendations and to improve other dimensions of radiology report quality. In the end, the potential of AI in radiology must be balanced with acknowledgment of its current limitations regarding generalizability and data privacy.
在过去十年中,人们对应用人工智能(AI)改善放射学领域产生了浓厚兴趣。目前,众多人工智能应用正在开发中,其潜在益处涵盖成像链从检查预约到报告传达的所有环节。人工智能已被提议作为一种优化患者排程、改善工作列表管理、增强图像采集以及帮助放射科医生解读诊断研究的手段。尽管人工智能在放射学领域的潜力似乎几乎无穷无尽,但该领域仍处于早期阶段,许多应用仍停留在理论层面、尚在开发中或仅限于个别机构。此外,尽管目前放射学中人工智能的应用主要强调其临床应用,其中一些应用还远在未来,但越来越明显的是,人工智能算法在不久的将来也可用于各种非解读性和质量改进用途。此类用途包括将人工智能集成到电子健康记录系统中,以减少放射科医生后续建议中不必要的差异,并提高放射学报告质量的其他方面。最终,必须在承认人工智能在放射学领域的潜力的同时,平衡认识到其目前在可推广性和数据隐私方面的局限性。