Mudgal Keshav Shree, Das Neelanjan
King's College Hospital Foundation Trust, London, UK.
East Kent Hospitals Foundation Trust, Canterbury, UK.
BJR Open. 2020 Jan 1;2(1):20190020. doi: 10.1259/bjro.20190020. eCollection 2020.
Artificial intelligence (AI) is rapidly transforming healthcare-with radiology at the pioneering forefront. To be trustfully adopted, AI needs to be lawful, ethical and robust. This article covers the different aspects of a safe and sustainable deployment of AI in radiology during: . For training, data must be appropriately valued, and deals with AI companies must be centralized. Companies must clearly define anonymization and consent, and patients must be well-informed about their data usage. Data fed into algorithms must be made AI-ready by refining, purification, digitization and centralization. Finally, data must represent various demographics. AI needs to be safely integrated with guiding forming concepts of AI solutions and supervising training and feedback. To be well-regulated, AI systems must be approved by a health authority and agreements must be made upon liability for errors, roles of supervised and unsupervised AI and fair workforce distribution (between AI and radiologists), with a renewal of policy at regular intervals. Any errors made must have a root-cause analysis, with outcomes fedback to companies to close the loopthus enabling a dynamic best prediction system. In the distant future, AI may act autonomously with little human supervision. Ethical training and integration can ensure a "transparent" technology that will allow insight: helping us reflect on our current understanding of imaging interpretation and fill knowledge gaps, eventually moulding radiological practice. This article proposes recommendations for ethical practise that can guide a nationalized framework to build a system.
人工智能(AI)正在迅速改变医疗保健领域,放射学处于前沿先锋位置。要被信任采用,人工智能需要合法、符合伦理且稳健。本文涵盖了在以下期间人工智能在放射学中安全且可持续部署的不同方面:在训练方面,数据必须得到适当重视,与人工智能公司的交易必须集中化。公司必须明确界定匿名化和同意事宜,并且必须让患者充分了解其数据的使用情况。输入算法的数据必须通过提炼、净化、数字化和集中化使其适用于人工智能。最后,数据必须代表各种人口统计学特征。人工智能需要与人工智能解决方案的指导形成概念以及监督训练和反馈安全集成。为了得到良好监管,人工智能系统必须获得卫生当局的批准,并且必须就错误责任、监督和无监督人工智能的作用以及公平的劳动力分配(在人工智能和放射科医生之间)达成协议,同时定期更新政策。所犯的任何错误都必须进行根本原因分析,结果反馈给公司以形成闭环,从而实现动态的最佳预测系统。在遥远的未来,人工智能可能在几乎没有人类监督的情况下自主运行。伦理培训和整合可以确保一种“透明”技术,这种技术将允许深入了解:帮助我们反思我们目前对影像解读的理解并填补知识空白,最终塑造放射学实践。本文提出了伦理实践建议,可指导建立一个国有化框架体系。