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《人,太有人性了?医学影像领域“人工智能革命”的全面评估》

Human, All Too Human? An All-Around Appraisal of the "Artificial Intelligence Revolution" in Medical Imaging.

作者信息

Coppola Francesca, Faggioni Lorenzo, Gabelloni Michela, De Vietro Fabrizio, Mendola Vincenzo, Cattabriga Arrigo, Cocozza Maria Adriana, Vara Giulio, Piccinino Alberto, Lo Monaco Silvia, Pastore Luigi Vincenzo, Mottola Margherita, Malavasi Silvia, Bevilacqua Alessandro, Neri Emanuele, Golfieri Rita

机构信息

Department of Radiology, IRCCS Azienda Ospedaliero Universitaria di Bologna, Bologna, Italy.

SIRM Foundation, Italian Society of Medical and Interventional Radiology, Milan, Italy.

出版信息

Front Psychol. 2021 Sep 28;12:710982. doi: 10.3389/fpsyg.2021.710982. eCollection 2021.

Abstract

Artificial intelligence (AI) has seen dramatic growth over the past decade, evolving from a niche super specialty computer application into a powerful tool which has revolutionized many areas of our professional and daily lives, and the potential of which seems to be still largely untapped. The field of medicine and medical imaging, as one of its various specialties, has gained considerable benefit from AI, including improved diagnostic accuracy and the possibility of predicting individual patient outcomes and options of more personalized treatment. It should be noted that this process can actively support the ongoing development of advanced, highly specific treatment strategies (e.g., target therapies for cancer patients) while enabling faster workflow and more efficient use of healthcare resources. The potential advantages of AI over conventional methods have made it attractive for physicians and other healthcare stakeholders, raising much interest in both the research and the industry communities. However, the fast development of AI has unveiled its potential for disrupting the work of healthcare professionals, spawning concerns among radiologists that, in the future, AI may outperform them, thus damaging their reputations or putting their jobs at risk. Furthermore, this development has raised relevant psychological, ethical, and medico-legal issues which need to be addressed for AI to be considered fully capable of patient management. The aim of this review is to provide a brief, hopefully exhaustive, overview of the state of the art of AI systems regarding medical imaging, with a special focus on how AI and the entire healthcare environment should be prepared to accomplish the goal of a more advanced human-centered world.

摘要

在过去十年中,人工智能(AI)取得了显著发展,从一个小众的超级专业计算机应用发展成为一个强大的工具,它彻底改变了我们职业和日常生活的许多领域,其潜力似乎仍在很大程度上未被挖掘。医学和医学成像领域作为其众多专业领域之一,已从人工智能中受益匪浅,包括提高诊断准确性以及预测个体患者预后和实现更个性化治疗方案的可能性。应该指出的是,这一过程可以积极支持先进的、高度特异性治疗策略(例如癌症患者的靶向治疗)的持续发展,同时实现更快的工作流程和更有效地利用医疗资源。与传统方法相比,人工智能的潜在优势使其对医生和其他医疗利益相关者具有吸引力,在研究和行业界引发了极大兴趣。然而,人工智能的快速发展揭示了其可能扰乱医疗专业人员工作的潜力,引发了放射科医生的担忧,即未来人工智能可能会超过他们,从而损害他们的声誉或使他们面临失业风险。此外,这一发展引发了相关的心理、伦理和医学法律问题,为了使人工智能被认为完全有能力进行患者管理,这些问题需要得到解决。本综述的目的是简要地、希望是详尽地概述人工智能系统在医学成像方面的最新技术水平,特别关注人工智能和整个医疗环境应如何做好准备,以实现更先进的以人为本的世界这一目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19b7/8505993/0078f858d0da/fpsyg-12-710982-g001.jpg

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