Department of Psychology, University of Copenhagen, Denmark; Department of Radiology, Copenhagen University Hospital at Bispebjerg and Frederiksberg, Denmark.
Department of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, The Netherlands.
Eur J Radiol. 2022 Oct;155:110231. doi: 10.1016/j.ejrad.2022.110231. Epub 2022 Mar 11.
This paper focuses on how the implementation of artificial intelligence algorithms (AI) challenges and changes the existing communication practice in radiology seen from a psychological communicative and clinical radiologist's perspective.
Based on thematic literature search across radiology, management, and information system technology research of AI implementation and robotics, we applied social- and cognitive psychological concepts in order to analyse and interpret these potential communication challenges that the introduction of AI potentially imposes.
We found that scepticism towards AI implementation is a well-documented reaction among medical professionals in general. We related this scepticism to the AI's potential transforming effect on the practice of communication in radiology. We found that the traditional communication practice to include and collaborate with AI is insufficiently developed. We propose using the multidisciplinary team meetings as an example of that at least two psychological mechanisms in this insufficiently developed communication practice can be both crucial barriers towards and drivers of the AI implementation, these mechanisms are: (1) (loss of) sense of agency, meaning the experience of being in control in one's job, and (2) (a threatened) self-image of being the expert when interacting with AI.
AI implementation potentially transforms the existing professional and social positions of radiologists and other medical professionals in general which in multidisciplinary team meetings can hinder the intended use and benefit of the technology. We therefore recommend an increased focus on psychological and leadership processes in order to avoid these consequences and call for a development of co-creating communication practices with AI.
本文从心理交际和临床放射科医生的角度出发，探讨人工智能算法（AI）的实施如何挑战和改变现有放射学的交流实践。
我们通过对放射学、管理和人工智能实施和机器人技术的信息系统技术研究进行主题文献检索，应用社会和认知心理学概念，分析和解释了 AI 引入可能带来的潜在沟通挑战。
我们发现，对 AI 实施的怀疑是医疗专业人员普遍存在的一种有据可查的反应。我们将这种怀疑与 AI 对放射科沟通实践的潜在变革效应联系起来。我们发现，传统的包括和与 AI 合作的沟通实践还不够发达。我们提出将多学科团队会议作为一个例子，至少有两种心理机制在这种不发达的沟通实践中可能成为 AI 实施的关键障碍和驱动力，这些机制是：（1）（失去）代理权，即对工作中控制感的体验，以及（2）与 AI 互动时对自己作为专家的自我形象的威胁。
AI 的实施可能会改变放射科医生和其他医疗专业人员现有的专业和社会地位，在多学科团队会议中，这可能会阻碍技术的预期使用和效益。因此，我们建议更加关注心理和领导过程，以避免这些后果，并呼吁与 AI 共同制定沟通实践。
