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人工智能技术驱动的软件医疗器械的变化。

Changes in software as a medical device based on artificial intelligence technologies.

机构信息

The Department of Innovative Technologies, State Budget-Funded Health Care Institution of the City of Moscow "Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department", 24 Petrovka Str., Bldg. 1, 127051, Moscow, Russia.

The Department of Medical Informatics, Radiomics and Radiogenomics, State Budget-Funded Health Care Institution of the City of Moscow "Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies of the Moscow Health Care Department", 24 Petrovka Str., Bldg. 1, 127051, Moscow, Russia.

出版信息

Int J Comput Assist Radiol Surg. 2022 Oct;17(10):1969-1977. doi: 10.1007/s11548-022-02669-1. Epub 2022 Jun 13.

Abstract

PURPOSE

to develop a procedure for registering changes, notifying users about changes made, unifying software as a medical device based on artificial intelligence technologies (SaMD-AI) changes, as well as requirements for testing and inspections-quality control before and after making changes.

METHODS

The main types of changes, divided into two groups-major and minor. Major changes imply a subsequent change of a SaMD-AI version to improve efficiency and safety, to change the functionality, and to ensure the processing of new data types. Minor changes imply those that SaMD-AI developers can make due to errors in the program code. Three types of SaMD-AI testings are proposed to use: functional testing, calibration testing or control, and technical testing.

RESULTS

The presented approaches for validation SaMD-AI changes were introduced. The unified requirements for the request for changes and forms of their submission made this procedure understandable for SaMD-AI developers, and also adjusted the workload for the Experiment experts who checked all the changes made to SaMD-AI.

CONCLUSION

This article discusses the need to control changes in the module of SaMD-AI, as innovative products influencing medical decision making. It justifies the need to control a module operation of SaMD-AI after making changes. To streamline and optimize the necessary and sufficient control procedures, a systematization of possible changes in SaMD-AI and testing methods was carried out.

摘要

目的

开发一种变更注册程序,通知用户有关变更的情况,统一基于人工智能技术的软件即医疗器械(SaMD-AI)的变更,并规定变更前后测试和检查-质量控制的要求。

方法

主要变更类型分为两组——主要变更和次要变更。主要变更意味着随后要更改 SaMD-AI 版本,以提高效率和安全性、改变功能,并确保处理新的数据类型。次要变更意味着 SaMD-AI 开发人员可以因程序代码中的错误而进行的变更。提出了三种类型的 SaMD-AI 测试来使用:功能测试、校准测试或控制测试,以及技术测试。

结果

介绍了验证 SaMD-AI 变更的方法。变更请求的统一要求和提交形式使 SaMD-AI 开发人员能够理解这一程序,并调整了检查 SaMD-AI 所做所有变更的实验专家的工作量。

结论

本文讨论了需要控制影响医疗决策的创新产品 SaMD-AI 模块的变更。这证明了在进行变更后需要控制 SaMD-AI 模块的运行。为了简化和优化必要和充分的控制程序,对 SaMD-AI 的可能变更和测试方法进行了系统化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2ca/9188918/340e8a86a972/11548_2022_2669_Fig1_HTML.jpg

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