Jarrahi Mohammad Hossein, Davoudi Vahid, Haeri Mohammad
University of North Carolina, 100 Manning Hall, Chapel Hill, NC 27599, USA.
Alzheimer Disease Research Center, University of Kansas, Kansas University Medical Center, Kansas City, Kansas, USA.
J Pathol Inform. 2022 Nov 10;13:100156. doi: 10.1016/j.jpi.2022.100156. eCollection 2022.
Pathology is a fundamental element of modern medicine that determines the final diagnosis of medical conditions, leads medical decisions, and portrays the prognosis. Due to continuous improvements in AI capabilities (e.g., object recognition and image processing), intelligent systems are bound to play a key role in augmenting pathology research and clinical practices. Despite the pervasive deployment of computational approaches in similar fields such as radiology, there has been less success in integrating AI in clinical practices and histopathological diagnosis. This is partly due to the opacity of end-to-end AI systems, which raises issues of interoperability and accountability of medical practices. In this article, we draw on interactive machine learning to take advantage of AI in digital pathology to open the black box of AI and generate a more effective partnership between pathologists and AI systems based on the metaphors of parameterization and implicitization.
病理学是现代医学的一个基本要素,它决定疾病的最终诊断、指导医疗决策并描绘预后情况。由于人工智能能力(如目标识别和图像处理)的不断进步,智能系统必将在加强病理学研究和临床实践中发挥关键作用。尽管计算方法在放射学等类似领域得到了广泛应用,但在将人工智能整合到临床实践和组织病理学诊断方面取得的成功较少。这部分是由于端到端人工智能系统的不透明性,这引发了医疗实践中的互操作性和问责性问题。在本文中,我们借鉴交互式机器学习,利用数字病理学中的人工智能来打开人工智能的黑箱,并基于参数化和隐式化的隐喻,在病理学家和人工智能系统之间建立更有效的合作关系。