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牙科人工智能的伦理考量:框架与核对清单。

Ethical considerations on artificial intelligence in dentistry: A framework and checklist.

机构信息

Topic Group Dental Diagnostics and Digital Dentistry, ITU/WHO Focus Group AI on Health, Berlin, Germany.

Topic Group Dental Diagnostics and Digital Dentistry, ITU/WHO Focus Group AI on Health, Berlin, Germany; Faculty of Odontology, University Claude Bernard Lyon Il, University of Lyon, Lyon, France.

出版信息

J Dent. 2023 Aug;135:104593. doi: 10.1016/j.jdent.2023.104593. Epub 2023 Jun 22.

DOI:10.1016/j.jdent.2023.104593
PMID:37355089
Abstract

OBJECTIVE

Artificial Intelligence (AI) refers to the ability of machines to perform cognitive and intellectual human tasks. In dentistry, AI offers the potential to enhance diagnostic accuracy, improve patient outcomes and streamline workflows. The present study provides a framework and a checklist to evaluate AI applications in dentistry from this perspective.

METHODS

Lending from existing guidance documents, an initial draft of the checklist and an explanatory paper were derived and discussed among the groups members.

RESULTS

The checklist was consented to in an anonymous voting process by 29 Topic Group Dental Diagnostics and Digital Dentistry, ITU/WHO Focus Group AI on Health's members. Overall, 11 principles were identified (diversity, transparency, wellness, privacy protection, solidarity, equity, prudence, law and governance, sustainable development, accountability, and responsibility, respect of autonomy, decision-making).

CONCLUSIONS

Providers, patients, researchers, industry, and other stakeholders should consider these principles when developing, implementing, or receiving AI applications in dentistry.

CLINICAL SIGNIFICANCE

While AI has become increasingly commonplace in dentistry, there are ethical concerns around its usage, and users (providers, patients, and other stakeholders), as well as the industry should consider these when developing, implementing, or receiving AI applications based on comprehensive framework to address the associated ethical challenges.

摘要

目的

人工智能 (AI) 是指机器执行认知和智力人类任务的能力。在牙科领域,人工智能有潜力提高诊断准确性、改善患者预后并简化工作流程。本研究从这个角度提供了一个评估牙科中人工智能应用的框架和检查表。

方法

借鉴现有的指导文件,从最初的检查表草案和解释性文件中衍生出来,并在成员之间进行了讨论。

结果

29 个专题小组牙科诊断和数字牙科、ITU/WHO 人工智能健康焦点小组的成员以匿名投票的方式同意了检查表。总体而言,确定了 11 项原则(多样性、透明度、健康、隐私保护、团结、公平、谨慎、法律和治理、可持续发展、问责制和责任制、尊重自主权、决策)。

结论

提供者、患者、研究人员、行业和其他利益相关者在开发、实施或接受牙科人工智能应用时应考虑这些原则。

临床意义

虽然人工智能在牙科中已经越来越普遍,但它的使用存在伦理问题,用户(提供者、患者和其他利益相关者)以及行业在开发、实施或接受人工智能应用时应考虑这些问题,基于综合框架来解决相关的伦理挑战。

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