Department of Dermatology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Department of Dermatology, University of Conneticut School of Medicine, Farmington, Connecticut, USA.
Clin Dermatol. 2024 May-Jun;42(3):313-316. doi: 10.1016/j.clindermatol.2024.02.003. Epub 2024 Feb 23.
The integration of artificial intelligence (AI) in dermatology holds promise for enhancing clinical accuracy, enabling earlier detection of skin malignancies, suggesting potential management of skin lesions and eruptions, and promoting improved continuity of care. AI implementation in dermatology, however, raises several ethical concerns. This review explores the current benefits and challenges associated with AI integration, underscoring ethical considerations related to autonomy, informed consent, and privacy. We also examine the ways in which beneficence, nonmaleficence, and distributive justice may be impacted. Clarifying the role of AI, striking a balance between security and transparency, fostering open dialogue with our patients, collaborating with developers of AI, implementing educational initiatives for dermatologists and their patients, and participating in the establishment of regulatory guidelines are essential to navigating ethical and responsible AI incorporation into dermatology.
人工智能（AI）在皮肤科的整合有望提高临床准确性，实现皮肤恶性肿瘤的早期检测，为皮肤病变和疹提供潜在的管理，并促进更好的连续护理。然而，AI 在皮肤科的应用引发了一些伦理问题。本综述探讨了 AI 整合相关的当前益处和挑战，强调了与自主性、知情同意和隐私相关的伦理考虑。我们还研究了有利原则、不伤害原则和分配公正原则可能受到的影响。明确 AI 的角色，在安全性和透明度之间取得平衡，与我们的患者进行开放对话，与 AI 的开发者合作，为皮肤科医生及其患者实施教育计划，以及参与建立监管指南，这些都是将 AI 纳入皮肤科的关键，以实现其伦理和负责任的应用。
