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人工智能在医疗诊断中的应用:人工智能预测与人类判断。

AI in medical diagnosis: AI prediction & human judgment.

机构信息

Széchenyi István University, Hungary.

University of Strathclyde Business School, United Kingdom.

出版信息

Artif Intell Med. 2024 Mar;149:102769. doi: 10.1016/j.artmed.2024.102769. Epub 2024 Jan 20.

Abstract

AI has long been regarded as a panacea for decision-making and many other aspects of knowledge work; as something that will help humans get rid of their shortcomings. We believe that AI can be a useful asset to support decision-makers, but not that it should replace decision-makers. Decision-making uses algorithmic analysis, but it is not solely algorithmic analysis; it also involves other factors, many of which are very human, such as creativity, intuition, emotions, feelings, and value judgments. We have conducted semi-structured open-ended research interviews with 17 dermatologists to understand what they expect from an AI application to deliver to medical diagnosis. We have found four aggregate dimensions along which the thinking of dermatologists can be described: the ways in which our participants chose to interact with AI, responsibility, 'explainability', and the new way of thinking (mindset) needed for working with AI. We believe that our findings will help physicians who might consider using AI in their diagnosis to understand how to use AI beneficially. It will also be useful for AI vendors in improving their understanding of how medics want to use AI in diagnosis. Further research will be needed to examine if our findings have relevance in the wider medical field and beyond.

摘要

人工智能长期以来一直被视为决策和知识工作的许多其他方面的灵丹妙药;被认为是帮助人类摆脱自身缺点的工具。我们认为人工智能可以成为支持决策者的有用工具,但不应取代决策者。决策使用算法分析,但不仅仅是算法分析;它还涉及其他因素,其中许多因素非常人性化,例如创造力、直觉、情感、感觉和价值判断。我们对 17 名皮肤科医生进行了半结构化的开放式访谈,以了解他们对 AI 应用程序在医疗诊断中的期望。我们发现了四个聚合维度,可以用这些维度来描述皮肤科医生的思维方式:参与者选择与 AI 交互的方式、责任、“可解释性”以及与 AI 合作所需的新思维方式(思维模式)。我们相信,我们的研究结果将有助于可能考虑在诊断中使用 AI 的医生了解如何有益地使用 AI。这也将有助于 AI 供应商更好地了解医生希望如何在诊断中使用 AI。需要进一步研究来检验我们的研究结果是否与更广泛的医疗领域及其他领域相关。

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