Pantanowitz Liron, Hanna Matthew, Pantanowitz Joshua, Lennerz Joe, Henricks Walter H, Shen Peter, Quinn Bruce, Bennet Shannon, Rashidi Hooman H
Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; Computational Pathology and Artificial Intelligence Center of Excellence, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania; Computational Pathology and Artificial Intelligence Center of Excellence, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Mod Pathol. 2024 Dec;37(12):100609. doi: 10.1016/j.modpat.2024.100609. Epub 2024 Sep 12.
In the realm of health care, numerous generative and nongenerative artificial intelligence and machine learning (AI-ML) tools have been developed and deployed. Simultaneously, manufacturers of medical devices are leveraging AI-ML. However, the adoption of AI in health care raises several concerns, including safety, security, ethical biases, accountability, trust, economic impact, and environmental effects. Effective regulation can mitigate some of these risks, promote fairness, establish standards, and advocate for more sustainable AI practices. Regulating AI tools not only ensures their safe and effective adoption but also fosters public trust. It is important that regulations remain flexible to accommodate rapid advances in this field to support innovation and also not to add additional burden to some of our preexisting and well-established frameworks. This study covers regional and global regulatory aspects of AI-ML including data privacy, software as a medical device, agency approval and clearance pathways, reimbursement, and laboratory-developed tests.
在医疗保健领域,已经开发并部署了众多生成式和非生成式人工智能及机器学习(AI-ML)工具。与此同时,医疗设备制造商也在利用AI-ML。然而,在医疗保健中采用AI引发了若干问题,包括安全、安保、伦理偏见、问责制、信任、经济影响和环境影响。有效的监管可以减轻其中一些风险,促进公平,制定标准,并倡导更可持续的AI实践。对AI工具进行监管不仅能确保其安全有效地应用,还能增强公众信任。重要的是,监管应保持灵活性,以适应该领域的快速发展,支持创新,同时不给我们一些既有的成熟框架增加额外负担。本研究涵盖了AI-ML的区域和全球监管方面,包括数据隐私、软件作为医疗设备、机构审批和许可途径、报销以及实验室开发的检测。