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资深临床从业者关于人工智能实施的经验教训:英国医学影像与放射治疗领域的探索性定性研究

Lessons on AI implementation from senior clinical practitioners: An exploratory qualitative study in medical imaging and radiotherapy in the UK.

作者信息

Stogiannos Nikolaos, O'Regan Tracy, Scurr Erica, Litosseliti Lia, Pogose Michael, Harvey Hugh, Kumar Amrita, Malik Rizwan, Barnes Anna, McEntee Mark F, Malamateniou Christina

机构信息

Department of Midwifery & Radiography, City St George's, University of London, UK; Magnitiki Tomografia Kerkiras, Corfu, Greece.

The Society and College of Radiographers, London, UK.

出版信息

J Med Imaging Radiat Sci. 2025 Jan;56(1):101797. doi: 10.1016/j.jmir.2024.101797. Epub 2024 Nov 22.

Abstract

INTRODUCTION

Artificial Intelligence (AI) has the potential to transform medical imaging and radiotherapy; both fields where radiographers' use of AI tools is increasing. This study aimed to explore the views of those professionals who are now using AI tools.

METHODS

A small-scale exploratory research process was employed, where qualitative data was obtained from five UK-based participants; all professionals working in medical imaging and radiotherapy who use AI in clinical practice. Five semi-structured interviews were conducted online. Verbatim transcription was performed using an open-source automatic speech recognition model. Conceptual content analysis was performed to analyse the data and identify common themes.

RESULTS

Participants spoke about the possibility of AI deskilling staff and changing their roles, they discussed issues around data protection and data sharing strategies, the important role of effective leadership of AI teams, and the seamless integration into workflows. Participants thought that the benefits of adopting AI were smoother clinical workflows, support for the workforce in decision-making, and enhanced patient safety/care. They also highlighted the need for tailored AI education/training, multidisciplinary teamwork and support.

CONCLUSION

Participants who are now using AI tools felt that clinical staff should be empowered to support AI implementation by adopting new and clearly defined roles and responsibilities. They suggest that attention to patient care and safety is a key to successful AI adoption. Despite the increasing adoption of AI, participants in the UK described a gap in knowledge with professionals still needing clear guidance, education and training regarding AI in preparation for more widespread adoption.

摘要

引言

人工智能(AI)有潜力改变医学成像和放射治疗;在这两个领域,放射技师对人工智能工具的使用正在增加。本研究旨在探讨那些正在使用人工智能工具的专业人员的观点。

方法

采用了小规模的探索性研究过程,从五名英国参与者那里获取定性数据;他们都是在医学成像和放射治疗领域工作且在临床实践中使用人工智能的专业人员。进行了五次在线半结构化访谈。使用开源自动语音识别模型进行逐字转录。进行概念性内容分析以分析数据并确定共同主题。

结果

参与者谈到了人工智能使员工技能退化和改变其角色的可能性,他们讨论了围绕数据保护和数据共享策略的问题、人工智能团队有效领导的重要作用以及无缝融入工作流程的问题。参与者认为采用人工智能的好处是临床工作流程更顺畅、为员工决策提供支持以及提高患者安全/护理水平。他们还强调了量身定制的人工智能教育/培训、多学科团队合作和支持的必要性。

结论

目前正在使用人工智能工具的参与者认为,临床工作人员应通过采用新的、明确界定的角色和职责来获得支持人工智能实施的权力。他们建议关注患者护理和安全是成功采用人工智能的关键。尽管人工智能的采用不断增加,但英国的参与者描述了知识差距,专业人员在为更广泛采用人工智能做准备方面仍需要关于人工智能的明确指导、教育和培训。

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