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澳大利亚皮肤科医生对人工智能在皮肤科应用的态度:一项调查

Attitudes Towards the Use of Artificial Intelligence in Dermatology: A Survey of Australian Dermatologists.

作者信息

Partridge Brad, Janda Monika, Gillespie Nicole, Silva Carina Vasconcelos, Arnold Chris, Abbott Lisa, Caccetta Tony, Soyer H Peter

机构信息

Centre for Health Services Research, The University of Queensland, Brisbane, Queensland, Australia.

Melbourne Business School, University of Melbourne, Melbourne, Victoria, Australia.

出版信息

Australas J Dermatol. 2025 Aug;66(5):e279-e286. doi: 10.1111/ajd.14524. Epub 2025 May 14.

Abstract

BACKGROUND/OBJECTIVES: This study explored the views of dermatologists in Australia on the use of Artificial Intelligence (AI) in dermatology.

METHOD

Fellows and Trainees of the Australasian College of Dermatologists (ACD) were invited to participate in an anonymous online survey, resulting in a sample of 122 completed surveys (response rate 16.2%).

RESULTS

Although 44% have used AI in their dermatology practice, only a minority are using AI regularly for clinical (12%) or administrative purposes (17%). A key barrier is trust, with most (69%) participants either unwilling or unsure about trusting AI for supporting the diagnosis of skin cancer. Participants identified accuracy and information on datasets, limitations, benefits, and the purpose of AI as important for trust. 52% want AI accuracy to be equivalent to or superior to the best dermatologist if it is used for clinical diagnosis. Participants perceived a range of benefits and risks of AI, with key risks around accuracy and divestment of AI to tech companies, and key benefits being reduction of monotonous tasks and improved patient access. Few (10%) are concerned about AI replacing dermatologists even though almost half (47%) expect key aspects of dermatology work will be performed by AI.

CONCLUSIONS

Dermatologists in Australia are at an early stage of integrating AI into practice, with most wary or unsure about the accuracy of currently available AI tools for diagnostic purposes. Developing workflows that are acceptable to clinicians may require knowledge outreach from Dermatology Colleges, such as the ACD, to help clinicians develop well informed views on AI.

摘要

背景/目的:本研究探讨了澳大利亚皮肤科医生对人工智能(AI)在皮肤科应用的看法。

方法

邀请澳大利亚皮肤科医生学院(ACD)的研究员和实习生参与一项匿名在线调查,最终获得了122份完整调查问卷的样本(回复率16.2%)。

结果

虽然44%的人在皮肤科实践中使用过AI,但只有少数人将AI定期用于临床(12%)或管理目的(17%)。一个关键障碍是信任,大多数(69%)参与者不愿意或不确定是否信任AI来辅助皮肤癌诊断。参与者认为AI的准确性、数据集信息、局限性、益处以及目的对于信任至关重要。如果AI用于临床诊断,52%的人希望其准确性等同于或优于最优秀的皮肤科医生。参与者认识到AI有一系列的益处和风险,主要风险围绕准确性以及AI被剥离给科技公司,主要益处是减少单调任务和改善患者就医机会。尽管近一半(47%)的人预计皮肤科工作的关键方面将由AI执行,但很少有人(10%)担心AI会取代皮肤科医生。

结论

澳大利亚皮肤科医生将AI融入实践尚处于早期阶段,大多数人对目前用于诊断目的的AI工具的准确性持谨慎或不确定态度。制定临床医生可接受的工作流程可能需要像ACD这样的皮肤科专业学院进行知识普及,以帮助临床医生对AI形成明智的看法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b78/12334805/76eff33321d3/AJD-66-e279-g001.jpg

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