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癌症患者对人工智能应用的认知、态度及担忧

Perceptions, Attitudes, and Concerns on Artificial Intelligence Applications in Patients with Cancer.

作者信息

Erul Enes, Aktekin Yusuf, Danışman Furkan Berk, Gümüştaş Şükrü Armanç, Aktekin Büşra Saraç, Yekedüz Emre, Ürün Yüksel

机构信息

Division of Medical Oncology, Department of Internal Medicine, Ankara University Faculty of Medicine, Ankara, Türkiye.

Institute of Cancer Research, Ankara University, Ankara, Turkey.

出版信息

Cancer Control. 2025 Jan-Dec;32:10732748251343245. doi: 10.1177/10732748251343245. Epub 2025 May 23.

Abstract

IntroductionThe use of artificial intelligence (AI) in oncology has increased rapidly, transforming various healthcare areas such as pathology, radiology, diagnostics, prognosis, genomics, treatment planning, and clinical trials. However, perspectives, comfort levels, and concerns about AI in cancer care remain largely unexplored.Materials and MethodsThis prospective, descriptive cross-sectional survey study was conducted between May 20, 2024 and October 22, 2024, among 363 patients with cancer from two different hospitals affiliated with Ankara University, a tertiary care center in Türkiye. The survey included three distinct sections: (1) Perceptions: Patients' general views on AI's impact in oncology; (2) Attitudes: Comfort level with AI performing medical tasks; (3) Concerns: Specific fears related to AI implementation (eg, diagnostic errors, data privacy, healthcare costs). Survey responses were summarized descriptively, and differences by age, gender, and education were analyzed using chi-square tests.ResultsA majority (50.7%) believed AI would somewhat (32%) or significantly (18.7%) improve healthcare. However, one-third of patients (33.1%) were very uncomfortable with AI diagnosing cancer, with higher discomfort among less-educated participants ( < .005). Top patient concerns included AI making incorrect diagnoses (31.1%), increasing healthcare costs (27.5%), and not keeping data private (19.6%). Patients with higher education levels expressed less discomfort and fewer concerns.ConclusionsPatients' perceptions and attitudes on AI varied significantly based on education, highlighting the need for targeted educational initiatives. While AI holds potential to revolutionize cancer care, addressing concerns about accuracy, security, and transparency is critical to enhance its acceptance and effectiveness in clinical practice.

摘要

引言

人工智能(AI)在肿瘤学中的应用迅速增加,改变了病理学、放射学、诊断学、预后评估、基因组学、治疗规划和临床试验等各个医疗领域。然而,关于AI在癌症护理中的观点、接受程度和担忧在很大程度上仍未得到探讨。

材料与方法

这项前瞻性、描述性横断面调查研究于2024年5月20日至2024年10月22日在土耳其三级护理中心安卡拉大学附属的两家不同医院的363名癌症患者中进行。该调查包括三个不同部分:(1)认知:患者对AI在肿瘤学中影响的总体看法;(2)态度:对AI执行医疗任务的接受程度;(3)担忧:与AI实施相关的具体担忧(例如,诊断错误、数据隐私、医疗成本)。调查回复进行了描述性总结,并使用卡方检验分析了年龄、性别和教育程度的差异。

结果

大多数(50.7%)人认为AI会在一定程度上(32%)或显著(18.7%)改善医疗保健。然而,三分之一的患者(33.1%)对AI诊断癌症非常不放心,受教育程度较低的参与者中这种不放心程度更高(<.005)。患者最主要的担忧包括AI做出错误诊断(31.1%)、增加医疗成本(27.5%)以及不保护数据隐私(19.6%)。受教育程度较高的患者表现出较少的不放心和担忧。

结论

患者对AI的认知和态度因教育程度而异,这凸显了开展针对性教育举措的必要性。虽然AI有潜力彻底改变癌症护理,但解决对准确性、安全性和透明度的担忧对于提高其在临床实践中的接受度和有效性至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/792f/12102565/ddc9eb845b91/10.1177_10732748251343245-fig1.jpg

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