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将人工智能整合到临床工作流程中:一项关于在乳腺筛查异常后实施人工智能辅助当日诊断检测的模拟研究。

Integrating AI into Clinical Workflows: A Simulation Study on Implementing AI-aided Same-day Diagnostic Testing Following an Abnormal Screening Mammogram.

作者信息

Lin Yannan, Hoyt Anne C, Manuel Vladimir G, Inkelas Moira, Maehara Cleo K, Ayvaci Mehmet Ulvi Saygi, Ahsen Mehmet Eren, Hsu William

机构信息

Medical & Imaging Informatics, Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

Department of Radiological Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

出版信息

AMIA Annu Symp Proc. 2025 May 22;2024:713-722. eCollection 2024.

PMID:40417477
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12099379/
Abstract

Artificial intelligence (AI) shows promise in clinical tasks, yet its integration into workflows remains underexplored. This study proposes an AI-aided same-day diagnostic imaging workup to reduce recall rates following abnormal screening mammograms and alleviate patient anxiety while waiting for the diagnostic examinations. Using discrete simulation, we found minimal disruption to the workflow (a 4% reduction in daily patient volume or a 2% increase in operating time) under specific conditions: operation from 9 am to 12 pm with all radiologists managing all patient types (screenings, diagnostics, and biopsies). Costs specific to the AI-aided same-day diagnostic workup include AI software expenses and potential losses from unused pre-reserved slots for same-day diagnostic workups. These simulation findings can inform the implementation of an AI-aided same-day diagnostic workup, with future research focusing on its potential benefits, including improved patient satisfaction, reduced anxiety, lower recall rates, and shorter time to cancer diagnoses and treatment.

摘要

人工智能(AI)在临床任务中显示出前景,但其融入工作流程的情况仍未得到充分探索。本研究提出一种人工智能辅助的当日诊断成像检查流程,以降低异常筛查乳腺X线摄影后的召回率,并在患者等待诊断检查时减轻其焦虑。通过离散模拟,我们发现在特定条件下对工作流程的干扰最小(每日患者量减少4%或操作时间增加2%):上午9点至中午12点运营,所有放射科医生管理所有类型的患者(筛查、诊断和活检)。人工智能辅助当日诊断检查流程的特定成本包括人工智能软件费用以及当日诊断检查未使用的预预留时段的潜在损失。这些模拟结果可为人工智能辅助当日诊断检查流程的实施提供参考,未来研究将聚焦于其潜在益处,包括提高患者满意度、减轻焦虑症、降低召回率以及缩短癌症诊断和治疗时间。

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本文引用的文献

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Using Discrete Event Simulation to Design and Assess an AI-aided Workflow for Same-day Diagnostic Testing of Women Undergoing Breast Screening.使用离散事件模拟来设计和评估用于接受乳房筛查女性当日诊断测试的人工智能辅助工作流程。
AMIA Jt Summits Transl Sci Proc. 2024 May 31;2024:314-323. eCollection 2024.
2
How to Minimize Patient Anxiety From Screening Mammography.如何将乳腺筛查钼靶检查给患者带来的焦虑降至最低。
J Breast Imaging. 2021 Sep 16;3(5):603-606. doi: 10.1093/jbi/wbab057.
3
Standalone AI for Breast Cancer Detection at Screening Digital Mammography and Digital Breast Tomosynthesis: A Systematic Review and Meta-Analysis.筛查数字乳腺 X 线摄影和数字乳腺断层合成术中用于乳腺癌检测的独立人工智能:系统评价和荟萃分析。
Radiology. 2023 Jun;307(5):e222639. doi: 10.1148/radiol.222639. Epub 2023 May 23.
4
Artificial Intelligence Tool for Detection and Worklist Prioritization Reduces Time to Diagnosis of Incidental Pulmonary Embolism at CT.用于检测和工作列表优先级排序的人工智能工具可减少CT诊断偶然发现的肺栓塞的时间。
Radiol Cardiothorac Imaging. 2023 Apr 20;5(2):e220163. doi: 10.1148/ryct.220163. eCollection 2023 Apr.
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Prioritizing Screening Mammograms for Immediate Interpretation and Diagnostic Evaluation on the Basis of Risk for Recall.根据召回风险,优先对筛查性乳房 X 光照片进行即时解读和诊断评估。
J Am Coll Radiol. 2023 Mar;20(3):299-310. doi: 10.1016/j.jacr.2022.09.030. Epub 2022 Oct 20.
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Utilization of Artificial Intelligence-based Intracranial Hemorrhage Detection on Emergent Noncontrast CT Images in Clinical Workflow.基于人工智能的颅内出血检测在急诊非增强CT图像临床工作流程中的应用。
Radiol Artif Intell. 2022 Feb 9;4(2):e210168. doi: 10.1148/ryai.210168. eCollection 2022 Mar.
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Integrating Al Algorithms into the Clinical Workflow.将人工智能算法整合到临床工作流程中。
Radiol Artif Intell. 2021 Aug 4;3(6):e210013. doi: 10.1148/ryai.2021210013. eCollection 2021 Nov.
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