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黑色素瘤诊断中的人工智能:伦理考量与临床应用

Artificial intelligence in melanoma diagnosis: ethical considerations and clinical implementation.

作者信息

Verma Kritin K, Grabow Kurt M, Koch Ryan S, Friedmann Daniel P, Tarbox Michelle B

机构信息

Texas Tech University Health Sciences Center School of Medicine, Lubbock, Texas, USA.

College of Medicine, Texas A&M University College of Medicine, Dallas, Texas, USA.

出版信息

Proc (Bayl Univ Med Cent). 2025 May 5;38(4):577-578. doi: 10.1080/08998280.2025.2489873. eCollection 2025.

DOI:10.1080/08998280.2025.2489873
PMID:40557199
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12184156/
Abstract

The use of artificial intelligence (AI) in dermatology, particularly for the diagnosis of melanoma, has demonstrated potential in improving early detection of cancer. Current AI-based systems, such as DermaSensor and Nevisense, have shown high sensitivity. In addition, open-source models like All Data Are Ext (ADAE) continue to show promise. Ethical, practical, and privacy concerns remain despite these advancements. Key challenges with these models include maintaining transparency with patients, ensuring privacy of patient data, and addressing discrepancies between AI and clinical determinations. Additional research, regulatory guidance, and open conversations are necessary to realize AI's full potential in the field of dermatology while preserving patient trust.

摘要

人工智能(AI)在皮肤病学中的应用,尤其是用于黑色素瘤的诊断,已显示出在改善癌症早期检测方面的潜力。当前基于AI的系统,如DermaSensor和Nevisense,已显示出高灵敏度。此外,像All Data Are Ext(ADAE)这样的开源模型也持续展现出前景。尽管有这些进展,但伦理、实际操作和隐私问题仍然存在。这些模型的关键挑战包括对患者保持透明度、确保患者数据的隐私以及解决AI与临床诊断之间的差异。需要进行更多研究、监管指导和公开讨论,以在保持患者信任的同时,充分发挥AI在皮肤病学领域的潜力。

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本文引用的文献

1
Ambient Listening-Legal and Ethical Issues.环境监听——法律与伦理问题。
JAMA Netw Open. 2025 Feb 3;8(2):e2460642. doi: 10.1001/jamanetworkopen.2024.60642.
2
Ethical considerations for artificial intelligence in dermatology: a scoping review.人工智能在皮肤科应用的伦理考量:范围综述。
Br J Dermatol. 2024 May 17;190(6):789-797. doi: 10.1093/bjd/ljae040.
3
Dermatologist-like explainable AI enhances trust and confidence in diagnosing melanoma.皮肤科医生般的可解释人工智能增强了对黑色素瘤诊断的信任和信心。
Nat Commun. 2024 Jan 15;15(1):524. doi: 10.1038/s41467-023-43095-4.
4
Defining medical liability when artificial intelligence is applied on diagnostic algorithms: a systematic review.人工智能应用于诊断算法时医疗责任的界定:一项系统综述
Front Med (Lausanne). 2023 Nov 27;10:1305756. doi: 10.3389/fmed.2023.1305756. eCollection 2023.
5
Prospective validation of dermoscopy-based open-source artificial intelligence for melanoma diagnosis (PROVE-AI study).基于皮肤镜检查的开源人工智能用于黑色素瘤诊断的前瞻性验证(PROVE-AI研究)。
NPJ Digit Med. 2023 Jul 12;6(1):127. doi: 10.1038/s41746-023-00872-1.
6
Recent Advances in Melanoma Diagnosis and Prognosis Using Machine Learning Methods.利用机器学习方法在黑色素瘤诊断和预后方面的最新进展。
Curr Oncol Rep. 2023 Jun;25(6):635-645. doi: 10.1007/s11912-023-01407-3. Epub 2023 Mar 31.
7
Diagnostic performance of the MelaFind device in a real-life clinical setting.MelaFind设备在实际临床环境中的诊断性能。
J Dtsch Dermatol Ges. 2017 Apr;15(4):414-419. doi: 10.1111/ddg.13220. Epub 2017 Mar 23.