Mitigating the risk of artificial intelligence bias in cardiovascular care

IF 23.8 1区 医学 Q1 MEDICAL INFORMATICS Lancet Digital Health Pub Date : 2024-08-29 DOI:10.1016/S2589-7500(24)00155-9
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Abstract

Digital health technologies can generate data that can be used to train artificial intelligence (AI) algorithms, which have been particularly transformative in cardiovascular health-care delivery. However, digital and health-care data repositories that are used to train AI algorithms can introduce bias when data are homogeneous and health-care processes are inequitable. AI bias can also be introduced during algorithm development, testing, implementation, and post-implementation processes. The consequences of AI algorithmic bias can be considerable, including missed diagnoses, misclassification of disease, incorrect risk prediction, and inappropriate treatment recommendations. This bias can disproportionately affect marginalised demographic groups. In this Series paper, we provide a brief overview of AI applications in cardiovascular health care, discuss stages of algorithm development and associated sources of bias, and provide examples of harm from biased algorithms. We propose strategies that can be applied during the training, testing, and implementation of AI algorithms to mitigate bias so that all those at risk for or living with cardiovascular disease might benefit equally from AI.
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降低心血管护理中人工智能偏差的风险。
数字医疗技术可以生成用于训练人工智能(AI)算法的数据,这些数据在心血管医疗服务领域尤其具有变革性。然而,用于训练人工智能算法的数字和医疗保健数据存储库可能会在数据同质化和医疗保健流程不公平的情况下引入偏差。在算法开发、测试、实施和实施后的过程中,也可能引入人工智能偏见。人工智能算法偏差的后果可能相当严重,包括漏诊、疾病分类错误、风险预测错误和治疗建议不当。这种偏差会对边缘化人口群体造成极大影响。在这篇系列论文中,我们简要概述了人工智能在心血管医疗保健中的应用,讨论了算法开发的各个阶段和相关的偏见来源,并提供了有偏见的算法造成伤害的实例。我们提出了可在人工智能算法的训练、测试和实施过程中应用的策略,以减少偏差,从而使所有心血管疾病高危人群或患者都能平等地受益于人工智能。
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来源期刊
CiteScore
41.20
自引率
1.60%
发文量
232
审稿时长
13 weeks
期刊介绍: The Lancet Digital Health publishes important, innovative, and practice-changing research on any topic connected with digital technology in clinical medicine, public health, and global health. The journal’s open access content crosses subject boundaries, building bridges between health professionals and researchers.By bringing together the most important advances in this multidisciplinary field,The Lancet Digital Health is the most prominent publishing venue in digital health. We publish a range of content types including Articles,Review, Comment, and Correspondence, contributing to promoting digital technologies in health practice worldwide.
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