Avoiding missed opportunities in AI for radiology.

IF 2.3 3区 医学 Q3 ENGINEERING, BIOMEDICAL International Journal of Computer Assisted Radiology and Surgery Pub Date : 2024-11-25 DOI:10.1007/s11548-024-03295-9
Jonathan Scheiner, Leonard Berliner
{"title":"Avoiding missed opportunities in AI for radiology.","authors":"Jonathan Scheiner, Leonard Berliner","doi":"10.1007/s11548-024-03295-9","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>In the last decade, the development of Deep Learning and its variants, based on the application of artificial neural networks, has reinvigorated Artificial Intelligence (AI). As a result, many new applications of AI in medicine, especially Radiology, have been introduced. This resurgence in AI, and its diverse clinical and nonclinical applications throughout healthcare, requires a thorough understanding to reap the potential benefits and avoid the potential pitfalls.</p><p><strong>Methods: </strong>To realize the full potential of AI in medicine, a highly coordinated approach should be undertaken to select, support and finance more highly focused AI projects. By studying and understanding the successes and failures, and strengths and limitations, of AI in Radiology, it is possible to seek and develop the most clinically relevant AI algorithms. The authors have reviewed their clinical practice regarding the use of AI to determine applications in which AI can add both clinical and remunerative benefits.</p><p><strong>Results: </strong>Review of our policies and applications regarding AI in the Department of Radiology emphasized that, at the time of this writing, AI has been useful in the detection of specific clinical entities for which the AI algorithms have been designed. In addition to helping to reduce diagnostic errors, AI offers an important opportunity to prioritize positive cases, such as pulmonary embolism or intracranial hemorrhage. It has become apparent that the detection of certain conditions, such as incidental and unsuspected cerebral aneurysms can be used to initiate a variety of patient-oriented activities. Finding an unsuspected brain aneurysm is not only of clinical importance to the patient, but the required clinical workup and management of the patient can help generate reimbursement that helps defray the cost of AI implementations. A program for screening, clinical management, and follow-up, facilitated by the AI detection of incidental brain aneurysms, has been implemented at our multi-hospital healthcare system.</p><p><strong>Conclusion: </strong>We feel that it is possible to avoid missed opportunities for AI in Radiology and create AI tools to enhance medical wisdom and improve patient care, within a fiscally responsive environment.</p>","PeriodicalId":51251,"journal":{"name":"International Journal of Computer Assisted Radiology and Surgery","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Computer Assisted Radiology and Surgery","FirstCategoryId":"5","ListUrlMain":"https://doi.org/10.1007/s11548-024-03295-9","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENGINEERING, BIOMEDICAL","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: In the last decade, the development of Deep Learning and its variants, based on the application of artificial neural networks, has reinvigorated Artificial Intelligence (AI). As a result, many new applications of AI in medicine, especially Radiology, have been introduced. This resurgence in AI, and its diverse clinical and nonclinical applications throughout healthcare, requires a thorough understanding to reap the potential benefits and avoid the potential pitfalls.

Methods: To realize the full potential of AI in medicine, a highly coordinated approach should be undertaken to select, support and finance more highly focused AI projects. By studying and understanding the successes and failures, and strengths and limitations, of AI in Radiology, it is possible to seek and develop the most clinically relevant AI algorithms. The authors have reviewed their clinical practice regarding the use of AI to determine applications in which AI can add both clinical and remunerative benefits.

Results: Review of our policies and applications regarding AI in the Department of Radiology emphasized that, at the time of this writing, AI has been useful in the detection of specific clinical entities for which the AI algorithms have been designed. In addition to helping to reduce diagnostic errors, AI offers an important opportunity to prioritize positive cases, such as pulmonary embolism or intracranial hemorrhage. It has become apparent that the detection of certain conditions, such as incidental and unsuspected cerebral aneurysms can be used to initiate a variety of patient-oriented activities. Finding an unsuspected brain aneurysm is not only of clinical importance to the patient, but the required clinical workup and management of the patient can help generate reimbursement that helps defray the cost of AI implementations. A program for screening, clinical management, and follow-up, facilitated by the AI detection of incidental brain aneurysms, has been implemented at our multi-hospital healthcare system.

Conclusion: We feel that it is possible to avoid missed opportunities for AI in Radiology and create AI tools to enhance medical wisdom and improve patient care, within a fiscally responsive environment.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
目的:在过去十年中,基于人工神经网络应用的深度学习及其变体的发展为人工智能(AI)注入了新的活力。因此,许多新的人工智能应用被引入医学领域,尤其是放射学领域。人工智能的复苏及其在整个医疗保健领域的各种临床和非临床应用,需要对其有透彻的了解,才能获得潜在的好处,避免潜在的陷阱:为了充分发挥人工智能在医疗领域的潜力,应采取高度协调的方法来选择、支持和资助更多高度集中的人工智能项目。通过研究和了解人工智能在放射学领域的成功与失败、优势与局限,就有可能寻找并开发出最贴近临床的人工智能算法。作者回顾了他们在使用人工智能方面的临床实践,以确定人工智能在哪些应用领域可以增加临床效益和报酬:对放射科有关人工智能的政策和应用的回顾强调,在撰写本文时,人工智能在检测特定临床实体方面非常有用,而人工智能算法正是针对这些临床实体而设计的。除了有助于减少诊断错误,人工智能还为优先处理阳性病例(如肺栓塞或颅内出血)提供了重要机会。显然,对某些病症的检测,如偶发的和未被察觉的脑动脉瘤,可用于启动各种以患者为导向的活动。发现未被察觉的脑动脉瘤不仅对患者具有重要的临床意义,而且所需的临床检查和对患者的管理也有助于产生报销,从而帮助支付人工智能的实施成本。我们的多医院医疗系统已经实施了一项筛查、临床管理和随访计划,通过人工智能检测偶然发现的脑动脉瘤:我们认为,有可能避免在放射学领域错失人工智能的机遇,并创造出人工智能工具,以提高医学智慧,改善患者护理,同时保证财务状况良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
International Journal of Computer Assisted Radiology and Surgery
International Journal of Computer Assisted Radiology and Surgery ENGINEERING, BIOMEDICAL-RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
CiteScore
5.90
自引率
6.70%
发文量
243
审稿时长
6-12 weeks
期刊介绍: The International Journal for Computer Assisted Radiology and Surgery (IJCARS) is a peer-reviewed journal that provides a platform for closing the gap between medical and technical disciplines, and encourages interdisciplinary research and development activities in an international environment.
期刊最新文献
Avoiding missed opportunities in AI for radiology. Hybrid registration of the fibula for electromagnetically navigated osteotomies in mandibular reconstructive surgery: a phantom study. Validity of a virtual reality-based straight coloanal anastomosis simulator. Computational fluid dynamics and shape analysis enhance aneurysm rupture risk stratification. MINARO DRS: usability study of a robotic-assisted laminectomy.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1