放射学实践中人工智能的效率、准确性和医疗专业人员的观点:范围审查

iRadiology Pub Date : 2024-04-08 DOI:10.1002/ird3.63
Chanchan He, Weiqi Liu, Jing Xu, Yao Huang, Zijie Dong, You Wu, Hadi Kharrazi
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摘要

在本范围综述中,我们评估了人工智能(AI)在临床放射学实践中的表现,并研究了医疗专业人员对放射学中使用人工智能的看法。本综述遵循乔安娜-布里格斯研究所(JBI)的方法指南。我们检索了2016年3月15日至2023年12月31日期间的多个数据库和灰色文献。在49篇综述文章中,13篇评估了人工智能在放射学临床实践中的表现,36篇研究了医疗专业人员对在放射学中使用人工智能的态度。在四项研究中,人工智能显著提高了诊断灵敏度或检出率。此外,有六篇文章强调,使用人工智能后,病例阅读时间大大缩短。虽然有三项研究表明,在人工智能的辅助下,特异性有所提高,但这些研究结果并没有达到统计学意义。医疗专业人员认为,人工智能将对放射学产生重大影响,但在不久的将来不会取代放射科医生。医疗专业人员对人工智能的了解有限,他们支持加强教育,并制定与人工智能相关的明确规定和指南。总体而言,人工智能可以提高临床放射学实践中的诊断效率和准确性。不过,应通过优先开展教育、加强伦理和法律法规来解决知识差距和医疗专业人员的担忧,从而促进人工智能在放射学中的应用。本范围综述为全面了解人工智能在临床放射学实践中的潜力提供了证据,促进了人工智能的使用,并激发了对相关挑战和影响的进一步讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Efficiency, accuracy, and health professional's perspectives regarding artificial intelligence in radiology practice: A scoping review

In this scoping review, we evaluated the performance of artificial intelligence (AI) in clinical radiology practice and examined health professionals' perspectives regarding AI use in radiology. This review followed the Joanna Briggs Institute (JBI) methodological guidelines. We searched multiple databases and the gray literature from March 15, 2016 to December 31, 2023. Of 49 articles reviewed, 13 assessed the performance of AI in radiology clinical practice, and 36 examined the attitudes of health professionals toward the use of AI in radiology. In four separate studies, AI significantly improved the diagnostic sensitivity or detection rate. Furthermore, six articles emphasized a significant reduction in case reading times with AI use. Although three studies suggested an increase in specificity with the assistance of AI, these findings did not reach statistical significance. Health professionals expressed the belief that AI would have a significant impact on radiology but would not replace radiologists in the near future. Limited knowledge of AI was observed among health professionals, who supported increased education and explicit regulations and guidelines related to AI. Overall, AI can enhance diagnostic efficiency and accuracy in clinical radiology practice. However, knowledge gaps and the concerns of health professionals should be addressed by prioritizing education and reinforcing ethical and legal regulations to facilitate the advancement of AI use in radiology. This scoping review provides evidence toward a comprehensive understanding of AI's potential in clinical radiology practice, promoting its use and stimulating further discussion on related challenges and implications.

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