患者、家长和幸存者对人工智能在儿科肿瘤学中应用的看法

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摘要

儿童癌症患者、家长和幸存者是临床和技术研究领域之间的重要纽带。因此,UNICA4EU 致力于采取以患者为中心的方法,将人工智能纳入儿童癌症的治疗路径,其核心是以证据为基础的患者宣传,以建立信任,同时保护和保障患者的基本权利[1]。增加患者、家长和幸存者对人工智能的了解和透明度 "的任务由欧洲儿童癌症协会(CCI Europe)牵头,该协会是泛欧最大的儿童癌症家长和幸存者组织,代表儿童癌症家长和幸存者团体及其他儿童癌症组织,并联合了 34 个国家的 63 个成员组织[2]。该调查被翻译成九种欧洲语言,收集了 332 人的回复。为了深入了解调查结果,我们与不同的焦点小组进行了讨论,其中包括四位儿童癌症前患者(幸存者)的父母、三位儿童癌症幸存者和一位失去亲人的父母,他们分别代表了不同的背景、年龄组和国家。小儿癌症家长、患者和幸存者对人工智能在小儿肿瘤学中应用的看法主要集中在六个方面,包括:数据匿名化和数据保护、数据所有权、数据撤回、数据使用的伦理问题、数据类型以及知情同意。本文总结了相关结果,并提出了政策建议。
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Patients’, parents’, and survivors’ perspective about AI applications in pediatric oncology
Patients, parents and survivors of childhood cancer are those who represent the critical link between the clinical and technical research spheres. Thus, UNICA4EU worked towards a patient- centric approach to integrate AI in the care pathways for childhood cancer, with evidence-based patient advocacy at its core to build trust while protecting and guaranteeing patients’ fundamental rights [1].
The task “Increase Knowledge and Transparency about AI among patients, parents and survivors” was led by CCI Europe as the biggest pan-European childhood cancer parents’ and survivors’ organization which represents childhood cancer parents´ and survivors´ groups and other childhood cancer organizations and reunites 63 member-organizations in 34 countries [2].
To investigate the knowledge base of AI application in pediatric oncology among those who are affected, a survey was conducted. The survey translated into nine European languages, gathered responses from 332 individuals. To delve deeper into the survey findings, discussions were held with a diverse focus group, including four parents of childhood cancer former patients (survivors), three childhood cancer survivors, and one bereaved parent, each representing different backgrounds, age groups, and countries.
Insights and outcomes of this study produced a report for guiding the multi-stakeholder board of the project when defining the governance structures reg. data sharing, ownership, protection, access and usage.
Perspective of parents, patients and survivors of pediatric cancer regarding AI applications in Pediatric Oncology focused in six areas of interest including: data anonymization and data protection, data ownership, data withdrawal, ethical concerns of use of data, data types and, additionally, informed consents. This paper summarizes the respective results, along concluding policy recommendations.
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