Current challenges of implementing artificial intelligence in medical imaging

被引:56
作者
Saw, Shier Nee [1 ]
Ng, Kwan Hoong [2 ,3 ]
机构
[1] Univ Malaya, Fac Comp Sci & Informat Technol, Dept Artificial Intelligence, Kuala Lumpur 50603, Malaysia
[2] Univ Malaya, Dept Biomed Imaging, Kuala Lumpur 50603, Malaysia
[3] Kaohsiung Med Univ, Coll Hlth Sci, Dept Med Imaging & Radiol Sci, Kaohsiung, Taiwan
来源
PHYSICA MEDICA-EUROPEAN JOURNAL OF MEDICAL PHYSICS | 2022年 / 100卷
关键词
Artificial intelligence; Medical imaging; Challenges; Ethics; Data governance; Algorithm robustness; HEALTH-CARE; ADVERSARIAL ATTACKS; EMAIL CONSULTATIONS; AI; ALGORITHM;
D O I
10.1016/j.ejmp.2022.06.003
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The idea of using artificial intelligence (AI) in medical practice has gained vast interest due to its potential to revolutionise healthcare systems. However, only some AI algorithms are utilised due to systems' uncertainties, besides the never-ending list of ethical and legal concerns. This paper intends to provide an overview of current AI challenges in medical imaging with an ultimate aim to foster better and effective communication among various stakeholders to encourage AI technology development. We identify four main challenges in implementing AI in medical imaging, supported with consequences and past events when these problems fail to mitigate. Among them is the creation of a robust AI algorithm that is fair, trustable and transparent. Another issue is on data governance, in which best practices in data sharing must be established to promote trust and protect the patients' privacy. Next, stakeholders, such as the government, technology companies and hospital management, should come to a consensus in creating trustworthy AI policies and regulatory frameworks, which is the fourth challenge, to support, encourage and spur innovation in digital AI healthcare technology. Lastly, we discussed the efforts of various organizations such as the World Health Organisation (WHO), American College of Radiology (ACR), European Society of Radiology (ESR) and Radiological Society of North America (RSNA), who are already actively pursuing ethical developments in AI. The efforts by various stakeholders will eventually overcome hurdles and the deployment of AI-driven healthcare applications in clinical practice will become a reality and hence lead to better healthcare services and outcomes.
引用
收藏
页码:12 / 17
页数:6
相关论文
共 72 条
[1]   Patient Perceptions on Data Sharing and Applying Artificial Intelligence to Health Care Data: Cross-sectional Survey [J].
Aggarwal, Ravi ;
Farag, Soma ;
Martin, Guy ;
Ashrafian, Hutan ;
Darzi, Ara .
JOURNAL OF MEDICAL INTERNET RESEARCH, 2021, 23 (08)
[2]   Threat of Adversarial Attacks on Deep Learning in Computer Vision: A Survey [J].
Akhtar, Naveed ;
Mian, Ajmal .
IEEE ACCESS, 2018, 6 :14410-14430
[3]  
[Anonymous], ROYAL FREE GOOGLE DE
[4]  
[Anonymous], CTR DATA ETHICS INNO
[5]  
[Anonymous], BBCNews
[6]  
[Anonymous], 2021, Cision PR Newswire
[7]   Cybersecurity of Hospitals: discussing the challenges and working towards mitigating the risks [J].
Argaw, Salem T. ;
Troncoso-Pastoriza, Juan R. ;
Lacey, Darren ;
Florin, Marie-Valentine ;
Calcavecchia, Franck ;
Anderson, Denise ;
Burleson, Wayne ;
Vogel, Jan-Michael ;
O'Leary, Chana ;
Eshaya-Chauvin, Bruce ;
Flahault, Antoine .
BMC MEDICAL INFORMATICS AND DECISION MAKING, 2020, 20 (01)
[8]   Artificial intelligence applications in medical imaging: A review of the medical physics research in Italy [J].
Avanzo, Michele ;
Porzio, Massimiliano ;
Lorenzon, Leda ;
Milan, Lisa ;
Sghedoni, Roberto ;
Russo, Giorgio ;
Massafra, Raffaella ;
Fanizzi, Annarita ;
Barucci, Andrea ;
Ardu, Veronica ;
Branchini, Marco ;
Giannelli, Marco ;
Gallio, Elena ;
Cilla, Savino ;
Tangaro, Sabina ;
Lombardi, Angela ;
Pirrone, Giovanni ;
De Martin, Elena ;
Giuliano, Alessia ;
Belmonte, Gina ;
Russo, Serenella ;
Rampado, Osvaldo ;
Mettivier, Giovanni .
PHYSICA MEDICA-EUROPEAN JOURNAL OF MEDICAL PHYSICS, 2021, 83 :221-241
[9]   Artificial intelligence and machine learning for medical imaging: A technology review [J].
Barragan-Montero, Ana ;
Javaid, Umair ;
Valdes, Gilmer ;
Nguyen, Dan ;
Desbordes, Paul ;
Macq, Benoit ;
Willems, Siri ;
Vandewinckele, Liesbeth ;
Holmstrom, Mats ;
Lofman, Fredrik ;
Michiels, Steven ;
Souris, Kevin ;
Sterpin, Edmond ;
Lee, John A. .
PHYSICA MEDICA-EUROPEAN JOURNAL OF MEDICAL PHYSICS, 2021, 83 :242-256
[10]   The state of artificial intelligence-based FDA-approved medical devices and algorithms: an online database [J].
Benjamens, Stan ;
Dhunnoo, Pranavsingh ;
Mesko, Bertalan .
NPJ DIGITAL MEDICINE, 2020, 3 (01)