Integrating artificial intelligence into the clinical practice of radiology: challenges and recommendations.

Journal: European radiology
PMID:

Abstract

Artificial intelligence (AI) has the potential to significantly disrupt the way radiology will be practiced in the near future, but several issues need to be resolved before AI can be widely implemented in daily practice. These include the role of the different stakeholders in the development of AI for imaging, the ethical development and use of AI in healthcare, the appropriate validation of each developed AI algorithm, the development of effective data sharing mechanisms, regulatory hurdles for the clearance of AI algorithms, and the development of AI educational resources for both practicing radiologists and radiology trainees. This paper details these issues and presents possible solutions based on discussions held at the 2019 meeting of the International Society for Strategic Studies in Radiology. KEY POINTS: • Radiologists should be aware of the different types of bias commonly encountered in AI studies, and understand their possible effects. • Methods for effective data sharing to train, validate, and test AI algorithms need to be developed. • It is essential for all radiologists to gain an understanding of the basic principles, potentials, and limits of AI.

Authors

  • Michael P Recht
    Center for Biomedical Imaging, Department of Radiology, NYU School of Medicine, New York, New York, USA.
  • Marc Dewey
    Department of Radiology, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany. dewey@charite.de.
  • Keith Dreyer
    Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts.
  • Curtis Langlotz
    School of Medicine, Stanford University, Palo Alto, CA, United States.
  • Wiro Niessen
    Biomedical Imaging Group Rotterdam, Departments of Radiology and Medical Informatics, Erasmus MC - University Medical Center Rotterdam, The Netherland; Department of Imaging Physics, Faculty of Applied Science, TU Delft, Delft, The Netherlands.
  • Barbara Prainsack
    Department of Political Science, University of Vienna, AT; and Department of Global Health & Social Medicine, King's College London, London, UK.
  • John J Smith
    Hogan Lovells US LLP, Washington, D.C., USA.