Artificial intelligence in oncology: Path to implementation.

Journal: Cancer medicine
Published Date:

Abstract

In recent years, the field of artificial intelligence (AI) in oncology has grown exponentially. AI solutions have been developed to tackle a variety of cancer-related challenges. Medical institutions, hospital systems, and technology companies are developing AI tools aimed at supporting clinical decision making, increasing access to cancer care, and improving clinical efficiency while delivering safe, high-value oncology care. AI in oncology has demonstrated accurate technical performance in image analysis, predictive analytics, and precision oncology delivery. Yet, adoption of AI tools is not widespread, and the impact of AI on patient outcomes remains uncertain. Major barriers for AI implementation in oncology include biased and heterogeneous data, data management and collection burdens, a lack of standardized research reporting, insufficient clinical validation, workflow and user-design challenges, outdated regulatory and legal frameworks, and dynamic knowledge and data. Concrete actions that major stakeholders can take to overcome barriers to AI implementation in oncology include training and educating the oncology workforce in AI; standardizing data, model validation methods, and legal and safety regulations; funding and conducting future research; and developing, studying, and deploying AI tools through multidisciplinary collaboration.

Authors

  • Isaac S Chua
    Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
  • Michal Gaziel-Yablowitz
    Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
  • Zfania T Korach
    Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
  • Kenneth L Kehl
    Department of Medicine, Dana-Farber Cancer Institute, Boston, MA, 02215, United States.
  • Nathan A Levitan
    IBM Watson Health, Cambridge, MA, USA.
  • Yull E Arriaga
    IBM Watson Health, Cambridge, MA, USA.
  • Gretchen P Jackson
    IBM Watson Health, IBM Corporation, Cambridge, MA.
  • David W Bates
    Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
  • Michael Hassett
    Harvard Medical School, Boston, MA, USA.