Diagnostic quality model (DQM): an integrated framework for the assessment of diagnostic quality when using AI/ML.

Journal: Clinical chemistry and laboratory medicine
Published Date:

Abstract

BACKGROUND: Laboratory medicine has reached the era where promises of artificial intelligence and machine learning (AI/ML) seem palpable. Currently, the primary responsibility for risk-benefit assessment in clinical practice resides with the medical director. Unfortunately, there is no tool or concept that enables diagnostic quality assessment for the various potential AI/ML applications. Specifically, we noted that an operational definition of laboratory diagnostic quality - for the specific purpose of assessing AI/ML improvements - is currently missing.

Authors

  • Jochen K Lennerz
    Department of Pathology, Center for Integrated Diagnostics, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA.
  • Roberto Salgado
    Breast Cancer Translational Research Laboratory, Université Libre de Bruxelles, Brussels, Belgium; Department of Pathology, GZA Hospitals Antwerp, Belgium.
  • Grace E Kim
    Department of Pathology, University of California San Francisco, San Francisco, CA, USA.
  • Sahussapont Joseph Sirintrapun
    Pathology Informatics, Memorial Sloan Kettering Cancer Center, NY, USA.
  • Julia C Thierauf
    Department of Pathology, Massachusetts General Hospital/Harvard Medical, Boston, MA, USA.
  • Ankit Singh
    Department of Pathology, Massachusetts General Hospital/Harvard Medical, Boston, MA, USA.
  • Iciar Indave
    European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), Lisbon, Portugal.
  • Adam Bard
    Department of Pathology, Massachusetts General Hospital/Harvard Medical, Boston, MA, USA.
  • Stephanie E Weissinger
    Alb Fils Clinics GmbH, Institute of Pathology, Göppingen, Germany.
  • Yael K Heher
    Department of Pathology, Massachusetts General Hospital/Harvard Medical, Boston, MA, USA.
  • Monica E de Baca
    Pacific Pathology Partners, Seattle, WA, USA.
  • Ian A Cree
  • Shannon Bennett
    Department of Laboratory Medicine and Pathology (DLMP), Mayo Clinic, Rochester, MN, USA.
  • Anna Carobene
    Laboratory Medicine, IRCCS San Raffaele Scientific Institute, Milan, Italy.
  • Tomris Ozben
    Medical Faculty, Dept. of Clinical Biochemistry, Akdeniz University, Antalya, Türkiye.
  • Lauren L Ritterhouse
    Department of Pathology, Massachusetts General Hospital/Harvard Medical, Boston, MA, USA.