Implementation of artificial intelligence in thoracic imaging-a what, how, and why guide from the European Society of Thoracic Imaging (ESTI).

Journal: European radiology
Published Date: Feb 2, 2023

Abstract

This statement from the European Society of Thoracic imaging (ESTI) explains and summarises the essentials for understanding and implementing Artificial intelligence (AI) in clinical practice in thoracic radiology departments. This document discusses the current AI scientific evidence in thoracic imaging, its potential clinical utility, implementation and costs, training requirements and validation, its' effect on the training of new radiologists, post-implementation issues, and medico-legal and ethical issues. All these issues have to be addressed and overcome, for AI to become implemented clinically in thoracic radiology. KEY POINTS: • Assessing the datasets used for training and validation of the AI system is essential. • A departmental strategy and business plan which includes continuing quality assurance of AI system and a sustainable financial plan is important for successful implementation. • Awareness of the negative effect on training of new radiologists is vital.

Authors

  • Fergus Gleeson
    Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
  • Marie-Pierre Revel
    Department of Radiology (G.C., S.D., M.P.R.) and Respiratory Medicine and National Cystic Reference Center (P.R.B.), Groupe Hospitalier Cochin-Hotel Dieu, AP-HP, Université Paris Descartes, 27 Rue du Faubourg Saint-Jacques, 75014 Paris, France; Center for Visual Computing, Ecole CentraleSupelec, Grande Voie des Vignes, Chatenay Malabry, France (G.C., E.I.Z., N.P.); U1016 Inserm, Institut Cochin, Paris, France (G.C., P.R.B., C.M., M.P.R.); Radiology Department (S.B.) and Pulmonary Department (R.C.), Hôpital Arnaud de Villeneuve, CHU de Montpellier, Université de Montpellier, Montpellier, France; ERN-Lung CF Network, France (P.R.B., C.M.); and TheraPanacea, Paris-Biotech-Santé, Paris, France (N.P.).
  • Jürgen Biederer
    Department of Diagnostic and Interventional Radiology, University Hospital of Heidelberg, Heidelberg, Germany.
  • Anna Rita Larici
    Section of Radiology, Department of Radiological and Hematological Sciences, Università Cattolica del Sacro Cuore, Rome, Italy.
  • Katharina Martini
    Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland.
  • Thomas Frauenfelder
  • Nicholas Screaton
    Department of Radiology, Royal Papworth Hospital, Cambridge, UK.
  • Helmut Prosch
    Universitätsklinik für Radiologie und Nuklearmedizin, Computational Imaging Research Lab, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.
  • Annemiek Snoeckx
    Department of Radiology, Antwerp University Hospital and University of Antwerp, Antwerp, Belgium.
  • Nicola Sverzellati
    Department of Medicine and Surgery, University of Parma, Parma, Italy.
  • Benoit Ghaye
    Department of Radiology, Cliniques Universitaires Saint Luc, Catholic University of Louvain, Brussels, Belgium.
  • Anagha P Parkar
    Department of Radiology, Haraldsplass Deaconess Hospital, Bergen, Norway. apparkar@gmail.com.

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