Barriers and pitfalls for artificial intelligence in gastroenterology: Ethical and regulatory issues
Barriers and pitfalls for artificial intelligence in gastroenterology: Ethical and regulatory issues
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DOI：
10.1016/j.tgie.2019.150636
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发表时间：
2020-04-01
影响因子：
2.4
通讯作者：
Lovat, Laurence B.
中科院分区：
文献类型：
--
作者：
Ahmad, Omer F.;Stoyanov, Danail;Lovat, Laurence B.
基于人工智能（AI）的技术正在迅速发展，为胃肠病学，特别是内窥镜检查提供了巨大的希望。然而，在广泛的实际临床实施之前，必须考虑复杂的障碍和陷阱。该综述强调了与数据隐私和共享相关的主要伦理问题，这些问题对于AI模型的开发至关重要，一直到实际的临床问题，如潜在的患者伤害，问责制，决策偏见以及对劳动力的影响。最后，讨论了当前的监管途径，认识到这些途径需要发展以应对独特的新挑战，例如基于人工智能的技术的适应性和快速迭代性，同时在确保患者安全和促进创新之间取得平衡。(c)2019爱思唯尔公司All rights reserved.
Artificial intelligence (AI)-based technologies are developing rapidly, offering great promise for gastroenterol-ogy and particularly endoscopy. However, there are complex barriers and pitfalls that must be considered before widespread real-world clinical implementation can occur. This review highlights major ethical con-cerns related to data privacy and sharing that are essential for the development of AI models, through to prac-tical clinical issues such as potential patient harm, accountability, bias in decisions, and impact on workforce. Finally, current regulatory pathways are discussed, recognizing that these need to evolve to deal with unique new challenges, such as the adaptive and rapidly iterative nature of AI-based technologies, while striking a balance between ensuring patient safety and promoting innovation. (c) 2019 Elsevier Inc. All rights reserved.