Use of Artificial Intelligence in Radiology: Impact on Pediatric Patients, a White Paper From the ACR Pediatric AI

Marla B K Sammer1, Yasmin S Akbari2, Richard A Barth3

  • 1Singleton Department of Radiology, Texas Children's Hospital, Houston, Texas; Department of Radiology, Baylor College of Medicine, Houston, Texas; and Chair, Pediatric AI Workgroup, Commission on Informatics, American College of Radiology.

Insights

Artificial intelligence (AI) in pediatrics requires specialized approaches distinct from adult AI. This white paper addresses health equity by improving pediatric AI development and implementation for safe, reliable, and effective use in children.

Area of Science:

  • Radiology
  • Medical Informatics
  • Artificial Intelligence in Healthcare

Background:

  • The widespread adoption of artificial intelligence (AI) in medical imaging presents unique challenges for pediatric applications.
  • A significant health equity issue exists due to the underrepresentation and inadequacy of AI development for children.
  • Current AI development and validation methods, often designed for adults, may not be suitable or safe for pediatric populations.

Purpose of the Study:

  • To educate the radiology community on the critical need for pediatric-specific artificial intelligence (AI).
  • To enhance understanding of the distinct issues surrounding AI design, training, validation, and implementation in children.
  • To propose actionable solutions to overcome the current inadequacies in pediatric AI development and ensure equitable access to AI-driven healthcare.

Main Methods:

  • A white paper authored by the ACR Pediatric AI Workgroup of the Commission on Informatics.
  • Review and synthesis of existing knowledge on AI in medical imaging, with a focus on pediatric considerations.
  • Development of recommendations for the specialized approaches required for pediatric AI.

Main Results:

  • Identified a critical gap in pediatric AI, highlighting a significant health equity concern.
  • Emphasized that the design, training, validation, and implementation of AI for children necessitate distinct methodologies compared to adults.
  • Provided a framework and call to action for the radiology community to address these inadequacies.

Conclusions:

  • The development and deployment of AI in pediatric radiology demand specific, careful, and distinct approaches.
  • Addressing the lack of pediatric AI is crucial for ensuring health equity in AI-driven medical imaging.
  • The radiology community is urged to collaborate and adopt specialized strategies to guarantee safe, reliable, and effective AI for children, referencing the Image IntelliGently initiative.

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