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在眼科中使用人工智能的随机对照试验遵守CONSORT-AI指南:系统审查和批判性评估
Niveditha Pattathil1, Jonathan Z L Zhao2, Olapeju Sam-Oyerinde3
1Queen's University School of Medicine, Faculty of Health Sciences, Kingston, Ontario, Canada.
BMJ health & care informatics
|July 18, 2023
概括
眼科随机对照试验 (RCT) 中人工智能的报告质量是不理想的. 遵守CONSORT-AI指南的程度较低,影响了可重现性和临床AI应用.
科学领域:
- 眼科医生 眼科 眼科
- 医疗人工智能 医疗人工智能
- 临床研究 临床研究
背景情况:
- 深度学习和人工智能 (AI) 在医学,特别是眼科方面表现有前途.
- 使用人工智能进行随机对照试验 (RCT) 的证据质量评估至关重要.
研究的目的:
- 系统地审查和评估关于眼科人工智能应用的RCT的报告质量.
- 评估遵守报告准则并确定潜在的偏见风险.
主要方法:
- 在EMBASE,Medline和Cochrane数据库 (2010-2022) 上进行了系统的文献搜索.
- 报告质量是使用综合报告标准试验-人工智能 (CONSORT-AI) 清单进行评估的.
- 使用RoB-2工具评估了偏差风险.
主要成果:
- 只有5个RCT符合纳入标准,重点关注糖尿病视网膜病变查和白内障诊断等领域.
- 没有一项研究完全遵守CONSORT-AI检查清单,平均得分为53%.
- 根据RoB-2工具,所有纳入的RCT都存在中度偏差风险或"一些担忧".
结论:
- 关于眼科人工智能的已发表RCT的数量仍然很少.
- 对CONSORT-AI指导方针的非最佳遵守妨碍了AI在临床眼科中的可复制性和进步.
- 改进报告是刺激进一步基于AI的研究和应用的必要条件.
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