人工智能在皮肤病学中的伦理考虑:范围审查
Emily R Gordon1, Megan H Trager2, Despina Kontos3,4
1Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.
The British journal of dermatology
|February 8, 2024
概括
人工智能 (AI) 在皮肤病学中提供了显著的好处,包括改善诊断和患者访问. 然而,像数据隐私,算法偏见和职位替换这样的伦理考虑需要对负责任的AI实施进行仔细管理.
科学领域:
- 皮肤病学 皮肤病学
- 人工智能的人工智能
- 生物伦理学生物伦理学
背景情况:
- 人工智能 (AI) 正在迅速融入皮肤病学,应用范围从诊断移动应用到大型语言模型.
- 这种整合提出了重要的伦理问题,需要进行彻底审查.
研究的目的:
- 确定AI在皮肤病学中的当前应用.
- 了解与这些人工智能应用相关的伦理影响.
主要方法:
- 采用了一个范围审查方法,遵循PRISMA扩展范围审查指南.
- 在主要数据库 (PubMed,MEDLINE,Cochrane Library,Google Scholar) 进行了全面的搜索,使用与皮肤病学,人工智能和伦理学相关的术语.
- 最初确定了202篇论文,最终将68篇纳入审查.
主要成果:
- 皮肤学中的AI应用包括临床图像分析,远程皮肤学和大型语言模型.
- 确定的主要伦理问题包括误诊,数据安全,隐私侵犯,算法偏见 (特别是关于肤色) 和潜在的职位流离失所.
- 患者的态度表明需要医生监督,以确保AI可靠性和问责制.
结论:
- 人工智能为皮肤病学带来了巨大的好处,例如改善患者的访问和改善临床决策.
- 强有力的保障措施对于确保人工智能在皮肤病学实践中的道德部署和应用至关重要.
- 解决偏见和确保患者信任对于成功的AI集成至关重要.
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