患者和皮肤科医生对增强智能用于黑色素瘤查的观点:一项前性研究
Elisabeth Victoria Goessinger1,2, Johannes-Christian Niederfeilner2, Sara Cerminara1,2
1Department of Dermatology, University Hospital Basel, Basel, Switzerland.
Journal of the European Academy of Dermatology and Venereology : JEADV
|February 27, 2024
概括
患者更喜欢增强智能 (AuI) 用于皮肤癌查,报告更高的安全性. 皮肤科医生信任人工智能,但仍然依靠自己的判断来诊断黑色素瘤.
科学领域:
- 皮肤病学 皮肤病学
- 人工智能的人工智能
- 医疗成像医学成像
背景情况:
- 人工智能 (AI) 为增强型智能 (AuI) 提供了改善决策的潜力.
- 在现实世界皮肤癌查中对AI进行批判性评估是必要的.
研究的目的:
- 通过使用人类,人工和增强智能来调查患者和皮肤科医生的皮肤癌查观点.
- 在不同的查方法中比较患者安全和皮肤科医生信任.
主要方法:
- 展望性比较队列研究,包括205名高风险患者和8名皮肤科医生.
- 包括2D/3D全身摄影 (TBP) 和人工智能驱动的皮肤镜损伤分析.
- 患者和皮肤科医生调查评估经验和安全性 (主观安全评分 - SSS).
主要成果:
- 95.5%的患者认为人工智能可以提高诊断性能.
- 83.4%的患者更喜欢AuI查,而不是AI或皮肤科医生;AuI产生更高的SSS (9.5) 与AI (7.7) 或皮肤科医生 (9.1) 相比.
- 皮肤科医生对人工智能结果 (90.2%-96.1%) 表示高度信任,其中68.3%的人认为诊断准确性有所改善;初学者比专家受益更多.
结论:
- 患者在黑色素瘤检测中表现出对AuI与3D-TBP的明确偏好.
- 皮肤科医生尽管对人工智能充满信心,但仍然依赖他们的临床判断做出最终决定.
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