人工智能在疼痛医学中的应用
Oranicha Jumreornvong1, Aliza M Perez1, Brian Malave1
1Department of Human Performance and Rehabilitation, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Journal of pain research
|March 5, 2025
概括
疼痛管理中的人工智能 (AI) 可能会受到性别,种族和社会经济地位 (SES) 的偏见,加剧健康差异. 本综述提出了公平意识的AI技术和多样化的合作,以确保公平的疼痛治疗.
科学领域:
- 医疗信息学 医疗信息学
- 健康 公平 卫生 公平
- 人工智能的人工智能
背景情况:
- 人工智能 (AI) 提供了个性化疼痛治疗和改善临床决策的潜力.
- 由于性别,种族,社会经济地位 (SES) 和统计方法,人工智能的偏见有可能加剧疼痛管理中的现有健康差异.
研究的目的:
- 审查应用到疼痛管理的AI中的偏见.
- 提出减轻这些偏见的策略,并在医疗保健中促进公平的人工智能.
主要方法:
- 采用了一个叙事审查方法.
- 在PubMed,Google Scholar和PsycINFO进行了文学搜索,寻找疼痛管理和偏见来源中的AI.
主要成果:
- 性别和种族偏见源于社会刻板印象,代表性不足和系统不平等,导致不准确的疼痛评估.
- 社会经济地位 (SES) 的偏见是由于获得医疗保健的不平等和不完整的数据造成的,增加了预测错误.
- 统计偏见,包括采样和测量问题,进一步损害了AI算法可靠性.
结论:
- 建议使用公平意识的人工智能技术 (例如,重权重,对抗性减值) 来最大限度地减少偏差.
- 纳入不同观点 (患者,临床医生,决策者) 对于开发公平和可解释的人工智能至关重要.
- 持续监测和包容性合作对于疼痛管理中公平的AI至关重要.
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