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胸部X射线报告的人工智能驱动起草:2025年韩国胸部放射学学会的立场声明,基于专家调查
Won Gi Jeong1,2, Eui Jin Hwang3, Gong Yong Jin4
1Department of Radiology, National Cancer Center, Goyang, Republic of Korea.
Korean journal of radiology
|October 13, 2025
概括
生成型人工智能 (AI) 显示了胸部X射线 (CXR) 报告效率的前景. 然而,韩国胸部放射学学会建议人工智能辅助的CXR起草仅用于健康查,等待进一步优化和指导方针.
科学领域:
- 放射学 放射学是一门学科.
- 人工智能的人工智能
- 医疗信息学 医疗信息学
背景情况:
- 生成型人工智能 (AI) 提供了自动化胸部X射线 (CXR) 报告生成的潜力,解决了效率需求和劳动力短缺问题.
- 人工智能辅助CXR报告的准确性,可靠性和临床实用性需要在广泛采用之前进行彻底评估.
研究的目的:
- 介绍韩国胸部放射学会 (KSTR) 关于人工智能辅助CXR报告起草的立场声明.
- 评估关于人工智能工具用于自动生成CXR报告的临床适用性的专家意见.
主要方法:
- 进行了Delphi调查,其中20名胸部放射科医生使用基于AI的起草工具 (KARA-CXR) 审查了60例CXR病例.
- 放射科医生在六个临床环境中评估了该工具 (健康查,住院,急诊,重症监护室,呼吸室门诊,非呼吸室门诊).
- 两个Delphi轮涉及对72个项目进行9点的利克特级别评分,共识定义为≥70%的同意.
主要成果:
- 在56.9%的项目上达成共识,对准确性和临床整合持中立立场.
- 特别是在健康查检查方面,人们注意到了有利的观点.
- 在日常实践中独立使用是反对的,呼吁性能优化和教育指南.
结论:
- KSTR支持人工智能辅助的CXR报告起草,仅用于健康查,需要放射科医生验证.
- 在常规临床实践中反对独立使用.
- 在更广泛采用之前,建议进一步优化性能,社会认可的教育和指导方针.
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