May 12, 2022 – Artificial intelligence has gone from science fiction to everyday reality within a few years, being used in everything from online activities to driving cars. Even, yes, a medical diagnosis. But that doesn’t mean people are ready for AI to drive all of their medical decisions.
The technology is rapidly evolving to help guide clinical decision-making for more medical specialties and diagnoses, especially when identifying any abnormalities during colonoscopy, skin cancer examination, or in an X-ray image.
New research is exploring how patients feel about the use of artificial intelligence in healthcare. Sanjay Aneja, MD, of Yale University, and colleagues surveyed a nationally representative group of 926 patients about their comfort level with the technology, their concerns, and their overall perceptions of AI.
It turns out that patient comfort with AI depends on its use.
For example, 12% of respondents were “very comfortable” and 43% were “somewhat comfortable” with AI reading chest X-rays.But only 6% are very comfortable and 25% are comfortable with AI making cancer diagnosis,according to Findings Published online May 4 in the journal JAMA Network Open.
“Having an AI algorithm read your X-rays … is quite different from relying on AI to diagnose a malignancy or provide information that someone has cancer,” said Sean Khozin, MD, who was not involved with the research.
“It’s very interesting…patients are optimistic about the role of AI in making things better. That level of optimism is pleasing,” said Khozin, executive board member, oncologist and data scientist AI in Healthcare Alliance (AAIH).this AAIH is a Baltimore-based global advocacy group focused on responsible, racial, and reasonable standards for the use of artificial intelligence and machine learning in healthcare.
All agree, say AI
Most people have a positive overall view of AI in healthcare. According to the survey, 56% believe AI will improve healthcare in the next 5 years, while 6% believe AI will make healthcare worse.
Much of the work in medical AI is focused on the clinical areas that are likely to benefit the most, “but we rarely ask ourselves which areas of health care patients really want AI to impact,” said Yale senior study author and assistant professor Aneja. drug.
Failure to consider the patient’s perspective leaves an incomplete picture.
“In many ways, I’d say our work highlights a potential blind spot among AI researchers that needs to be addressed as these techniques become more commonplace in clinical practice,” Aneja said.
artificial intelligence awareness
It is unclear how many patients know or are aware of the role AI is already playing in medicine. Aneja, who assessed healthcare professionals’ attitudes towards artificial intelligence Previous worksaid, “When we surveyed patients and physicians, it became clear to us that transparency was needed for the specific role AI plays in patient care.”
The current survey shows that about 66% of patients feel it is “very important” to understand when AI is playing an important role in their diagnosis or treatment. Additionally, 46% believe this information is very important when AI has a small role in their care.
At the same time, less than 10% of people would be “very comfortable” with getting a diagnosis from a computer program, even those who made the correct diagnosis more than 90% of the time but couldn’t explain why.
“Patients may not be aware that many of our devices today have automation built into them,” Khozin said. Electrocardiograms (tests that record electrical signals from the heart), imaging software, and colonoscopy systems are examples.
Even without knowing it, patients may benefit from using AI for diagnosis. An example is a 63-year-old man, ulcerative colitis Live in Brooklyn, New York. Aasma Shaukat, MD, a gastroenterologist at NYU Langone Medical Center, performed a routine colonoscopy on the patient.
shokat removed polypwhich have abnormal cells that may be precancerous lesions.
Addressing AI Anxiety
Most people are “very concerned” or “somewhat concerned” about the possible unintended effects of AI in healthcare, according to the Yale University survey. A total of 92% said they would be concerned about misdiagnosis, 71% said they would be concerned about privacy breaches, 70% said they spent less time with doctors and 68% said they would increase medical costs.
A sort of Research in the past A July 2021 article by Aneja and colleagues focuses on artificial intelligence and medical liability. They found that doctors and patients disagreed over responsibility when AI led to clinical errors. While most physicians and patients believe physicians should be held accountable, physicians are more likely to want providers and healthcare providers to be held accountable as well.