Step Into the Future of Precision Health Screening and join us at ECR 2024Book a meeting
Early experiences of integrating an artificial intelligence-based diagnostic decision support system into radiology settings: a qualitative study
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, ocad191,
Nuša Farič, PhD, Sue Hinder, PhD, Robin Williams, PhD, Rishi Ramaesh, MD, Miguel O Bernabeu, PhD, Edwin van Beek, PhD, Kathrin Cresswell, PhD
September 25, 2023
Artificial intelligence (AI)-based clinical decision support systems to aid diagnosis are increasingly being developed and implemented but with limited understanding of how such systems integrate with existing clinical work and organizational practices. We explored the early experiences of stakeholders using an AI-based imaging software tool Veye Lung Nodules (VLN) aiding the detection, classification, and measurement of pulmonary nodules in computed tomography scans of the chest.
Materials and methods
We performed semistructured interviews and observations across early adopter deployment sites with clinicians, strategic decision-makers, suppliers, patients with long-term chest conditions, and academics with expertise in the use of diagnostic AI in radiology settings. We coded the data using the Technology, People, Organizations, and Macroenvironmental factors framework.
We conducted 39 interviews. Clinicians reported VLN to be easy to use with little disruption to the workflow. There were differences in patterns of use between experts and novice users with experts critically evaluating system recommendations and actively compensating for system limitations to achieve more reliable performance. Patients also viewed the tool positively. There were contextual variations in tool performance and use between different hospital sites and different use cases. Implementation challenges included integration with existing information systems, data protection, and perceived issues surrounding wider and sustained adoption, including procurement costs.
Tool performance was variable, affected by integration into workflows and divisions of labor and knowledge, as well as technical configuration and infrastructure.
The socio-organizational factors affecting performance of diagnostic AI are under-researched and require attention and further research.
This collected information is necessary to provide you with the critical features available on our Website. Because this information is essential to your experience, you are unable to alter these settings and still use the Website.
This information is used to enhance your experience on our Website. If we are unable to collect this important yet non-essential information, certain functions and items will not be available or work as intended.