摘要
人工智能(AI)已广泛用于眼部相关疾病的辅助诊断、治疗过程监测和预后判断,随着AI技术在眼科诊疗中应用研究的不断发展,AI的作用日益受到关注。眼睛是由神经组织、肌肉组织、腺体组织和骨组织等组成的复杂感觉器官,其解剖的透明性特点为眼科疾病及部分全身疾病诊断的检查提供了可视化条件,为AI技术的广泛应用奠定了医工交叉研究的基础,使眼科成为AI技术在医学诊疗中应用的主要领域。然而,AI-医疗交叉研究涉及人体大数据和影像结果的使用,其临床应用面临诸多伦理问题,而目前AI与医务人员对AI在医学研究中应用的伦理规范意识尚未建立,各管理层面对相关的伦理规范指导性和监管系统尚未完全形成。中国医药教育协会数字影像与智能医疗分会、中国医药教育协会智能医学专委会组织眼科专家、AI相关专家和科技伦理相关专家组成"眼科人工智能临床应用伦理专家共识(2023)"专家组,针对AI在眼科应用临床实践中存在的法律法规进行复习,对存在的伦理风险进行多维度、多层次梳理、讨论并提出建议或解决方案,目的是在保障患者数据安全和个人权益的同时,提高医务人员工作质量和效率,推动我国眼科AI的临床应用和发展。
Artificial intelligence(AI)has been widely applied in computer-assisted diagnosis,monitoring of managing procedure and evaluation of prognosis for eye diseases recently.With a rapid development of AI in ophthalmology,the application of AI in clinical practices is receiving increasing attention.Eye is an important and complicated sense organ of human composed of many tissues,such as nerve tissue,muscle tissue,glandular tissue and bone etc.The transparency of eye provides a condition of visualization for imaging examination of ocular and systemic diseases and this is an important basis of AI diagnosis.However,on one hand,AI-assisted diagnosis of eye or systemic diseases based on use of big data and images from human eyes faces some challenges of medical ethics.On the other hand,the norm-based ethics of AI-medical practice has not yet been established so far.Herein,based on the current situation of AI application in clinical use and research of ophthalmology,an Expert consensus for ethics of clinical application of artificial intelligence in ophthalmology(2023)was drawn up by a consensus expert group comprising senior ophthalmologists,AI developers and medical ethics researchers on the basis of summarization of the existing ethical,legal problems and some documents,extensive investigation and discussion to provide suggestions for the standardized construction of AI clinical application,which expected to safeguard the rights and interests of patients,improve the work quality and efficiency and promote the development of AI application in ophthalmology.
作者
《眼科人工智能临床应用伦理专家共识(2023)》专家组
中国医药教育协会数字影像与智能医疗分会,中国医药教育协会智能医学专业委员会
邵毅
杨卫华
刘祖国
陈蔚
谭钢
杨文利
黄锦海
张慧
杨于力
徐积兄
赵慧
魏锐利
周吉银
周永进
许言午
Expert Workgroup of Expert consensus for ethics of clinical application of artificial intelligence in ophthalmology(2023);Digital Imaging and Intelligent Medicine Branch of China Medical Education Association,Intelligent Medicine Special Committee of China Medical Education Association;Shao Yi;Yang Weihua;Liu Zuguo(不详;Department of Ophthalmology,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China;Institute of Bigdata and Artificial Intelligence in Ophthalmology,Shenzhen Eye Hospital,Jinan University,Shenzhen 518040,China;Xiamen Eye Center of Xiamen University,The Affiliated Xiang'an Hospital of Xiamen University,Eye Institute of Xiamen University,Fujian Provincial Key Laboratory of Ophthalmology and Visual Science,Xiamen 361102,China)
出处
《中华实验眼科杂志》
CAS
CSCD
北大核心
2023年第1期1-7,共7页
Chinese Journal Of Experimental Ophthalmology
基金
国家自然科学基金项目(82160195、61906066)
江西省双千计划科技创新高端人才项目(20223BBH80014)
江西省重大(重点)研发专项计划项目(20181BBG70004、20203BBG73059)
江西省杰出青年基金项目(20192BCBL23020)。
关键词
人工智能
眼科
伦理
临床应用
Artificial intelligence
Ophthalmology
Ethics
Clinical practice
作者简介
通信作者:邵毅,Email:freebee99@163.com;通信作者:杨卫华,Email:benben0606@139.com;通信作者:刘祖国,Email:zuguoliu@xmu.edu.com;许言午,北京百度网讯科技有限公司(WHO数字健康咨询委员会专家)。
