解析医学AI决策过程,提升诊断可信度
Explainable Artificial Intelligence for Medical Applications: A Review
- 从视觉、音频和多模态角度梳理可解释AI方法
- 聚焦医学影像与健康设备中的透明化决策需求
- 为医疗AI研发提供可信赖的技术指引
人工智能理论的持续发展推动该领域达到前所未有的高度,得益于学者和研究人员的不懈努力。在医学领域,人工智能发挥关键作用,利用强大的机器学习算法。医学影像中的人工智能辅助医生进行X光、计算机断层扫描(CT)和磁共振成像(MRI)诊断,基于声学数据进行模式识别与疾病预测,对患者病情类型及发展趋势作出预判,并通过人机交互技术的智能健康穿戴设备实现健康管理。尽管这些成熟应用显著助力医疗诊断、临床决策与管理,但医疗与AI领域的协作面临紧迫挑战:如何证明决策的可靠性?根本问题在于医学场景对问责与结果透明的需求,与人工智能黑箱模型特性之间的矛盾。本文综述近期基于可解释人工智能(XAI)的研究,重点聚焦视觉、音频及多模态视角下的医疗实践。我们力求分类与整合相关研究,为未来研究人员和医疗专业人员提供支持与指导。
原文摘要 · Abstract (English)
The continuous development of artificial intelligence (AI) theory has propelled this field to unprecedented heights, owing to the relentless efforts of scholars and researchers. In the medical realm, AI takes a pivotal role, leveraging robust machine learning (ML) algorithms. AI technology in medical imaging aids physicians in X-ray, computed tomography (CT) scans, and magnetic resonance imaging (MRI) diagnoses, conducts pattern recognition and disease prediction based on acoustic data, delivers prognoses on disease types and developmental trends for patients, and employs intelligent health management wearable devices with human-computer interaction technology to name but a few. While these well-established applications have significantly assisted in medical field diagnoses, clinical decision-making, and management, collaboration between the medical and AI sectors faces an urgent challenge: How to substantiate the reliability of decision-making? The underlying issue stems from the conflict between the demand for accountability and result transparency in medical scenarios and the black-box model traits of AI. This article reviews recent research grounded in explainable artificial intelligence (XAI), with an emphasis on medical practices within the visual, audio, and multimodal perspectives. We endeavour to categorise and synthesise these practices, aiming to provide support and guidance for future researchers and healthcare professionals.
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