The value of standards for health datasets in artificial intelligence-based applications.

Humans Artificial Intelligence Consensus Delivery of Health Care Systematic Reviews as Topic

Journal

Nature medicine
ISSN: 1546-170X
Titre abrégé: Nat Med
Pays: United States
ID NLM: 9502015

Informations de publication

Date de publication:
Nov 2023
Historique:
received: 14 03 2023
accepted: 22 09 2023
medline: 27 11 2023
pubmed: 27 10 2023
entrez: 26 10 2023
Statut: ppublish

Résumé

Artificial intelligence as a medical device is increasingly being applied to healthcare for diagnosis, risk stratification and resource allocation. However, a growing body of evidence has highlighted the risk of algorithmic bias, which may perpetuate existing health inequity. This problem arises in part because of systemic inequalities in dataset curation, unequal opportunity to participate in research and inequalities of access. This study aims to explore existing standards, frameworks and best practices for ensuring adequate data diversity in health datasets. Exploring the body of existing literature and expert views is an important step towards the development of consensus-based guidelines. The study comprises two parts: a systematic review of existing standards, frameworks and best practices for healthcare datasets; and a survey and thematic analysis of stakeholder views of bias, health equity and best practices for artificial intelligence as a medical device. We found that the need for dataset diversity was well described in literature, and experts generally favored the development of a robust set of guidelines, but there were mixed views about how these could be implemented practically. The outputs of this study will be used to inform the development of standards for transparency of data diversity in health datasets (the STANDING Together initiative).

Identifiants

DOI: 10.1038/s41591-023-02608-w PMID: 37884627 PMC: PMC10667100
pubmed: 37884627
doi: 10.1038/s41591-023-02608-w
pii: 10.1038/s41591-023-02608-w
pmc: PMC10667100
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2929-2938

Subventions

Organisme : Medical Research Council
ID : MC_PC_21015
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_PC_21055
Pays : United Kingdom

Informations de copyright

© 2023. The Author(s).

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Auteurs

Anmol Arora (A)

School of Clinical Medicine, University of Cambridge, Cambridge, UK.
ORCID: 0000-0003-4881-8293

Joseph E Alderman (JE)

Institute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
National Institute for Health and Care Research Birmingham Biomedical Research Centre, University of Birmingham, Birmingham, UK.
ORCID: 0000-0001-8273-9009

Joanne Palmer (J)

University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
National Institute for Health and Care Research Birmingham Biomedical Research Centre, University of Birmingham, Birmingham, UK.
ORCID: 0000-0002-1186-802X

Shaswath Ganapathi (S)

Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.
ORCID: 0000-0003-2126-0007

Elinor Laws (E)

Institute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
National Institute for Health and Care Research Birmingham Biomedical Research Centre, University of Birmingham, Birmingham, UK.
ORCID: 0000-0002-5829-2224

Melissa D McCradden (MD)

Department of Bioethics, The Hospital for Sick Children, Toronto, Ontario, Canada.
Genetics and Genome Biology, Peter Gilgan Centre for Research and Learning, Toronto, Ontario, Canada.
Dalla Lana School of Public Health, Toronto, Ontario, Canada.
ORCID: 0000-0002-6476-2165

Lauren Oakden-Rayner (L)

The Australian Institute for Machine Learning, University of Adelaide, Adelaide, South Australia, Australia.

Stephen R Pfohl (SR)

Google Research, Mountain View, CA, USA.

Marzyeh Ghassemi (M)

Department of Electrical Engineering and Computer Science, Massachusetts Institute of Technology, Cambridge, MA, USA.
Institute for Medical Engineering & Science, Massachusetts Institute of Technology, Cambridge, MA, USA.
Vector Institute, Toronto, Ontario, Canada.
ORCID: 0000-0001-6349-7251

Francis McKay (F)

The Ethox Centre and the Wellcome Centre for Ethics and Humanities, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
ORCID: 0000-0002-3177-9446

Darren Treanor (D)

Leeds Teaching Hospitals NHS Trust, Leeds, UK.
University of Leeds, Leeds, UK.
Department of Clinical Pathology and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Center for Medical Image Science and Visualization, Linköping University, Linköping, Sweden.
ORCID: 0000-0002-4579-484X

Negar Rostamzadeh (N)

Google Research, Montreal, Quebec, Canada.

Bilal Mateen (B)

Institute for Health Informatics, University College London, London, UK.
Wellcome Trust, London, UK.
ORCID: 0000-0003-4423-6472

Jacqui Gath (J)

Patient and Public Involvement and Engagement (PPIE) Group, STANDING Together, Birmingham, UK.
ORCID: 0000-0001-8875-5894

Adewole O Adebajo (AO)

Patient and Public Involvement and Engagement (PPIE) Group, STANDING Together, Birmingham, UK.

Stephanie Kuku (S)

Institute of Women's Health, UCL, London, UK.

Rubeta Matin (R)

Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
ORCID: 0000-0002-9695-5412

Katherine Heller (K)

Google Research, Mountain View, CA, USA.

Elizabeth Sapey (E)

Institute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
National Institute for Health and Care Research Birmingham Biomedical Research Centre, University of Birmingham, Birmingham, UK.
PIONEER, HDR UK Hub in Acute Care, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.

Neil J Sebire (NJ)

National Institute for Health and Care Research, Great Ormond Street Hospital Biomedical Research Centre, London, UK.
Great Ormond Street Institute of Child Health, University Hospital London, London, UK.

Heather Cole-Lewis (H)

Google Research, Mountain View, CA, USA.

Melanie Calvert (M)

National Institute for Health and Care Research Birmingham Biomedical Research Centre, University of Birmingham, Birmingham, UK.
Birmingham Health Partners Centre for Regulatory Science and Innovation, University of Birmingham, Birmingham, UK.
Centre for Patient Reported Outcomes Research, Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
National Institute for Health and Care Research Applied Research Collaboration West Midlands, University of Birmingham, Birmingham, UK.
National Institute for Health and Care Research Birmingham-Oxford Blood and Transplant Research Unit in Precision Transplant and Cellular Therapeutics, University of Birmingham, Birmingham, UK.
DEMAND Hub, University of Birmingham, Birmingham, UK.
UK SPINE, University of Birmingham, Birmingham, UK.
ORCID: 0000-0002-1856-837X

Alastair Denniston (A)

Institute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
National Institute for Health and Care Research Birmingham Biomedical Research Centre, University of Birmingham, Birmingham, UK.
Birmingham Health Partners Centre for Regulatory Science and Innovation, University of Birmingham, Birmingham, UK.
National Institute for Health and Care Research Biomedical Research Centre, Moorfields Eye Hospital/University College London, London, UK.
ORCID: 0000-0001-7849-0087

Xiaoxuan Liu (X)

Institute of Inflammation and Ageing, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK. x.liu.8@bham.ac.uk.
University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK. x.liu.8@bham.ac.uk.
National Institute for Health and Care Research Birmingham Biomedical Research Centre, University of Birmingham, Birmingham, UK. x.liu.8@bham.ac.uk.
ORCID: 0000-0002-1286-0038

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