Artificial intelligence‐enhanced echocardiography in the emergency department

Stewart, Judith; Goudie, Adrian; Mukherjee, Ashes; Dwivedi, Girish

doi:10.1111/1742-6723.13847

Cited by 12 publications

(7 citation statements)

References 21 publications

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“…43,54,55 Moreover, informing patients about all aspects of health data collection and its use across different platforms and for training algorithms may not be always feasible. 34,56 Withdrawing consent for the use of these data would cause further challenges. 57 Eight papers (5.5%) argued that patient autonomy could be negatively affected when using AI-enabled care.…”

Section: Resultsmentioning

confidence: 99%

Barriers and Facilitators to Trustworthy and Ethical AI-enabled Medical Care From Patient’s and Healthcare Provider’s Perspectives: A Literature Review

Mooghali,

Stroud,

Yoo

et al. 2023

Preprint

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BackgroundArtificial intelligence (AI) and machine learning (ML) are increasingly used for prevention, diagnosis, monitoring, and treatment of cardiovascular diseases. Despite the potential for AI/ML to improve care, ethical concerns and mistrust in AI-enabled health care exist among the public and medical community. To inform practice guidelines and regulatory policies that facilitate ethical and trustworthy use of AI in medicine, we conducted a literature review to identify key ethical and trust barriers and facilitators from patients’ and healthcare providers’ perspectives when using AI in cardiovascular care.MethodsIn this rapid literature review, we searched six bibliographic databases to identify publications discussing transparency, trust, or ethical concerns (outcomes of interest) associated with AI/ML-based medical devices (interventions of interest) in the context of cardiovascular care from patients’, caregivers’, or healthcare providers’ perspectives. The search was completed on May 24, 2022 and was not limited by date or study design.ResultsAfter reviewing 7,925 papers from six databases and 3,603 papers identified through citation chasing, 145 articles were included. Key ethical concerns included privacy, security, or confidentiality issues; risk of healthcare inequity or disparity; risk of patient harm; accountability and responsibility concerns; problematic informed consent and potential loss of patient autonomy; and issues related to data ownership. Major trust barriers included data privacy and security concerns, potential risk of patient harm, perceived lack of transparency about AI-enabled medical devices, concerns about AI replacing human aspects of care, concerns about prioritizing profits over patients’ interests, and lack of robust evidence related to the accuracy and limitations of AI-based medical devices. Ethical and trust facilitators included ensuring data privacy and data validation, conducting clinical trials in diverse cohorts, providing appropriate training and resources to patients and healthcare providers and improving their engagement in different phases of AI implementation, and establishing further regulatory oversights.ConclusionThis review revealed key ethical concerns and barriers and facilitators of trust in AI-enabled medical devices from patients’ and healthcare providers’ perspectives. Mitigation strategies, including enhancing regulatory oversight on the use of patient data and promoting AI safety and transparency are needed for effective implementation of AI in cardiovascular care.

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Section: Resultsmentioning

confidence: 99%

Barriers and Facilitators to Trustworthy and Ethical AI-enabled Medical Care From Patient’s and Healthcare Provider’s Perspectives: A Literature Review

Mooghali,

Stroud,

Yoo

et al. 2023

Preprint

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“…Die Einsatzmöglichkeiten mobiler Ultraschallgeräte sind vielfältig und erstrecken sich von der fokussierten innerklinischen Versor-gung auf Normal-und Intensivstation [56] über den rettungsdienstlichen Einsatz bis hin zur Vorortdiagnostik bei Hausbesuchen und in stationären Pflegeeinrichtungen [57,58] [60,61]. Produktverbesserungen können seitens der Hersteller auch nach Auslieferung auf HHUSD aufgespielt werden.…”

Section: Geräteklassen Der Kompakten Ultraschallgeräteunclassified

Ultraschallgeräte für die abdominelle Diagnostik: neue Techniken und Applikationen – Was gibt es? Was ist möglich? Was ist sinnvoll?

Karlas

Blank

Trenker³

et al. 2023

Z Gastroenterol

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ZusammenfassungDie Ultraschalldiagnostik ist in vielen klinischen Situationen das Verfahren der ersten Wahl für die abdominelle Bildgebung. Neben dem Graustufenbild (B-Modus) und den klassischen Dopplerverfahren ermöglichen die kontrastmittelverstärkte Sonografie (CEUS), die Elastografie und die Fettquantifizierung eine multimodale Charakterisierung von Organen und Gewebestrukturen. Panorama- und 3D-Verfahren sowie Bildfusion haben die Befunddarstellung erweitert. Die Entwicklung tragbarer Kleingeräte führt zu einer Erweiterung der Einsatzmöglichkeiten der konventionellen Ultraschalldiagnostik.In dieser Übersichtsarbeit werden moderne sonografisch relevante Verfahren diskutiert sowie Geräteklassen und Stufenkonzepte beschrieben und anhand der wissenschaftlichen Evidenz bewertet. Ferner werden Hinweise zu Qualitätsstandards für die abdominelle Ultraschalldiagnostik vermittelt.

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“…Most recent HUDs may be slightly bigger than other devices from this group, but are equipped with color Doppler, M-mode, pulsed wave and continuous wave spectral Doppler, previously mentioned AI module for LVEF assessment, and systems tutoring and aiding inexperienced sonographers. 9 This makes the separation of a "HUD study" from a "standard study in the lab" less obvious; however, the main objective of using HUDs is improved initial diagnosis rather than replacing comprehensive echocardiography.…”

Section: Technical Evolutionmentioning

confidence: 99%

Handheld ultrasound in cardiology: Current perspective

Filipiak-Strzecka¹,

Lipiec²,

Kasprzak³

2023

Adv Clin Exp Med

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The advantages of ultrasonography do not need to be discussed. It is suitable for use in diverse clinical settings and environments by operators with different backgrounds. Recent technological advances have led not only to the enhancement of the diagnostic capabilities of stationary ultrasound systems but also to miniaturization, which in turn led to the introduction of smartphone-sized handheld ultrasound devices (HUDs), designed to be used at bedside to improve and extend the scope of physical examination. Although diagnostic capabilities of HUDs are expanding, according to guidelines, they cannot be perceived as a tool suitable for performing full echocardiographic examination. However, their ultraportability made them essential for the bedside assessment, with the particular emphasis on the bedside focus cardiac ultrasound (FoCUS)-goal-oriented, limited echocardiographic screening. Clinically relevant cardiological targets suggested for HUDs include the assessment of left ventricular (LV) systolic function and size, assessment of other cardiac chambers, identification of gross valvular abnormalities, and detection of the pathological masses within the heart cavities. Handheld ultrasound devices may be also helpful in identifying pleural effusion or subpleural consolidations; furthermore, brief ultrasonographic assessment of "lung comets" enables the estimation of the level of congestion. Ultrasound screening for certain vascular abnormalities also appears promising. The limitations of HUDs are rather obvious and caution is needed to distinguish the role of HUD-based bedside-limited scan from comprehensive stationary echocardiography. It appears that the right approach is to treat them as complementary tools proving their capabilities in diverse clinical scenarios.

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Artificial intelligence‐enhanced echocardiography in the emergency department

Cited by 12 publications

References 21 publications

Barriers and Facilitators to Trustworthy and Ethical AI-enabled Medical Care From Patient’s and Healthcare Provider’s Perspectives: A Literature Review

Barriers and Facilitators to Trustworthy and Ethical AI-enabled Medical Care From Patient’s and Healthcare Provider’s Perspectives: A Literature Review

Ultraschallgeräte für die abdominelle Diagnostik: neue Techniken und Applikationen – Was gibt es? Was ist möglich? Was ist sinnvoll?

Handheld ultrasound in cardiology: Current perspective

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