Beyond high hopes : A scoping review of the 2019-2021 scientific discourse on machine learning in medical imaging

Copyright: © 2023 Nittas et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited..

Machine learning has become a key driver of the digital health revolution. That comes with a fair share of high hopes and hype. We conducted a scoping review on machine learning in medical imaging, providing a comprehensive outlook of the field's potential, limitations, and future directions. Most reported strengths and promises included: improved (a) analytic power, (b) efficiency (c) decision making, and (d) equity. Most reported challenges included: (a) structural barriers and imaging heterogeneity, (b) scarcity of well-annotated, representative and interconnected imaging datasets (c) validity and performance limitations, including bias and equity issues, and (d) the still missing clinical integration. The boundaries between strengths and challenges, with cross-cutting ethical and regulatory implications, remain blurred. The literature emphasizes explainability and trustworthiness, with a largely missing discussion about the specific technical and regulatory challenges surrounding these concepts. Future trends are expected to shift towards multi-source models, combining imaging with an array of other data, in a more open access, and explainable manner.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:2

Enthalten in:

PLOS digital health - 2(2023), 1 vom: 06. Jan., Seite e0000189

Sprache:

Englisch

Beteiligte Personen:

Nittas, Vasileios [VerfasserIn]
Daniore, Paola [VerfasserIn]
Landers, Constantin [VerfasserIn]
Gille, Felix [VerfasserIn]
Amann, Julia [VerfasserIn]
Hubbs, Shannon [VerfasserIn]
Puhan, Milo Alan [VerfasserIn]
Vayena, Effy [VerfasserIn]
Blasimme, Alessandro [VerfasserIn]

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Journal Article

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Date Revised 02.11.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1371/journal.pdig.0000189

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM353188948