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Assessment of Radiology Artificial Intelligence Software: A Validation and Evaluation Framework

Title: Assessment of Radiology Artificial Intelligence Software: A Validation and Evaluation Framework
Authors: Tanguay, William; Acar, Philippe; Fine, Benjamin; Abdolell, Mohamed; Gong, Bo; Cadrin-Chênevert, Alexandre; Chartrand-Lefebvre, Carl; Chalaoui, Jean; Gorgos, Andrei; Chin, Anne Shu-Lei; Prénovault, Julie; Guilbert, François; Létourneau-Guillon, Laurent; Chong, Jaron; Tang, An
Contributors: Fonds de recherche du Québec — Santé
Source: Canadian Association of Radiologists Journal ; volume 74, issue 2, page 326-333 ; ISSN 0846-5371 1488-2361
Publisher Information: SAGE Publications
Publication Year: 2022
Description: Artificial intelligence (AI) software in radiology is becoming increasingly prevalent and performance is improving rapidly with new applications for given use cases being developed continuously, oftentimes with development and validation occurring in parallel. Several guidelines have provided reporting standards for publications of AI-based research in medicine and radiology. Yet, there is an unmet need for recommendations on the assessment of AI software before adoption and after commercialization. As the radiology AI ecosystem continues to grow and mature, a formalization of system assessment and evaluation is paramount to ensure patient safety, relevance and support to clinical workflows, and optimal allocation of limited AI development and validation resources before broader implementation into clinical practice. To fulfil these needs, we provide a glossary for AI software types, use cases and roles within the clinical workflow; list healthcare needs, key performance indicators and required information about software prior to assessment; and lay out examples of software performance metrics per software category. This conceptual framework is intended to streamline communication with the AI software industry and provide healthcare decision makers and radiologists with tools to assess the potential use of these software. The proposed software evaluation framework lays the foundation for a radiologist-led prospective validation network of radiology AI software. Learning Points: The rapid expansion of AI applications in radiology requires standardization of AI software specification, classification, and evaluation. The Canadian Association of Radiologists' AI Tech & Apps Working Group Proposes an AI Specification document format and supports the implementation of a clinical expert evaluation process for Radiology AI software.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1177/08465371221135760
Availability: https://doi.org/10.1177/08465371221135760; http://journals.sagepub.com/doi/pdf/10.1177/08465371221135760; http://journals.sagepub.com/doi/full-xml/10.1177/08465371221135760
Rights: https://creativecommons.org/licenses/by-nc/4.0/
Accession Number: edsbas.FE041DB6
Database: BASE