Artificial Intelligence in Perioperative Medicine: A Proposed Common Language With Applications to FDA-Approved Devices

As implementation of artificial intelligence grows more prevalent in perioperative medicine, a clinician's ability to distinguish differentiating aspects of these algorithms is critical. There are currently numerous marketing and technical terms to describe these algorithms with little standard...

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Main Authors: Ryan L. Melvin, Matthew G. Broyles, Elizabeth W. Duggan, Sonia John, Andrew D. Smith, Dan E. Berkowitz
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Digital Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fdgth.2022.872675/full
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author Ryan L. Melvin
Matthew G. Broyles
Elizabeth W. Duggan
Sonia John
Andrew D. Smith
Dan E. Berkowitz
author_facet Ryan L. Melvin
Matthew G. Broyles
Elizabeth W. Duggan
Sonia John
Andrew D. Smith
Dan E. Berkowitz
author_sort Ryan L. Melvin
collection DOAJ
description As implementation of artificial intelligence grows more prevalent in perioperative medicine, a clinician's ability to distinguish differentiating aspects of these algorithms is critical. There are currently numerous marketing and technical terms to describe these algorithms with little standardization. Additionally, the need to communicate with algorithm developers is paramount to actualize effective and practical implementation. Of particular interest in these discussions is the extent to which the output or predictions of algorithms and tools are understandable by medical practitioners. This work proposes a simple nomenclature that is intelligible to both clinicians and developers for quickly describing the interpretability of model results. There are three high-level categories: transparent, translucent, and opaque. To demonstrate the applicability and utility of this terminology, these terms were applied to the artificial intelligence and machine-learning-based products that have gained Food and Drug Administration approval. During this review and categorization process, 22 algorithms were found with perioperative utility (in a database of 70 total algorithms), and 12 of these had publicly available citations. The primary aim of this work is to establish a common nomenclature that will expedite and simplify descriptions of algorithm requirements from clinicians to developers and explanations of appropriate model use and limitations from developers to clinicians.
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spelling doaj.art-a5641782c06945988198fba6a21ab7312022-12-22T01:16:03ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2022-04-01410.3389/fdgth.2022.872675872675Artificial Intelligence in Perioperative Medicine: A Proposed Common Language With Applications to FDA-Approved DevicesRyan L. Melvin0Matthew G. Broyles1Elizabeth W. Duggan2Sonia John3Andrew D. Smith4Dan E. Berkowitz5Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL, United StatesDepartment of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL, United StatesDepartment of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL, United StatesDepartment of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL, United StatesDepartment of Radiology, University of Alabama at Birmingham, Birmingham, AL, United StatesDepartment of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Birmingham, AL, United StatesAs implementation of artificial intelligence grows more prevalent in perioperative medicine, a clinician's ability to distinguish differentiating aspects of these algorithms is critical. There are currently numerous marketing and technical terms to describe these algorithms with little standardization. Additionally, the need to communicate with algorithm developers is paramount to actualize effective and practical implementation. Of particular interest in these discussions is the extent to which the output or predictions of algorithms and tools are understandable by medical practitioners. This work proposes a simple nomenclature that is intelligible to both clinicians and developers for quickly describing the interpretability of model results. There are three high-level categories: transparent, translucent, and opaque. To demonstrate the applicability and utility of this terminology, these terms were applied to the artificial intelligence and machine-learning-based products that have gained Food and Drug Administration approval. During this review and categorization process, 22 algorithms were found with perioperative utility (in a database of 70 total algorithms), and 12 of these had publicly available citations. The primary aim of this work is to establish a common nomenclature that will expedite and simplify descriptions of algorithm requirements from clinicians to developers and explanations of appropriate model use and limitations from developers to clinicians.https://www.frontiersin.org/articles/10.3389/fdgth.2022.872675/fullartificial intelligenceAImachine learningalgorithmFDA approval
spellingShingle Ryan L. Melvin
Matthew G. Broyles
Elizabeth W. Duggan
Sonia John
Andrew D. Smith
Dan E. Berkowitz
Artificial Intelligence in Perioperative Medicine: A Proposed Common Language With Applications to FDA-Approved Devices
Frontiers in Digital Health
artificial intelligence
AI
machine learning
algorithm
FDA approval
title Artificial Intelligence in Perioperative Medicine: A Proposed Common Language With Applications to FDA-Approved Devices
title_full Artificial Intelligence in Perioperative Medicine: A Proposed Common Language With Applications to FDA-Approved Devices
title_fullStr Artificial Intelligence in Perioperative Medicine: A Proposed Common Language With Applications to FDA-Approved Devices
title_full_unstemmed Artificial Intelligence in Perioperative Medicine: A Proposed Common Language With Applications to FDA-Approved Devices
title_short Artificial Intelligence in Perioperative Medicine: A Proposed Common Language With Applications to FDA-Approved Devices
title_sort artificial intelligence in perioperative medicine a proposed common language with applications to fda approved devices
topic artificial intelligence
AI
machine learning
algorithm
FDA approval
url https://www.frontiersin.org/articles/10.3389/fdgth.2022.872675/full
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