Artificial intelligence in melanoma diagnosis: Three scenarios, shifts in competencies, need for regulation, and reconciling dissent between humans and AI

Tools based on machine learning (so-called artificial intelligence, AI) are increasingly being developed to diagnose malignant melanoma in dermatology. This contribution discusses (1) three scenarios for the use of AI in different medical settings, (2) shifts in competencies from dermatologists to...

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Main Authors: Jan C. Zoellick, Hans Drexler, Konstantin Drexler
Format: Article
Language:deu
Published: oekom verlag GmbH 2024-03-01
Series:TATuP – Zeitschrift für Technikfolgenabschätzung in Theorie und Praxis
Subjects:
Online Access:https://www.tatup.de/index.php/tatup/article/view/7102
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author Jan C. Zoellick
Hans Drexler
Konstantin Drexler
author_facet Jan C. Zoellick
Hans Drexler
Konstantin Drexler
author_sort Jan C. Zoellick
collection DOAJ
description Tools based on machine learning (so-called artificial intelligence, AI) are increasingly being developed to diagnose malignant melanoma in dermatology. This contribution discusses (1) three scenarios for the use of AI in different medical settings, (2) shifts in competencies from dermatologists to non-specialists and empowered patients, (3) regulatory frameworks to ensure safety and effectiveness and their consequences for AI tools, and (4) cognitive dissonance and potential delegation of human decision-making to AI. We conclude that AI systems should not replace human medical expertise but play a supporting role. We identify needs for regulation and provide recommendations for action to help all (human) actors navigate safely through the choppy waters of this emerging market. Potential dilemmas arise when AI tools provide diagnoses that conflict with human medical expertise. Reconciling these conflicts will be a major challenge.
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spelling doaj.art-c3eecc463d6c48ad916f78facb081ff52024-03-15T12:19:41Zdeuoekom verlag GmbHTATuP – Zeitschrift für Technikfolgenabschätzung in Theorie und Praxis2568-020X2567-88332024-03-0133110.14512/tatup.33.1.48Artificial intelligence in melanoma diagnosis: Three scenarios, shifts in competencies, need for regulation, and reconciling dissent between humans and AIJan C. Zoellick0Hans Drexler1Konstantin Drexler2Institute of Medical Sociology and Rehabilitation Science, Charité – University medecine Berlin, BerlinInstitut und Poliklinik für Arbeits-, Sozial- und Umweltmedizin, FAU Erlangen-Nürnberg, ErlangenDepartment for Dermatology, University Hospital Regensburg, Regensburg Tools based on machine learning (so-called artificial intelligence, AI) are increasingly being developed to diagnose malignant melanoma in dermatology. This contribution discusses (1) three scenarios for the use of AI in different medical settings, (2) shifts in competencies from dermatologists to non-specialists and empowered patients, (3) regulatory frameworks to ensure safety and effectiveness and their consequences for AI tools, and (4) cognitive dissonance and potential delegation of human decision-making to AI. We conclude that AI systems should not replace human medical expertise but play a supporting role. We identify needs for regulation and provide recommendations for action to help all (human) actors navigate safely through the choppy waters of this emerging market. Potential dilemmas arise when AI tools provide diagnoses that conflict with human medical expertise. Reconciling these conflicts will be a major challenge. https://www.tatup.de/index.php/tatup/article/view/7102melanomadiagnosisartificial intelligencepatient-doctor relationshipdiagnostic accuracy
spellingShingle Jan C. Zoellick
Hans Drexler
Konstantin Drexler
Artificial intelligence in melanoma diagnosis: Three scenarios, shifts in competencies, need for regulation, and reconciling dissent between humans and AI
TATuP – Zeitschrift für Technikfolgenabschätzung in Theorie und Praxis
melanoma
diagnosis
artificial intelligence
patient-doctor relationship
diagnostic accuracy
title Artificial intelligence in melanoma diagnosis: Three scenarios, shifts in competencies, need for regulation, and reconciling dissent between humans and AI
title_full Artificial intelligence in melanoma diagnosis: Three scenarios, shifts in competencies, need for regulation, and reconciling dissent between humans and AI
title_fullStr Artificial intelligence in melanoma diagnosis: Three scenarios, shifts in competencies, need for regulation, and reconciling dissent between humans and AI
title_full_unstemmed Artificial intelligence in melanoma diagnosis: Three scenarios, shifts in competencies, need for regulation, and reconciling dissent between humans and AI
title_short Artificial intelligence in melanoma diagnosis: Three scenarios, shifts in competencies, need for regulation, and reconciling dissent between humans and AI
title_sort artificial intelligence in melanoma diagnosis three scenarios shifts in competencies need for regulation and reconciling dissent between humans and ai
topic melanoma
diagnosis
artificial intelligence
patient-doctor relationship
diagnostic accuracy
url https://www.tatup.de/index.php/tatup/article/view/7102
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