Reporting guideline for the early stage clinical evaluation of decision support systems driven by artificial intelligence: DECIDE-AI

A growing number of artificial intelligence (AI)-based clinical decision support systems are showing promising performance in preclinical, in silico, evaluation, but few have yet demonstrated real benefit to patient care. Early stage clinical evaluation is important to assess an AI system’s actual c...

Popoln opis

Bibliografske podrobnosti
Main Authors: Vasey, B, Nagendran, M, Campbell, B, Clifton, DA, Collins, GS, Denaxas, S, Denniston, AK, Faes, L, Geerts, B, Ibrahim, M, Liu, X, Mateen, BA, Mathur, P, McCradden, MD, Morgan, L, Ordish, J, Rogers, C, Saria, S, Ting, DSW, Watkinson, P, Weber, W, Wheatstone, P, McCulloch, P
Drugi avtorji: DECIDE-AI expert group
Format: Journal article
Jezik:English
Izdano: BMJ Publishing Group 2022
_version_ 1826312919809261568
author Vasey, B
Nagendran, M
Campbell, B
Clifton, DA
Collins, GS
Denaxas, S
Denniston, AK
Faes, L
Geerts, B
Ibrahim, M
Liu, X
Mateen, BA
Mathur, P
McCradden, MD
Morgan, L
Ordish, J
Rogers, C
Saria, S
Ting, DSW
Watkinson, P
Weber, W
Wheatstone, P
McCulloch, P
author2 DECIDE-AI expert group
author_facet DECIDE-AI expert group
Vasey, B
Nagendran, M
Campbell, B
Clifton, DA
Collins, GS
Denaxas, S
Denniston, AK
Faes, L
Geerts, B
Ibrahim, M
Liu, X
Mateen, BA
Mathur, P
McCradden, MD
Morgan, L
Ordish, J
Rogers, C
Saria, S
Ting, DSW
Watkinson, P
Weber, W
Wheatstone, P
McCulloch, P
author_sort Vasey, B
collection OXFORD
description A growing number of artificial intelligence (AI)-based clinical decision support systems are showing promising performance in preclinical, in silico, evaluation, but few have yet demonstrated real benefit to patient care. Early stage clinical evaluation is important to assess an AI system’s actual clinical performance at small scale, ensure its safety, evaluate the human factors surrounding its use, and pave the way to further large scale trials. However, the reporting of these early studies remains inadequate. The present statement provides a multistakeholder, consensus-based reporting guideline for the Developmental and Exploratory Clinical Investigations of DEcision support systems driven by Artificial Intelligence (DECIDE-AI). We conducted a two round, modified Delphi process to collect and analyse expert opinion on the reporting of early clinical evaluation of AI systems. Experts were recruited from 20 predefined stakeholder categories. The final composition and wording of the guideline was determined at a virtual consensus meeting. The checklist and the Explanation & Elaboration (E&E) sections were refined based on feedback from a qualitative evaluation process. 123 experts participated in the first round of Delphi, 138 in the second, 16 in the consensus meeting, and 16 in the qualitative evaluation. The DECIDE-AI reporting guideline comprises 17 AI specific reporting items (made of 28 subitems) and 10 generic reporting items, with an E&E paragraph provided for each. Through consultation and consensus with a range of stakeholders, we have developed a guideline comprising key items that should be reported in early stage clinical studies of AI-based decision support systems in healthcare. By providing an actionable checklist of minimal reporting items, the DECIDE-AI guideline will facilitate the appraisal of these studies and replicability of their findings.
first_indexed 2024-03-07T07:14:36Z
format Journal article
id oxford-uuid:f3d4d76c-cfc7-40dc-a5c3-4f3a460c5901
institution University of Oxford
language English
last_indexed 2024-09-25T04:04:25Z
publishDate 2022
publisher BMJ Publishing Group
record_format dspace
spelling oxford-uuid:f3d4d76c-cfc7-40dc-a5c3-4f3a460c59012024-05-07T15:27:13ZReporting guideline for the early stage clinical evaluation of decision support systems driven by artificial intelligence: DECIDE-AIJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f3d4d76c-cfc7-40dc-a5c3-4f3a460c5901EnglishSymplectic ElementsBMJ Publishing Group2022Vasey, BNagendran, MCampbell, BClifton, DACollins, GSDenaxas, SDenniston, AKFaes, LGeerts, BIbrahim, MLiu, XMateen, BAMathur, PMcCradden, MDMorgan, LOrdish, JRogers, CSaria, STing, DSWWatkinson, PWeber, WWheatstone, PMcCulloch, PDECIDE-AI expert groupArsenio PaezPaton, CHigham, JMorley, JKamnitsas, KRedfern, OA growing number of artificial intelligence (AI)-based clinical decision support systems are showing promising performance in preclinical, in silico, evaluation, but few have yet demonstrated real benefit to patient care. Early stage clinical evaluation is important to assess an AI system’s actual clinical performance at small scale, ensure its safety, evaluate the human factors surrounding its use, and pave the way to further large scale trials. However, the reporting of these early studies remains inadequate. The present statement provides a multistakeholder, consensus-based reporting guideline for the Developmental and Exploratory Clinical Investigations of DEcision support systems driven by Artificial Intelligence (DECIDE-AI). We conducted a two round, modified Delphi process to collect and analyse expert opinion on the reporting of early clinical evaluation of AI systems. Experts were recruited from 20 predefined stakeholder categories. The final composition and wording of the guideline was determined at a virtual consensus meeting. The checklist and the Explanation & Elaboration (E&E) sections were refined based on feedback from a qualitative evaluation process. 123 experts participated in the first round of Delphi, 138 in the second, 16 in the consensus meeting, and 16 in the qualitative evaluation. The DECIDE-AI reporting guideline comprises 17 AI specific reporting items (made of 28 subitems) and 10 generic reporting items, with an E&E paragraph provided for each. Through consultation and consensus with a range of stakeholders, we have developed a guideline comprising key items that should be reported in early stage clinical studies of AI-based decision support systems in healthcare. By providing an actionable checklist of minimal reporting items, the DECIDE-AI guideline will facilitate the appraisal of these studies and replicability of their findings.
spellingShingle Vasey, B
Nagendran, M
Campbell, B
Clifton, DA
Collins, GS
Denaxas, S
Denniston, AK
Faes, L
Geerts, B
Ibrahim, M
Liu, X
Mateen, BA
Mathur, P
McCradden, MD
Morgan, L
Ordish, J
Rogers, C
Saria, S
Ting, DSW
Watkinson, P
Weber, W
Wheatstone, P
McCulloch, P
Reporting guideline for the early stage clinical evaluation of decision support systems driven by artificial intelligence: DECIDE-AI
title Reporting guideline for the early stage clinical evaluation of decision support systems driven by artificial intelligence: DECIDE-AI
title_full Reporting guideline for the early stage clinical evaluation of decision support systems driven by artificial intelligence: DECIDE-AI
title_fullStr Reporting guideline for the early stage clinical evaluation of decision support systems driven by artificial intelligence: DECIDE-AI
title_full_unstemmed Reporting guideline for the early stage clinical evaluation of decision support systems driven by artificial intelligence: DECIDE-AI
title_short Reporting guideline for the early stage clinical evaluation of decision support systems driven by artificial intelligence: DECIDE-AI
title_sort reporting guideline for the early stage clinical evaluation of decision support systems driven by artificial intelligence decide ai
work_keys_str_mv AT vaseyb reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT nagendranm reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT campbellb reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT cliftonda reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT collinsgs reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT denaxass reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT dennistonak reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT faesl reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT geertsb reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT ibrahimm reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT liux reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT mateenba reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT mathurp reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT mccraddenmd reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT morganl reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT ordishj reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT rogersc reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT sarias reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT tingdsw reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT watkinsonp reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT weberw reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT wheatstonep reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai
AT mccullochp reportingguidelinefortheearlystageclinicalevaluationofdecisionsupportsystemsdrivenbyartificialintelligencedecideai