Implementation of eHealth and AI integrated diagnostics with multidisciplinary digitized data: are we ready from an international perspective?
Digitization of medicine requires systematic handling of the increasing amount of health data to improve medical diagnosis. In this context, the integration of the versatile diagnostic information, e.g., from anamnesis, imaging, histopathology, and clinical chemistry, and its comprehensive analysis...
| Publicado en: | European Radiology Vol. 30; no. 10; pp. 5510 - 5525 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Oct2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=145536729&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 145536729 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Oct2020 vid: 30 iid: 10 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 145536729 143948621 145536729 NLM32377810 145536729 10.1007/s00330-020-06874-x NLM32377810 145536729 ppf: 5510 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Implementation of eHealth and AI integrated diagnostics with multidisciplinary digitized data: are we ready from an international perspective? aug: au: Bukowski, Mark Farkas, Robert Beyan, Oya Moll, Lorna Hahn, Horst Kiessling, Fabian Schmitz-Rode, Thomas affil: Department of Science Management, Institute of Applied Medical Engineering, Helmholtz Institute, University Hospital Aachen, RWTH Aachen University, Pauwelsstr. 20, 52074, Aachen, Germany sug: subj: Specialties, Medical Trends Artificial Intelligence Trends Medical Informatics Trends Telemedicine Trends Publishing Trends Data Mining Europe International Relations Software Computer Systems Privacy and Confidentiality Scales Funding Source ab: Digitization of medicine requires systematic handling of the increasing amount of health data to improve medical diagnosis. In this context, the integration of the versatile diagnostic information, e.g., from anamnesis, imaging, histopathology, and clinical chemistry, and its comprehensive analysis by artificial intelligence (AI)-based tools is expected to improve diagnostic precision and the therapeutic conduct. However, the complex medical environment poses a major obstacle to the translation of integrated diagnostics into clinical research and routine. There is a high need to address aspects like data privacy, data integration, interoperability standards, appropriate IT infrastructure, and education of staff. Besides this, a plethora of technical, political, and ethical challenges exists. This is complicated by the high diversity of approaches across Europe. Thus, we here provide insights into current international activities on the way to digital comprehensive diagnostics. This includes a technical view on challenges and solutions for comprehensive diagnostics in terms of data integration and analysis. Current data communications standards and common IT solutions that are in place in hospitals are reported. Furthermore, the international hospital digitalization scoring and the European funding situation were analyzed. In addition, the regional activities in radiomics and the related publication trends are discussed. Our findings show that prerequisites for comprehensive diagnostics have not yet been sufficiently established throughout Europe. The manifold activities are characterized by a heterogeneous digitization progress and they are driven by national efforts. This emphasizes the importance of clear governance, concerted investments, and cooperation at various levels in the health systems.Key Points• Europe is characterized by heterogeneity in its digitization progress with predominantly national efforts. Infrastructural prerequisites for comprehensive diagnostics are not given and not sufficiently funded throughout Europe, which is particularly true for data integration.• The clinical establishment of comprehensive diagnostics demands for a clear governance, significant investments, and cooperation at various levels in the healthcare systems.• While comprehensive diagnostics is on its way, concerted efforts should be taken in Europe to get consensus concerning interoperability and standards, security, and privacy as well as ethical and legal concerns. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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