Implementation of artificial intelligence (AI) applications in radiology: hindering and facilitating factors.

Objective: The objective was to identify barriers and facilitators to the implementation of artificial intelligence (AI) applications in clinical radiology in The Netherlands.Materials and Methods: Using an embedded multiple case study, an exploratory, qualitative research design was followed. Data...

Full description

Bibliographic Details
Published in:European Radiology Vol. 30; no. 10; pp. 5525 - 5533
Main Authors: Strohm, Lea, Hehakaya, Charisma, Ranschaert, Erik R., Boon, Wouter P. C., Moors, Ellen H. M.
Format: research tables/charts Journal Article
Published: Springer Nature Oct2020
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=145536777&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 145536777
    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:
        145536777
        143914123
        145536777
        NLM32458173
        145536777
        10.1007/s00330-020-06946-y
        NLM32458173
        145536777
      ppf: 5525
      ppct: 8
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Implementation of artificial intelligence (AI) applications in radiology: hindering and facilitating factors.
      aug:
        au:
          Strohm, Lea
          Hehakaya, Charisma
          Ranschaert, Erik R.
          Boon, Wouter P. C.
          Moors, Ellen H. M.
        affil: Innovation Studies, Copernicus Institute of Sustainable Development, University Utrecht, Utrecht, The Netherlands
      sug:
        subj:
          Artificial Intelligence Trends
          Specialties, Medical Trends
          Radiography Trends
          Program Evaluation
          Qualitative Studies
          Program Development
          Data Collection
          Netherlands
          Human
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
      ab: Objective: The objective was to identify barriers and facilitators to the implementation of artificial intelligence (AI) applications in clinical radiology in The Netherlands.Materials and Methods: Using an embedded multiple case study, an exploratory, qualitative research design was followed. Data collection consisted of 24 semi-structured interviews from seven Dutch hospitals. The analysis of barriers and facilitators was guided by the recently published Non-adoption, Abandonment, Scale-up, Spread, and Sustainability (NASSS) framework for new medical technologies in healthcare organizations.Results: Among the most important facilitating factors for implementation were the following: (i) pressure for cost containment in the Dutch healthcare system, (ii) high expectations of AI's potential added value, (iii) presence of hospital-wide innovation strategies, and (iv) presence of a "local champion." Among the most prominent hindering factors were the following: (i) inconsistent technical performance of AI applications, (ii) unstructured implementation processes, (iii) uncertain added value for clinical practice of AI applications, and (iv) large variance in acceptance and trust of direct (the radiologists) and indirect (the referring clinicians) adopters.Conclusion: In order for AI applications to contribute to the improvement of the quality and efficiency of clinical radiology, implementation processes need to be carried out in a structured manner, thereby providing evidence on the clinical added value of AI applications.Key Points: • Successful implementation of AI in radiology requires collaboration between radiologists and referring clinicians. • Implementation of AI in radiology is facilitated by the presence of a local champion. • Evidence on the clinical added value of AI in radiology is needed for successful implementation.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N