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Can Assoc Radiol J ; 70(4): 329-334, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31585825


This is a condensed summary of an international multisociety statement on ethics of artificial intelligence (AI) in radiology produced by the ACR, European Society of Radiology, RSNA, Society for Imaging Informatics in Medicine, European Society of Medical Imaging Informatics, Canadian Association of Radiologists, and American Association of Physicists in Medicine. AI has great potential to increase efficiency and accuracy throughout radiology, but it also carries inherent pitfalls and biases. Widespread use of AI-based intelligent and autonomous systems in radiology can increase the risk of systemic errors with high consequence and highlights complex ethical and societal issues. Currently, there is little experience using AI for patient care in diverse clinical settings. Extensive research is needed to understand how to best deploy AI in clinical practice. This statement highlights our consensus that ethical use of AI in radiology should promote well-being, minimize harm, and ensure that the benefits and harms are distributed among stakeholders in a just manner. We believe AI should respect human rights and freedoms, including dignity and privacy. It should be designed for maximum transparency and dependability. Ultimate responsibility and accountability for AI remains with its human designers and operators for the foreseeable future. The radiology community should start now to develop codes of ethics and practice for AI that promote any use that helps patients and the common good and should block use of radiology data and algorithms for financial gain without those two attributes.

Inteligência Artificial/ética , Radiologia/ética , Canadá , Consenso , Europa (Continente) , Humanos , Radiologistas/ética , Sociedades Médicas , Estados Unidos
Can Assoc Radiol J ; 70(2): 107-118, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30962048


Artificial intelligence (AI) software that analyzes medical images is becoming increasingly prevalent. Unlike earlier generations of AI software, which relied on expert knowledge to identify imaging features, machine learning approaches automatically learn to recognize these features. However, the promise of accurate personalized medicine can only be fulfilled with access to large quantities of medical data from patients. This data could be used for purposes such as predicting disease, diagnosis, treatment optimization, and prognostication. Radiology is positioned to lead development and implementation of AI algorithms and to manage the associated ethical and legal challenges. This white paper from the Canadian Association of Radiologists provides a framework for study of the legal and ethical issues related to AI in medical imaging, related to patient data (privacy, confidentiality, ownership, and sharing); algorithms (levels of autonomy, liability, and jurisprudence); practice (best practices and current legal framework); and finally, opportunities in AI from the perspective of a universal health care system.

Inteligência Artificial/ética , Inteligência Artificial/legislação & jurisprudência , Radiologia/ética , Radiologia/legislação & jurisprudência , Canadá , Humanos , Guias de Prática Clínica como Assunto , Radiologistas/ética , Radiologistas/legislação & jurisprudência , Sociedades Médicas
Acta bioeth ; 23(2): 245-251, jul. 2017.
Artigo em Espanhol | LILACS | ID: biblio-886025


Resumen: Las exploraciones radiológicas médico-legales incluyen exposiciones médicas a radiaciones que se realizan por orden judicial a una persona que no está enferma. El técnico o tecnólogo médico en radiología tiene el deber de minimizar las dosis a pacientes y a la población en su conjunto; por ello, realizar este tipo de exploraciones entra en conflicto con las máximas de la protección radiológica y de su código ético. Presentamos un estudio de revisión donde se analiza si estas prácticas médicas son contrarias a la ética profesional del técnico en radiología.

Abstract: The medico-legal, radiological examinations include those medical exposures to radiation conducted by court order a person who is not sick. The radiologic technologist has a duty to minimize the dose to patients and the population as a whole, therefore, make this type of exploration conflicts with the maximum of Radiation Protection and its ethical code. We present a review study where we analyze whether these medical practices are contrary to professional ethics of the Radiologic technologist.

Resumo: As explorações radiológicas médico-legais incluem aquelas exposições médicas a radiações que se realizam por ordem judicial a uma pessoa que não está doente. O técnico ou tecnólogo médico em radiologia tem o dever de minimizar a dose para os pacientes e a população como um todo; portanto, realizar este tipo de exploração entra em conflito com os princípios da proteção radiológica e de seu código de ética. Apresentamos um estudo de revisão no qual analisamos se estas práticas médicas são contrárias à ética profissional do técnico em radiologia.

Humanos , Radiologia/ética , Radiologistas/ética , Medicina Legal/ética , Ética Profissional
Scand J Caring Sci ; 31(1): 139-145, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27164407


BACKGROUND: Considering the ethics of each profession is important as inter-professional collaboration increases. Professional ethics creates a basis for radiographers' work, as it includes values and principles, together with rights and duties that guide and support professionals. However, little is known about radiographers' rights when it comes to professional ethics. THE AIM: The aim of this study was to describe radiographers' perceptions and experiences of their professional rights. The ultimate aim was to increase the understanding of professional ethics in this context and support radiographers' ethical pondering in diagnostic radiography. METHODOLOGY: A qualitative method was used. Semistructured group interviews with 15 radiographers were conducted in spring 2013 at two publicly provided diagnostic imaging departments in Finland. Data were analysed by inductive content analysis. All the participants were women, and they had worked as radiographers for an average of 18 years. FINDINGS: Based on our analysis, radiographers' professional rights consisted of rights related to their expertise in radiography and the rights related to working conditions that ensured their wellbeing. Expertise-based rights included rights to plan, conduct and assess radiological care with patient advocacy. Radiographers have the right to contribute to a culture of safe radiation in their organisation and to use their professional knowledge to achieve their main target, which is the safe imaging of patients. Radiographers also have right to work in conditions that support their well-being, including the legal rights stated in their employment contract, as well as their rights concerning resources at work. CONCLUSIONS: Radiographers' professional rights are an elementary and multidimensional part of their clinical practice. In future, more theoretical and empirical research is needed to deepen the understanding of their rights in the clinical practice and support radiographers on issues related to this aspect of their work.

Papel Profissional , Radiologistas/ética , Radiologistas/psicologia , Radiologia/ética , Radiologia/normas , Adulto , Feminino , Finlândia , Humanos , Masculino , Pessoa de Meia-Idade , Radiologistas/normas
BMC Med Ethics ; 16(1): 68, 2015 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-26450173


BACKGROUND: Patients' satisfaction arises from their appraisal of experience in hospital services and measuring patients' satisfaction in hospital has become a global phenomenon. To improve on patients' satisfaction, radiographers have to imbibe the right ethical attitude in their conduct while discharging duties to patients during radiological examination. The objective of this study is to understand from the patients' perspective the ethical conduct of radiographers and radiology nurses that constitute factors in patient satisfaction during routine radiological examination. The rationale of the study is to use the findings to improve radiological service delivery and improve on patient satisfaction. METHODS: This is a cross-sectional descriptive study in which 300 respondents (outpatients) in two hospitals were surveyed to ascertain their satisfaction with the ethical conduct of radiographers and services provided by radiology nurses in the department. The data was analyzed using descriptive statistics at 95 % confidence interval for mean scores and Z-values. RESULTS: Three hundred patients responded to the survey which comprised of 145 patients from the public hospital and 155 patients from the private hospital. Radiographers fell short in some ethical/professional conduct as in informed consent before treatment (mean = 2.95); radiographers' not explaining his/her experience, expectation, knowledge and equipment procedure (mean = 2.98). However, they did well in some aspects including observation of professional boundaries with patients during treatment and equity in treatment for the patients during the radiological examination (mean score = 1.43). Some services provided by staff members in the department also fell short of patients' expectation and satisfaction including explanation of what to expect during the exam (mean = 3.30), whereas they did well in their level of courtesy to patients (mean score = 4.09). There was a significant difference in the satisfaction level experienced by patients at both hospitals in favour of the private hospital. CONCLUSIONS: There is an urgent need for improved ethical/professional conduct of radiographers and general service delivery in the radiology departments of the hospitals where this investigation was carried out to enhance patient satisfaction. Government has to improve the curricular of service providers in radiology service in the university to include ethical/professional conduct and patient/provider relationship.

Acesso aos Serviços de Saúde/normas , Pesquisa sobre Serviços de Saúde/ética , Hospitais Públicos/organização & administração , Satisfação do Paciente/estatística & dados numéricos , Qualidade da Assistência à Saúde/ética , Radiologistas/normas , Serviço Hospitalar de Radiologia , Adulto , Atitude do Pessoal de Saúde , Estudos Transversais , Acesso aos Serviços de Saúde/ética , Humanos , Pessoa de Meia-Idade , Nigéria/epidemiologia , Radiologistas/ética , Serviço Hospitalar de Radiologia/organização & administração