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Non-task expert physicians benefit from correct explainable AI advice when reviewing X-rays

Gaube, Susanne; Suresh, Harini; Raue, Martina; Lermer, Eva; Koch, Timo K; Hudecek, Matthias FC; Ackery, Alun D; ... Colak, Errol; + view all (2023) Non-task expert physicians benefit from correct explainable AI advice when reviewing X-rays. Scientific Reports , 13 (1) , Article 1383. 10.1038/s41598-023-28633-w. Green open access

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Abstract

Artificial intelligence (AI)-generated clinical advice is becoming more prevalent in healthcare. However, the impact of AI-generated advice on physicians’ decision-making is underexplored. In this study, physicians received X-rays with correct diagnostic advice and were asked to make a diagnosis, rate the advice’s quality, and judge their own confidence. We manipulated whether the advice came with or without a visual annotation on the X-rays, and whether it was labeled as coming from an AI or a human radiologist. Overall, receiving annotated advice from an AI resulted in the highest diagnostic accuracy. Physicians rated the quality of AI advice higher than human advice. We did not find a strong effect of either manipulation on participants’ confidence. The magnitude of the effects varied between task experts and non-task experts, with the latter benefiting considerably from correct explainable AI advice. These findings raise important considerations for the deployment of diagnostic advice in healthcare.

Type: Article
Title: Non-task expert physicians benefit from correct explainable AI advice when reviewing X-rays
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/s41598-023-28633-w
Publisher version: https://doi.org/10.1038/s41598-023-28633-w
Language: English
Additional information: Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Science & Technology, Multidisciplinary Sciences, Science & Technology - Other Topics, ALGORITHM
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10176620
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