Beyond high hopes: A scoping review of the 2019-2021 scientific discourse on machine learning in medical imaging.

Machine learning has become a key driver of the digital health revolution. That comes with a fair share of high hopes and hype. We conducted a scoping review on machine learning in medical imaging, providing a comprehensive outlook of the field's potential, limitations, and future directions. M...

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Main Authors: Vasileios Nittas, Paola Daniore, Constantin Landers, Felix Gille, Julia Amann, Shannon Hubbs, Milo Alan Puhan, Effy Vayena, Alessandro Blasimme
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLOS Digital Health
Online Access:https://journals.plos.org/digitalhealth/article/file?id=10.1371/journal.pdig.0000189&type=printable
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author Vasileios Nittas
Paola Daniore
Constantin Landers
Felix Gille
Julia Amann
Shannon Hubbs
Milo Alan Puhan
Effy Vayena
Alessandro Blasimme
author_facet Vasileios Nittas
Paola Daniore
Constantin Landers
Felix Gille
Julia Amann
Shannon Hubbs
Milo Alan Puhan
Effy Vayena
Alessandro Blasimme
author_sort Vasileios Nittas
collection DOAJ
description Machine learning has become a key driver of the digital health revolution. That comes with a fair share of high hopes and hype. We conducted a scoping review on machine learning in medical imaging, providing a comprehensive outlook of the field's potential, limitations, and future directions. Most reported strengths and promises included: improved (a) analytic power, (b) efficiency (c) decision making, and (d) equity. Most reported challenges included: (a) structural barriers and imaging heterogeneity, (b) scarcity of well-annotated, representative and interconnected imaging datasets (c) validity and performance limitations, including bias and equity issues, and (d) the still missing clinical integration. The boundaries between strengths and challenges, with cross-cutting ethical and regulatory implications, remain blurred. The literature emphasizes explainability and trustworthiness, with a largely missing discussion about the specific technical and regulatory challenges surrounding these concepts. Future trends are expected to shift towards multi-source models, combining imaging with an array of other data, in a more open access, and explainable manner.
format Article
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institution Kabale University
issn 2767-3170
language English
publishDate 2023-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLOS Digital Health
spelling doaj-art-bf326b1eea674173b596f5a55897561d2025-02-05T05:33:38ZengPublic Library of Science (PLoS)PLOS Digital Health2767-31702023-01-0121e000018910.1371/journal.pdig.0000189Beyond high hopes: A scoping review of the 2019-2021 scientific discourse on machine learning in medical imaging.Vasileios NittasPaola DanioreConstantin LandersFelix GilleJulia AmannShannon HubbsMilo Alan PuhanEffy VayenaAlessandro BlasimmeMachine learning has become a key driver of the digital health revolution. That comes with a fair share of high hopes and hype. We conducted a scoping review on machine learning in medical imaging, providing a comprehensive outlook of the field's potential, limitations, and future directions. Most reported strengths and promises included: improved (a) analytic power, (b) efficiency (c) decision making, and (d) equity. Most reported challenges included: (a) structural barriers and imaging heterogeneity, (b) scarcity of well-annotated, representative and interconnected imaging datasets (c) validity and performance limitations, including bias and equity issues, and (d) the still missing clinical integration. The boundaries between strengths and challenges, with cross-cutting ethical and regulatory implications, remain blurred. The literature emphasizes explainability and trustworthiness, with a largely missing discussion about the specific technical and regulatory challenges surrounding these concepts. Future trends are expected to shift towards multi-source models, combining imaging with an array of other data, in a more open access, and explainable manner.https://journals.plos.org/digitalhealth/article/file?id=10.1371/journal.pdig.0000189&type=printable
spellingShingle Vasileios Nittas
Paola Daniore
Constantin Landers
Felix Gille
Julia Amann
Shannon Hubbs
Milo Alan Puhan
Effy Vayena
Alessandro Blasimme
Beyond high hopes: A scoping review of the 2019-2021 scientific discourse on machine learning in medical imaging.
PLOS Digital Health
title Beyond high hopes: A scoping review of the 2019-2021 scientific discourse on machine learning in medical imaging.
title_full Beyond high hopes: A scoping review of the 2019-2021 scientific discourse on machine learning in medical imaging.
title_fullStr Beyond high hopes: A scoping review of the 2019-2021 scientific discourse on machine learning in medical imaging.
title_full_unstemmed Beyond high hopes: A scoping review of the 2019-2021 scientific discourse on machine learning in medical imaging.
title_short Beyond high hopes: A scoping review of the 2019-2021 scientific discourse on machine learning in medical imaging.
title_sort beyond high hopes a scoping review of the 2019 2021 scientific discourse on machine learning in medical imaging
url https://journals.plos.org/digitalhealth/article/file?id=10.1371/journal.pdig.0000189&type=printable
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