A proposed artificial intelligence workflow to address application challenges leveraged on algorithm uncertainty
Dantong Li,
Lianting Hu,
Xiaoting Peng,
Ning Xiao,
Hong Zhao,
Guangjian Liu,
Hongsheng Liu,
Kuanrong Li,
Bin Ai,
Huimin Xia,
Long Lu,
Yunfei Gao,
Jian Wu,
Huiying Liang
Affiliations
Dantong Li
Medical Big Data Center, Guangdong Provincial People’s Hospital/Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province 510080, China; Guangdong Cardiovascular Institute, Guangzhou, Guangdong Province 510080, China
Lianting Hu
Medical Big Data Center, Guangdong Provincial People’s Hospital/Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province 510080, China; Guangdong Cardiovascular Institute, Guangzhou, Guangdong Province 510080, China; School of Information Management, Wuhan University, Wuhan, Hubei Province 430072, China
Xiaoting Peng
Medical Big Data Center, Guangdong Provincial People’s Hospital/Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province 510080, China; Guangdong Cardiovascular Institute, Guangzhou, Guangdong Province 510080, China
Ning Xiao
Clinical Data Center, Linyi People’s Hospital, Linyi, Shandong Province 276003, China
Hong Zhao
Clinical Data Center, The First Affiliated Hospital School of Medicine and School of Public Health, Zhejiang University, Hangzhou 310058, China
Guangjian Liu
Medical Big Data Center, Guangdong Provincial People’s Hospital/Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province 510080, China; Guangdong Cardiovascular Institute, Guangzhou, Guangdong Province 510080, China
Hongsheng Liu
Clinical Data Center, Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong Province 510623, China
Kuanrong Li
Clinical Data Center, Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong Province 510623, China
Bin Ai
Clinical Data Center, Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong Province 510623, China
Huimin Xia
Clinical Data Center, Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong Province 510623, China
Long Lu
Clinical Data Center, Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong Province 510623, China; School of Information Management, Wuhan University, Wuhan, Hubei Province 430072, China
Yunfei Gao
Zhuhai Precision Medical Center, Zhuhai People's Hospital (Zhuhai Hospital Affiliated with Jinan University), Jinan University, Zhuhai, Guangdong Province 519000, China; The Biomedical Translational Research Institute, Jinan University Faculty of Medical Science, Jinan University, Guangzhou, Guangdong Province 510632, China
Jian Wu
Clinical Data Center, The First Affiliated Hospital School of Medicine and School of Public Health, Zhejiang University, Hangzhou 310058, China; Corresponding author
Huiying Liang
Medical Big Data Center, Guangdong Provincial People’s Hospital/Guangdong Academy of Medical Sciences, Guangzhou, Guangdong Province 510080, China; Guangdong Cardiovascular Institute, Guangzhou, Guangdong Province 510080, China; Corresponding author
Summary: Artificial Intelligence (AI) has achieved state-of-the-art performance in medical imaging. However, most algorithms focused exclusively on improving the accuracy of classification while neglecting the major challenges in a real-world application. The opacity of algorithms prevents users from knowing when the algorithms might fail. And the natural gap between training datasets and the in-reality data may lead to unexpected AI system malfunction. Knowing the underlying uncertainty is essential for improving system reliability. Therefore, we developed a COVID-19 AI system, utilizing a Bayesian neural network to calculate uncertainties in classification and reliability intervals of datasets. Validated with four multi-region datasets simulating different scenarios, our approach was proved to be effective to suggest the system failing possibility and give the decision power to human experts in time. Leveraging on the complementary strengths of AI and health professionals, our present method has the potential to improve the practicability of AI systems in clinical application.