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Engaging with artificial intelligence in Mammography Screening : Swedish breast radiologists’ views on trust, information and expertise

Högberg, Charlotte LU orcid ; Larsson, Stefan LU and Lång, Kristina LU (2024) In Digital Health 10. p.1-13
Abstract
Objectives
Lack of trust and transparency is stressed as a challenge for clinical implementation of Artificial Intelligence (AI). In breast cancer screening, AI-supported reading shows promising results but more research is needed on how medical experts, that are facing the integration of AI into their work, reason about trust and information needs. From a sociotechnical information practice perspective, we add to this knowledge by a Swedish case study. This study aims to: 1) clarify Swedish breast radiologists’ views on trust, information and expertise pertaining to AI in mammography screening, and 2) analytically address ideas about medical professionals’ critical engagement with AI and motivations for trust in... (More)
Objectives
Lack of trust and transparency is stressed as a challenge for clinical implementation of Artificial Intelligence (AI). In breast cancer screening, AI-supported reading shows promising results but more research is needed on how medical experts, that are facing the integration of AI into their work, reason about trust and information needs. From a sociotechnical information practice perspective, we add to this knowledge by a Swedish case study. This study aims to: 1) clarify Swedish breast radiologists’ views on trust, information and expertise pertaining to AI in mammography screening, and 2) analytically address ideas about medical professionals’ critical engagement with AI and motivations for trust in AI.

Method
An online survey was distributed to Swedish breast radiologists. Survey responses were analysed by descriptive statistical method, correlation analysis, and qualitative content analysis. The results were used as foundation for analysing trust and information as parts of critical engagements with AI.

Results
Of the Swedish breast radiologists (n=105), 47 answered the survey (response rate=44.8%). 53.2% (n=25) of the respondents would to a high/somewhat high degree trust AI assessments. To a great extent, additional information would support the respondents’ trust evaluations. What type of critical engagement medical professionals are expected to perform on AI as decision-support remains unclear.

Conclusions
There is a demand for enhanced information, explainability and transparency of AI-supported mammography. Further discussion and agreement are needed considering what the desired goals for trust in AI should be and how it relates to medical professionals’ critical evaluation of AI-made claims in medical decision-support. (Less)
Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Artifical Intelligence, Breast cancer, Mass screening, Radiologists, Trust, Transparency, Information, Literacy, Expertise, AI
in
Digital Health
volume
10
pages
13 pages
publisher
SAGE Publications
external identifiers
  • scopus:85206116544
  • pmid:39381821
ISSN
2055-2076
DOI
10.1177/20552076241287958
project
AI in the Name of the Common Good -
 Relations of data, AI and humans in health and public sector
AIR Lund - Artificially Intelligent use of Registers
Mammography Screening with Artificial Intelligence
language
English
LU publication?
yes
id
c3112817-26a3-446c-a08e-74cafce0fd2d
date added to LUP
2024-09-10 13:19:09
date last changed
2025-04-19 16:50:50
@article{c3112817-26a3-446c-a08e-74cafce0fd2d,
  abstract     = {{Objectives<br/>Lack of trust and transparency is stressed as a challenge for clinical implementation of Artificial Intelligence (AI). In breast cancer screening, AI-supported reading shows promising results but more research is needed on how medical experts, that are facing the integration of AI into their work, reason about trust and information needs. From a sociotechnical information practice perspective, we add to this knowledge by a Swedish case study. This study aims to: 1) clarify Swedish breast radiologists’ views on trust, information and expertise pertaining to AI in mammography screening, and 2) analytically address ideas about medical professionals’ critical engagement with AI and motivations for trust in AI.<br/><br/>Method<br/>An online survey was distributed to Swedish breast radiologists. Survey responses were analysed by descriptive statistical method, correlation analysis, and qualitative content analysis. The results were used as foundation for analysing trust and information as parts of critical engagements with AI.<br/><br/>Results<br/>Of the Swedish breast radiologists (n=105), 47 answered the survey (response rate=44.8%). 53.2% (n=25) of the respondents would to a high/somewhat high degree trust AI assessments. To a great extent, additional information would support the respondents’ trust evaluations. What type of critical engagement medical professionals are expected to perform on AI as decision-support remains unclear.<br/><br/>Conclusions<br/>There is a demand for enhanced information, explainability and transparency of AI-supported mammography. Further discussion and agreement are needed considering what the desired goals for trust in AI should be and how it relates to medical professionals’ critical evaluation of AI-made claims in medical decision-support.}},
  author       = {{Högberg, Charlotte and Larsson, Stefan and Lång, Kristina}},
  issn         = {{2055-2076}},
  keywords     = {{Artifical Intelligence; Breast cancer; Mass screening; Radiologists; Trust; Transparency; Information; Literacy; Expertise; AI}},
  language     = {{eng}},
  month        = {{10}},
  pages        = {{1--13}},
  publisher    = {{SAGE Publications}},
  series       = {{Digital Health}},
  title        = {{Engaging with artificial intelligence in Mammography Screening : Swedish breast radiologists’ views on trust, information and expertise}},
  url          = {{https://lup.lub.lu.se/search/files/196750093/hogberg-et-al-2024-engaging-with-artificial-intelligence-in-mammography-screening-swedish-breast-radiologists-views-on.pdf}},
  doi          = {{10.1177/20552076241287958}},
  volume       = {{10}},
  year         = {{2024}},
}