Evidence map›Paper›PMID 32842581›Full record

ArticleInternational journal of environmental research and public health2020

A Perspective from a Case Conference on Comparing the Diagnostic Process: Human Diagnostic Thinking vs. Artificial Intelligence (AI) Decision Support Tools.

Taku Harada, Taro Shimizu, Yuki Kaji, Yasuhiro Suyama, Tomohiro Matsumoto, Chintaro Kosaka, Hidefumi Shimizu, Takatoshi Nei, Satoshi Watanuki

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Observational
  8. Clinical Decision Support Systems for Diagnosis in Primary Care: A Scoping Review.International journal of environmental research and public health · 2021
    Article
  9. Article
  10. Real-World Data and Machine Learning to Predict Cardiac Amyloidosis.International journal of environmental research and public health · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Taku HaradaDepartment of General Medicine, Showa University Koto Toyosu Hospital, Tokyo 135-8577, Japan.
Taro ShimizuDepartment of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Tochigi 321-0293, Japan.
Yuki KajiDepartment of Internal Medicine, Itabashi Chuo Medical Center, Tokyo 174-0051, Japan.
Yasuhiro SuyamaDivision of Rheumatology, JR Tokyo Hospital, Tokyo 151-8528, Japan.
Tomohiro MatsumotoDepartment of General Medicine, Nerima Hikarigaoka Hospital, Tokyo 179-0072, Japan.
Chintaro KosakaDepartment of Internal Medicine, Itabashi Chuo Medical Center, Tokyo 174-0051, Japan.
Hidefumi ShimizuDepartment of Respiratory Medicine, JCHO Tokyo Shinjuku Medical Center, Tokyo 162-8543, Japan.
Takatoshi NeiDepartment of Infection Control and Prevention, Nippon Medical School Hospital, Tokyo 113-8602, Japan.
Satoshi WatanukiDivision of Emergency and General Medicine, Tokyo Metropolitan Tama Medical Center, Tokyo 183-8524, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Artificial intelligence (AI) has made great contributions to the healthcare industry. However, its effect on medical diagnosis has not been well explored. Here, we examined a trial comparing the thinking process between a computer and a master in diagnosis at a clinical conference in Japan, with a focus on general diagnosis. Consequently, not only was AI unable to exhibit its thinking process, it also failed to include the final diagnosis. The following issues were highlighted: (1) input information to AI could not be weighted in order of importance for diagnosis; (2) AI could not deal with comorbidities (see Hickam's dictum); (3) AI was unable to consider the timeline of the illness (depending on the tool); (4) AI was unable to consider patient context; (5) AI could not obtain input information by themselves. This comparison of the thinking process uncovered a future perspective on the use of diagnostic support tools.

Indexed as

Artificial IntelligenceCognitionDiagnosisHumansJapanartificial intelligencedecision support tooldiagnostic process

Identifiers

PMID32842581
PMCPMC7504543

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.