City Research Online

Abstract

Objectives
To explore the perspectives of AI vendors on the integration of AI in medical imaging and oncology clinical practice.

Materials and methods
An online survey was created on Qualtrics, comprising 23 closed and 5 open-ended questions. This was administered through social media, personalised emails, and the channels of the European Society of Medical Imaging Informatics and Health AI Register, to all those working at a company developing or selling accredited AI solutions for medical imaging and oncology. Quantitative data were analysed using SPSS software, version 28.0. Qualitative data were summarised using content analysis on NVivo, version 14.

Results
In total, 83 valid responses were received, with participants having a global distribution and diverse roles and professional backgrounds (business/management/clinical practitioners/engineers/IT, etc). The respondents mentioned the top enablers (practitioner acceptance, business case of AI applications, explainability) and challenges (new regulations, practitioner acceptance, business case) of AI implementation. Co-production with end-users was confirmed as a key practice by most (52.9%). The respondents recognised infrastructure issues within clinical settings (64.1%), lack of clinician engagement (54.7%), and lack of financial resources (42.2%) as key challenges in meeting customer expectations. They called for appropriate reimbursement, robust IT support, clinician acceptance, rigorous regulation, and adequate user training to ensure the successful integration of AI into clinical practice.

Conclusion
This study highlights that people, infrastructure, and funding are fundamentals of AI implementation. AI vendors wish to work closely with regulators, patients, clinical practitioners, and other key stakeholders, to ensure a smooth transition of AI into daily practice.

Key Points
Question - AI vendors’ perspectives on unmet needs, challenges, and opportunities for AI adoption in medical imaging are largely underrepresented in recent research.

Findings - Provision of consistent funding, optimised infrastructure, and user acceptance were highlighted by vendors as key enablers of AI implementation.

Clinical relevance - Vendors’ input and collaboration with clinical practitioners are necessary to clinically implement AI. This study highlights real-world challenges that AI vendors face and opportunities they value during AI implementation. Keeping the dialogue channels open is key to these collaborations.

Publication Type:	Article
Additional Information:	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/.
Publisher Keywords:	Artificial intelligence, Industry, Diagnostic imaging, Radiation oncology
Subjects:	Q Science > QA Mathematics > QA75 Electronic computers. Computer science R Medicine > RC Internal medicine R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
Departments:	School of Health & Medical Sciences School of Health & Medical Sciences > Department of Allied Health
SWORD Depositor:	Symplectic Administrator

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