Part 1: Artificial intelligence technology in surgery

Technical/Algorithm, Stakeholder, and Society (TASS) barriers to the application of artificial intelligence in medicine: A systematic review

INTRODUCTION

The use of artificial intelligence (AI), particularly machine learning and predictive analytics, has shown great promise in health care. Despite its strong potential, there has been limited use in health care settings. In this systematic review, we aim to determine the main barriers to successful implementation of AI in healthcare and discuss potential ways to overcome these challenges.

METHODS

We conducted a literature search in PubMed (1/1/2001-1/1/2023). The search was restricted to publications in the English language, and human study subjects. We excluded articles that did not discuss AI, machine learning, predictive analytics, and barriers to the use of these techniques in health care. Using grounded theory methodology, we abstracted concepts to identify major barriers to AI use in medicine.

RESULTS

We identified a total of 2,382 articles. After reviewing the 306 included papers, we developed 19 major themes, which we categorized into three levels: the Technical/Algorithm, Stakeholder, and Social levels (TASS). These themes included: Lack of Explainability, Need for Validation Protocols, Need for Standards for Interoperability, Need for Reporting Guidelines, Need for Standardization of Performance Metrics, Lack of Plan for Updating Algorithm, Job Loss, Skills Loss, Workflow Challenges, Loss of Patient Autonomy and Consent, Disturbing the Patient-Clinician Relationship, Lack of Trust in AI, Logistical Challenges, Lack of strategic plan, Lack of Cost-effectiveness Analysis and Proof of Efficacy, Privacy, Liability, Bias and Social Justice, and Education.

CONCLUSION

We identified 19 major barriers to the use of AI in healthcare and categorized them into three levels: the Technical/Algorithm, Stakeholder, and Social levels (TASS). Future studies should expand on barriers in pediatric care and focus on developing clearly defined protocols to overcome these barriers.

Feasibility Analysis and Countermeasures of Psychological Health Training Methods for Volleyball Players Based on Artificial Intelligence Technology

In the process of volleyball players’ mental health training, there exists the problem of low parameter accuracy. In order to further improve the accuracy of mental health training methods, based on artificial intelligence calculation, the neural network and long and short-term memory network were used to analyze the model. Estimation algorithm was used to describe the data, and finally, the optimization model was obtained to describe the feasibility study of mental health. In addition, the relevant data were used to verify and analyze the model. The research shows that in the time update curve, with the increase of the model state, the corresponding curve on the whole first presents a fluctuating trend of different degrees. The increase of model state will make the corresponding time value gradually tend to flat. The fluctuation of the corresponding time index is obvious. Indicators corresponding to the status update curve show an obvious linear change trend with the increase in time, and the overall linear characteristics are obvious. This shows that when time is constant, the relationship between the corresponding parameter and the state value conforms to the linear law. The corresponding state index gradually increases and eventually tends to be stable. Through the analysis, it can be seen that the proportion of different indicators under the effect of artificial intelligence and the calculation results are different. The parameters show an obvious linear variation trend, indicating that the corresponding model parameters can well reflect the data changes. Finally, the accuracy of the model is verified by the method of experimental comparison. The relevant research results can provide a new model and a method for volleyball players’ mental health training.