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Participatory Co-Creation of an AI-Supported Patient Information System: A Multi-Method Qualitative Study.

Heizmann C, Gleim P, Kellmeyer P

pubmed logopapersMay 15 2025
In radiology and other medical fields, informed consent often rely on paper-based forms, which can overwhelm patients with complex terminology. These forms are also resource-intensive. The KIPA project addresses these challenges by developing an AI-assisted patient information system to streamline the consent process, improve patient understanding, and reduce healthcare workload. The KIPA system uses natural language processing (NLP) to provide real-time, accessible explanations, answer questions, and support informed consent. KIPA follows an 'ethics-by-design' approach, integrating user feedback to align with patient and clinician needs. Interviews and usability testing identified requirements, such as simplified language and support for varying digital literacy. The study presented here explores the participatory co-creation of the KIPA system, focusing on improving informed consent in radiology through a multi-method qualitative approach. Preliminary results suggest that KIPA improves patient engagement and reduces insecurities by providing proactive guidance and tailored information. Future work will extend testing to other stakeholders and assess the impact of the system on clinical workflow.

A survey of deep-learning-based radiology report generation using multimodal inputs.

Wang X, Figueredo G, Li R, Zhang WE, Chen W, Chen X

pubmed logopapersMay 13 2025
Automatic radiology report generation can alleviate the workload for physicians and minimize regional disparities in medical resources, therefore becoming an important topic in the medical image analysis field. It is a challenging task, as the computational model needs to mimic physicians to obtain information from multi-modal input data (i.e., medical images, clinical information, medical knowledge, etc.), and produce comprehensive and accurate reports. Recently, numerous works have emerged to address this issue using deep-learning-based methods, such as transformers, contrastive learning, and knowledge-base construction. This survey summarizes the key techniques developed in the most recent works and proposes a general workflow for deep-learning-based report generation with five main components, including multi-modality data acquisition, data preparation, feature learning, feature fusion and interaction, and report generation. The state-of-the-art methods for each of these components are highlighted. Additionally, we summarize the latest developments in large model-based methods and model explainability, along with public datasets, evaluation methods, current challenges, and future directions in this field. We have also conducted a quantitative comparison between different methods in the same experimental setting. This is the most up-to-date survey that focuses on multi-modality inputs and data fusion for radiology report generation. The aim is to provide comprehensive and rich information for researchers interested in automatic clinical report generation and medical image analysis, especially when using multimodal inputs, and to assist them in developing new algorithms to advance the field.
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