Skip to main content

Advertisement

Log in

Data governance functions to support responsible data stewardship in pediatric radiology research studies using artificial intelligence

  • Artificial intelligence in pediatric radiology
  • Published:
Pediatric Radiology Aims and scope Submit manuscript

Abstract

The integration of human and machine intelligence promises to profoundly change the practice of medicine. The rapidly increasing adoption of artificial intelligence (AI) solutions highlights its potential to streamline physician work and optimize clinical decision-making, also in the field of pediatric radiology. Large imaging databases are necessary for training, validating and testing these algorithms. To better promote data accessibility in multi-institutional AI-enabled radiologic research, these databases centralize the large volumes of data required to effect accurate models and outcome predictions. However, such undertakings must consider the sensitivity of patient information and therefore utilize requisite data governance measures to safeguard data privacy and security, to recognize and mitigate the effects of bias and to promote ethical use. In this article we define data stewardship and data governance, review their key considerations and applicability to radiologic research in the pediatric context, and consider the associated best practices along with the ramifications of poorly executed data governance. We summarize several adaptable data governance frameworks and describe strategies for their implementation in the form of distributed and centralized approaches to data management.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Rawstron E, Henderson P, Lee L et al (2017) A blueprint for success in healthcare data and analytics (D&A). KPMG International. https://assets.kpmg/content/dam/kpmg/xx/pdf/2017/10/blueprint-for-success-in-healthcare-data-and-analytics.pdf. Accessed 1 Apr 2022

  2. Raji ID (2020) The discomfort of death counts: mourning through the distorted lens of reported COVID-19 death data. Patterns 1:100066

    Article  CAS  Google Scholar 

  3. Rizzo S, Botta F, Raimondi S et al (2018) Radiomics: the facts and the challenges of image analysis. Eur Radiol Exp 2:36

    Article  Google Scholar 

  4. Pesapane F, Codari M, Sardanelli F (2018) Artificial intelligence in medical imaging: threat or opportunity? Radiologists again at the forefront of innovation in medicine. Eur Radiol Exp 2:35

    Article  Google Scholar 

  5. Hosny A, Parmar C, Quackenbush J et al (2018) Artificial intelligence in radiology. Nat Rev Cancer 18:500–510

    Article  CAS  Google Scholar 

  6. Hinton G (2018) Deep learning — a technology with the potential to transform health care. JAMA 320:1101–1102

    Article  Google Scholar 

  7. Ho CWL, Soon D, Caals K, Kapur J (2019) Governance of automated image analysis and artificial intelligence analytics in healthcare. Clin Radiol 74:329–337

    Article  CAS  Google Scholar 

  8. Carter P, Laurie GT, Dixon-Woods M (2015) The social licence for research: why care data ran into trouble. J Med Ethics 41:404–409

    Article  Google Scholar 

  9. Al-Ruithe M, Benkhelifa E, Hameed K (2019) A systematic literature review of data governance and cloud data governance. Pers Ubiquit Comput 23:839–859

    Article  Google Scholar 

  10. Dagliati A, Malovini A, Tibollo V, Bellazzi R (2021) Health informatics and EHR to support clinical research in the COVID-19 pandemic: an overview. Brief Bioinform 22:812–822

    Article  CAS  Google Scholar 

  11. Lee L, Rawstron E, Henderson P et al (2018) Data governance: driving value in healthcare. KPMG International. https://home.kpmg/content/dam/kpmg/co/pdf/2018/07/data-governance-driving-value-in-health.pdf. Accessed 1 Apr 2022

  12. Allen C, Des Jardins TR, Heider A et al (2014) Data governance and data sharing agreements for community-wide health information exchange: lessons from the beacon communities. EGEMS 2:1057

    Article  Google Scholar 

  13. Larson DB, Magnus DC, Lungren MP et al (2020) Ethics of using and sharing clinical imaging data for artificial intelligence: a proposed framework. Radiology 295:675–682

    Article  Google Scholar 

  14. European Society of Radiology (ESR) (2019) IT development in radiology — an ESR update on the digital imaging adoption model (DIAM). Insights Imaging 10:27

    Article  Google Scholar 

  15. Griffiths KE, Blain J, Vajdic CM, Jorm L (2021) Indigenous and tribal peoples data governance in health research: a systematic review. Int J Environ Res Public Health 18:10318

    Article  Google Scholar 

  16. McGraw D, Leiter AB (2013) Pathways to success for multi-site clinical data research. eGEMs 1:1041

    Article  Google Scholar 

  17. Topol EJ (2019) High-performance medicine: the convergence of human and artificial intelligence. Nat Med 25:44–56

    Article  CAS  Google Scholar 

  18. Wiljer D, Hakim Z (2019) Developing an artificial intelligence–enabled health care practice: rewiring health care professions for better care. J Med Imaging Radiat Sci 50:S8–S14

    Article  Google Scholar 

  19. Hutter C, Zenklusen JC (2018) The Cancer Genome Atlas: creating lasting value beyond its data. Cell 173:283–285

    Article  CAS  Google Scholar 

  20. Hern A (2017) Royal Free breached UK data law in 1.6 m patient deal with Google’s DeepMind. The Guardian. https://www.theguardian.com/technology/2017/jul/03/google-deepmind-16m-patient-royal-free-deal-data-protection-act. Accessed 1 Apr 2022

  21. Barrett L, Bulger M, Burns H et al (2021) The case for better governance of children’s data: a manifesto. United Nations Children’s Fund (UNICEF). https://www.unicef.org/globalinsight/media/1741/file/UNICEF%20Global%20Insight%20Data%20Governance%20Manifesto.pdf. Accessed 2 Apr 2022

  22. Hartung P (2020) The children’s rights-by-design standard for data use by tech companies. United Nations Children’s Fund (UNICEF) https://www.unicef.org/globalinsight/media/1286/file/%20UNICEF-Global-Insight-DataGov-data-use-brief-2020.pdf#:~:text=Thus%20a%20children%E2%80%99s%20rights-by-design%20%28CRbD%29%20standard%20for%20use,and%20the%20primary%20consideration%20of%20children%E2%80%99s%20best%20interests. Accessed 2 Apr 2022

  23. Mackenzie DataStream (2020) FAIR and CARE data principles. https://mackenziedatastream.ca/en/article/fair-and-care-data-principles. Accessed 1 Apr 2022

  24. Wilkinson MD, Dumontier M, Aalbersberg IJ et al (2016) The FAIR guiding principles for scientific data management and stewardship. Sci Data 3:160018. Erratum in: (2019) Sci Data 6:6

  25. Global Alliance for Genomics and Health (2019) Global Alliance for Genomics and Health: data privacy and security policy. https://www.ga4gh.org/wp-content/uploads/GA4GH-Data-Privacy-and-Security-Policy_FINAL-August-2019_wPolicyVersions.pdf. Accessed 1 Apr 2022

  26. Goeggel Simonetti B, Rafay MF, Chung M et al (2020) Comparative study of posterior and anterior circulation stroke in childhood: results from the International Pediatric Stroke Study. Neurology 94:e337–e344

    Article  Google Scholar 

  27. Sheller MJ, Edwards B, Reina GA et al (2020) Federated learning in medicine: facilitating multi-institutional collaborations without sharing patient data. Sci Rep 10:12598

    Article  Google Scholar 

  28. Halabi SS, Prevedello LM, Kalpathy-Cramer J et al (2019) The RSNA pediatric bone age machine learning challenge. Radiology 290:498–503

    Article  Google Scholar 

  29. Eng DK, Khandwala NB, Long J et al (2021) Artificial intelligence algorithm improves radiologist performance in skeletal age assessment: a prospective multicenter randomized controlled trial. Radiology 301:692–699

    Article  Google Scholar 

  30. Kaye J, Terry SF, Juengst E et al (2018) Including all voices in international data-sharing governance. Hum Genomics 12:13

    Article  Google Scholar 

  31. Brady AP, Neri E (2020) Artificial intelligence in radiology — ethical considerations. Diagnostics 10:231

    Article  Google Scholar 

  32. Geis JR, Brady AP, Wu CC et al (2019) Ethics of artificial intelligence in radiology: summary of the joint European and North American multisociety statement. Can Assoc Radiol J 70:329–334

    Article  Google Scholar 

  33. Ienca M, Ferretti A, Hurst S et al (2018) Considerations for ethics review of big data health research: a scoping review. PLoS One 13:e0204937

    Article  Google Scholar 

  34. McCradden MD, Anderson JA, Stephenson EA et al (2022) A research ethics framework for the clinical translation of healthcare machine learning. Am J Bioeth 22:8–22

    Article  Google Scholar 

  35. Mazurowski MA (2019) Artificial intelligence may cause a significant disruption to the radiology workforce. J Am Coll Radiol 16:1077–1082

    Article  Google Scholar 

  36. Wood MJ, Tenenholtz NA, Geis JR et al (2019) The need for a machine learning curriculum for radiologists. J Am Coll Radiol 16:740–742

    Article  Google Scholar 

  37. Radiological Society of North America (2022) Curriculum. RSNA website. https://www.rsna.org/ai-certificate/program-curriculum. Accessed 2 Apr 2022

  38. Wiggins WF, Caton MT, Magudia K et al (2020) Preparing radiologists to lead in the era of artificial intelligence: designing and implementing a focused data science pathway for senior radiology residents. Radiol Artif Intell 2:e200057

    Article  Google Scholar 

  39. Reddy S, Allan S, Coghlan S, Cooper P (2020) A governance model for the application of AI in health care. J Am Med Inform Assoc 27:491–497

    Article  Google Scholar 

  40. Safdar NM, Banja JD, Meltzer CC (2020) Ethical considerations in artificial intelligence. Eur J Radiol 122:108768

    Article  Google Scholar 

  41. Vayena E, Blasimme A (2018) Health research with big data: time for systemic oversight. J Law Med Ethics 46:119–129

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Suranna R. Monah.

Ethics declarations

Conflicts of interest

None

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Monah, S.R., Wagner, M.W., Biswas, A. et al. Data governance functions to support responsible data stewardship in pediatric radiology research studies using artificial intelligence. Pediatr Radiol 52, 2111–2119 (2022). https://doi.org/10.1007/s00247-022-05427-2

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00247-022-05427-2

Keywords

Navigation