Study Design and Research Protocol for diagnostic or prognostic studies in the Age of Artificial Intelligence: A Biostatistician’s Perspective

Authors

  • Giulia Barbati Biostatistics Unit, Department of Medical Sciences, University of Trieste https://orcid.org/0000-0001-8942-5686
  • Patrizio Pasqualetti Department of Public Health and Infectious Diseases, Sapienza University of Rome https://orcid.org/0000-0001-5560-1979
  • Domenica Matranga 3Department of Health Promotion, Mother and Childcare, Internal Medicine and Medical Specialties, University of Palermo https://orcid.org/0000-0002-2466-937X
  • Lorenza Scotti Department of Translational Medicine, University of Piemonte Orientale
  • Matteo Franchi National Centre for Healthcare Research and Pharmacoepidemiology, University of Milano-Bicocca, Milan, Italy; Unit of Biostatistics, Epidemiology and Public Health, Department of Statistics and Quantitative Methods, University of Milano-Bicocca, Milan, Italy https://orcid.org/0000-0001-9620-8057
  • Vittorio Simeon Medical Statistics Unit, Department of Mental, Physical Health and Preventive Medicine, University of Campania “Luigi Vanvitelli” https://orcid.org/0000-0003-2387-4125
  • Simona Signoriello Medical Statistics Unit, Department of Mental, Physical Health and Preventive Medicine, University of Campania “Luigi Vanvitelli” https://orcid.org/0000-0001-5194-3269
  • Ilaria Gandin Biostatistics Unit, Department of Medical Sciences, University of Trieste
  • Daniela Pacella Department of Public Health, University of Naples Federico II https://orcid.org/0000-0003-2343-5069
  • Annamaria Porreca Department of Medical, Oral and Biotechnological Sciences, "G. D'Annunzio" University of Chieti https://orcid.org/0000-0003-3278-1561
  • Danila Azzolina Department of Medical Sciences, University of Ferrara
  • Paola Berchialla Centre for Biostatistics, Epidemiology and Public Health, Department of Clinical and Biological Sciences, University of Torino https://orcid.org/0000-0001-5835-5638
  • Simona Villani Unit of Biostatistics and Clinical Epidemiology, Department of Public Health, Experimental and Forensic Medicine, University of Pavia; Centre for Healthcare Research and Pharmacoepidemiology, University of Pavia https://orcid.org/0000-0003-2517-6515

DOI:

https://doi.org/10.54103/2282-0930/22227

Keywords:

Artificial Intelligence Systems, Diagnostic and Prognostic studies, biostatistics, research protocol

Abstract

Introduction: As the integration of Artificial Intelligence (AI) in healthcare continues to advance, the need for rigorous study design and research protocols tailored to diagnostic and prognostic studies becomes paramount.
Aim: The primary objective of this work is to highlight the biostatistician’s point of view about the key points of the research protocol involving AI.
Methods: Assessing the current state-of-the-art guidelines, we outline the methodological challenges faced by biostatisticians when collaborating on research protocols in the era of AI-driven medical research.
Results: The proposed overview on research protocol involving AI elucidates key considerations in study design, encompassing evaluations of data quality, analysis of biases, methodological approaches, determination of sample size, and validation strategies tailored specifically to AI applications. This position paper underscores the pivotal role of strong statistical frameworks in ensuring the reliability, validity, and applicability of findings derived from AI-based diagnostic and prognostic models. Moreover, the paper seeks to highlight the critical importance of incorporating transparent reporting standards to enhance the reproducibility and clarity of AI-driven studies.
Conclusions: By offering a comprehensive biostatistician’s viewpoint, this paper strives to significantly contribute to the methodological progression of diagnostic and prognostic studies in the era of Artificial Intelligence.

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Published

2024-03-07

Issue

Section

Original articles
Received 2024-01-05
Accepted 2024-02-08
Published 2024-03-07