1. Canadian Association of Radiologists White Paper on De-Identification of Medical Imaging: Part 1, General Principles
- Author
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Khaled El-Emam, Rebecca Bromwich, Emil Lee, Casey Hurrell, Andrea Lum, Mark Cicero, Bruce Gray, Jacob L. Jaremko, Lori Sheremeta, An Tang, Benoit Desjardins, William Parker, Flavie Lavoie-Cardinal, Marleine Azar, and Caroline Reinhold
- Subjects
Diagnostic Imaging ,Canada ,Data management ,Best practice ,Lifelong learning ,Internet privacy ,Big data ,030218 nuclear medicine & medical imaging ,Machine Learning ,03 medical and health sciences ,0302 clinical medicine ,Artificial Intelligence ,Data Anonymization ,Health care ,Radiologists ,Medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Pseudonymization ,Societies, Medical ,business.industry ,De-identification ,General Medicine ,Data sharing ,030220 oncology & carcinogenesis ,business ,Algorithms - Abstract
The application of big data, radiomics, machine learning, and artificial intelligence (AI) algorithms in radiology requires access to large data sets containing personal health information. Because machine learning projects often require collaboration between different sites or data transfer to a third party, precautions are required to safeguard patient privacy. Safety measures are required to prevent inadvertent access to and transfer of identifiable information. The Canadian Association of Radiologists (CAR) is the national voice of radiology committed to promoting the highest standards in patient-centered imaging, lifelong learning, and research. The CAR has created an AI Ethical and Legal standing committee with the mandate to guide the medical imaging community in terms of best practices in data management, access to health care data, de-identification, and accountability practices. Part 1 of this article will inform CAR members on principles of de-identification, pseudonymization, encryption, direct and indirect identifiers, k-anonymization, risks of reidentification, implementations, data set release models, and validation of AI algorithms, with a view to developing appropriate standards to safeguard patient information effectively.
- Published
- 2020