Application of uncertainty quantification to artificial intelligence in healthcare: A review of last decade (2013-2023)

Comput Biol Med. 2023 Oct:165:107441. doi: 10.1016/j.compbiomed.2023.107441. Epub 2023 Sep 1.

Abstract

Uncertainty estimation in healthcare involves quantifying and understanding the inherent uncertainty or variability associated with medical predictions, diagnoses, and treatment outcomes. In this era of Artificial Intelligence (AI) models, uncertainty estimation becomes vital to ensure safe decision-making in the medical field. Therefore, this review focuses on the application of uncertainty techniques to machine and deep learning models in healthcare. A systematic literature review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Our analysis revealed that Bayesian methods were the predominant technique for uncertainty quantification in machine learning models, with Fuzzy systems being the second most used approach. Regarding deep learning models, Bayesian methods emerged as the most prevalent approach, finding application in nearly all aspects of medical imaging. Most of the studies reported in this paper focused on medical images, highlighting the prevalent application of uncertainty quantification techniques using deep learning models compared to machine learning models. Interestingly, we observed a scarcity of studies applying uncertainty quantification to physiological signals. Thus, future research on uncertainty quantification should prioritize investigating the application of these techniques to physiological signals. Overall, our review highlights the significance of integrating uncertainty techniques in healthcare applications of machine learning and deep learning models. This can provide valuable insights and practical solutions to manage uncertainty in real-world medical data, ultimately improving the accuracy and reliability of medical diagnoses and treatment recommendations.

Keywords: Bayesian models; Deep learning models; Healthcare; Images; Machine learning models; PRISMA; Signals; Uncertainty techniques.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Artificial Intelligence*
  • Bayes Theorem
  • Delivery of Health Care*
  • Reproducibility of Results
  • Uncertainty