{"id":3362,"date":"2025-11-07T01:38:23","date_gmt":"2025-11-07T00:38:23","guid":{"rendered":"https:\/\/www.linkidoc.fr\/blog\/2025\/11\/07\/lia-en-pediatrie-defis-et-opportunites\/"},"modified":"2025-11-07T01:38:27","modified_gmt":"2025-11-07T00:38:27","slug":"lia-en-pediatrie-defis-et-opportunites","status":"publish","type":"post","link":"https:\/\/www.linkidoc.fr\/blog\/2025\/11\/07\/lia-en-pediatrie-defis-et-opportunites\/","title":{"rendered":"L'IA en p\u00e9diatrie\u00a0: d\u00e9fis et opportunit\u00e9s"},"content":{"rendered":"
\n

Risques et d\u00e9fis li\u00e9s \u00e0 l'utilisation de l'IA en p\u00e9diatrie<\/h2>\n

Les grands mod\u00e8les de langage sont sujets \u00e0 la \u00ab flagornerie \u00bb, ou au d\u00e9sir de satisfaire l'utilisateur qui le suscite, ainsi qu'aux hallucinations, qui impliquent des d\u00e9couvertes fabriqu\u00e9es, explique Desai.<\/p>\n

Il note que l\u2019utilisation de l\u2019IA en p\u00e9diatrie pr\u00e9sente \u00e9galement des d\u00e9fis, car de nombreuses maladies infantiles sont rares et donc plus difficiles \u00e0 pr\u00e9dire pour les algorithmes.<\/p>\n

\u00ab\u00a0Il s'agit d'une limitation purement biostatistique : les performances d'un algorithme dans la vie r\u00e9elle d\u00e9pendent fortement de la pr\u00e9valence de la maladie. Plus la maladie est courante, plus l'algorithme est pr\u00e9cis\u00a0\u00bb, explique Desai. \u00ab\u00a0\u00c0 l\u2019inverse, plus la condition est rare, plus l\u2019algorithme sera performant.\u00a0\u00bb<\/p>\n

Bien que les scientifiques utilisent des algorithmes d\u2019apprentissage automatique pour identifier des maladies p\u00e9diatriques rares telles que les d\u00e9ficits immunitaires primaires, ils g\u00e9n\u00e8rent toujours un grand nombre de r\u00e9sultats \u00ab faux positifs \u00bb, selon Desai. Les enfants participent alors \u00e0 de nombreux tests inutiles et co\u00fbteux, dit-il.<\/p>\n<\/p>\n

\u00abCela rend ces algorithmes tr\u00e8s difficiles \u00e0 mettre en \u0153uvre sur le lieu d'intervention\u00bb, explique Desai.<\/p>\n

De plus, les biais de formation comportent des risques en p\u00e9diatrie.<\/p>\n

\u00ab Certains groupes de patients \u00e9taient peut-\u00eatre sous-repr\u00e9sent\u00e9s dans les donn\u00e9es de formation, de sorte que les pr\u00e9dictions du mod\u00e8le concernant ces patients sont inexactes \u00bb, explique Desai.<\/p>\n

Pour g\u00e9rer les risques li\u00e9s \u00e0 l'IA, Texas Children's a \u00e9tabli un comit\u00e9 de gouvernance et de pilotage de l'IA, explique Teresa Tonthat, vice-pr\u00e9sidente et CIO associ\u00e9e de l'h\u00f4pital.<\/p>\n

Le comit\u00e9 de gouvernance garantit que tous les r\u00e9sultats du mod\u00e8le d\u2019IA n\u00e9cessitent un \u00ab humain au milieu \u00bb pour v\u00e9rifier les informations avant de prendre des d\u00e9cisions concernant les patients, explique Tonthat. Le comit\u00e9 r\u00e9pond \u00e9galement aux pr\u00e9occupations concernant les exigences r\u00e9glementaires, les pr\u00e9jug\u00e9s et les hallucinations de l\u2019IA, ajoute-t-elle. <\/p>\n

Parce que le syst\u00e8me de sant\u00e9 travaille avec des donn\u00e9es sur les enfants, Texas Children's propose une formation aux \u00e9quipes de soins sur les approbations via MyChart d'Epic et travaille avec des fournisseurs tels que Microsoft pour discuter de la mani\u00e8re dont ils exploitent et prot\u00e8gent les donn\u00e9es des patients, explique Tonthat.<\/p>\n

\u00ab Notre tol\u00e9rance au risque est tr\u00e8s faible lorsqu'il s'agit d'informations sur nos patients p\u00e9diatriques \u00bb, d\u00e9clare Tonthat.<\/p>\n

Malgr\u00e9 les risques, l\u2019IA offre des opportunit\u00e9s pour r\u00e9soudre les probl\u00e8mes cliniques et am\u00e9liorer l\u2019efficacit\u00e9 des flux de travail.<\/p>\n

IA pour la radiologie et le diagnostic en p\u00e9diatrie<\/h2>\n

Texas Children's utilise l'IA depuis plus de dix ans et s'est tourn\u00e9 vers la mod\u00e9lisation pr\u00e9dictive, l'automatisation, l'apprentissage profond et l'apprentissage automatique pour r\u00e9soudre des probl\u00e8mes cliniques, explique Tonthat. L\u2019h\u00f4pital explore l\u2019IA g\u00e9n\u00e9rative depuis deux ans, notamment avec des mod\u00e8les qui am\u00e9liorent les flux de travail des \u00e9quipes soignantes. Il a fallu du temps pour susciter l'int\u00e9r\u00eat des \u00e9quipes cliniques du Texas Children's, mais le personnel est d\u00e9sormais pr\u00eat \u00e0 se d\u00e9velopper, dit-elle.<\/p>\n

Texas Children's a cr\u00e9\u00e9 un mod\u00e8le d'IA permettant aux radiologues de pr\u00e9dire l'\u00e2ge osseux. Le mod\u00e8le a \u00e9t\u00e9 form\u00e9 sur des millions de radiographies de mains p\u00e9diatriques.<\/p>\n

\u00ab\u00a0Comme nous disposons de millions de radiographies d'images de mains, nous avons entra\u00een\u00e9 le mod\u00e8le pour lui faire savoir en quelques secondes quel est l'\u00e2ge de la main de cet enfant du point de vue de la densit\u00e9 osseuse\u00a0\u00bb, explique Tonthat.<\/p>\n

Gr\u00e2ce \u00e0 son mod\u00e8le de pr\u00e9diction bas\u00e9 sur l'IA de l'\u00e2ge osseux, Texas Children's a pu am\u00e9liorer le d\u00e9lai d'ex\u00e9cution de 50 % en int\u00e9grant l'IA dans les flux de travail cliniques des radiologues, selon Tonthat. Le mod\u00e8le d'IA est une collaboration entre les services de radiologie et d'information de l'h\u00f4pital et son comit\u00e9 de gouvernance et d'orientation en mati\u00e8re d'IA.<\/p>\n

CHOP utilise \u00e9galement l\u2019IA en radiologie, selon Desai.<\/p>\n

\u00ab\u00a0Dans la recherche, les chercheurs du CHOP s'int\u00e9ressent \u00e0 l'IA pour am\u00e9liorer les diagnostics radiologiques, intercepter les erreurs de laboratoire, acc\u00e9l\u00e9rer le diagnostic \u00e0 partir de lames pathologiques et bien plus encore\u00a0\u00bb, dit-il.<\/p>\n

Si un m\u00e9decin voit un patient dont l'asthme est mal contr\u00f4l\u00e9, un outil d'IA ambiante pourrait r\u00e9cup\u00e9rer automatiquement les ant\u00e9c\u00e9dents d'asthme du patient, r\u00e9sumer les visites ant\u00e9rieures li\u00e9es \u00e0 l'asthme et informer un m\u00e9decin si le patient pr\u00e9sente un risque plus \u00e9lev\u00e9 de grippe, explique Desai. Il v\u00e9rifierait ensuite quels m\u00e9dicaments sont couverts par le r\u00e9gime d'assurance du patient et pourrait commencer \u00e0 r\u00e9diger la commande pour le contr\u00f4leur de l'asthme, explique Desai.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Risques et d\u00e9fis li\u00e9s \u00e0 l'utilisation de l'IA en p\u00e9diatrie Les grands mod\u00e8les de langage sont sujets \u00e0 la \u00ab<\/p>\n","protected":false},"author":1,"featured_media":3363,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[166,2046,101,867],"class_list":["post-3362","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classe","tag-defis","tag-l39ia","tag-opportunites","tag-pediatrie","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-50"],"yoast_head":"\nL'IA en p\u00e9diatrie\u00a0: d\u00e9fis et opportunit\u00e9s - Blog Linkidoc : consultant e-sant\u00e9<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.linkidoc.fr\/blog\/2025\/11\/07\/lia-en-pediatrie-defis-et-opportunites\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L'IA en p\u00e9diatrie\u00a0: d\u00e9fis et opportunit\u00e9s - 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