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Medical artificial intelligence is as much social as it is technological

Despite the promise of medical artificial intelligence applications, their acceptance in real-world clinical settings is low, with lack of transparency and trust being barriers that need to be overcome. We discuss the importance of the collaborative process in medical artificial intelligence, whereby experts from various fields work together and tackle transparency issues and build trust over time.

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References

  1. Tonekaboni, S., Joshi, S., McCradden, M. D. & Goldenberg, A. Proc. 4th Machine Learning for Healthcare Conference 106, 359–380 (2019).

    Google Scholar 

  2. Grote, T. & Berens, P. J. Med. Eth. 46, 205–211 (2019).

    Article  Google Scholar 

  3. Montani, S. & Striani, M. Yearb. Med. Inform. 28, 120–127 (2019).

    Article  Google Scholar 

  4. Markus, A. F., Kors, J. A. & Rijnbeek, P. R. J. Biomed. Inform. 113, 103655 (2021).

    Article  Google Scholar 

  5. Shortliffe, E. H. & Sepùlveda, M. J. J. Am. Med. Assoc. 320, 2199–2200 (2018).

    Article  Google Scholar 

  6. London, A. J. Hastings Cent. Rep. 49, 15–21 (2019).

    Article  Google Scholar 

  7. van Baalen, S. & Carusi, A. Synthese 196, 4469–4492 (2019).

    Article  Google Scholar 

  8. Winter, P. & Carusi, A. Sci. Technol. Stud. 35, 58–77 (2022).

    Google Scholar 

  9. Winter, P. & Carusi, A. Med. Humanit. https://doi.org/10.1136/medhum-2021-012318 (2022).

    Article  Google Scholar 

  10. Winter, P. & Carusi, A. J. Responsib. Technol. 12, 100052 (2022).

    Article  Google Scholar 

  11. Oakden-Rayner, L. https://lukeoakdenrayner.wordpress.com/2018/01/24/chexnet-an-in-depth-review/ (24 January 2018).

  12. Scheek, D., Rezazade Mehrizi, M. H. & Ranschaert, E. Eur. Radiol. 31, 7960–7968 (2021).

    Article  Google Scholar 

  13. Elish, M. C. & Watkins, E. A. Data & Society https://datasociety.net/pubs/repairing-innovation.pdf (2020).

  14. Oakden-Rayner, L. & Palmer, L. J. in Artificial Intelligence in Medical Imaging (eds Ranschaert, E. R., Morozov, S. & Algra, P. R.) 83–104 (Springer, 2019).

  15. Nagendran, M. et al. Br. Med. J. 368, m689 (2020).

    Article  Google Scholar 

  16. Carusi, A. Stud. Hist. Philos. Biol. Biomed. Sci. 48, 28–37 (2014).

    Article  Google Scholar 

  17. Carusi, A. Humana-Mente J. Philos. Stud. 30, 67–86 (2016).

    Google Scholar 

Download references

Acknowledgements

We thank J. Anderson for helpful feedback. The research informing this Comment was supported by a Wellcome Grant for the project ‘AI in the Clinic’ (grant number WT/213606).

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Correspondence to Peter D. Winter.

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Nature Machine Intelligence thanks James Anderson for their contribution to the peer review of this work.

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Carusi, A., Winter, P.D., Armstrong, I. et al. Medical artificial intelligence is as much social as it is technological. Nat Mach Intell 5, 98–100 (2023). https://doi.org/10.1038/s42256-022-00603-3

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