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Re-focusing explainability in medicine.

Laura Arbelaez Ossa1, Georg Starke1,2, Giorgia Lorenzini1

  • 1Institute for Biomedical Ethics, University of Basel, Switzerland.

Digital Health
|February 17, 2022
PubMed
Summary
This summary is machine-generated.

Defining minimal explainability standards for artificial intelligence (AI) in healthcare is crucial. These standards ensure AI is understood by doctors and patients, enabling safe clinical integration.

Keywords:
Explainabilitydigital healthexplainable AIhuman-center AImedicine

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Area of Science:

  • Medical Informatics
  • Artificial Intelligence in Healthcare
  • Clinical Decision Support Systems

Background:

  • Artificial intelligence (AI) offers potential to enhance patient care but faces limited clinical adoption due to explainability concerns.
  • A significant barrier is the lack of a clear definition and consensus on what constitutes sufficient explainability for safe AI use in healthcare.
  • Disparate terminology and expectations among experts, regulators, and healthcare professionals hinder AI implementation.

Purpose of the Study:

  • To establish minimal explainability standards for artificial intelligence in clinical settings.
  • To bridge the gap in understanding AI behavior by defining criteria that meet the needs of doctors, patients, and legal requirements.
  • To facilitate the safe and ethical integration of AI into routine healthcare practices.

Main Methods:

  • Literature review and expert consensus-building on AI explainability in healthcare.
  • Development of a framework for defining context-dependent minimal explainability criteria.
  • Analysis of stakeholder needs (clinicians, patients, regulators) for AI comprehension.

Main Results:

  • Proposed definition of minimal explainability as sufficient, not exhaustive, understanding of AI clinical implications.
  • Identified context-dependent nature of explainability standards based on clinical scenario and potential risks.
  • Criteria designed to support clinician understanding, patient trust, and regulatory compliance.

Conclusions:

  • Minimal explainability standards are essential for the responsible and ethical implementation of AI in healthcare.
  • Context-specific criteria ensure AI models are comprehensible and safe for clinical practice.
  • Achieving consensus on explainability fosters trust and facilitates wider adoption of AI in patient care.