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Area of Science:

  • Medical Imaging and Artificial Intelligence
  • Radiology AI Development

Background:

  • Growing concerns regarding bias and fairness in clinical artificial intelligence (AI) applications.
  • Model development is a critical stage in implementing machine learning (ML) tools, susceptible to various biases.

Purpose of the Study:

  • To identify and address potential biases in AI model development within radiology.
  • To highlight key areas in the model development pipeline where bias can be introduced.

Main Methods:

  • Focus on four critical aspects of AI model development: data augmentation, model and loss function selection, optimizer choice, and transfer learning.
  • Review of current practices and potential pitfalls in these development stages.

Main Results:

  • Bias can be introduced through data augmentation techniques.
  • Model architecture, loss functions, optimizers, and transfer learning strategies significantly impact AI model fairness.
  • Specific considerations are needed for each stage to prevent bias.

Conclusions:

  • Implementing AI in radiology requires careful attention to model development to ensure fairness.
  • Adopting appropriate practices during data augmentation, model design, optimization, and transfer learning can mitigate bias.
  • Proactive bias mitigation is essential for trustworthy AI in clinical radiology.