"Publish or Perish" Paradigm and Medical Research: Replication Crisis in the Context of Artificial Intelligence Trend

The "publish or perish" culture in academia has intensified trends in medical research, particularly around artificial intelligence (AI) and machine learning. This letter highlights how the pressure to publish positive findings during research trends, such as artificial intelligence in medicine, exacerbates the replication crisis. Issues like data leakage and lack of cross-institutional validation in AI models, particularly in clinical radiology, raise concerns about their reliability. The letter urges authors, reviewers, and editors to enforce rigorous standards to ensure reproducibility and safeguard the integrity of medical research.