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Ethical considerations in AI for child health and recommendations for child-centered medical AI

Seo Yi Chng1, Mark Jun Wen Tern2, Yung Seng Lee3

  • 1Krsyma Medical AI Pte Ltd, Singapore, Singapore. drchngsy@krsyma.com.

NPJ Digital Medicine
|March 11, 2025
PubMed

Insights

This review addresses the lack of AI ethics guidelines in pediatrics, offering principles and recommendations for child-centered medical AI. It introduces the PEARL-AI framework to ensure ethical AI in children's healthcare.

Area of Science:

  • Pediatric healthcare ethics
  • Artificial Intelligence in medicine
  • Clinical decision support systems

Background:

  • Existing AI ethics frameworks primarily focus on adult medicine, leaving a gap in pediatric applications.
  • There is a critical need for specific ethical guidelines and comprehensive reviews for artificial intelligence (AI) in child health.
  • Current AI implementation in pediatrics lacks standardized ethical management protocols.

Purpose of the Study:

  • To review and synthesize ethical principles relevant to AI in child health.
  • To provide actionable recommendations for developing child-centered medical AI.
  • To introduce a novel framework, the Pediatrics EthicAl Recommendations List for AI (PEARL-AI), for ethical AI implementation in pediatric care.

Main Methods:

  • Comprehensive literature review of AI ethics in child health.
  • Analysis of existing ethical principles and guidelines in medicine.
  • Development of a structured framework (PEARL-AI) based on identified ethical considerations.

Main Results:

  • Identification of key ethical challenges unique to AI in pediatric healthcare.
  • Formulation of specific recommendations for child-centered AI design and deployment.
  • Introduction of the PEARL-AI framework as a practical tool for stakeholders.

Conclusions:

  • The development of ethical AI in child health requires dedicated principles and guidelines.
  • The PEARL-AI framework offers a structured approach to ensure ethical AI use in pediatric medicine.
  • Addressing AI ethics in pediatrics is crucial for safeguarding children's well-being in evolving healthcare landscapes.

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