Responsible artificial intelligence in medical imaging: a systematic review - Report - MDSpire

Responsible artificial intelligence in medical imaging: a systematic review

  • By

  • Nafiz Fahad

  • Ridwan Jamal Sadib

  • Rakib Hossain Sajib

  • Md Kishor Morol

  • Dip Nandi

  • Tze Hui Liew

  • July 16, 2026

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Clinical Report: Ethical Considerations of Artificial Intelligence in Medical Imaging

Overview

This systematic review evaluates 24 studies on AI in medical imaging, focusing on diagnostic accuracy, fairness, privacy, and explainability. Key findings indicate that while many studies report high accuracy, caution is advised due to methodological limitations.

Background

The integration of artificial intelligence in medical imaging has the potential to enhance diagnostic capabilities across various diseases. Ethical considerations such as fairness, privacy, and explainability are crucial for responsible deployment.

Data Highlights

No numerical data or trial data provided in the article.

Key Findings

  • Explainability methods like Grad-CAM and LIME are prevalent in AI studies but do not guarantee clinical validity.
  • High accuracy rates (>90%) reported in several studies may be misleading due to reliance on internal validation and curated datasets.
  • Fairness and privacy-preserving learning are underrepresented in the literature, highlighting a gap in responsible AI evaluation.
  • Bias in AI performance can occur across demographic factors, necessitating careful consideration in algorithm design.
  • Responsible AI evaluation should include external validation, privacy risk analysis, and post-deployment monitoring.

Clinical Implications

Healthcare professionals should be aware of the limitations of AI diagnostic tools, particularly regarding their accuracy and fairness across diverse patient populations.

Conclusion

The review emphasizes the need for transparency and ethical governance in the deployment of AI in medical imaging.

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